ALANGHSE SERVICES PERMIT

ALANGHSE SERVICES

HOT WORK PERMIT

HWP-03
REV. 01
Controlled Form

SECTION 1: REQUISITION PERMIT IDENTIFICATION
Applicant/ Mukadam	VISHAL PANDEY	Ship Name	VISHAL PANDEY
Location / Work Description	[ HW_LOC_DESC ]
Workers / Attendant	VISHAL PANDEY
Date / Issue Time	2026-08-10 / 08:00 AM	Valid up to / Permit No.	[ HW_VALID ] / [ HW_PERMIT_NO ] A/B
JHA Report No. (if any)	[ HW_JHA ]	Ext. Competent Person:	[ HW_EXT_PERSON ]

SECTION 2+3: PERMITS & ACTIVITY

ASSOCIATED PERMITS

ACTIVITY

☑

Confined space

☑

Safe for Entry (Vessel)

☑

Work at height

☑

Other / _________________

☑

Gas cutting

☑

Plasma cutting

☑

Welding

☑

Other / _________________

SECTION 4: WORK SITE PREPARATION / PRECAUTION

WORK AREA & ENVIRONMENT

EQUIPMENT & HOT-WORK

PEOPLE, PPE & AUTHORIZATION CONTROLS

Yes

Pre-job Meeting done

Yes

Gas Monitoring Required

Yes

Is there confined space areas? If yes, permit no.

Yes

Is ventilation to the area adequate?

Yes

Are lighting & access to the work area adequate?

Yes

Emergency escape route is clean

Yes

Is the adjacent area cleaned and gas free?

Yes

Is there oily tank nearby?

Yes

Adjacent space (oily) if oily, cleaning report to be prepared; if yes, report no.

Yes

"Safe for hot work" sign displayed?

Yes

Is the gas cutting hose and torch in good working condition?

Yes

Is Flash back arrestor available in gas cutter?

Yes

Cylinders are in upright condition

Yes

Soap solution ready near to cylinders

Yes

Equipment to check wind direction

Yes

Is Block cleaned, clear of oil and other dangerous or flammable material?

Yes

Cutting line is cleaned

Yes

Crane is available to hold the block/section during its final cut - if yes, crane no.

Yes

Removal of hazardous materials (as per IHM and PCHM) before commencing hot work

Yes

Is hot work permit received from competent person?

Yes

Trained worker/Welder

Yes

Are the gas cutters properly clothed and equipped?

Yes

Dry surface, in case welding machine or plasma cutter is used

Yes

Proper earthing before using plasma cutter or welding machine

SECTION 5: PPE			SECTION 6: EMERGENCY ITEMS
☑ Cotton gloves	☑ Safety Helmet	☑ Coveralls	☑ S.C.B.A set	☑ E.E.B.D	☑ First Aid Box
☑ Safety Shoes	☑ Ear plug	☑ Cut resistant gloves	☑ Safety Harness	☑ Wet Gel Blanket	☑ Fire Hose Standby
☑ Fire retardant suit	☑ Safety Goggles	☑ Filter mask	☑ Fire Extinguisher	☑ Fire pump ready	☑ Fire water drum
☑ Welding shield			☑ Sand bucket	☑ Stretcher.	☑ Fire Blanket
			☑ Fire suit	☑ Rope	☑ Other

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 8: MANDATORY WORK RULES

1. If "DO NOT ENTER" is displayed anywhere, never enter and do not allow anyone to enter without the required permit.
2. Never try to suppress/report a near miss yourself; immediately report it to the Safety Officer / HSE Manager.
3. Before cutting, check your torch nozzle and other items/equipment being used for the work.
4. Before starting cutting, check for leakage; start work only when no leakage is found.
5. If hot work is permitted and work is required in a confined space or at height, the Safe for Entry / Work at Height permit is mandatory.
6. Remove all flammable materials from the work area before starting hot work.
7. Return the permit to the Safety Officer / HSE Manager immediately after the work is completed.
8. Hot work is prohibited on any pipeline; action will be taken if this is violated.
9. Do not work at any location other than the location for which the permit has been issued.

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

SECTION 9: PERMIT RETURN (PLEASE TICK WHERE APPLICABLE)
✓/X	STATUS	PERSON	NAME	SIGNATURE	TIME
☑	Permit is closed, job is contd. Please issue new permit	Mukadam	VISHAL PANDEY		08:00 AM
☑	Permit is closed, job is contd. Please issue new permit	Safety Officer	VISHAL PANDEY
☑	Permit is closed, job is completed	Mukadam	VISHAL PANDEY
☑	Permit is closed, job is completed	Safety Officer	VISHAL PANDEY
☑	Permit is cancelled, as present conditions are not conductive for carrying out the work

NOTE: Permit should not be closed until general housekeeping has been carried out, gas outlets are closed, residual gas has been removed from gas pipelines/hoses, and sections/blocks are in safe condition.

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

Note: SCBA - Self Contained Breathing Apparatus; EEBD - Emergency Escape Breathing Device; Ext. - External; No. - Number; JHA - Job Hazard Assessment.
This Permit is Valid for maximum 08 Hours including rest hours.

FORMAT PREPARED BY: HSE MANAGER APPROVED BY: GENERAL MANAGER