PSSR
PSSR
PSSR
Issue No.:12
Rev. No.:1
Next Review
LDPE
Poly-Cat
Finishing
Packaging
Logistics
General (SEP)
SHEM /(Discipline) : [ ] 07.01 | M = Mechanical (Includes Rotating equipment) [ ] 07.02 | M = PSV [ ] 07.03 | A = Analyzer [ ] 07.03 | E = Electrical [ ]
07.03 | I = Instrument [ ] 07.03 = H | HVAC [ ] 07.04 | F = Fixed Equipment (Tanks, Pres. vessels) [ ] 07.05 | P = Piping [ ] 07.07 | H = Hoses
[ ] 07.09 | C = Cathodic Protection [ ] 08.06 | L = Lifting, M = Mobile [ ] 11. 03 | ER = Emergency Response
Notes:
(1) It is preferable to prepare separate but list for each discipline (2) YES" But list items must be completed before project start-up.
(3) "NO" But list items can be done after project start up. (4) Construction items from PSSR checklist shall be included in But List.
(5) DCR cannot be closed before area owner sign-off for "NO but list completion or waiver.
PSSR SHEM DiscipDESCRIPTION
INITIATOR
TYPE
STATUS
ACCEPTANCE
ITEM
line
(Provide clear description of but-list items. Attach
(But-List
(Y or N)
C-Completed,
(Sign off By
separate sheets, if necessary)
identifying
see notes
NR- Not Required,
Discipline
Person)
W - Waived)
Initiator)
1
N
UY-FAN-10A Lube oil system - Access not
SUNIL /
SUNIL /
available for Filter 52 AA/B & other valves
C
07.01
M
PRADEEP
PRADEEP
operation at Lube oil skid
2
Y
SUNIL /
PRADEEP
SUNIL /
PRADEEP
07.01
07.01
07.01
07.01
WILLIS
07.01
SUNIL /
PRADEEP
07.01
07.01
SUNIL /
PRADEEP
07.03
SUNIL /
PRADEEP
07.01
SUNIL /
PRADEEP
07.01
07.01
SUNIL /
PRADEEP
07.01
SUNIL /
PRADEEP
07.01
SUNIL /
PRADEEP
07.01
SUNIL /
PRADEEP
SUNIL /
PRADEEP
SUNIL /
PRADEEP
Y
C
SUNIL /
PRADEEP
8
C
SUNIL /
PRADEEP
10
11
12
C
13
SUNIL /
PRADEEP
14
15
16
SUNIL /
PRADEEP
Management Of Change
(Covers SHEM-09/SHEM-06 & OIMS-3.1/OIMS-7.1)
Issue No.:12
Rev. No.:1
Next Review
17
C
SUNIL /
PRADEEP
07.01
07.01
SUNIL /
PRADEEP
07.01
SUNIL /
PRADEEP
07.01
SUNIL /
PRADEEP
07.02
SUNIL /
PRADEEP
07.01
07.01
C
Kemya punch
07.01
07.01
SUNIL /
PRADEEP
07.01
Civil
Benzamine
18
19
20
21
22
SUNIL /
PRADEEP
23
SUNIL /
PRADEEP
24
SUNIL /
PRADEEP
25
26
27
Civil
Benzamine
Civil
Benzamine
Benzamine
Civil
Benzamine
07.01
28
07.01
29
07.01
30
07.01
31
M
Fadi
07.01
32
M
07.01
33
M
07.01
34
M
07.01
35
M
07.01
SUNIL /
PRADEEP
SUNIL /
PRADEEP
SUNIL /
PRADEEP
SUNIL /
PRADEEP
Note: It is the Responsibility of Construction Engineer for Capital projects or Maintenance Field Change coordinator for expense projects for getting
the entire "NO" But list items completed from the Contractor.
Management Of Change
(Covers SHEM-09/SHEM-06 & OIMS-3.1/OIMS-7.1)
KEMYA ASSIGNED ENGINEER
E &PM Project Engineer (Capital Projects)
( Sign after but list items are identified and listed)
Issue No.:12
Rev. No.:1
Next Review
Name:
Name:
Name:
Name:
Sign:
Sign:
Sign:
Sign:
Date:
Date:
Date:
Date:
Page _____ of _____