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SAFE SEAS SHIP MANAGEMENT FZ ‘Safety Management Systern Chapter 13~ Forms Checklist PEM-9A Hot Work Permit Request rE Issue Date: 25-Mar-22 Rey No:0 Rev Date: — Revised by: OPA ‘Approved by: MD Vest Sua Date/Tine ob mane” |@alaconae 127 (oy eee Teaded 12/0/2022 x veewtconsrion: | Ballet | eateea 1 aS “EE San [nopenbece EE inca nce aes A [iawn open a ero ras jon Pipelines. AA on ernear rank Dock a Sex bia At Pare Room bollom Plow, hr op: cutie by Grinder ect Parpnsem . reason Nesey fe Dimertle as Planned Safety Precautions (Including Tonk Preparation) Ve ine FINE ee ee APIS Ex hai io Gopdinux Running AT PR NO Masters Name: MD. ALL AKBAS For Offis Response: Icomments from Marine or HSOE Department: Senate |Comments & Approval from Technical [Department: Signature rome: ves] O w 1C Reason denied File: Oficehip Frequency: Monthly Pagel of |

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