TEMPORARY REPAIR/CHANGE AUTHORIZATION FORM

Permanenet Repair Work Order No. ---------------------

Temporary Repair Work Order No. ---------------------

TR No.____________
Temporary repair implementation date 10-07-2016
(Given by inspection)

EQUIPMENT / PIPING / INSTRUMENT / ELECTRICAL

2001-JCT After Cooler
TAG NO. /LOCATION

DESCRIPTION OF PROBLEM: REASON FOR TEMPORARY REPAIR

Seepage from 16 No. Tubes (02 Nos. Tubes above Due to plant start up, Re-tubing is not feasible in short
acceptable limit) in the cooler. time.

SUGGESTED TEMPORARY REPAIRS (Use separate sheet for sketches)

Plugging of seeping tubes.

PROPOSED PERMANENT SOLUTION

Fabrication of new tube bundle.

PROPOSED CHANGE IN PERMANENT SOLUTION

Date by which Temporary repair would be 31-Dec-2016 Extended

removed removal date

Monitoring Checks Frequency Responsibility

Monitoring of Air outlet temperature Daily Operations

REQUESTED BY REVIEWED BY

Maint/E &I Engineer/Prod. Engr/Civil Engr Relevant Section Head/UM Project Engg. S.H.

FUNCTIONAL REVIEWS initial (Signature) (Comments)

Operations U.M/Section Head

Process Engr (Where

applicable)
U.M Inspection

UM Safety

APPROVED BY
Relevant SUB SOC CHAIRMAN

The above Temporary repair has been removed on

Requestor Verified by Operations & Inspection Engineer

CHECKLIST FOR TEMPORARY REPAIRS (MECHANICAL) REVIEW

TR NO. ___________________ DATE :_______________

Is it a confirmatory Temporary repair? YES NO

No. ITEM YES NO S
N/A REMARKS
1 HAS INSPECTION ASSIGNED THE TEMPORARY REPAIR
NUMBER TO THIS JOB?
2 DOES THE TEMPORARY REPAIR INVOLVE MATERIAL
CHANGE?
3 DOES THE REPAIR INVOLVE ANY TEMPORARY
MODIFICATIONS? IF YES, HAS IT BEEN REVIEWED BY
PROCESS/ PROCESS SUB-SOC?
4 DOES THE TEMPORARY REPAIR INVOLVE MACHINERY?
HAS IT BEEN REVIEWED BY MACHINERY ENGINEER/SH
/UM?
5 HAS THE BOX UP BEEN DESIGNED FOR ALL
COMBINATIONS OF INTERNAL AND EXTERNAL LOADING
AS PER RELEVANT VESSEL AND PIPING CODE?
6 IS BOX UP DESIGNED FOR ALL MODES OF OPERATIONS
e.g. START-UP, SHUTDOWN ETC.?
7 HAVE INSPECTION REQUIREMENTS BEEN REVIEWED BY
INSPECTION ENGINEER/UM OR ANY OTHER
INTERFACES?
8 IS WELDING PROCEDURE PROVIDED WITH NECESSARY
SPECIFICATIONS?
9 IS WELDING DESIGN IN ACCORDANCE WITH CODE
REQUIREMENTS?
10 ARE ALL SMALL PIPING CONNECTIONS ADEQUATELY
GUSSETED?
11 IS THERE ADEQUATE WORKING SPACE FOR FIELD
WORK?
12 WOULD ANY ADDITIONAL LIGHTING BE REQUIRED IF
WORK AT SITE HAS TO BE CARRIED OUT DURING
NIGHT?
13 THE EXECUTION OF BOX UP/TEMPORARY REPAIR WILL
BE DONE UNDER THE DIRECT SUPERVISION OF
EXPERIENCED MAINTENANCE PERSONNEL?
14 IS THERE A FIRE HAZARD DURING FIELD WORK?
15 HAVE ADEQUATE MEASURES (PLACING OF ADDITIONAL
FIRE EXTINGUISHERS / HOSES) BEEN TAKEN IN CASE
THE AREA IS NOT COVERED BY EXISTING FIRE WATER
FACILITY? REQUIREMENT SHOULD BE MENTIONED IN
WORK PERMIT..
16 HAVE THE REQUISITIONS/RESERVATIONS MADE TO
REVERT THE TEMPORARY REPAIR?
17 HOT PERMIT REQUIRED IN HAZARDOUS AREA?
18 RELEVANT SKETCHES AND DIAGRAM PROVIDED WITH
TR FORM?
19 TEST PROCEDURES FOR TR ARE AVAILABLE IF
REQUIRED?
20 DOES THE JOB EXECUTION REQUIRED JSA?
21 DOES THE JOB REQUIRE ANY SPECIAL TRAINING FOR
OPERATIONS / MAINTENANCE PERSONNEL?
22 DOES THE JOB REQUIRE ANY SAFETY AUDIT /PSSR?
(BASED ON CONSEQUENCE ANALSIS)
23 DOES THE REPAIR REQUIRE ANY BARRICADING,
MARKING OR LABELLING IN THE FIELD?

PROJECT ENGINEER / MAINTENANCE ENGINEER/CIVIL ENGINEER