DIVE PERMIT NO.: COLD WORK PERMIT NO.

(IF APPLICABLE):
A. GENERAL INFORMATION
DIVING CO.: DSV/BARGE/OTHER:
TYPE OF DIVING:
SPECIFIC LOCATION: EXPECTED DURATION AT THIS LOCATION:
JOB DETAILS:
INITIATORS

JO

DIVE PERMIT DURATION VALIDITY DIVE SUPERVISOR CLIENT'S REPRESENTATIVE

FROM : TO: NAME: NAME:
TIME TIME
DATE DATE FUNCTION FUNCTION
DATE: DATE:
B. DIVE SITE PRECAUTIONS (DSV, BARGE ETC.)
MASTER
 International signals displayed  Inform installation /MC Control of start and finish of each diving
 Job discussed with Diving Supervisor operation
 Weather conditions suitable & agreed with Diving  30 Min. notice of vessel drills to be given to installation
Supv. Forecasts supplied to Diving Supv.  Others
 Area around diving site safe
 Diving compressor intakes in clean air area DIVING SUPERVISOR
 Operations dangerous to divers ceased  Diving area safe
 Vessel MADE FAST/Propellers stopped/warning notices  Divers fit and have valid diving medical cert.
and watch keepers in place  Diving first aid and equipment to required level
 2M clear path to DDC + 2M clear in front of DDC  Required no. of Diving Medics present
entrance  Divers briefed on job and safety aspects
PERFORMERS

 Broadcast diving warnings throughout vessel
 Safe entry in/out of sea
 Exclusion agreed with installation/MC Control
 Lookout man posted
 Safety appliances easily accessible and ready for
immediate use
 Appropriate PPE provided/worn
 Communications between bridge/ dive control/
installation tested and working
 All Non Diving Equipment Supporting Divers certified,
checked immediately prior to diving and fir for use
 Diving plant checked immediately prior to commencing diving fit for
use. All Certified.
 Divers individual equipment and tools checked prior to each dive
 Diving communications checked prior to each dive and fit for use
 Dive recording & monitoring equipment present and working
 Safe level of support equipment present and available
 Approved work procedures present & complied with
 Project safety plan present and complied with
 Bridge/Control room informed of start and end of each dive
 Others

WE WILL IMPLEMENT MONITOR AND ENFORCE THE ABOVE PRECAUTIONS AND BELIEVE IF THEY ARE IMPLEMENTED, TOGETHER WITH THE
PRECAUTIONS REQUIRED OF THE INSTALLATION WILL PROVIDE ON A ADEQUATE LEVEL OF SAFETY FOR HE WORK DESCRIBED.

MASTER'S NAME: DIVING SUPERVISOR'S NAME:

SIGNATURE: SIGNATURE:

DATE/TIME: DATE/TIME:
C. ADVICE TO INSTALLATION FOR REQUIRED SAFETY PRECAUTIONS
 No scaffolding or tubular lifts  Make regular public address warning that diving is being
 No lifts over diving area conducted/location
 No overhead work  Lockout start up controls of any subsea equipment that could
(DIVING SUPV.)

 No fishing affect safety of diver

PERFORMER

 No overside dumping  Warnings broadcasted to incoming vessels of diving exclusion

 No cement discharge area
 No flaring over DSV/Barge  No movement of any items which could affect safety of diver
 Lockout of start up control of any suction inlets within without prior permission of Diving Supervisor
minimum of 5M radius of diver required  Place warning signs at appropriate control points
 No grit blasting or paint spraying in the vicinity of DSV/Barge  30 Min. warning of installation drills to be given to DSV/Barge
 Others

DIVING SUPV. NAME: SIGNATURE: DATE/TIME:

D. ENDORSEMENT BY DSV/BARGE/SITE/CLIENT'S REPRESENTATIVE:

I HAVE READ THIS PERMIT AND AGREE WITH THE LEVEL OF PRECAUTIONS REQUIRED. I WILL ENSURE TO THE BEST OF MY ABILITY THAT THE
PERFORMING
AUTHORITY

PRECAUTIONS ARE IMPLEMENTED, MONITORED AND ENFORCED.

NAME: SIGNATURE:

FUNCTION: DATE/TIME: