A15 - PERMITS - Working Aloft and Outboard

• Permit Opened on:

  Date

• Names of Crew Member(s) Assigned to Complete the Task

• Description of Work to be Done

• Location of Work on Board Vessel

• Location of Vessel
  Address

• Permit Open Until: (must not exceed 24 hours)

  Date

• Work being completed aloft or outboard?

  Select Aloft Outboard

  • Aloft
  • Outboard

BRIDGE

• Radars isolated and signs posted

  Yes

  No

  N/A

• Whistle isolated? Breaker 41F1 starboard aft Bridge locker

  Yes

  No

  N/A

OUTSIDE AND COMMS

• Is the weather favourable to complete the work? Less than 30 knots

  Yes

  No

  N/A

• Deck/Engineering Duty Officers notified

  Yes

  No

  N/A

CREW

• Familiarised and competent in procedures for working aloft - otherwise must have competent person supervising at all times until confident in procedure

  Yes

  No

  N/A

• Briefed on two points of attachment where possible except changeovers - use certified strong points only

  Yes

  No

  N/A

• Appropriate PPE worn depending on nature of work (when working outboard a lifejacket is to be worn)

  Yes

  No

  N/A

• Gear correctly donned and checked

  Yes

  No

  N/A

• Means of securing tools

  Yes

  No

  N/A

• Communication means established between worker(s) and supervisor

  Yes

  No

  N/A

• Crew Completing the Task - I accept responsibility for carrying out the work, as described in this permit. I am satisfied that all precautions have been taken and that safety arrangements will be maintained for the duration of the work permit.

  Sign

• Authorising Officer - CoC authorising the work taking place

  Sign

• Competent Person - Person in charge of work being performed - oversees work taking place, checks that correct measures are taken to ensure safety at all times. I accept responsibility for carrying out the work, as described above, and no attempt will be made by me or people under my charge to work on any other apparatus or in any other area. I am satisfied that all precautions have been taken and that safety arrangements will be maintained for the duration of the work.

  Sign

PERMIT ISSUED

PERMIT CLOSING

• Local equipment re-activated and warning notices removed

  Yes

  No

  N/A

• Materials and equipment removed from working space

  Yes

  No

  N/A

• All relevant personnel notified that the work has been completed

  Yes

  No

  N/A

• Permit to work cancelled

  Yes

  No

  N/A

• Closed - Competent Person

  Date

• Competent Person's Signature

  Sign

• Authorising Officer's Signature

  Sign