ALANGHSE SERVICES PERMIT

ALANGHSE SERVICES

VESSEL PULLING PERMIT

ALANGHSE-F-06
REV. 01
Controlled Form

SECTION 1: REQUISITION / CONTROL INFORMATION
Date / Issue Time	2026-08-10 / 08:00 AM	Valid up to / Permit No.	08:00 AM / [ VP_PERMIT_NO ] A/B
Applicant (Mukadam)	VISHAL PANDEY	Ship Name	VISHAL PANDEY
Name of Workers	VISHAL PANDEY
Winch numbers (pulling)	[ VP_WINCH_NOS ]	JHA Report No.	[ VP_JHA_NO ]

SECTION 2: COMPLIANCE MATRIX
CHECK / CRITERIA	YES	NO	N/A	REMARKS
PLANNING & ENVIRONMENT
1. Vessel pulling plan discussed 1-day in advance?	☑			[ Q1_RMK ]
2. Tide-tables available with Mukadam, winch operator and HSE?	☑			[ Q2_RMK ]
3. Has the good weather prediction checked?	☑			[ Q3_RMK ]
4. In case of low light, sufficient lights arranged?	☑			[ Q4_RMK ]
5. “Safety Notification Form” to neighbouring yards given?	☑			[ Q10_RMK ]
6. Pre-job Meeting done before pulling operation?	☑			[ Q12_RMK ]
7. Outdoor illumination >= 60 lux in low light condition?	☑			[ Q23_RMK ]
EQUIPMENT & WINCH OPERATION
8. Winches, Wire ropes, kappa & chains in good condition?	☑			[ Q8_RMK ]
9. PM inspection for winches, wire ropes and kappa carried out?	☑			[ Q9_RMK ]
10. Is winch operation and RPM meter tested prior to pulling?	☑			[ Q14_RMK ]
11. Is the winch area door locked?	☑			[ Q15_RMK ]
12. Is any oil leakage visible near winches?	☑			[ Q16_RMK ]
13. Both sides of vessel connected with sheave blocks/chains?	☑			[ Q22_RMK ]
SITE CLEARANCE & SAFETY CONTROLS
14. “Emergency signal to stop” explained to winch operators?	☑			[ Q5_RMK ]
15. Primary & secondary comms agreed and tested?	☑			[ Q6_RMK ]
16. HSE team member and supervisor clearly identified?	☑			[ Q7_RMK ]
17. Are double bottom block lightening holes/manholes sealed?	☑			[ Q11_RMK ]
18. Is the intertidal zone kept clear of any obstacles?	☑			[ Q17_RMK ]
19. Are only designated competent persons operating winch?	☑			[ Q18_RMK ]
20. Area clear and all ongoing work stopped on-board/inter-tidal?	☑			[ Q19_RMK ]
21. All workers briefed on rules, emergency signals, and safety?	☑			[ Q20_RMK ]
22. Barricaded area near winches & "Danger" signs displayed?	☑			[ Q21_RMK ]
23. Is yard Management Representative present onsite?	☑			[ Q24_RMK ]
24. Are all personnel wearing appropriate PPE?	☑			[ Q13_RMK ]

SECTION 3: PPE + SECTION 4: EMERGENCY READINESS
☑ Life jacket	☑ Fire Extinguisher	☑ First Aid Box	☑ Safety Helmet	☑ Safety Goggles
☑ Cut resist gloves	☑ Safety Shoes	☑ Fire Hose	☑ Life buoy	☑ Fire pump ready
☑ Cotton gloves	☑ Ear plug	☑ Sand bucket	☑ Stretcher	☑ Other/अन्य
☑ Ear muff	☑ Coveralls

SECTION 7: JOINT INSPECTION & AUTHORISATION MATRIX
A. PERMIT APPLICANT	B. HSE APPROVAL	C. PERMIT CONTROLLER / PM-GM
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:	I am satisfied with safety precautions and hereby give permission to commence work. Name: VISHAL PANDEY Designation: Safety Officer / HSE Manager Signature:	Approval by Plot Manager (PM) / General Manager (GM). Name: VISHAL PANDEY Designation: PM/GM Signature:

SECTION 6: SPECIAL INSTRUCTIONS / ACKNOWLEDGEMENT

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 have read and understood all instructions above and have explained them to all workers engaged in the work.

Mukadam Signature: _____________________ Date: 2026-08-10

SECTION 7: PERMIT RETURN
✓/X	STATUS	PERSON	NAME	SIGNATURE	TIME
☑	Permit is closed, job is completed	Mukadam	VISHAL PANDEY		08:00 AM
☑	Permit is closed, job 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