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  • 2 Work Permitx

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    Matt RHSR
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    1) This document is a permit form from Asia International Maritime Services S.A. for work requiring safety precautions. 2) It describes the work, location, validity period, and authorized person in charge and includes a checklist of safety measures that must be verified before work begins such as isolating energy sources and warning others in the area. 3) The master, authorizing officer, and authorized person in charge must sign off when work starts and is completed.

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    Work

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    2 Work permitx

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    1) This document is a permit form from Asia International Maritime Services S.A. for work requiring safety precautions. 2) It describes the work, location, validity period, and authorized person in charge and includes a checklist of safety measures that must be verified before work begins such as isolating energy sources and warning others in the area. 3) The master, authorizing officer, and authorized person in charge must sign off when work starts and is completed.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    2 Work Permitx

    Uploaded by

    Matt RHSR
    1) This document is a permit form from Asia International Maritime Services S.A. for work requiring safety precautions. 2) It describes the work, location, validity period, and authorized person in charge and includes a checklist of safety measures that must be verified before work begins such as isolating energy sources and warning others in the area. 3) The master, authorizing officer, and authorized person in charge must sign off when work starts and is completed.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Issued by Approved by Revision Date Page

    Asia International Maritime Services S.A. Managing Director 02 17.01.2005 1 of 1


    Files – Chief mate SAFETY MANAGEMENT SDYSTEM
    Files – Chief engineer CH.12.8.7.2..2 047/2
    PERMIT FORMS

    WORK PERMIT No.

    Description of work ......................................................................................................................


    Location.........................................................................................................................................
    Validity of permit (should not exceed 24 hours) from.................hrs Date ..............................
    to......................hrs Date ................................
    Authorized person in charge of the work........................................................................................

    CHECK LIST Checked


    by:
    AO PC
    1 Working aloft, overboard, or on stagings
    Near the whistle: power cut off and warning notice displayed ¨ ¨
    On the funnel: Engineers informed to limit emission of smoke, soots and steam ¨ ¨
    Near radio antenna: Officer on watch informed not to use the GMDSS ¨ ¨
    Near radar scanners: Officer on watch informed and warning notice displayed ¨ ¨
    Vicinity of propellers: Engineers informed and warning notice displayed ¨ ¨
    Safety harnesses and lifeline worn (where guard rails not fitted) ¨ ¨
    Life jackets worn (works overboard, when they are allowed) ¨ ¨
    Stagings inspected and properly secured ¨ ¨
    Tool boxes, to be properly secured ¨ ¨
    2 Hot work
    Area and bilges free of gas and hazardous material ¨ ¨
    Adjoining compartments are free of gas and hazardous material ¨ ¨
    Ventilation satisfactory ¨ ¨
    Equipment in good working order ¨ ¨
    Fire appliances in good working order ¨ ¨
    3 Work on machinery and equipment
    Machinery secured / power cut off ¨ ¨
    All relevant persons informed ¨ ¨
    Notice of warning displayed ¨ ¨
    4 Electric system
    Has electric supply been isolated ¨ ¨
    All relevant persons informed ¨ ¨
    Work notice displayed ¨ ¨
    5. Additonal precautions ..................................................................................................................
    Master Authorizing Officer (AO) Authorized person in charge (PC)

    Work started Date/Time Work completed Date/Time

    Asia International Maritime Services S.A.

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