Securing points for safety lines, gantlines, blocks of adequate strength, no sharp edges |
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18 |
Work in the vicinity of Propeller, then immobilised, Chief Engineer informed. |
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19 |
Any other permits involved with this job ? Please specify? |
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20 |
Additional Precautions to be taken : ( please specify) |
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SECTION 2 : AUTHORISATION |
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I am satisfied that all appropriate safety measures are in place and that the work can be conducted safely. |
Name, Rank and Signature of Responsible Person |
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Work Authorised By: |
Master |
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SECTION 3 : PERMIT CLOSURE/CANCELLATION |
Equipment /system has been de-isolated and returned to the “in-service condition” |
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All notices and tags removed |
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The work area and equipment is in a safe condition |
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Work Completed |
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Permit is time Expired |
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Work suspended |
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Permit Closed By Responsible Person : |
Signature : |
Date :
Time:
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