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ALANGHSE SERVICES		 SAFE FOR ENTRY PERMIT ALANGHSE-SFE-01
REV. 01
Controlled Form
SECTION 1: REQUISITION PERMIT IDENTIFICATION
Ship NameVISHAL PANDEY Time of Check08:00 AM
Date / Issue Time2026-08-10 / 08:00 AM Valid till / Permit No.[ SE_VALID_TILL ] / [ SE_PERMIT_NO ] A/B
JHA Report No.[ SE_JHA ] Ext. Competent Person Permit No.[ SE_EXT_PERMIT ]
SECTION 2: EQUIPMENT (MULTI-GAS METER) SECTION 3: GAS READINGS
MANUFACTURERMODELSERIAL NO. O2 [%] LEL [%] CO [ppm] H2S [ppm]
GMIPS 241348793
O2[ GAS_O2 ]
LEL[ GAS_LEL ]
CO[ GAS_CO ]
H2S[ GAS_H2S ]
MSAALTAIR 4X6006494
Calibrated: GMI (18/03/26 -> 18/09/26) | MSA (16/02/26 -> 15/08/26)
Remarks: 1. This reading for open area only. 2. Separate gas check to be carried before the issue of confined space permit.
SECTION 4: LOCATION(S) FOR SAFE ENTRY (OPEN AREAS ONLY)
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Forepeak tank
☑
Bosun store
☑
Engine room
☑
Pump room
☑
Upper/main deck
☑
Poop deck
☑
Steering Gear Rm
☑
Void Space no. ☑
☑
Water Ballast tank: ☑   |  
☑
Cargo hold/tank: ☑
Blocks/Sections: ☑   |   Deck No: ☑   |   Others: ☑
SECTION 5: SAFETY INSTRUCTIONS & EQUIPMENT
WORK AREA & ENVIRONMENT EQUIPMENT & INFRASTRUCTURE PEOPLE, SAFETY & CONTROLS
Yes
Safe for Entry Tag/board displayed near ladders.
Yes
Marking of assembly area & escape route.
Yes
Access is restricted and barricaded if not safe.
Yes
Illumination >= 60 lux.
Yes
Temperature <= 45°C.
Yes
Open edges are barricaded at least 1m away.
Yes
Temporary holes on floor are covered/barricaded.
Yes
Valid certificates of access ladders are displayed.
Yes
Wind speed <= 35 km/hr.
Yes
Escape route free from obstacles.
Yes
Continuous power supply & backup available.
Yes
Temporary ladders are tied on both sides.
Yes
Display of emergency contact near accesses.
Yes
Head count system/worker tracking in place.
Yes
Emergency response team members contact displayed.
Yes
Availability of emergency items near assembly area.
SECTION 6: EMERGENCY ITEMS / FIRE FIGHTING / OIL SPILL CONTROL
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SCBA sets (04)
☑
EEBD (04)
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Fire Pumps (2)
☑
Fire Hoses (>=200m)
☑
Spare Safety Harness (>=4)
☑
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 (>=4)
☑
Life Buoys (>=5)
☑
Life jackets (>=5)
☑
Rope (>=20m)
☑
Oil Spill Kit
☑
Spare fire Nozzles (>=4)
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. Safe for Entry Tag must be strictly obeyed. Do not enter without valid authorization.
2. Verify emergency escape routes are clear before commencing any work.
3. In case of mechanical system failure or general lighting system failure, the Safety Officer / HSE Manager shall be re-called, and the “Entry Permit” shall become void.
4. Maintain continuous tracking of personnel utilizing the Head Count System.
SECTION 9: PERMIT RETURN (PLEASE TICK WHERE APPLICABLE)
✓/XSTATUS PERSONSIGNATURETIME
☑
 This Permit is closed and new safe for entry (ship) [ SE_NEW_PERMIT ], valid till [ SE_NEW_VALID ] has been issued for the continuation of work on ship. Safety Officer 08:00 AM
☑
 This Permit is closed/cancelled and all the persons except designated security personnels have dis-embarked form the ship. Safety Officer 08:00 AM
SECTION 10: EMERGENCY CONTACT NUMBERS
SL. NO.DESIGNATIONNAMECONTACT NO.
1 HSE MANAGER ROCKY SINGH 7990404108
2 PLOT MANAGER PRAVIN SHIYAL 79846 07070
This Permit is Valid for maximum 08 Hours Only including rest hours.

FORMAT PREPARED BY: HSE MANAGER APPROVED BY: GENERAL MANAGER