ALANGHSE SERVICES |
PERIODIC GAS LEVEL CHECK RECORD | LFR-F-40F REV. 01 Controlled Form |
| STEP 1: REQUISITION / CONTROL INFORMATION | |||
| Date | 2026-08-10 | Confined Space Permit No. | [ PERMIT_ID ] |
| Shift A (Time) | Start Time: _________ End Time: _________ AM / PM | ||
| Shift B (Time) | Start Time: _________ End Time: _________ AM / PM | ||
| STEP 2: PERMISSIBLE LIMITS (Recycling of Ships Regulations, 2026) | |||
| O2 (OXYGEN) | CH4 (METHANE) in % | H2S (HYDROGEN SULPHIDE) in PPM | CO (CARBON MONOXIDE) in PPM |
| 20.6 % to 22.0 % | ≤1% of Lower Flammable Limit (LFL) = 0.05% V/V | ≤50% of Occupational Exposure Limit [OEL] (5.0 PPM) | ≤50% of Occupational Exposure Limit [OEL] (25 PPM) |
| STEP 3: MULTI-GAS DETECTOR EQUIPMENT | |||||
| Tick(✓/x) | Manufacturer | Model | Serial Number | Calibrated on | Next calibration due on |
☑ | MSA | ALTAIR-4X | 6006494 | 16/02/2026 | 15/08/2026 |
☑ | GMI | PS241 | 348793 | 18/03/2026 | 18/09/2026 |
| STEP 4: 2nd/th Reading | |||||
| Parameter | CS | ADJ-1 | ADJ-2 | ADJ-3 | ADJ-4 |
| SPACE/LOCATION | |||||
| O2 [%] | |||||
| HC* [% LEL] | |||||
| CO [ppm] | |||||
| H2S [ppm] | |||||
| ILLUMINATION | |||||
| TEMPERATURE | |||||
| Time | |||||
| Sign (Inspector) | |||||
| STEP 4: 3nd/th Reading | |||||
| Parameter | CS | ADJ-1 | ADJ-2 | ADJ-3 | ADJ-4 |
| SPACE/LOCATION | |||||
| O2 [%] | |||||
| HC* [% LEL] | |||||
| CO [ppm] | |||||
| H2S [ppm] | |||||
| ILLUMINATION | |||||
| TEMPERATURE | |||||
| Time | |||||
| Sign (Inspector) | |||||
| STEP 4: 4nd/th Reading | |||||
| Parameter | CS | ADJ-1 | ADJ-2 | ADJ-3 | ADJ-4 |
| SPACE/LOCATION | |||||
| O2 [%] | |||||
| HC* [% LEL] | |||||
| CO [ppm] | |||||
| H2S [ppm] | |||||
| ILLUMINATION | |||||
| TEMPERATURE | |||||
| Time | |||||
| Sign (Inspector) | |||||
| STEP 4: 5nd/th Reading | |||||
| Parameter | CS | ADJ-1 | ADJ-2 | ADJ-3 | ADJ-4 |
| SPACE/LOCATION | |||||
| O2 [%] | |||||
| HC* [% LEL] | |||||
| CO [ppm] | |||||
| H2S [ppm] | |||||
| ILLUMINATION | |||||
| TEMPERATURE | |||||
| Time | |||||
| Sign (Inspector) | |||||
| STEP 4: 6nd/th Reading | |||||
| Parameter | CS | ADJ-1 | ADJ-2 | ADJ-3 | ADJ-4 |
| SPACE/LOCATION | |||||
| O2 [%] | |||||
| HC* [% LEL] | |||||
| CO [ppm] | |||||
| H2S [ppm] | |||||
| ILLUMINATION | |||||
| TEMPERATURE | |||||
| Time | |||||
| Sign (Inspector) | |||||
| STEP 4: 7nd/th Reading | |||||
| Parameter | CS | ADJ-1 | ADJ-2 | ADJ-3 | ADJ-4 |
| SPACE/LOCATION | |||||
| O2 [%] | |||||
| HC* [% LEL] | |||||
| CO [ppm] | |||||
| H2S [ppm] | |||||
| ILLUMINATION | |||||
| TEMPERATURE | |||||
| Time | |||||
| Sign (Inspector) | |||||
| STEP 4: 8nd/th Reading | |||||
| Parameter | CS | ADJ-1 | ADJ-2 | ADJ-3 | ADJ-4 |
| SPACE/LOCATION | |||||
| O2 [%] | |||||
| HC* [% LEL] | |||||
| CO [ppm] | |||||
| H2S [ppm] | |||||
| ILLUMINATION | |||||
| TEMPERATURE | |||||
| Time | |||||
| Sign (Inspector) | |||||
| STEP 4: 9nd/th Reading | |||||
| Parameter | CS | ADJ-1 | ADJ-2 | ADJ-3 | ADJ-4 |
| SPACE/LOCATION | |||||
| O2 [%] | |||||
| HC* [% LEL] | |||||
| CO [ppm] | |||||
| H2S [ppm] | |||||
| ILLUMINATION | |||||
| TEMPERATURE | |||||
| Time | |||||
| Sign (Inspector) | |||||