Logo
ALANGHSE SERVICES
VESSEL PULLING PERMIT
जहाज खींचने का परमिट
ALANGHSE-F-06
REV. 01
Controlled Form
SECTION 1: REQUISITION
Date:2026-08-10 Issue Time:08:00 AM
Valid up to:08:00 AM Permit No. A/B[ VP_PERMIT_NO ]
Applicant Name (Mukadam): -VISHAL PANDEY Ship Name: -VISHAL PANDEY
Name of Workers / कार्यकर्ताओं के नामVISHAL PANDEY
Winch numbers, used for pulling operation (चरखी नंबर)[ VP_WINCH_NOS ] JHA Report No./ जे एच ए नं. (If any)[ VP_JHA_NO ]
SECTION 2: WORK SITE PREPARATION / PRECAUTIONS
ITEMS CHECK YESNON/AREMARKS
1. Initial meeting: Is vessel pulling plan discussed with General Manager, ship and yard Mukadams, plot manager, production manager, HSE team and crane operator (for material handling) & winch Operator at least one day in advance?
[ Q1_RMK ]
2. Are tide-tables available with Mukadam, winch operator and HSE Expected date and time of operation?
[ Q2_RMK ]
3. Has the good weather prediction checked?
[ Q3_RMK ]
4. In case, the operation is to be carried out during low light condition, sufficient lights have been arranged.
[ Q4_RMK ]
5. Is the “Emergency signal to stop operations” explained to the winch operators?
[ Q5_RMK ]
6. Are effective means of primary & secondary communication equipment agreed and tested? (Mobile or/and Walkie Talkie or/and Whistle as backup)
[ Q6_RMK ]
7. Are HSE team member and supervisor clearly identified to lead this operation?
[ Q7_RMK ]
8. Are Winches, Wire ropes, kappa (sheave block) and chains in good condition and have six (6) monthly inspection valid certificates, issued by external competent person?
[ Q8_RMK ]
9. Are last scheduled preventive maintenance inspection for winches, wire ropes and kappa (sheave block) carried out?
[ Q9_RMK ]
10. Is “Safety Notification Form” to inform neighbouring yards about this operation given?
[ Q10_RMK ]
11. Are double bottom block lightening holes and manholes sealed?
[ Q11_RMK ]
12. Pre-job Meeting done before the vessel pulling operation
[ Q12_RMK ]
13. Are all personnel in pulling activity wearing the appropriate PPE?
[ Q13_RMK ]
14. Is the winch operation tested prior to the pulling operation? Has the RPM meter been tested?
[ Q14_RMK ]
15. Is the winch area door locked?
[ Q15_RMK ]
16. Is any oil leakage visible near winches?
[ Q16_RMK ]
17. Is the intertidal zone kept clear of any obstacles?
[ Q17_RMK ]
18. Are only designated competent & trained persons operating winch?
[ Q18_RMK ]
19. Is the area clear and all ongoing work stopped on-board, inter-tidal area and area near winches before the vessel pulling operation?
[ Q19_RMK ]
20. Are all workers (involved in this operation) briefed on the safety rules, including but not limited to, working areas, emergency signals, and safe operation during vessel pulling?
[ Q20_RMK ]
21. Barricaded the area near the winches and display the sign “Danger, Stay Away” and “Authorized person only”
[ Q21_RMK ]
22. Confirm both sides (port and stbd) of the vessel are connected with sheave blocks with wire ropes and chains prior to commencement of vessel pulling operation.
[ Q22_RMK ]
23. Is outdoor illumination >= 60 lux, in case of natural low light condition?
[ Q23_RMK ]
24. Is yard Management Representative/General Manager/Plot Manager present onsite prior to vessel pulling operation?
[ Q24_RMK ]
Logo
ALANGHSE SERVICES
VESSEL PULLING PERMIT
जहाज खींचने का परमिट
ALANGHSE-F-06
REV. 01
Controlled Form
SECTION 3: PERSONAL PROTECTIVE EQUIPMENT (PLEASE TICK WHERE APPLICABLE)
Safety Helmet/ हेलमेट
Safety Goggles/ सेफ्टी चश्मा
Cut resistant gloves
Safety Shoes/ सेफ्टी जूता
Cotton gloves/ सूती मोजा
Ear plug/ईयर प्लग
Ear muff/कान मफ
Coveralls/ड्रेस
SECTION 4: EMERGENCY ITEMS (PLEASE TICK WHERE APPLICABLE)
Life jacket/ लाइफ जैकेट
Fire Extinguisher/ फायर बाटला
First Aid Box/ प्राथमिक डिब्बा
Fire Hose Standby
Life buoy/ लाइफबॉय
Fire pump ready
Sand bucket/ रेत की बाल्टी
Stretcher/स्ट्रेचर
Other/अन्य _________
SECTION 5: JOINT INSPECTION
I am satisfied that all precaution has been taken and all safety arrangements will be maintained for entire duration of work.

Permit applicant:

Name: - VISHAL PANDEY
Designation: - Ship Supervisor/Yard
Supervisor
Signature: -
I am satisfied with safety precautions and hereby give permission to commence work.

Approval by HSE Department

Name: - VISHAL PANDEY
Designation: - Safety officer/ HSE
Manager
Signature: -
Permit controller:
Approval by Plot Manager (PM)/General Manager (GM)

Name:- VISHAL PANDEY
Designation:- PM /GM
Signature:-
SECTION 6: SPECIAL INSTRUCTION/कुछ जरुरी सुचना जो मूकादम को परमिट लेने से पहले जानकारी लेना जरुरी हैI
1. नियर मिस कभी भी छुपाने की कोसिस न करे, उसे फौरन सेफ्टी ऑफिसर/HSE प्रबंधकको रिपोर्ट करे
2. काम समाप्त होने के तुरंत बाद परमिट सेफ्टीऑफ़िसर/HSE प्रबंधक को लौटा दे!
3. परमिट मे जिस स्थान और जहाज की परमिट दी गयी है उसके अलावा किसी अन्य जगह पर काम न करे

I, VISHAL PANDEY, have read and understood all instructions above and have explained them to all workers engaged in the work. I will ensure compliance until the work is completed.
मै VISHAL PANDEY, ने ऊपर दिए गये सभी निर्देशों को सही से पढ़ और समझ लिया है तथा काम में लगे सभी कार्यकर्ताओं को भी समझाया है। मैं काम पूरा होने तक इन निर्देशों का पालन सुनिश्चित करूंगा।
Mukadam Signature: _____________________        Date: 2026-08-10
SECTION 7: PERMIT RETURN (PLEASE TICK WHERE APPLICABLE)
✓/XStatusPersonNameSignTime
Permit is closed, job is contd. Please issue new permit MukadamVISHAL PANDEY 08:00 AM
Safety OfficerVISHAL PANDEY
Permit is closed, job is completed MukadamVISHAL PANDEY
Safety OfficerVISHAL PANDEY
Permit is cancelled, as present conditions are not conductive for carrying out the work
REMARKS: Closure: [ CLOSURE_REMARKS ]
Cancellation: [ CANCELLATION_REASON ]
SECTION 8: EMERGENCY CONTACT NUMBERS
SL. NO.DESIGNATIONNAMECONTACT NO.
1HSE MANAGERROCKY SINGH7990404108
2SAFETY OFFICERVISHAL PANDEY7607735559
3PLOT MANAGERPRAVIN SHIYAL79846 07070
4SAFETY SUPERVISORYASHWANT KUMAR9919105676
Note: This Permit is Valid for maximum 08 Hours including rest hours.