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Going Aloft / Working Over Side Permit: General

This document is a permit form for going aloft or working over the side of a vessel. The permit outlines safety requirements that must be verified before work begins, including properly adjusted lifelines, harnesses, access ladders, staging or boatswain chairs, and notification of the duty officer. The master and person in charge of the work team must sign off that conditions are safe. Once work is completed, the person in charge verifies all personnel, materials, and equipment have been withdrawn.

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sailor21316
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© Attribution Non-Commercial (BY-NC)
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23 views

Going Aloft / Working Over Side Permit: General

This document is a permit form for going aloft or working over the side of a vessel. The permit outlines safety requirements that must be verified before work begins, including properly adjusted lifelines, harnesses, access ladders, staging or boatswain chairs, and notification of the duty officer. The master and person in charge of the work team must sign off that conditions are safe. Once work is completed, the person in charge verifies all personnel, materials, and equipment have been withdrawn.

Uploaded by

sailor21316
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SEKUR HOLDINGS INC. Date of Issuance : JUNE 2003 Revision No. :0 Chapter No.

:7

SQ&E Management System Manual Issued by : SQM Approved by : Managing Director Ch. 7 Form No. SAF 11

Vessel:..

GOING ALOFT / WORKING OVER SIDE PERMIT


This permit is related to work aloft on the superstructure, mast, etc., where : a) the personnel may be exposed to danger by falling down, and b) personnel passing under such areas may be unsafe GENERAL This permit is valid From .hrs. To hrs Date. Date.

Location of work Description of work... Work to be done by .. SECTION 1 1.1 1.2 1.3 1.4 1.5 1.6 Properly adjusted lifeline / harness / belt present Access ladder present and properly secured Staging / boatswain chair properly rigged / secured Assistant present Obstruction deactivated, if any Duty Officer notified YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO .. ...................... .

SECTION 2 In the circumstances noted it is considered safe to proceed this work. Signed .. Master .. Person in charge of work team SECTION 3 Work completed and persons under my supervision, materials and equipment have been withdrawn.
Page 1

SEKUR HOLDINGS INC. Date of Issuance : JUNE 2003 Revision No. :0 Chapter No. :7

SQ&E Management System Manual Issued by : SQM Approved by : Managing Director Ch. 7 Form No. SAF 11

Signed by ..

Date

Hour

Page 2

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