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Permit To Work Aldive

This document is a permit to work that outlines safety precautions for an upcoming diving operation. It certifies that various safety steps have been taken, including hoisting diving flags, disengaging engines, establishing radio contact, and informing other vessels. It requires signatures from the diving supervisor, vessel master and chief engineer to confirm the discussed safety topics and that conditions are safe to commence diving. The permit is valid for 24 hours from the listed date and time.

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119 views

Permit To Work Aldive

This document is a permit to work that outlines safety precautions for an upcoming diving operation. It certifies that various safety steps have been taken, including hoisting diving flags, disengaging engines, establishing radio contact, and informing other vessels. It requires signatures from the diving supervisor, vessel master and chief engineer to confirm the discussed safety topics and that conditions are safe to commence diving. The permit is valid for 24 hours from the listed date and time.

Uploaded by

dudi hidayat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PT.

ALDIVE SAMOEDRA ASIA


Office : Komp. Taman Harapan Indah Blok F No.5 Batam, Indonesia
Phone : (0778) 495072 Fax : (0778) 495072
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PERMIT TO WORK A. JOB SAFETY ANALYSIS (JSA)
CUSTOMER: DATE: Supervisor: Diving Boat : RUDY / STINGER / SURVEYOR
JOB SAFETY ANALYSIS (JSA) Completed and reviewed with Personnel.
JOB NUMBER VESSEL:
WEATHER : Calm/Stormy LOCATION : SAFETY TOPICS COVERED IN MEETING
This is to certify that the following safety precaution, prior to diving, have been carried out as requested by diving superv isor to the 1 Has all the equipment been checked and in operating condition
vessel’s Master and Chief Engineer :
2 Trips hazard around dive station
YES NO NA Alpha Flag/diving lights hoisted/Red-white-Red Signal Light displayed 3 Ship tag out and what’s running
YES NO NA Main engine disengaged?Shut-off main air valve for main engine?
YES NO NA Warning sign posted in ECR –“DIVERS AT WORK DO NOT TURN PROPELLER”? 4 Ladder safety, entering and exiting the water
YES NO NA Turning Gear Engaged?Breaker and Steering gear motors switch off and fuses removed?
5 Loss of comms
YES NO NA That all underwater equipment hazardous to diving operation are switched off & immobilized?
YES NO NA Sea water intake reduced to operating minimum? 6 Loss of primary air
YES NO NA Boiler blow down valves shut and warning sign posted?
YES NO NA Disengaged breakers to thrusters and stabilizers? 7 Underwater pinch points and sharp edges
YES NO NA One “Ring Lifebuoy”to be deployed from stern of vessel with five meters slack from water level ?
8 Hydraulic tool safety
YES NO NA Established working channel ?CHANNEL ESTABLISHED ________________(VHF)
YES NO NA Constant radio and deck watch established? 9 Sea state, dive ops and tug/ship movements
YES NO NA Safe access rigged to the diving vessel during the entire operation?
10
YES NO NA All transponders switched off prior to the operation?(Echo sounder,speed log, etc.)
YES NO NA Impressed current “Cathodic protection” system disengaged? 11
YES NO NA Other underwater eq. that can endanger safe diving to be considered and proper action taken?
YES NO NA Dive Supervisor informed of the status of any underwater machinery, all intakes and discharger?
YES NO NA Fishing by crew be prohibited whilst divers are working “NOTE:NOTIFY THE SUPERVISOR IF YOU HAVE BEEN INJURED OR HAD ANY PROBLEM ‘S IN THE PAST 24 HOURS”
YES NO NA All vessels alongside and on immediate vicinity are to be informed of the diving operation? DESIGNATION NAME: Company: SIGNATURE:

Prior to casting off bunker/service vessels the following procedures are to be followed by: SUPERVISOR PT. ALDIVE SAMOEDRA ASIA

ASSISTANT SUPERVISOR
1. Advice about when bunker /service vessel cast off in advance.
2. Vessel will advise and ask for permission from diving tender. DIVERS
3. Bunker/service vessel shall cast off only after receiving clear instruction from diving tender “all Clear Ok to Cast Off”
4. Once Bunker /service vessel are clear from vessel, inform diving tender “Bunker/Service Vessel Clear”

DATE TIME

This permit relates to any underwater work to be performed From


on or around this vessel. This permit is valid only for a period
24 hours from the above date. To

Under the circumstances noted, it is considered safe to commence the diving operation

By signing this JSA Safety sheet you confirm that each listed JSA has been reviewed during this meeting and you fully understand the
work and Safety procedures that are required to perform each specific task and will act in accordance with each of these
requirements. I have been made aware of plans for the day as well as procedures and hazard. I am rested and able to do my job. I
Master’s Name & Sign/Stamp Chief Engineer’s Name & Sign/Stamp Diving Supervisor’s Name & Sign/Stamp have not been involved in any accident that not as been reported in the last 24 hours.
I understand that any accident, injury or other questionable occurrence must be reported to the supervisor immediately
Supervisor Signature :______________________ Date :____________________

Master of the dive support vessel/vessel’s has been presented with the safe practices and procedures manual. The Master is aware of
the manuals location and that is available for viewing at all times. Master is aware of the Diving Supervisor and the Assistant Dive
Supervisor . This document will be made available to the Master for viewing at all times.

Boat Master’s Signature:_____________________ Date :_____________________

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