XYZ SHIP MANAGEMENT WP 3B Page 1 of 2 (06/15 Rev 3) M 20 ONBOARD HOT WORK PERMIT (NAKED FLAME / SPARK POTENTIAL) (Separate permit is required for each task/location. For hot work procedure, Please refer to HSEQA manual ch. 12) Vessel's Name: GENERAL Permit No : (E.g.: XXX/HW/NN/YY) XXX - Ship's 3 letter code, NN - Permit no., YY - Year Date: Location and Work Description This permit is valid (Note: Validity of Permit is not to exceed 8 hours): From (Date & Time): To (Date & Time): Other Permits issued - to work in this space at the same time: Isolation Permit No:_________________//Enclosed Space Entry Permit No:_______________//Cold Work Permit Work Aloft Permit No:___________ // Any other permit(specify):______________ Routine Risk Assessment (RA) No.: RA review date: 1) This permit to work relates to any work involving temperature conditions which are likely to be of sufficient intensity to cause ignition of combustible gases, vapours or liquids in or adjacent to the area involved. 2) For work involving Naked Flame or Continuous Spark production fill all sections (1, 2, 3, 4 and 5) completely. (See note 3) 3) For work involving Spark Potential, section 2 should be marked as "N/A". (See note 4) RISK ASSESSMENT 1. 2. 3 1.3 1.4 1.5 1.6 No No N/A Confirm that the Routine Risk Assessment has been reviewed & other additional hazards and mitigating measures if identified are recorded in form WP3A. Based on the above review, is the Risk Acceptable or not? (If Yes, proceed with the job. If No, abandon job.) Confirm if a Work Plan meeting is held and Routine RA and other hazards with mitigating measures as applicable identified in WP3A & discussed with all concerned in tool box meeting SECTION 1 1.1 1.2 Yes Has the work area been checked and found free of hydrocarbon vapours? Have all operations with the cargo or bilge systems been stopped, i.e. cargo transfer/ recirculation ballast or bilge transfers, purging, venting, gas freeing, tank washing? LNG / LPG Vessel only: If the vessel is using the re-liquefaction system or supplying the Engine room with boil off gas, then the system(s) must be operating as per design with no defects in them or associated safety system(s). All other Cargo or bilge transfers are to be stopped. Are cargo tanks inerted with positive pressure (for Ships fitted with IGS/ IGG) No use of flammable or hazardous material (e.g.: paint, cleaning solvent, etc.) in the hot work space(s) or within 30 meters of the hot work sites on open deck areas Interval of checking & recording the gas content of the space/ area: _____________ minutes (Not to exceed 120 minutes & to be recorded in section 3) SECTION 2 2.1 Is the area and surrounding clean & dry and clear of oil & other dangerous/ combustible material? Radius of area to be cleaned (if applicable) :______________ 2.2 Is adjacent fuel oil bunker tank checked with a Combustible Gas Detector for hydrocarbon vapours & found less than 1% L.F.L.? 2.3 Is it confirmed that hotwork will not cause heat transfer throughout the bulkhead of bunker tank? 2.4 Is Oxygen content in compartment 20.9%? 2.5 Are vapour lines blanked or isolated to area concerned? 2.6 Is ventilation adequate? 2.7 Has the equipment or pipeline been gas freed? 2.8 Has the equipment or pipeline been blanked? 2.9 Is the equipment or pipeline free of liquid? 2.10 Are applicable cargo tank valves isolated? 2.11 Safety equipment, machinery and surrounding areas protected from heat eachange 2.12 Is hot work equipement in good condition and men wearing suitable PPE? 2.13 Are fire fighting/life saving appliances in good order and ready for use? 2.14 Is the safety organisation and communication plan discussed with all concerned? 2.15 Work will be shielded to contain sparks Yes EXECUTIVE SHIP MANAGEMENT M 20 Yes 2.16 2.17 2.18 2.19 2.20 2.21 WP 3B Page 2 of 2 (06/15 Rev 3) No N/A Unauthorized persons have been kept away from the place of work Hot work is 0.5 metres or more away from direct heat transfer to pipes or tanks containing bunkers, LO, hydraulic oil or other flammable or combustible liquid. Marine Chemist certification obtained, if applicable. Attach a copy of Marine Chemist All necessary terminals, port authority and government approvals have been obtained, if applicable. Attach applicable approvals to this permit. Officer on watch, deck and engine, advised of hot work being conducted Special conditions / precautions (if applicable) as below: SECTION 3 - GAS CHECKS (Repetitive, as per item 1.6) Checks for combustible gas should be carried out immediately before commencement of hot work and at frequent intervals as long as the work is in progress. Record the periodic gas measurements in the table below Date/Time Date/Time Gas Readings Name/ Rank of Gas Readings Name/ Rank of % LFL reporting person % LFL reporting person SECTION 4 - CONFIRMATION OF CHECKS I am satisfied that all precautions have been taken and that safety arrangements will be maintained for the duration of the work. Crew assigned for the job Name/Rank: Signature Date/Time: Name/Rank: Signature Date/Time: To be signed by: Responsible Officer (See Note 2): Name/ Rank: Signature Date/Time: Safety officer: Name: Signature Date/Time: Master: Name: Signature Date/Time: SECTION 5 - POST COMPLETION CHECKS Job completed at (Date / Time): Materials and equipment have been withdrawn. Officer on watch informed of job completion. Responsible Officer Signature: Date: Time: Master Signature: Date: Time: NOTES: 1. 2. 3. Only one hot work permit should be issued at a time. The responsible officer is usually the Chief Officer on deck & the 2nd Engineer in the Engine Room. Work involving "Naked Flame or Continuous Spark production" applies to all hot work involving high temperatures, open flame, electric arc or continuous source of sparks. This type of work includes but is not limited to welding, burning and grinding. Hot work shall be performed only if all other means cannot achieve the task effectively. For this type of hot work outside the designated area, the Company must be consulted for permission to carry out the work. Details of work proposal, risk assessment must be discussed and authorization given by the office. The office will send an approval message when all conditions are considered satisfactory. The completed Risk Assessment & Office Permission for Hotwork (Work PermitWP3A) for this job, which has been approved by the company must be attached to this report. 4. Work involving "Spark Potential" applies to all hazardous work not involving naked flame or continuous spark production, and would include use of non-intrinsically safe camera / infra red guns/ Fire detector testers etc., use of air driven rotary equipment, sand or grit blasting etc. Permit is to be used for the use of such equipment on deck i.e. outside the engine room & steering gear and outside the accommodation.