SHIP MANAGEMENT – INDIA FORMS & CHECKLISTS

S-15
Date :08/2008
Revision No. 2 / Page 1 of 1
Bulk + Other Cargo

WORKING OVERSIDE PERMIT

Vessel: M.V.

LOCATION      

From       hrs Date      

This permit is
Valid To       hrs Date      

Permission has been received from port authority, if necessary.

SECTION 1
Has all life support equipment to be used, bosun’s chairs, stages, gantlines, safety
1. harnesses, lifelines, Jacob’s Ladder etc., been carefully examined and checked in
good condition?
Has the method of lowering and securing tools, equipment and materials been agreed
2. and the ropes, containers, etc., been carefully examined and checked in good
condition?
If work is to be carried out around, or near engine room overboard discharges, has the
3. engine room been notified and Duty Engineer shut down, or diverted, the discharges,
posted notice in the ECR and tagged the pumps / valves, etc.?
If working is to be carried out around, or near, other discharges, have they been taken
4.
care of or shut and tagged, etc.?
If painting or other preparation is to be done, have all necessary precautions been
5.
taken to prevent pollution. ?
Have all persons to work over side been checked for wearing safety harness, before
6.
going over. ?
7. Have all persons to work over side been checked for wearing buoyancy aid, etc.?
8. Lifebuoy, with line, is handy and ready for use.
Supervisor to remain in attendance throughout time and to ensure that safety harness
9.
lines are made fast by the persons over side.
Supervisor to inform OOW and Duty Engineer when work is completed. Warning
notices to have been withdrawn. Tags removed, power supplies re-connected, etc

In the circumstances noted of is considered safe to proceed with the work.

Responsible Officer’s name

Issued by officer in charge

WE MANAGE SHIPS SAFELY