Work Permit  Meraux Refinery  Cold Work Low Energy  Yes  N/A Permit Number: Information to be completed by Permit Holder Company:  Meraux Refinery Contractor Name  Area/Unit Permit Holder: Tools/Equipment to be used: Equipment # # Persons: Work Order #: Hand tools Lift trucks Double Insulated Electric Other: Scope of Proposed Task: Please initial that the Scope of work is clear and understood. Permit Holder: Permit issuer: Information to be completed by Permit Issuer. Previous Product in Equipment: MSDS Checked  Yes  N/A Additional PPE Required? Equipment Pre-Work Req’d Done Area Preparation LOTO Procedures Followed Y -- N Lock Box Number: Bottle Watch / Additional Standby Blinded/Disconnected Blinds Verified & Blind-List initialed Equipment Opened/Depressurized Decontamination Low energy work Preparation Valves-Closed/Tagged/Chained/Locked Water Washed Lighting 120 V w/ GFCI Electrical Systems N2 Purged Prepared for Vehicle Entry Field Test / Attempt to Energize-start Steamed Sumps-drains covered Radioactive Sources Secure Electrical Connections Taped Job Hazards Y Standard Controls PPE Req’d Access & Egress Housekeeping, Walkways, Stairs Manual Handling / Lifting Assessment & lifting equipment Standard (SSP-0011) Activities of Others Communications, Barriers, Permit Moving Parts Covers, Isolation, & Maintenance Full Face Shield Chemical /Fuel Exposure MSDS Review, PPE Overhead Hazards Labelling, Isolation, & Barriers Goggles Vehicle Entry Procedures, Barriers, & Permit Sharp Edges Covers, PPE, & Equipment Inspections Hearing Protection Electricity Isolation, LOTO Slips, Trips & Falls Housekeeping, & PPE Fall Protection Flammable Vapors / liquid Gas Testing & Isolation Static Electricity Grounding, Rubber /Leather Gloves Fumes & Dust Respirator / Eye Protection Trapped Pressure Venting, Draining, & PPE Rubber Gloves Hot Surfaces Insulation / Barriers / PPE Vehicle Traffic Hi-Vis Clothing, Speed Limit, & Signs Non Permeable Suit Toxic Vapors / Liquids Underground Hazards CAT Testing, Labelling, & Barriers Respirator ½ face Spillage to Ground Secondary Containment Hot Liquid Procedures & PPE Respirator Full Face Spillage to Water Containment / Booms Working at Height Scaffolding & Fall Protection / Harness Supplied Air Working Over Water Life Jacket, & Safety Boat, Personal H2S monitor Mechanical Lifting Barriers / Lift Procedures Other Specific Hazards: Additional Controls and/or Special Instructions: Air testing is required for low energy – non- Hot Work permitted activity. (Chief Operator must be notified.) No Date Time %LEL Oxygen H2S CO Benzene Other Serial No Meraux Qualified Person 1 2 Signing this Work Permit signifies the job site has been inspected by the Permit Issuer and Permit Holder, the area is prepared, and each individual has agreed to comply with the conditions of this permit. The Permit is valid through the end of the current work shift (start and end times below) and may be extended into the next shift if necessary. All Signatures are Required PRIOR to INITIAL work. Time Start Time Expires Authorized Start Print Name Signature Date Permit Holder Permit Issuer Chief Operator (if required) All Signatures are Required PRIOR to EXTENDING Permit into the following shift. Time Start Time Expires Authorized Continue Print Name Signature Date Permit Holder Permit Issuer Chief Operator (if required) Permit End Work Completed Work Site in Safe & Clean Condition Print Name Signature Date Time Permit Holder Yes No Yes  No Unit Operator

Work Permit  Meraux Refinery  Cold Work Low Energy  Yes  No Permit Number: Please designate if this is “Cold Work” or if Low Energy which includes only Vehicular Entry into a unit or low voltage only work. Please see hot work permit instructions The Permit Holder completes this section of the permit prior to meeting wit permit issuer. Information to be completed by Permit Holder Company:  Meraux Refinery Contractor Name  Area/Unit Permit Holder: Work Order # (s): Equipment # # Persons: Scope of Proposed Task: Check if Meraux personnel doing work Check and indicate Contractor Name for contractor work Person responsible for the work to be completed directly supervising the work. Must participate with the permit issuer in reviewing the area How many will be involved performing work Indicate work order numbers The Permit Holder should describe the scope of work to be completed in this area. Information to be completed by Permit Issuer. Work Description: Previous Product in Vessel: MSDS Checked  Yes  No Comment: Permit Issuer is an operator for the area involved The permit issuer should describe the work and ensure that their understanding of the work and the understanding of the Permit Holder are the same. Indicate what product was last in vessel to ensure proper PPE can be accessed. << Indicate if the MSDS was checked for the previous product in the vessel – then make any relevant comments in this area. Equipment Pre-Work Req’d Done Area Preparation LOTO Procedures Followed Lock Box Number: Bottle Watch / Additional Standby Blinded/Disconnected Blinds Verified & Blind-List initialed Equipment Opened/Depressurized Decontamination Low energy work Preparation Valves-Closed/Tagged/Chained/Locked Water Washed Lighting 120 V w/ GFCI Electrical Systems N2 Purged Prepared for Vehicle Entry Field Test / Attempt to Energize-start Steamed Sumps-drains covered Electrical Connections Taped The Permit Issuer and Permit Holder work through this section to ensure that: 1 – all Equipment Pre-Work area are checked to indicate what is REQUIRED (Req’d) 2 – to ensure that all REQUIRED Pre-Work is actually DONE The permit issuer and Permit Holder also ensure area preparation is required and Done for Bottle Watch or Low Energy Work. Job Hazards Y Standard Controls PPE Req’d Access & Egress Housekeeping, Walkways, Stairs Manual Handling Assessment ,& Equipment Standard (SSP-0011) Activities of Others Communications, Barriers, Permit Moving Parts Covers, Isolation, & Maintenance Full Face Shield Chemical /Fuel Exposure MSDS Review, PPE Overhead Cables Labelling, Isolation, & Barriers Goggles Vehicle Entry Procedures, Barriers, & Permit Sharp Edges Covers, PPE, & Equipment Inspections Hearing Protection Electricity Isolation, LOTO Slips, Trips & Falls Housekeeping, & PPE Fall Protection Fire & Explosion Gas Testing & Isolation Static Electricity Grounding, Chemical Gloves Fumes & Dust Filter Mask, Eye Protection Trapped Pressure Venting, Draining, & PPE Chemical Suit Hot Surfaces Procedures & PPE Vehicle Traffic Hi-Vis Clothing, Speed Limit, & Signs Respirator ½ face Underground Cables CAT Testing, Labelling, & Barriers Respirator Full Face Environmental Yes No Hot Liquid Air Supplied Hood/Line Can product contaminate soil/water? Working at Height Hand Rails, Harness, & Life-Line SCBA If yes, have preventive measures been taken? Working Over Water Life Jacket, & Safety Boat, Personal H2S monitor Is secondary containment required? Other.. The Permit Issuer and Permit Holder also inspect the area for Job Hazards. In this area if a Job Hazard exists the box should be checked. Standard Controls or other appropriate measures should be taken to ensure the area is safe for work. Also – potential Environmental impacts are noted below: Based on the work and hazards – specific required PPE should be Identified for the permitted work. Additional Controls Required: Special Instructions: Additional controls that are required and implemented should be described in this section. Any additional or special Instructions should be noted in this section. Air testing is required for low energy – non- Hot Work permitted activity. If test are taken, Chief Operator must be notified. No Date Time %LEL Oxygen H2S CO Other Serial No Meraux Qualified Person: 1 2 A Meraux employee (or designated contractor during turnaround events) who is qualified to do air testing must test the work area prior to any Vehicle entry or other low energy work being performed for this permit. These readings are noted here. A signature is required Signing this Work Permit signifies the job site has been inspected by the Permit Issuer and Permit Holder, the area is prepared, and each individual has agreed to comply with the conditions of this confined space permit. The Permit is valid for a period of up to 12 hours (start and end time below) or may be extended (below) for up to 24 hours. All Signatures are Required PRIOR to INITIAL work. Time Start Time End Authorized Start Print Name Signature Date Permit Holder Permit Issuer Chief Operator (if required) All Signatures are Required PRIOR to EXTENDING permit up to 12 hours Time Start Time End Authorized Continue Print Name Signature Date Permit Holder Permit Issuer Chief Operator (if required) These names, signatures and date must be complete and the Start and End time for the permit set (above) prior to work start. If, at the end of the shift, it is necessary to extend the permit, the on-coming Permit Holder and Issuer must review the area to ensure conditions have not changed and re sign the permit with start and end times. Permit End Work Completed Work Site in Safe Condition Print Name Signature Date Permit Holder Yes No Yes  No Unit Operator When the work is complete the Permit Holder and the Unit Operator should review the work and indicate whether it is complete and the site is in Safe condition – then print and sign their name and date the form.