Fleet Management Limited

ON BOARD HOT WORK PERMIT

To be filled prior to any "Hot Work" in spaces other than safe area, such as workshops.Before completing this form refer to Section 10
of Company's Health & Safety Manual and notes at end of this checklist.

- ONLY ONE HOTWORK PERMIT SHOULD BE ISSUED AT A TIME

- A SEPARATE PERMIT SHOULD BE ISSUED/APPROVED FOR EACH INTENDED TASK AND LOCATION
- WORK SHALL NOT BE TAKEN UP IF ANSWER IS "NO" TO ANY QUESTION IN SECTION A & B WITHOUT
PRIOR APPROVAL OF HEAD OFFICE

MV/MT ______________________________________ * Ship Ref: _________________________________________

Date ______________________________________ (* - For vessels with operational PARIS 9 or higher)
Sea/Port/Anchor ______________________________ Type of cargo _______________________________________
Cargo/Ballast _________________________________
Reason for work_____________________________________________________________________________________
Location of work ___________________________________________________________________________________
This permit is valid : From ___________hrs Date______________ To ___________hrs Date_______________
( Validity of this permit should not exceed 12 hours)
Has an enclosed space entry permit been issued ? YES / NO
Reason if 'NO' _____________________________________________________________________________________
Personnel carrying out hotwork _______________________________________________________________________
Personnel responsible for hotwork _____________________________________________________________________
Person responsible for safety _________________________________________________________________________

A) Check list prior commencement of hot work Yes No N/A

1) Has work plan meeting been held and risk assessment completed ?
2) Is the area clean and clear of oil and other dangerous material ?
Radius of area to be cleaned (if applicable) : ___________________________________
3) Adjacent area/compartment cleaned, gas free, inert or filled with water ?
4) Has the hotwork area been checked with a Combustible Gas Detector for hydrocarbon
vapours & found less than 1% L.F.L. ?
5) Is adjacent fuel oil bunker tank checked with a Combustible Gas Detector for
hydrocarbon vapours & found less than 1% L.F.L. ?
6) Is it confirmed that hotwork will not cause heat transfer throughout the bulkhead of
bunker tank ?
7) Oxygen content in compartment is 21% ?
8) Are vapour lines blanked or isolated to area concerned ?
9) Is ventilation to area adequate and continuous ?
10) Has the equipment or pipeline been gas freed ?
11) Has the equipment or pipeline been blanked ?
12) Is the equipment or pipeline free of liquid ?
13) Is equipment to be used in good order and men wearing suitable PPE ?
14) Are fire fighting/life saving appliances in good order and ready for use ?
15) Is the safety organisation and communication plan discussed with all concerned ?
16) Is the Hot Work area more than 500 mm from fuel oil tank deck or bulkhead ?
17) Has approval been obtained from Head Office ?
18) If vessel is in port, has written approval been obtained from port authorities ?

B) Additional Checks to be carried out by Tankers

1) Has cargo tank atmosphere checks carried out and entry permit issued ?
2) Has cargo tank washed & gas freed ?
3) If Hot Work required outside tank, is cargo tank purged and inerted to not more than
8% O2 and not more than 2% HC ?
4) Is Hot Work area more than 500 mm from tank deck or bulkhead ?
5) Are applicable cargo tank valves isolated ?
6) All cargo tank within 30 mtrs of the work location, including diagonally positioned
cargo tanks, cleaned and gas freed to hot work standard or completely filled with water ?
Fleet Management Limited
ON BOARD HOT WORK PERMIT
7) All slops removed from ship or securely isolated in the tank furthest (and at least
30 mtrs) from hot work location ?
8) Vapours or vent lines to the compartment should be ventilated to not more than 1% LFL
and isolated ?

Special conditions / Precautions (if any) _____________________________________________________________

C) Repeat Checks of Atmosphere Condition

Time % LFL Oxygen Sign

Person in Carrying out Hot Work

I am satisfied that all precautions have been taken and all safety arrangements will be maintained for entire duration of work.

Signature Rank Date Time

Person in Charge of Hotwork Team
I am satisfied that all precautions have been taken and all safety arrangements will be maintained for entire duration of work.

Signature Rank Date Time

Approval by Master
I am satisfied with safety precautions and hereby give my permission to commence work.

Signature Date Time

D. On completion of Hotwork
The work has been completed, equipment secured, permit closed and Company has been informed.

Master ________________ Time _______________ Date ___________________

THIS PERMIT IS RENDERED INVALID SHOULD ANY OF THE CONDITIONS NOTED IN THE CHECKLIST CHANGE
Notes: This form is to be filled on all vessels when carrying out hot work involving high temperatures, electric arc, open flame or continuous source of sparks.
This work includes but is not limited to welding, burning and grinding.

REV 4
Apr-10 DE-23B