ALANGHSE SERVICES PERMIT

ALANGHSE SERVICES

BOAT EMBARKATION PERMIT

ALANGHSE-F-07
REV. 01
Controlled Form

STEP 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 ]

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

STEP 3: PRE-WORK SAFETY VERIFICATION
CRITERIA	Y	N	N/A	CRITERIA	Y	N	N/A
1. Boat ride plan discussed with GM/HSE/Mukadam?	☑			15. Is proper access ladder provided to board the boat?	☑
2. Required to notify Marine Police about ride?	☑			16. Are all the moving parts of the boat secured?	☑
3. HSE member and supervisor clearly identified?	☑			17. Is the fuel and lube oil check has been carried out?	☑
4. Tide-tables available with Mukadam & boat operator?	☑			18. Is any oil leakage visible in the boat?	☑
5. Primary & secondary comms agreed (Mobile/Walkie)?	☑			19. Are all personnel in the boat ride wearing the life jacket?	☑
6. Wind speed, sea state and weather forecast checked?	☑			20. Emergency contact numbers placed in boat/Embarkation Points?	☑
7. Clean landing area identified on both sides?	☑			21. Ensured max occupancy of boat has not been crossed?	☑
8. Is embarkation zone kept clear of any obstacles?	☑			22. Passengers in designated space so balance is maintained?	☑
9. Area clear and ongoing work stopped in inter-tidal area?	☑			23. Waterproof bags provided for carrying belongings?	☑
10. Personnel having 2 ID cards, stand at embark pt?	☑			24. Trained First aider available in boat with first aid kit?	☑
11. Security available on both sides for head counting?	☑			25. Food and water arranged for all onboard?	☑
12. Rescue boat equipped with LSA/Crane?	☑			26. Timing of return boat ride informed to all personnel?	☑
13. De-briefing done before the boat ride operation?	☑			27. Is the permit displayed near the Embarkation point?	☑
14. Passengers briefed on safety rules, smoking ban, balance?	☑

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

STEP 5: JOINT INSPECTION / AUTHORISATION
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:

STEP 6: SPECIAL INSTRUCTIONS / MUKADAM ACKNOWLEDGEMENT

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

STEP 7: 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