CHANGEREQUEST更改申请NoLCF-14-001Rev1Date2010-5-24Page1/5SECTIONA:TheRequest申请(TobecompletedbytheprocessEngineer工艺工程师填写)1.TITLE主题2.□场地布置Infrastructure□设备/控制系统Equipment/Controls□工艺Process□组织Organization□程序Procedure3.□Minorchange□较小变更中等变更Moderatechange□重大变更Majorchange4.AREA/UNITNUMBER/EQUIPMENTNUMBER(equipments,spare,procedure,product,layout…)区域/单元代码/设备号(设备,备件,程序,产品,布置…)5.DESCRIPTION/JUSTIFICATION描述问题/说明更改理由6.PROPOSEDSOLUTION解决问题的建议7.PERMANENTORTEMPORARYCHANGE永久或临时更改TEMPORARY临时□PERMANENT永久□8.EXPECTEDREMOVALDATE9.ACTUALREMOVALDATE实际取消日期10.REMOVALVERIFIEDBY更改取消确认人预期的更改取消日期11.DATEREQUIRED需要完成的日期12.APPROX.COST(OrderofMagnitude)估计费用NAME姓名SIGNATURE签名DATE日期13.Initiator申请人SECTIONB:FINALAPPROVAL最终批准14.STATUS(TobecompletedbyProcessAuthorizer)更改进行状态(由工艺批准人填写)GO继续HOLD暂停STOP停止Ifstopped,pleasestatereasonbelow:如果停止,请说明理由如下:NAME姓名SIGNATURE签名DATE日期15.EHSQAuthorizer健康安全环保质量批准人16.MechanicalAuthorizer设备批准人17.ProcessAuthorizer工艺批准人CHANGEREQUEST更改申请NoLCF-14-001Rev1Date2010-5-24Page2/5SECTIONC:SafetyCheckLists安全检查表18.HEALTH,SAFETY,ENVIRONMENTANDQUALITY(TobecompletedbytheHSEQ’srepresentative)健康,安全,环境,质量YESNONADONEIslegallicense/permitisrequired?需要法定的许可证?Isnewregulations,codes,standardsrequirementsinvolved?涉及新的规章,法律,标准?Ispotentialnewsafetyhealthhazardintroducedbythismodification?可能带来潜在的新的安全危害?Ispotentialnewoccupationalhealthhazardintroducedbythismodification?可能带来潜在的新的职业健康危害?Ispotentialnewenvironmentaspectintroducedbythismodification?可能带来潜在的新的环境危害?Ispotentialofnoiselevelincreaseintroducedbythismodification?可能导致潜在的噪声等级的提高?Isnewwastegeneratedduringoraftermodification?在更改过程中/后有新的废弃物产生?DoweneedtoprovidenewMSDSforchemicals?需要提供化学品的MSDS?Issitejobsafetyanalysisetcrequired?需要现场任务安全分析等?Istherespecialrequirementforpersonalprotectiveequipmentduringandafterthemodification?更改过程中/后有个人防护装备的特殊需求?Dowehavetomodifytheexistingenvironmentalcontrolequipment?必须更改现有的环境控制设施?Dowehavetomodifytheexistingsafetycontrolequipment?必须更改现有的安全控制设施?Dowehavetomodifytheexistingfireprotection(detectionandfirefighting)equipment?必须更改现有的防火保护(检测和消防)设施?Isthequalityorquantityofwater/gaseffluentsbreachthelocalenvironmentstandard?水/气排放的质量和数量违背当地环境标准?Isspecialoccupationalhealth,environmentorsafetymonitoringrequiredduringandaftermodification?更改过程中/后需要特殊的职业健康,环境和安全监控?Isspecialorlegaltrainingrequirementorqualificationtobecarriedoutwiththemodification?需要在更改的同时制定特殊的或法定的培训需求或资格证?Iseyewashandsafetyshowerrequiredinthevicinity?附近需要洗眼器和安全淋浴?DotheGenerallosscontrolrulesneedtobemodified?总损失控制章程是否需要更改?NAME姓名:SIGN签名:DATE日期:19.PROCESS/PRODUCTION(TobecompletedbyOperation’srepresentative)工艺/生产YESNONADONEDoweneedadditionalreliefvalvesorrupturedisk?需要增加安全阀或爆破片?Isventingorpurgingfacilitiesrequired?需要放空或清洗设施?Doweneedadditionalkerbedarea?需要增加圈围区域?Isphysicalrunningconditionsmodified?物理工作条件被改变?DoessafetypositionsofROVneedtobedefined?需要确定ROV的安全位置?Doweneedtomodifyutilities?需要更改公用工程?Arethereconsequencesofutilitiesloss?(needofGenSetback-up)有损坏公用工程的后果?(需要备用发电机组?)Doweneedtodothecriticalinstrumentassessment?需要进行关键仪表评估?Arenewormodificationrelatedtoalarmsorinterlocksrequired?需要更改或增加相关的报警或连锁?Ischeckvalvesrequired?需要止逆阀?Istherepotentialeffectofairentry?可能有空气进入的影响?Aresecondaryreactionspossible?可能发生二次反应?Isthereaneedtoinsulatepotentialhotsurface?过热表面需要保温隔热?Isequipmentaccessaffectedbythemodification?影响到设备接近通道?Areroutesaffectedbythemodification?影响到通道?Doweneedtoprovideaccesstonewequipment?需要提供新设备通道?Isthereanyneedtomodifyworkinstructionsorprocedures?需要更改工作指引或程序?Willproductivitybeaffected?影响生产率?Willproductqualitybemodified?影响产品质量?Isemergencystopneeded?需要紧急停车(紧急按钮等)?Istherepossibilityofhavingadditionalflowratetothevent?有排放流量增大的可能?Doweneedadditionalemergencyexit?需要增加紧急出口通道?Aresignboardsrequired?需要标识牌?Issampletakingandpurgesfacilitiesneeded?需要取样和清洗设施?NAME姓名:SIGN签名:DATE日期:20.MAINTENANCE/ENGINEERING(TobecompletedbytheMaintenance’srepresentative)维修/工程YESNONADONEDoweneedtomodifytheexistingelectricalmaterials?需要更改现有的电气材料?Doweneedspecificelectricalequipmentsadaptedtothezoneclassification?需要专门的电气设备以适应区域类别?Willzoneclassificationbemodified?区域类别将被更改?Doweneedtomodifythestructureandsupport?需要更改结构和支撑?CHANGEREQUEST更改申请NoLCF-14-001Rev1Date2010-5-24Page3/5Istherecorrosionanderosionissue?有腐蚀问题?Istherethermalexpansionissue?有热膨胀问题?Doweneedtomodifyexistinglubricant,gasket,orfluid?需要更改现有的润滑油,垫片或流体介质?Doweneedtomodifyexistingpipeclassification,standards,codesandregulations?需要更改现有的管道分类,标准,规范与条例?Doweneedspecificmaterialselectionandassemblyproceduresadaptedtorunningconditions需要符合工作条件的专门的材料选择和组装程序Doweneedspecificinstrumentselectionandassemblyproceduresadaptedtorunningconditions需要符合工作条件的专门的仪表选择和组装程序?Doweneedadditionalalarmsorinterlocks?需要增加报警或连锁?Doweneedtomodifythedesignoftheexistingsafetyequipments(rupturedisk,safetyreliefvalves,hoses)?需要更改现有的安全设备(爆破片,安全阀,软管)的设计?Doweneedtomodifythestaticelectricityandlightningprotections?需要更改静电和照明保护?NAME姓名:SIGN签名:DATE日期:SECTIOND:INITIALREVIEW初步评估21.HSEREVIEW(TobecompletedbyHSERepresentative)安全评估RiskAssessmentMethodtobeused.HAZOPWHATIF危险评估方法CHECKLISTOTHERMETHOD__________________Pre-StartupSafetyReviewrequired?需要开车许可证?YES是NO否I