Cold Work Permit
| M.V./S.S.: | POSITION/ PORT | ||||||||||||
| Location, Description of Work and Equipment to be used:
|
|||||||||||||
| Condition of Area / Space/Work Activity | |||||||||||||
| Section 1 – Preparation and checks to be carried out by the Senior Officer in Charge of Cold Work. | |||||||||||||
| Yes | No | Remarks | |||||||||||
| 1.1 | The Equipment/Pipeline has been | ||||||||||||
| prepared as follows: | |||||||||||||
| Vented to Atmosphere | |||||||||||||
| Washed | |||||||||||||
| Drained | |||||||||||||
| Purged | |||||||||||||
| Other | |||||||||||||
| 1.2 | The Equipment/Pipeline has been | ||||||||||||
| Isolated as follows: | |||||||||||||
| Lines Blanked | |||||||||||||
| Valves Closed | |||||||||||||
| Lines Disconnected | |||||||||||||
| Other | |||||||||||||
| 1.3 | Is Equipment free from: | ||||||||||||
| Oil | |||||||||||||
| Pressure | |||||||||||||
| Gas | |||||||||||||
| H 2 S | |||||||||||||
| Steam | |||||||||||||
| 1.4 | Is surrounding area free from Hazards? | ||||||||||||
| 1.5 | If work is to be performed on | ||||||||||||
| Electrical Equipment, has that | |||||||||||||
| equipment been Isolated? | |||||||||||||
| 1.6 | Has risk removed carried out | ||||||||||||
PAGE 1 OF 2
| M.V./S.S.: | POSITION | |||||||||||||
| VALID FOR | FROM | hrs | DATE: | |||||||||||
| PERIOD * | TO | hrs | DATE: | |||||||||||
| Section 2 – Information and instructions to person carrying out cold work. | ||||||||||||||
| The following Personal Protections must be worn: (spacify) | ||||||||||||||
| Equipment/Pipeline contained following material in service: | ||||||||||||||
| Equipment expected to contain the following Hazardous Material when opened: | ||||||||||||||
| Special Conditions/Precautions: | ||||||||||||||
| In the circumstances noted, it is considered safe to proceed with this cold work. | ||||||||||||||
| Senior Officer in Charge Signature: | ||||||||||||||
| Master’s Signature: | ||||||||||||||
| Section 3 – The Coldwork has been completed and all Persons under my supervision, Materials and Equipment have been withdrawn. | ||||||||||||||
| Senior Officer in charge Signature: | ||||||||||||||
| Date | Time | |||||||||||||
* Valid only for time of work, not to exceed 8 hours.
PAGE 2 OF 2
Related Posts
May 1, 2014 Soot Blower – Auxiliary Boiler on Ships
April 30, 2014 White Metal Bearings used on Ships
April 30, 2014 Piston Rings – Diesel Engines
April 30, 2014 Testing of Fuel Injector
April 30, 2014 Diesel Engines – Introduction- April 29, 2014 Permit to Work on Pipelines and Pressure Vessels
April 29, 2014 Permit to Work on Electric Circuits
April 29, 2014 Enclosed Space Entry Permit
April 29, 2014 Hazards of Petroleum Products
April 29, 2014 Tanker Vessels – Terminology
One thought on “Cold Work Permit”
Nice work. Its possible to download all articles….