ALANGHSE SERVICES
REV. 01
Controlled Form
ALANGHSE SERVICES |
VESSEL PULLING PERMIT | ALANGHSE-F-06 REV. 01 Controlled Form |
| STEP 1: REQUISITION PERMIT IDENTIFICATION | |||
| 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 ] |
| STEP 2: PRE-WORK SAFETY VERIFICATION | |||||||
| CRITERIA | Y | N | N/A | CRITERIA | Y | N | N/A |
| 1. Vessel pulling plan discussed 1-day in advance? | ☑ |
13. Are all personnel wearing appropriate PPE? | ☑ |
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| 2. Tide-tables available with Mukadam, winch operator and HSE? | ☑ |
14. Is winch operation and RPM meter tested prior to pulling? | ☑ |
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| 3. Has the good weather prediction checked? | ☑ |
15. Is the winch area door locked? | ☑ |
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| 4. In case of low light, sufficient lights arranged? | ☑ |
16. Is any oil leakage visible near winches? | ☑ |
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| 5. “Emergency signal to stop” explained to winch operators? | ☑ |
17. Is the intertidal zone kept clear of any obstacles? | ☑ |
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| 6. Primary & secondary comms agreed and tested? | ☑ |
18. Are only designated competent persons operating winch? | ☑ |
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| 7. HSE team member and supervisor clearly identified? | ☑ |
19. Area clear and all ongoing work stopped on-board/inter-tidal? | ☑ |
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| 8. Winches, Wire ropes, kappa & chains in good condition? | ☑ |
20. All workers briefed on rules, emergency signals, and safety? | ☑ |
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| 9. PM inspection for winches, wire ropes and kappa carried out? | ☑ |
21. Barricaded area near winches & "Danger" signs displayed? | ☑ |
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| 10. “Safety Notification Form” to neighbouring yards given? | ☑ |
22. Both sides of vessel connected with sheave blocks/chains? | ☑ |
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| 11. Are double bottom block lightening holes/manholes sealed? | ☑ |
23. Outdoor illumination >= 60 lux in low light condition? | ☑ |
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| 12. Pre-job Meeting done before pulling operation? | ☑ |
24. Is yard Management Representative present onsite? | ☑ |
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| STEP 3: PPE / EMERGENCY READINESS | |||
☑ Safety Helmet |
☑ Safety Goggles |
☑ Life jacket |
☑ Fire Extinguisher |
☑ Cut resist gloves |
☑ Safety Shoes |
☑ First Aid Box |
☑ Fire Hose |
☑ Cotton gloves |
☑ Ear plug |
☑ Life buoy |
☑ Fire pump ready |
☑ Ear muff |
☑ Coveralls |
☑ Sand bucket |
☑ Stretcher |
☑ Other/अन्य |
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| STEP 5: JOINT INSPECTION / AUTHORISATION | ||
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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 5: SPECIAL INSTRUCTIONS / MUKADAM ACKNOWLEDGEMENT |
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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 Mukadam acknowledgement: I have read, understood and explained these instructions to all workers. Signature: _____________________ Date: 2026-08-10 |
| STEP 6: PERMIT RETURN | |||||
| ✓/X | STATUS | PERSON | NAME | SIGNATURE | TIME |
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Permit is closed, job is completed | Mukadam | VISHAL PANDEY | 08:00 AM | |
| Safety Officer | VISHAL PANDEY | ||||
| SECTION 10: EMERGENCY CONTACT NUMBERS | |||
| SL. NO. | DESIGNATION | NAME | CONTACT NO. |
| 1 | HSE MANAGER | ROCKY SINGH | 7990404108 |
| 2 | PLOT MANAGER | PRAVIN SHIYAL | 79846 07070 |