ALANGHSE SERVICES
REV. 01
Controlled Form
ALANGHSE SERVICES |
SAFE FOR ENTRY PERMIT | ALANGHSE-SFE-01 REV. 01 Controlled Form |
| STEP 1: REQUISITION PERMIT IDENTIFICATION | |||
| Ship Name | VISHAL PANDEY | Time of Check | 08:00 AM |
| Date / Issue Time | 2026-08-10 / 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 ] |
| STEP 2: GAS READINGS & EQUIPMENT | STEP 3: LOCATION FOR SAFE ENTRY | ||||
O2[ GAS_O2 ] |
LEL[ GAS_LEL ] |
CO[ GAS_CO ] |
H2S[ GAS_H2S ] |
☑ Forepeak tank |
☑ Engine room |
☑ Upper/main deck |
☑ Void Space no. ☑ |
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| Meter: MSA ALTAIR 4X / GMI PS 241 | Other/Blocks: ☑ ☑ | ||||
| STEP 4: PRE-WORK SAFETY VERIFICATION | |||||||
| CRITERIA | Y | N | N/A | CRITERIA | Y | N | N/A |
| 1. Safe for Entry Tag/board displayed near ladders. | ☑ |
9. Valid certificates of access ladders are displayed. | ☑ |
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| 2. Marking of assembly area & escape route. | ☑ |
10. Emergency response team members contact displayed. | ☑ |
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| 3. Access is restricted and barricaded if not safe. | ☑ |
11. Availability of emergency items near assembly area. | ☑ |
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| 4. Illumination >= 60 lux. | ☑ |
12. Wind speed <=35 km/hr. | ☑ |
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| 5. Temperature <= 45°C. | ☑ |
13. Escape route free from obstacles. | ☑ |
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| 6. Display of emergency contact near accesses. | ☑ |
14. Open edges are barricaded at least 1m away. | ☑ |
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| 7. Temporary holes on floor are covered/barricaded. | ☑ |
15. Continuous power supply & backup available. | ☑ |
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| 8. Head count system/worker tracking in place. | ☑ |
16. Temporary ladders are tied on both sides. | ☑ |
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| STEP 5: PPE / EMERGENCY READINESS | |||
☑ SCBA sets (04) |
☑ EEBD (04) |
☑ 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) |
| 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 7: SPECIAL INSTRUCTIONS / MUKADAM ACKNOWLEDGEMENT | |
|
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. Maintain continuous tracking of personnel utilizing the Head Count System. |
4. 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. Mukadam acknowledgement: I have read, understood and explained these instructions to all workers. Signature: _____________________ Date: 2026-08-10 |
| STEP 8: PERMIT RETURN | |||||
| ✓/X | STATUS | PERSON | SIGNATURE | TIME | |
☑ |
This Permit is closed and new safe for entry (ship) [ SE_NEW_PERMIT ] has been issued. | Safety Officer | 08:00 AM | ||
☑ |
This Permit is closed/cancelled and all the persons have dis-embarked form the ship. | Safety Officer | 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 |