Glow Shipping Lines L. L. C.

hot work proposal

Vessel:            Proposal No.       Date Issued:      
Vessel ‘s Condition : Ballast Laden Intended Work Date:      
Location and access arrangements (including staging if appropriate):
     
     
     
Reason for doing the work at the requested position and not in the Engine Workshop:
     
     
     
Work to be carried out including estimated duration:
     
     
     
     
     
Detail the procedures to ensure the integrity of the Hot Work location with respect to:
a) Valves/plugs/blanks/spades, etc;
1 b) Pipelines and their contents including heating coils,
c) Atmosphere.
d) No cargo/ballast/IG/gas freeing/bunker operations to be carried out during the validity of the work permit.
     
     
     
     
Detail the method of ensuring continuous ventilation of the work location and where appropriate, the method of extracting toxic
2
fumes:
     
     
     
3 Detail the procedures in place to ensure effective fire protection at the work site and adjacent spaces:
     
     
     
4 Specify the Hot Work equipment to be used for the work under consideration and confirm its availability:
     
     
     
Master Chief Engineer
Shipboard Authorisation: Name Date Name Date
                            
Office Authorisation: Yes No Name Date
Superintendent/Technical Manager*            
DPA            
* Cross Out as applicable

Form: SF105 Rev. MAY 2015 Issued/Approved by: DPA/GM Page 1 of 1 MS – M6