ALANGHSE SERVICES - SAFE FOR ENTRY PERMIT

ALANGHSE SERVICES

SAFE FOR ENTRY PERMIT
प्रवेश (जहाज) की अनुमति

LFR-F-40A
REV. 06
Controlled Form

SECTION 1: REQUISITION / मांग
Ship Name	VISHAL PANDEY	Time of Check	08:00 AM [ CHECK_AMPM ]
Date	2026-08-10	Issue Time	08:00 AM [ ISSUE_AMPM ]
Valid Till	08:00 AM [ VALID_AMPM ]	Permit No.	[ INTERNAL_PERMIT_NO ]
Ext. Permit No.	[ EXTERNAL_PERMIT_NO ]	JHA Report No.	[ JHA_REPORT_NO ]

SEC 2: EQUIPMENT / उपकरण				SEC 3: GAS READINGS / गैस की जाँच
TICK	MODEL	CALIBRATED ON	NEXT CAL DUE	O2 [%]	LEL [%]	CO [ppm]	H2S [ppm]
☑	[ METER_1_MFG ] [ METER_1_MODEL ] [ METER_1_SERIAL ]	2026-08-10	[ METER_1_NEXT_CAL ]	[ READING_O2 ]	[ READING_LEL ]	[ READING_CO ]	[ READING_H2S ]
☑	[ METER_2_MFG ] [ METER_2_MODEL ] [ METER_2_SERIAL ]	2026-08-10	[ METER_2_NEXT_CAL ]
				Readings for open area only. Separate gas check required for confined space.

SECTION 4: LOCATIONS FOR SAFE ENTRY / सुरक्षित प्रवेश के लिए स्थान
☑ Forepeak tank	☑ Bosun store	☑ WB Tank [ WB_TANK_NO ]	☑ Blk: [ BLOCK_1_NO ], Sec: [ SEC_1_NO ]
☑ Engine room	☑ Void Space [ VOID_NO ]	☑ Cargo hold [ CARGO_NO ]	☑ Blk: [ BLOCK_2_NO ], Sec: [ SEC_2_NO ]
☑ Pump room	☑ Upper/main deck	☑ Oth: [ OTHERS_1_DESC ]	☑ Blk: [ BLOCK_3_NO ], Sec: [ SEC_3_NO ]
☑ Poop deck	☑ Steering Gear Rm.	☑ Oth: [ OTHERS_2_DESC ]	☑ Deck No. [ DECK_NO_DESC ]

SECTION 5: SAFETY INSTRUCTIONS / सुरक्षा निर्देश
CRITERIA	YES	REMARKS	CRITERIA	YES	REMARKS
Safe for Entry Tag displayed सुरक्षित प्रवेश टैग प्रदर्शित	☑	[ RMK_TAG ]	Valid certs of access ladders displayed सीढ़ी के प्रमाण पत्र	☑	[ RMK_LADDER ]
Marking of assembly area & escape route असेंबली क्षेत्र का अंकन	☑	[ RMK_ASSEMBLY ]	ERT members & contacts displayed आपातकालीन टीम प्रदर्शित	☑	[ RMK_ERT ]
Access is restricted and barricaded प्रवेश वर्जित / बैरिकेड	☑	[ RMK_BARRICADE ]	Emergency items near assembly area आपातकालीन उपकरण	☑	[ RMK_EMER_ITEMS ]
Illumination >= 60 lux पर्याप्त रोशनी	☑	[ RMK_ILLUMINATION ]	Wind speed <= 35 km/hr हवा की गति	☑	[ RMK_WIND ]
Temperature <= 45°C तापमान	☑	[ RMK_TEMP ]	Escape route free from obstacles निकासी मार्ग साफ	☑	[ RMK_ESCAPE ]
Display of emergency contact number आपातकालीन नंबर	☑	[ RMK_CONTACT ]	Open edges barricaded at least 1m away खुले किनारे बैरिकेड	☑	[ RMK_EDGES ]
Temporary holes on floor are covered अस्थायी छेद ढके हुए	☑	[ RMK_HOLES ]	Continuous power supply / back-up available निरंतर बिजली	☑	[ RMK_POWER ]
Head count / worker tracking system active हेड काउंट सिस्टम	☑	[ RMK_HEADCOUNT ]	Temporary ladders are tied on both sides अस्थायी सीढ़ी बंधी	☑	[ RMK_TEMPLADDER ]

SECTION 6: EMERGENCY ITEMS / आपातकालीन उपकरण
☑ SCBA Sets - 04	☑ EEBD - 04	☑ Fire Pumps - 2	☑ WetGel Blanket - 1	☑ Pilot Ladder - 2
☑ Fire Hoses >= 200m	☑ Fall Arrestor - 1	☑ Emergency Siren - 1	☑ Tripod - 1	☑ Stretcher - 1
☑ Fire Blanket - 1	☑ Sand Buckets >= 4	☑ Fire Extinguishers >= 4	☑ First Aid Box - 1	☑ Fire Suits - 2
☑ Spare Fire Nozzles >= 4	☑ Life Buoys >= 5	☑ Life Jackets >= 5	☑ Rope >= 20m	☑ Oil Spill Kit

SECTION 7: APPROVAL FOR THE ISSUE OF THIS PERMIT / स्वीकृति
Safety Officer / HSE Manager सुरक्षा अधिकारी / एचएसई प्रबंधक Name: VISHAL PANDEY Signature	HSE Manager / HSEQ Coordinator एचएसई प्रबंधक / समन्वयक Name: VISHAL PANDEY Signature	Plot Manager / General Manager प्लॉट प्रबंधक / महाप्रबंधक Name: VISHAL PANDEY Signature

SECTION 8: PERMIT CLOSURE / परमिट वापसी
TICK	STATUS	SIGNATURE	TIME
☑	This Permit is closed and new safe for entry[ CLOSE_NEW_SHIP ], valid till [ CLOSE_VALID_TILL ] has been issued for the continuation of work.		08:00 AM
☑	This Permit is closed/cancelled and all persons except designated security personnel have disembarked from the ship.		08:00 AM
Remarks: Closure: [ CLOSURE_REMARKS ] Cancellation: [ CANCELLATION_REASON ]

NOTE: 1. This permit is valid for maximum 08 Hours only including rest hours. 2. Activities related work permits are issued separately.