CGovERNMENT OF BURA Porte, Custome end Free Zone Corporation Byallddaiolgchloalgpigalaunube G S DIVING PERMIT Permit No: Tick Applicable Bo) Panna Pore Sed cero [| Ship Yard | rn Port /ShipYard/Marina Name rs Peete Parte Trakhees IO No Trakhees ID No. Ped eet Peeled Ero ‘Safety Talk/ Tool Box Meeting Conducted, Ts Copy of Risk Assessment, Signe by the on Racked and Aalable ot Work Ste? a) 2 3 4 5 ated, Including Shutdown and PropallerInmoblied ¥ Apple ‘6 _| Sea Water intakes and Outlets jolated and Locked Out 7 ze a Diving Eauipment Tested nd Operational Safety Equipment eed Markers] Flags Accounted For Diving Vessel ay) Operational 10 | Communictions| (Vessel to Shore Surface to Diver) Operational at | Wea tons Reviewed and Dedared Safe 12 _| Dive Team Breed ang Fale with Dive Pan Traffic Schedule Reviewed 5 Masters lformed of Dive Actes instructions to Crave Vessel Movement 15 | Port Control Tower Notified of Die Activites, Location and Duration, Diving Sans Displayed 16] rterational signals dployed 17_| Job discussed with Diving Supenisor 18 _ | Weather conditions sokable &sareed with Ding Supenisor 19_| Ares around dling ste safe 720 _| Diving compressor intakes Tn len or aren 21 _| Operations dangerous to divers ceased 22_| Vessel MADE FAST/ Propellers stopped warning notices and watch keepers in plac 23_| Broadcast diving warnings throughout vessel 2h _| Safe entry in/out of se 25 _| Exclusion agreed with instalation MC Control 26 _| Lookout mon posted 27 _| Safety aplonces esl accesible and ready or immediate se “TRK-EHS-PM-CFO4e Rev. 01 / December 2022 Page L0f3 Diving Permit Price is AED 100/- OR Code oe e200, UAE. | fancy hl 20201 aye (alee £00990 Lane ©0.00 eres) | widese not for use — Electronic copies of this Form are to be purchased from Trakhees. This displayed ForrCGovERNMENT OF BURA Porte, Custome end Free Zone Corporation 28__ | Appropriate PPE provided/wom 23_[ Communications between bridge/ dive contrl/instalation tested and working 30_| Divngarea safe 31_| Divers fit and hove vld diving medical cer 32 _| Diving frst id ond equipment to required evel 33_| Reauired na of Ding Meds present 3t_| Divers briefed on ob and safety aspects 35 _[ Divingplant checked immediately prior to commencing diving Ti for use Al Certified 36 _| Divers indvidol equipment ad tools checked prior to cach dive 37__| Diving communizations checked prior to each dive and i for use 38 _[ Dive recording & montaring equipment present and working 39 _| Safe evel of support eauipment present and avalable 120 _[ Roproved work procedures prevent & complied with “AL Projet safety lon present and complied with 42 _Bridge/Contzo oom informed of start ad er of each dl ‘Special Conditions /Precautions/ Attachment Sor have inspected he ob st Ae pecans continuous eb ste ry ry a os Eo in Performing Authority Issuing Authority ob i stopped] completed and men, material & machinery are completed location of work inspected and considered safe Work permit is withdrawn, job siti leaned and permit may be cancelled Dive Supervisor 3 Berth User Remarks by Compet XS, Jue URce OP SAFE WORK PERMIT 1, \y)sSbing Authority’ Master of the Ship/ DPW Safety Officer Berth User Representative 2294" Performing Authority" — Diving Supervisor, who is competent person authorized and trained by the PCFC Trakhees 3. “Competent Authority’ Representatives from PCFC~ Trakhees -Department. 4 5. Diving Permit shal be issued by PCFC— Trakhees — Approved diving company supervisors only Diving Permit is valé forthe date and period specified in the diving permit only, The maximum validity of the diving permit shall not ‘extend more than twelve (12) hours. "New Diving Permit shouldbe issued whenever there is more than 50% change in orginally assigned diving crew. {Al personnel involved in diving work/ operations o activites shall comply with applicable provisions of Trakhees' requirements for safe diving operations. '& Prior to the commencement of any diving operation within PCFC~ Trakhees ports limit, written permission shall be obtained from ‘Trakhees, DPW Harbour Master office and other concerned DP World departments. “TRK-EHS-PM-CFO4e Rev. 01 / December 2022 Page 2063 Diving Permit Price is AED 100/- on code oe e200, UAE. | fancy hl 20201 aye alee 800380 Late ©000 ere sari | wpcese This displayed Form is not for use ~ Electronic copies of this Form are to be purchased from Trakhees.Kes < BRS ‘yalliniotpcfoay pol dauuho GS CGovERNMENT OF BURA Pete, Customs and Fee Zone Corporation 9. Diving work requiring decompression shall not be undertaken within PCFC - Trakhees jurisdiction without the consent of Trakhees. Diving companies shall ensure adequate and necessary arrangements are in place before treating decompression related illness, when and where permitted. 10. Night time diving work/ operations or activities is not permitted without prior permission from Trakhees and other concerned DPW departments. 11, Diving operations shall not be undertaken in areas designated a prohibited, restricted unless duly authorized by Trakhees department. Details of prohibited diving areas can be obtained from PCFC Trakhees Ports Harbour master office 112. Where the diving work/ operations or activities involves clearing of fouled ships propeller, it shall be ensured that recovered material is rot dumped in the port area/ waters or its seabed, All such recovered material shall be collected and landed ashore for safe shore disposal in accordance with applicable Trakhees and local requirements. 13. Dive team shal comprise of minimum (5) members namely one trained supervisor, one trained dive medi one dive tender, one standby shal be increased diver and the diver performing the work. Where, the diving work requires more divers in water, then dive tet accordingly 114, Where the dive work/ operations or activities involves use of naked flame, then hot work permit ‘obtained from a Trakhees-approved Survey Company prior to the commencement of job. 415, The diving craft, when and where used, shall be equipped with VHF ragio (or) radio communicatio®\equipment" ad a fully charged mobile number to maintain a continuous manned listening watch on Port working channel whle(ivers water. Appropriate day/night signal shall be exhibited in accordance with applicable Interc,Internationalind ae: te shal be 16. This diving permit may be suspended, withdrawn or cancelled atthe sole discretion of & DPW Harbor Master. Any dive work/ operations or activities found to breach any Trakhees or Port related\requirr result in permit being suspended, withdrawn and/or cancelled. IMPORTANT CONTACT NUMBERS Ss Emergency Control Centre: 04 ~ 88 33 112 “Trakhees Department, Jebel Ali: O4-— 88 11 881/ 80 68 801/9 ‘Trakhees Department, Port Rashid: 04 ~ 34 53 809 “Trakhees Department, Hamriyah Port: 04 ~ 26 58 376 Department, Jebel Al: 04-88 35 251 farine Department, Port Rashid: 04 ~34 51115/ 404 73 04 Marine Department, Hamriyah Port: 04 ~ 266 0066/ 265 00 07 . Allright reserved. No prt ofthis form GRRE DivingWork Permit) may, forsale or sung purpose, be produced stored in a retrieval stem or transmitted in any form or by any means, gone Slgroatati, magnetic tape, mechanical, photocopying or otherwise without pir permission ia writing rom EHS'-Ports & Maritimesection, “TRK-EHS-PM-CFO4e Rev. 01 / December 2022 Page 3063 Diving Permit Price is AED 100/- OR Code ftps POR 201,UAE. | intl gl al yo 200 sae (alee £00990 Lane ©000 ere sari | wpcese This displayed Form is not for use ~ Electronic copies of this Form are to be purchased from Trakhees.