ALANGHSE SERVICES
REV. 01
Controlled Form
ALANGHSE SERVICES |
SAFE FOR ENTRY PERMIT (VESSEL) | ALANGHSE-SFE-01 REV. 01 Controlled Form |
| SECTION 1: REQUISITION / मांग | |||
| Ship Name / जहाज का नाम | VISHAL PANDEY | Time of Check / जांच का समय | 08:00 AM |
| Date / दिनांक | 2026-08-10 | Issue Time / जारी करने का समय | 08:00 AM |
| Valid till / मान्य | [ SE_VALID_TILL ] | Permit No. A / B | [ SE_PERMIT_NO ] |
| JHA Report No. / जे एच ए नं. | [ SE_JHA ] | Ext. Competent Person Permit No. बाहरी सक्षम व्यक्ति परमिट संख्या | [ SE_EXT_PERMIT ] |
| SECTION 2: EQUIPMENT (MULTI-GAS METER) | SECTION 3: GAS READINGS | |||||
| MANUFACTURER | MODEL | SERIAL NO. | O2 [%] | LEL [%] | CO [ppm] | H2S [ppm] |
| GMI | PS 241 | [ METER_1_SERIAL ] | O2[ GAS_O2 ] |
LEL[ GAS_LEL ] |
CO[ GAS_CO ] |
H2S[ GAS_H2S ] |
| MSA | ALTAIR 4X | [ METER_2_SERIAL ] | ||||
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Calibrated: GMI ( -> ) | MSA ( -> ) Remarks: 1. This reading for open area only. 2. Separate gas check to be carried before the issue of confined space permit. |
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| SECTION 4: LOCATION(S) FOR SAFE ENTRY (OPEN AREAS ONLY) / सुरक्षित प्रवेश के लिए स्थान | |||
☑ Forepeak tank / फोरपीक टैंक |
☑ Bosun store / बोसुन स्टोर |
☑ Water Ballast tank no. ☑ |
☑
Block No. [ BLOCK_1_NO ], Sec: [ SEC_1_NO ]
|
☑ Engine room / इंजन रूम |
☑ Void Space no. ☑ |
☑ Cargo hold/tank no. ☑ |
☑
Block No. [ BLOCK_2_NO ], Sec: [ SEC_2_NO ]
|
☑ Pump room / पंप रूम |
☑ Upper/main deck / मुख्य डेक |
☑
Others: [ OTHERS_1_DESC ]
|
☑
Block No. [ BLOCK_3_NO ], Sec: [ SEC_3_NO ]
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☑ Poop deck / पूप डेक |
☑ Steering Gear Rm / स्टीयरिंग गियर |
☑
Others: [ OTHERS_2_DESC ]
|
☑
Deck No. [ DECK_NO_DESC ]
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| SECTION 5: SAFETY INSTRUCTIONS & EQUIPMENT / सुरक्षा निर्देश | |||||||
| CRITERIA | Y | N | N/A | CRITERIA | Y | N | N/A |
| 1. Safe for Entry Tag/board displayed near ladders. सुरक्षित प्रवेश टैग सीढ़ियों के पास प्रदर्शित है। |
☑ |
9. Valid certificates of access ladders are displayed. सीढ़ियों के वैध प्रमाण पत्र प्रदर्शित हैं। |
☑ |
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| 2. Marking of assembly area & escape route. असेंबली क्षेत्र और भागने के रास्ते का अंकन। |
☑ |
10. Emergency response team members contact displayed. आपातकालीन टीम के सदस्यों के संपर्क प्रदर्शित हैं। |
☑ |
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| 3. Access is restricted and barricaded if not safe. सुरक्षित न होने पर पहुंच प्रतिबंधित और बैरिकेड है। |
☑ |
11. Availability of emergency items near assembly area. असेंबली क्षेत्र के पास आपातकालीन वस्तुओं की उपलब्धता। |
☑ |
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| 4. Illumination >= 60 lux. रोशनी >= 60 लक्स। |
☑ |
12. Wind speed <=35 km/hr. हवा की गति <=35 किमी/घंटा। |
☑ |
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| 5. Temperature <= 45°C. तापमान <= 45°C. |
☑ |
13. Escape route free from obstacles. भागने का रास्ता बाधाओं से मुक्त है। |
☑ |
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| 6. Display of emergency contact near accesses. आपातकालीन संपर्क नंबर प्रदर्शित हैं। |
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14. Open edges are barricaded at least 1m away. खुले किनारों पर 1 मीटर दूर बैरिकेडिंग है। |
☑ |
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| 7. Temporary holes on floor are covered/barricaded. फर्श पर अस्थायी छेद ढके या बैरिकेड किए गए हैं। |
☑ |
15. Continuous power supply & backup available. निरंतर बिजली आपूर्ति और बैकअप उपलब्ध है। |
☑ |
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| 8. Head count system/worker tracking in place. श्रमिक ट्रैकिंग / हेड काउंट सिस्टम लागू है। |
☑ |
16. Temporary ladders are tied on both sides. अस्थायी सीढ़ियाँ दोनों तरफ से बंधी हैं। |
☑ |
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| SECTION 6: EMERGENCY ITEMS / FIRE FIGHTING / OIL SPILL CONTROL | ||||
☑ SCBA sets (04) |
☑ EEBD (04) |
☑ Fire Pumps (2) |
☑ Fire Hoses (>=200m) |
☑ Spare Safety Harness |
☑ Fall Arrestor (1) |
☑ Tripod (1) |
☑ Emergency Siren (1) |
☑ Fire Blanket (1) |
☑ Sand Buckets (>=4) |
☑ First Aid Box (1) |
☑ Stretcher (1) |
☑ Pilot ladder (2) |
☑ Fire Suits (2) |
☑ Fire Extinguishers |
☑ Life Buoys (>=5) |
☑ Life jackets (>=5) |
☑ Rope (>=20m) |
☑ Oil Spill Kit |
☑ Spare fire Nozzles |
| Others: ☑ | ||||
| SECTION 07: APPROVAL FOR THE ISSUE OF THIS PERMIT | |||
| Name of Safety officer/HSE Manager | VISHAL PANDEY | Signature | |
| Name of HSE Manager/HSEQ cordinator | VISHAL PANDEY | Signature | |
| Name of Plot Manager/ General Manager | VISHAL PANDEY | Signature | |
| SECTION 08: PERMIT CLOSURE BY SAFETY OFFICER/HSE MANAGER (PLEASE TICK (✓) OR STRIKETHROUGH WHERE APPLICABLE/NOT APPLICABLE) | |||
| Status | Sign | Time | |
|
☑
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This Permit is closed and new safe for entry (ship) [ CLOSE_NEW_SHIP ], valid till [ CLOSE_VALID_TILL ] AM/PM has been issued for the continuation of work on ship. All the current job specific permits are to be closed before expiry of the new safe for entry permit. | 08:00 AM | |
☑ |
This Permit is closed/cancelled and all the persons except designated security personnels have dis-embarked form the ship. All the other job specific permits have also been closed. | 08:00 AM | |
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REMARKS:
Closure: [ CLOSURE_REMARKS ]
Cancellation: [ CANCELLATION_REASON ] |
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