Individual Tank Specifics 2006

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Watson Air LiftTechnology

Individual Tank Specifics

Company

Location

Tank # Date


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SITE SPECIFIC HEALTH, SAFETY AND ENVIRONMENTAL PLAN Page 1 of 6(Minimum Requirements)

I. Project Details

Project Information: ________________________________________________

Project Name, ________________________________________________

Project Description, ________________________________________________

Project Manager, ________________________________________________

Estimated Start and Completion Dates, ________________________________

Contractor and Sub-Contractor Names, ________________________________

Work Hours/Shift ________________________________________________

Site Information:

COP Contact Person, __________________________________________

Site Name, __________________________________________

Site Location where the work will be performed __________________________

Scope of Work:

The scope shall cover the following phases of a project, i.e.,

Mobilization, __________________________________________

Work Execution __________________________________________

Demobilization. __________________________________________

Detailed description of work/tasks to be performed during each phase, includingspecific activities, estimated duration of activities and projected dates of activities.

_______________________________________________________________

Describe how the work is to be performed, who will perform the work, what methodswill be used to accomplish the work.

_______________________________________________________________

Estimated number of workers during each phase

_______________________________________________________________


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SITE SPECIFIC HEALTH, SAFETY AND ENVIRONMENTAL PLAN Page 2 of 6

II. Personnel Information

Contractor Project Personnel:

Title _______________________________

General Description of Position _______________________________

Specific Roles/Responsibilities of position

_____________________________________________________________

Required Qualifications of position

_____________________________________________________________

General & special training requirements for position

_____________________________________________________________

Medical Surveillance requirements of position if required by regulation

_____________________________________________________________

Attach resumes for each position ________________________________

III. Health, Safety and Environmental Hazard Assessment

Overall project hazard assessment, outlining Physical, Chemical hazards and control

methods identified to eliminate or reduce the risk.

________________________________________________________________

Detailed Specific JSA or JHA for activities/tasks noted in each phase of the scope ofwork.

________________________________________________________________

IV. General Site HSE Requirements

Describe the requirements for the following specific categories;

Facility Requirements

Parking __________________________________________

Gate Entry __________________________________________

Orientation __________________________________________



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Personnel Requirements

Break Times & Areas ____________________________________

Smoking Areas ____________________________________

Hygiene (contaminant control, i.e., hand washing, disposal clothing

management, etc._______________________________________________________

Continuous HSE Improvement Requirements

HSE & Performance Expectations __________________________

Safety/Tool box meetings __________________________

Auditing field activities/tasks __________________________

Auditing contract requirements __________________________

Drug/Alcohol Testing __________________________

Incentive Program __________________________

Housekeeping __________________________

Training/Documentation on Site Specific HSE Plan _______________

General HSE Requirements

Cell Phone Usage __________________________

Camera Usage __________________________

Vehicle/Mobile Equipment Usage/Operation _____________________

Transporting Workers __________________________

Equipment/Building/Trailer locations __________________________

Personal Protection Equipment (PPE) __________________________

Specific Program Requirements

Permit Management __________________________

Energy Isolation/LOTO __________________________


Confined Space __________________________


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Fall Protection __________________________

Personal Protection Equipment (PPE) __________________________

Respiratory Protection Program __________________________

Excavation __________________________

Hydro Blasting/Jetting __________________________

Abrasive Blasting __________________________

Painting/Coating __________________________

Lead Removal __________________________

Asbestos Removal __________________________

Alloy/Carbon Steel Welding __________________________

Torch/Arc cutting __________________________

Critical Lifts __________________________

Hazardous Waste Management __________________________

V. Site Emergency/Contingency Plan

Emergency Contact list

Personal Name __________________________________________

Title/Company __________________________________________

Address __________________________________________

Phone Home # __________________________________________

Phone Cell # __________________________________________

Facilities/Services

Name, __________________________________________

Title/Company __________________________________________


Address; _________________________________________

Phone Number(s) _________________________________________


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Fire Emergency Contingency Plan:

Step by step process on what to do in the event of a fire situation.

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Hazardous Material Release (Liquid/Solid/Vapor) Emergency Contingency Plan:

Step by step process on what to do in the event of a Hazardous MaterialRelease.

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Evacuation Plan:

Step by step process on what to do in the event evacuation is required.

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________


Injury Contingency Plan:

What is to be reported _________________________________________

How to report, _________________________________________


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Who is to be contacted, _________________________________________

Where injured person(s) will be treated, _______________________________

When to report _________________________________________

Report to whom _________________________________________

____________________________________________________________________

____________________________________________________________________

VI. List of Attachments

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________


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Watson Air LiftTechnology

Individual Tank Specifics Page 1 of 2

Company: __________ Date:_________________

Location: ______ Tank #:

1. Tank Site/Safety Checklist and Permits (Check Appropriate Box) Yes No N/A

(a) Site/Safety Briefing Procedures Manual Page 37 __ __ __

(b) Tank Pre-Lift Checklist and Authorization Procedures Manual Page 38 __ __ __

Procedures Manual Page 39 __ __ __

(c) Local work permit __ __ __

2. Tank Information

(a) General Tank Information Procedures Manual Page 34 __ __ __


(b) Engineers Calculation Summary Sheet Procedures Manual Page 36 __ __ __

Tank Information Sheets are same as tank to be lifted. __ __ __

3. Set Up Tank

From Calculation Summary Sheet, set up:

(a) Air bag lifting points __ __ __

(b) Tank support points __ __ __

4. Tank Field Survey

Tank Pre-Lift Field Survey Procedures Manual Page 40 __ __ __





Tank Post Lift Field Survey Procedures Manual Page 45 __ __ __

A. R. Watson USAProcedures Manu

Rev. 2003Page 32


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"Watson Air Lift " Technology

Individual Tank Specifics Page 2 of 2

5. Mark Out At Tank Site Location (Check Appropriate Box) Yes No N/A

(a) Emergency Access

(b) Compressor(c) Hoses(d) Manifold(e) Site Sheds(f) Parking

6. Lift Inspection

From Engineers Calculation Summary Sheet:

(a) Set air pressure regulator __ __ __

(b) Check that air hoses are connected correctly __ __ __

(c) Safe working distance from airbags while inflating and deflating: ______ft. __ __ __

7. Storm Anchors

From Calculation Summary Sheet (if required):

(a) Set up position on tank __ __ __

(b) Weld lugs onto tank __ __ __

(c) Locate anchors in position __ __ __

8. Internal Lifting

From Engineers Calculation Summary Sheet (if required):

(a) Column supports __ __ __

(b) Wires ropes to support floor __ __ __

9. The Following Procedures May Be Required:

(a) Foundation __ __ __

(b) Containment Membrane __ __ __

(c) Cathodic Protection __ __ __

(d) Floor Replacement / Repairs __ __ __


Rev. 2003Page 33


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General Tank Information Sheet Page 1 of 2

Contact: _________________________ Date: _________ Tank #: _______

Company: __________________________ Telephone: _______________________

Address: __________________________ Facsimile: _______________________

City: __________________________ Location: _______________________

State / Zip: __________________________

Reason To Lift Tank

Alabama State: Washington State New Zealand:7040 McDonald Rd. 4016 E. Maryland St. P.O. Box. 13858 Onehunga

Irvington, AL 36544 Bellingham, WA 98226 Auckland New ZealandPhone # (251) 653-8886 Phone # (360) 734-9157 Phone # (64) (9) 528-7905Toll Free # (800) 294-5102 Toll Free # (866) 734-9157

Fax # (251) 653-7385 Fax: # (360) 752- 1779 Fax # (64) (9) 528-7904

Website:www.arwatson.com E-Mail: [email protected]


Rev. 2003Page 34

Yes No

Inspection of underside of floor ___ ___

Repair existing foundation ___ ___

Construct new raised foundation ___ ___

Possible floor repair ___ ___

Level tank rim settlement ___ ___

Install double containment membrane ___ ___

Install cathodic protection ___ ___

Install leak detection system ___ ___

Relocate tank ___ ___
http://www.arwatson.com/http://www.arwatson.com/mailto:[email protected]://www.arwatson.com/mailto:[email protected]


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General Tank Information Sheet Page 2 of 2

Company: _____________________________ Date: _______________

Location: _____________________________ Tank #: ________________

Existing Tank Foundations: Concrete ring wall Crushed rock Sand

Tank Compound: Truck access Wet Dry

Website: www.arwatson.com E-Mail: [email protected]


Rev. 2003Page 35

Diameter: _______ Ft.

Height: _______ Ft.

Weight: _______ Tons.

Shell Courses: Thickness Height

Bottom No. 1 ____ ____

No. 2 ____ ____

No. 3 ____ ____

No. 4 ____ ____

No. 5 ____ ____

No. 6 ____ ____

No. 7 ____ ____

No. 8 ____ ____

Floor Plate: ____ Thickness

Roof Plate: ____ Thickness

Annular Plate: ____ ThicknessAnnular Plate Protrusion: ____ Inches

Design Code: ______Tank Age: ______ Years

Design Wind Velocity: ______ Miles/Hour

Tank Construction: Riveted Welded

Floor Type: Flat Cone up Cone down

Cone Slope: ______ Inches/Foot

Roof Type: Floating Fixed Geo Dome

Roof Slope: ____ Inches/FootDesign Snow Load: ____ Inches

Wind Girders: ____ Number

Floating Pontoon: Double Deck Pan

Internal Columns: ____ Center ____ Inner Ring

____ Inter Ring ____ Outer Ring

Heating Coils: No Yes ____ Est. Weight

Double Bottom: No Yes ____ Est. Weight

Internal liner: No Yes ____ Est. Weight

Other Internal Fittings: No Yes ____Est. Weight
http://www.arwatson.com/mailto:[email protected]://www.arwatson.com/mailto:[email protected]


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Pre Lift Site Briefing

A site briefing is conducted prior to the commencement of work. Generally thisbriefing is used to reinforce safety procedures and to inform the on site personnel ofthe measures which apply specifically to that location.

The agenda for this site briefing is drawn up with reference to the following items:

Use of protective clothing / safety equipment

Requirements for personnel identification on site

Emergency egress and assembly procedures

Location and use of fire fighting equipment

Sources of ignition prohibited

Definition of Authority and introduction of Supervision Personnel

Explanation of fire hazard areas on site

Access to work areas

Site liaison / contractor liaison

Work permits, prohibited works / permitted works

Work in confined spaces

Connecting equipment and connecting to existing services

Excavations

Use of electrical equipment

Use of Owner supplied equipment

Hours of work

Bund / Dike containment walls

Washing / eating facilities

Terminal operators specific requirements

Safe use of vehicles on site


Rev. 2003Page 36


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Rev. 2003Page 37


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Tank Pre-Lift Checklist and Authorization Page 1 of 2

Company: __________ Date:_________________



Rev. 2003Page 38

Tank Pre-Lift Checklist

All items contained in the following checklist are to be inspected and checked in accordance withthe Procedures Manual by both the A.R. Watson USA Supervisor and the PrincipalsRepresentative.

(Check Appropriate Box) Yes No N/A

1 Work Permit Provided __ __ __

2 Gas Free Certificate Provided __ __ __

3 All Staff Briefed on Site Emergency Procedures __ __ __

4 Fire Fighting Equipment Mobilized and Appropriate __ __ __

5 Inlet and Outlet Pipeline Disconnected and Blanked __ __ __

6 Fire Water Pipelines Disconnected __ __ __

7 Foam Lines Disconnected __ __ __

8 Tank Heating Pipelines Disconnected __ __ __

9 Manholes Covered with Safety Mesh __ __ __

10 Tank Stairs or Walkway Barricaded and free from ground fixing __ __ __

11 Floating Roof Set to High Level Legs __ __ __

12 Under Floor Appurtenances Clear for lifting __ __ __

13 Electrical Wiring Services Disconnected __ __ __

14 Electrical Ground Straps Disconnected __ __ __


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Rev. 2003Page 39


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Tank Pre-Lift Checklist and Authorization Page 2 of 2


Rev. 2003Page 40

Tank Pre-Lift Checklist Continued. (Check Appropriate Box) Yes No N/A

15 Any Surface Irregularities in the Shell or Roof. (Procedure Manual page 44) __ __ __

16 Designed Support Positions Marked on Tank Shell __ __ __

17 Specified Number of Air Bags Provided and Inspected __ __ __

18 Control Manifold Gauges and Pressure Regulator Inspected __ __ __

19 Control Manifold Preset to Design Pressure __ __ __

20 Compressor Located in Designated Safe Area __ __ __

Tank Lift Authorization

The principal confirms receipt and acceptance of the tank lift calculations, has completed this pre-liftinspection of the site and tank and authorizes A.R. Watson USA to commence the lifting of the Tank

Site Supervisor: Principals Representative:A.R. Watson USA Principal

Name: _________________________ Name: ________________________

Date: ____________________ Date: ____________________

Tank Lift Completion

The tank lift has been completed to the principals requirements and they accept completion of thetank lift work

Site Supervisor: Principals Representative:A.R. Watson USA Principal

Name: _________________________ Name: ________________________

Date: ____________________ Date: ____________________


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Tank Pre-Lift Field Survey Page 1 of 6

Company: __________ Date:_________________


1. Benchmark

Benchmark location ______________________

Benchmark ______________

Top of Annular Ring ______________

S 1 ____________ Inches

S 2 ____________ Inches

S 3 ____________ Inches

S 4 ____________ Inches

S 5 ____________ Inches

S 6 ____________ Inches

S 7 ____________ Inches

S 8 ____________ Inches

Measurement between S 1 and S 2 can be no more than 32 feet apart

Measure tank circumference taken at floor level. ___________________ Feet.

Mark piping connection locations relative to reference point on above diagram

Notes: __________________________________________________________________


Rev. 2003Page 41

S 3

S 2

S 4

S 5

S 1

S 6

S 7

S 8


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Company: __________ Date:_________________


2. Diameter Measured at Floor Level(If floor is to be replaced)

S 1 to S 5 ________________ Feet

S 2 to S 6 ________________ Feet

S 3 to S 7 ________________ Feet

S 4 to S 8 ________________ Feet

3. Diameter Measured at Roof Line.

(open top and dome roof)

S 1 to S 5 _________________ Feet

S 2 to S 6 _________________ Feet

S 3 to S 7 _________________ Feet

S 4 to S 8 _________________ Feet

Notes:___________________________________________________________________________


Rev. 2003Page 42

S 2

S 1

S 3

S 4S 5

S 6

S 7

S 8


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Company: __________ Date:_________________


4. Shell Edge Settlement

Measurements

S 1 A _______ B _______ Inches

S 2 A _______ B _______ Inches

S 3 A _______ B _______ Inches

S 4 A _______ B _______ Inches

S 5 A _______ B _______ Inches

S 6 A _______ B _______ Inches

S 7 A _______ B _______ Inches

S 8 A _______ B _______ Inches

Notes: _____________________________________________


Rev. 2003Page 43

Leveled Straight Edge

Inside Tank Shell

Measurements B Taken Inside Tank

Measurement ATank Floor

S 1

S 2

S 3

S 4

S 5

S 6

S 7

S 8


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Company: __________ Date:_________________


5. Out of Plane Settlement and Planer Tilt

Survey points from inside tank to determine out of plane settlement

Bench mark by entry manhole

S 1 _____________ Inches

S 2 _____________ Inches

S 3 _____________ Inches

S 4 _____________ Inches

S 5 _____________ Inches

S 6 _____________ Inches

S 7 _____________ Inches

S 8 _____________ Inches

6. Floor Sag at Center

Tank center ____________ Inches


Rev. 2003Page 44

Floor sag

S 1

S 2

S 3

S 4

S 5

S 6

S 7

S 8


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Tank Post-Lift Field Survey Page 6 of 6

Company: __________ Date:_________________


8. Post Lift Survey(Fill out this sheet after tank has been lifted)

1. Mark inlet pipe and manways

2. Note any water lying around the tank

3. Note any uneven settlement of the tank foundation

4. Note any debris that might cause the tank floor to corrode

5. Note any abnormalities in the floor and foundation that could caused the tank to fail

6. Mark any debris and standing water for each quadrant as well as low/high areas

7. Record tank circumference and note any reduction after lifting

# 1______________________________________________________________________________________________

# 2 _____________________________________________________________________________

# 3 _____________________________________________________________________________

# 4 _____________________________________________________________________________

Other comments: __________________________________________________________________

_____________________________________________________________________________


Rev. 2003Page 46

#1

#3

# 2

# 4


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A. R. WatsonUSA,

Procedures ManuR

Page 48


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To: A. R. Watson Corp4016 E. Maryland St.Bellingham, WA 98226

Confidentiality Undertaking

I (Insert Full name) ______________________________________________________do hereby acknowledge and agree as follows:

1. That I am presently engaged in or am about to be engagedin certain negotiations with A. R. Watson USA, LLC.

2. That I am aware that because of my association with such negotiations, certaininformation and material will become known to me or divulged to me, which isregarded by A. R. Watson Corporation as being highly confidential andcommercially sensitive.

3. That I accordingly undertake in recognition of the proprietary and sensitivecommercial nature of these negotiations that I will:

a) not discuss the negotiations or any details thereof with any third party without theconsent of A. R. Watson Corporation, and;

b) not distribute any such material regarding the negotiations or copies thereof toany other third party whatsoever, and;

c) limit the preparation and distribution of copies of any material to an absoluteminimum, and;

d) return to A. R. Watson Corporation all material including copies forthwith at A. R.Watson Corporations request.

4. That such undertakings shall continue indefinitely or until such time as A. R.Watson Corporation releases me from the same.

Dated this _________________day of ________________________ 20______.

Signed by the above named in the presence of:


Rev. 2003Page 46


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A.R. WATSON USA, LLC

By my signature below, I acknowledge that I have received information and training regarding:

Process Safety Management Training

Hazard Communication Program

New Hire & Supervisors Safety Orientation

How to Conduct Safety Meetings & Pre-Job Safety Planning Tailboard Meeting

Accident Reporting

Assured Equipment Grounding Conductor Program

Bloodborne Pathogens Exposure Control Plan

Confined Space Entry Program

Forklift Training

Tank Lifting Training Manual

Supervisors Safety Orientation Program

Control of Hazardous Energy Procedure

Fire Prevention and Protection

Confined Space Entry Program

Area Work Clearance

Safe Work Permits

Flame Resistant Clothing (NOMEX)

Safety Watch Guidelines

The training session was conducted by: ______________________________________

The training session location: _______________________________________________

_______________________________________________________________________

DATE EMPLOYEES NAME SOCIAL SECURITY NUMBER


Rev. 2003Page 47


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TANK LIFT LEVEL TRAINING LEGEND

COLOR CODE LEVEL QUALIFICATIONSRED 1 Understands tank lifting fundamentals.

Basic construction techniques of styes.Basic understanding of air bag systems.

Needs SupervisionORANGE II Completed Level 1.

Experienced in tank lifting = completed a tank lift.Understands setout procedure.Completed training in use of air bags.

SupervisionYELLOW III Completed Level 1 and 2.

Experienced in tank lifting and relocation.Experienced lifting column roof tanks.Is competent to supervise Level 1 tank lifter.

Minimum SupervisionWHITE IV Completed Levels 1, 2 and 3.

Experienced in all areas of tank lifting.Is competent to run tank lifting process.Is competent to train tank lifting process.

No Supervision


Rev. 2003Page 48


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Tool Box Meeting

Company: __________ Date:_________________


Name: Company: S.S. No:

Topics:

Personal protective equipment Steel toe footwearHard hats Eye protectionHand protection Fall protectionHearing protection Respiratory protection


Rev. 2003Page 46


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Job Safety Analysis

Company: __________ Date:_________________


Name: Company: S.S. No:

Job Safety Analysis: On the Job Safety; For Everyone; Everyday; All the timeHouse keeping; Follow written procedures; ask for assistance, if needed

ASSESS the risk; What could go wrong? What is the worst thing that could happen if somethingdoes go wrong?ANALYSE how to reduce the risk; Do I have the necessary Training and Knowledge to do this jobsafely? Do I have the proper Tools and Personal Protective Equipment?ACT to ensure safe operation; Take necessary Action to ensure the job is done safely

DO NOT PROCEED UNLESS EVERYTHING IS SAFE

Job Steps Potential Hazards Recommended Action or Procedure


Rev. 2003Page 47


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A R Watson USA

Documents

Individual Tank Specifics 2006