GeneralThis permit is valid From _____________________hrs Date: _____________ (Maximum validity 12 Hrs) To ________________________ hrs Date: _____________ Work Location: ____________________________________________________ Description of work to be done: _________________________________________________ ________________________________________________________________ Names / ranks authorized to work:___________________________________________________ ___________________________________________________________________________ |
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Section 1 – CHECKS |
YES |
N/A |
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WORKING OUTBOARD SHOULD BE AVOIDED WHILE VESSEL IS MAKING WAY | |||||
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