ALANGHSE SERVICES PERMIT

ALANGHSE SERVICES

BOAT EMBARKATION PERMIT

ALANGHSE-F-07
REV. 01
Controlled Form

SECTION 1: REQUISITION PERMIT IDENTIFICATION
Applicant (Mukadam)	VISHAL PANDEY	Ship Name	VISHAL PANDEY
Loc of Embarkation	[ BE_LOC_EMB ]	Loc of Disembark	[ BE_LOC_DISEMB ]
Workers / Passengers	VISHAL PANDEY
Date / Issue Time	2026-08-10 / 08:00 AM	Valid up to / Permit No.	08:00 AM / [ BE_PERMIT_NO ] A/B
JHA No. (If any)	[ BE_JHA_NO ]

SECTION 2: ASSOCIATED PERMITS
☑ Safe for Entry (Vessel)	☑ Debunkering Permit	☑ Cold work permit	☑ Other: [ BE_AP_OTHER ]

SECTION 3: WORK SITE PREPARATION / PRECAUTION

WORK AREA & ENVIRONMENT

EQUIPMENT & INFRASTRUCTURE

PEOPLE, PPE & AUTHORIZATION CONTROLS

Yes

Tide-tables available with Mukadam & operator?

Yes

Wind speed, sea state, forecast checked?

Yes

Clean landing area identified on both sides?

Yes

Embarkation zone kept clear of obstacles?

Yes

Inter-tidal area clear & ongoing work stopped?

Yes

Is any oil leakage visible in the boat?

Yes

Max occupancy of the boat not crossed?

Yes

Passengers in designated space for balance?

Yes

Permit displayed near the Embarkation point?

Yes

Primary/secondary comms tested (Walkie/Mobile)?

Yes

Rescue boat equipped with LSA/Crane?

Yes

Proper access ladder provided to board?

Yes

Are all the moving parts of the boat secured?

Yes

Fuel and lube oil check carried out?

Yes

Emergency contacts placed in boat & Embark points?

Yes

Waterproof bags provided for belongings?

Yes

Trained First aider in boat with first aid kit?

Yes

Food and water arranged for all onboard?

Yes

Boat ride plan discussed with GM/HSE/Mukadam?

Yes

Required to notify Marine Police about ride?

Yes

HSE team member & supervisor clearly identified?

Yes

Personnel having 2 ID cards, stand at embark pt?

Yes

Security available on both sides for head counting?

Yes

De-briefing done before boat ride operation?

Yes

Passengers briefed on safety, smoking ban, balance?

Yes

Are all personnel in boat wearing life jacket?

Yes

Timing of return ride informed to all personnel?

SECTION 4: PPE				SECTION 5: EMERGENCY ITEMS
☑ Safety Helmet	☑ Safety Shoes	☑ Ear plug	☑ Dust mask	☑ Spare Life jacket	☑ First Aid Box	☑ Pair of Oars	☑ Rescue boat
☑ Safety Goggles	☑ Cotton gloves	☑ Coveralls	☑ Life Jacket	☑ Life buoy	☑ Rope	☑ Fire Extinguisher	☑ Crane

SECTION 7: AUTHORISATION CARD
PERMIT APPLICANT I am satisfied that all precaution has been taken and all safety arrangements will be maintained for entire duration of work. Name: VISHAL PANDEY Designation: Ship / Yard Supervisor Signature:	APPROVAL BY HSE DEPARTMENT I am satisfied with safety precautions and hereby give permission to commence work. Name: VISHAL PANDEY Designation: Safety Officer / HSE Manager Signature:	PERMIT CONTROLLER / PM-GM Approval by Plot Manager (PM) / General Manager (GM). Name: VISHAL PANDEY Designation: PM/GM Signature:

SECTION 7: MANDATORY WORK RULES

1. नियर मिस कभी भी छुपाने की कोसिस न करे, उसे फौरन सेफ्टी ऑफिसर/HSE प्रबंधक को रिपोर्ट करे
2. जहाज से वापिस आने के तुरंत बाद परमिट सेफ्टी ऑफिसर/HSE प्रबंधक को लौटा दे!
3. यदि कोई उचित तर्क के साथ असुरक्षित महसूस करता है तो यात्रा रद्द कर दें

Mukadam acknowledgement: I have read, understood and explained these instructions to all workers.
Signature: _____________________ Date: 2026-08-10

SECTION 8: PERMIT RETURN
✓/X	STATUS	PERSON	NAME	SIGNATURE	TIME
☑	Permit is closed, ride is completed	Mukadam	VISHAL PANDEY		08:00 AM
☑	Permit is closed, ride is completed	Safety Officer	VISHAL PANDEY		08:00 AM

SECTION 10: EMERGENCY CONTACT NUMBERS
SL. NO.	DESIGNATION	NAME	CONTACT NO.
1	HSE MANAGER	ROCKY SINGH	7990404108
2	PLOT MANAGER	PRAVIN SHIYAL	79846 07070