Quality Assurance into

Office Permit for operation the 21st Century and

beyond
Involving Portable pump and
TSM Form
Flexible hoses No. 214
Instructions:
1. This permit shall be completed by Chief Engineer for transfers within Engine room and that
Chief engineer will be responsible for safe transfer operation & same to be manned.
2. This permit shall be completed by Chief Officer for transfers related on deck and related tanks
and that Chief officer will be responsible for safe transfer operation & same to be manned.
3. Master shall review such transfer plan, approve & sign, and forward permit for concurrence to
VM (Vessel manager) / MS (Marine Supt). Both VM and MS must be included in any such
communications.
4. Office Concurrence: VM to approve for transfers within ER. MS to approve for transfers on
deck. VM and MS to approve for transfers involving ER to/from deck. ECD in copy only.

Vessel: GOLDEN MYRTALIA Date: 12 JULY 2021

TRANSFER OF BALLAST WATER, CONTAMINATED WITH HYDRAULIC

Reason for Operation: OIL

10 HRS
Duration of Transfer: (Note: Not to exceed 10 Hrs)

Date / time of Start: AFTER APPROVAL FROM OFFICE

Date / time of Stop:      

Items to be checked Yes No NA Notes/Remarks

Has the storage compartment Seal number (prior breaking)-

seal and Portable pump to strong Locker:
point seal broken under C/E (ER 260617_________________
1 lockers) or C/O (deck Locker)
Seal number (prior breaking)-
supervision?
Portable pump to strong
point:
260616_________________

Is Portable pump ID seal

Seal number (Pump ID):
2 inspected and verified for seal
260616_________________
number?

Are the flexible hoses inspected

Seal number (Hose ID):
3 for sound condition and verified
260618_________________
for ID seal numbers?

4 Is the transfer required to be Note: Any transfer from IOPP to

recorded in the ORB Part I / II Or Non IOPP must be only with Flag
Logbooks? approval, to be recorded in ORB
under “I”. Transfers from other
sources-IOPP tanks must be with
ORB entry. ECD guidance to be

CONTROLLED Revision: 15Mar 2021

Page 1 of 2
 TSM Form No. 214
Office Permit for operation
Involving Portable pump and
Flexible hoses

Items to be checked Yes No NA Notes/Remarks

taken for such entries/ transfers.

Are sufficient personnel

delegated by CE (for ER Mention Ranks of personnel
5 transfers) or CO (For deck delegated: 2nd Engineer, Bosun,
related transfers) for ensuring AB & OS
safe transfer?

Are all the pollution prevention Note: Transfers to be manned,

measures in place? monitored throughout and
 Emergency shut down (air) Pollution prevention gears to be
6 in case of accidental hose placed prior start and secured
rupture/ coupling leaks etc after transfer.

 Containment gears to cater RA to be followed for safe

for such accidental leaks. transfers

Has Portable pump and hoses CE or CO to ensure safe

been secured safely back in the completion and securing of the
Locker, sealed to a strong point portable pump & hoses back into
7
(pump only) and Seal log locker and seal tagging as well
updated (TSM 160 or NAU seal as its recording in seal log (TSM
log)? 160 or NAU seal log)

Checked by

Date / Time 12 JULY 2021

C/E or C/O Name: Y. DANCHENKO Sign:
(UTC): 0830LT

Verified by

CHRISHAN Date / Time 12 JULY 2021

Master Name: Sign:
LIYANARACHCHIE (UTC): 0830LT

For office use

Permission
Yes No If No state reason:
Granted

MHSSEQ Date / Time

Name: Sign:
Supt (UTC):

Vessel Date / Time

Name: Sign:
Manager (UTC):

** Ps Note:
1) VM to approve for transfers within ER. MS to approve for transfers on deck.

CONTROLLED Revision: 15 Mar 2021

Page 2 of 3
 TSM Form No. 214
Office Permit for operation
Involving Portable pump and
Flexible hoses

2) VM and MS to approve for transfers involving ER to/from deck. ECD to be in copy.

3) Permit valid for max 10 Hrs. Any request for extended hours must have ECD approval.

CONTROLLED Revision: 15 Mar 2021

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