WORK ALOFT/OVERSIDE PERMIT
Vessel: WORK PERMIT No:
| DESCRIPTION OF WORK:
|
Does job require hot work?
Does job require electrical maintenance?
Does job require equipment isolation? |
Y / N
Y / N
Y / N |
Permit no. ____________
Permit no. ____________
Permit no. ____________ |
| ITEM | YES | NA | ITEM | YES | NA | ||
| 1 | Bosun chair, stage, ropes etc checked and in order | 10 | Weather condition considered | ||||
| 2 | Warning notices posted | 11 | Any change in course expected | ||||
| 3 | Radars isolated | 12 | Communication verified | ||||
| 4 | Antennas isolated | 13 | Life buoy & line ready* | ||||
| 5 | Skill of worker verified | 14 | Ladder rigged aft of work area* | ||||
| 6 | Whistle isolated | 15 | Deck supervisor appointed* | ||||
| 7 | Duty Officer / Engineer informed | 16 | Lifeline attached | ||||
| 8 | PPE worn | 17 | Port control informed* | ||||
| 9 | All tools lashed by rope | 18 | Pollution preventive measures taken* |
*Applicable only when working overside
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