Title Page

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

  • Description of Work to be Done

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

Permit Requirements

OUTSIDE AND COMMS

  • Both anchors engaged, can't freefall if brake is released

  • Devils claw attached to both anchors

  • Signs clearly posted on the anchor station (located in top drawer of the chart table)

  • Deck/Engineering Duty Officers notified

  • Establish UHF comms with crew conducting the work

CREW

  • 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.

  • Authorising Officer - CoC authorising the work taking place

  • 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.

PERMIT ISSUED

PERMIT CLOSING

  • Devils claws and signs removed

  • All relevant personnel notified that the work has been completed

  • Permit to work cancelled

  • Closed - Competent Person

  • Competent Person's Signature

  • Authorising Officer's Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.