File Ref :
Marine Trans BureauLtd. Distributio
n □ SHIP
ENCLOSED SPACE ENTRY PERMIT
Vessel: Reference No.:
This permit relates to entry into anT^nclosed space and shall be completed by the Master
or Chief Engineer _
________and by the person entering the space or authorized team leader._______________________
GENERAL
Location / Name of Enclosed Space:
Reason for entry:
From hrs Date
This permit is Valid
To hrs Date
Note: Maximum Duration of Validity Not to Exceed 08 Hours
Page 1 of 4
Section 1
"PRE-ENTRY PREPARATIONS"
(This section to be completed by Master, C/E. C/O, 2/E)
Yes No
Has the space been thoroughly ventilated? □ □
Has the space been segregated by blanking off or isolating all connecting pipelines □ □
or valves and electrical power/equipment?
Has the space been cleaned where necessary? □ □
Has the space been tested and found safe for entry? □ □
Pre-entry atmosphere tests : (See Note 2) By: Oxygen %Vol. (21%)
Hydrocarbon % LFL (Less than 1%)
Toxic Gases PPM (Specify gas) Time:
1. Have arrangements been made for frequent atmosphere checks to be made □ □
while the spaces are occupied and after work breaks?
2. Have arrangements been made for the space to be continuously ventilated □ □
throughout the period of occupations and during work breaks?
3. Are access and illumination adequate? □ □
4. Is rescue and resuscitation equipment available for immediate use by the □ □
entrance to the space?
5. Has a responsible person been designated to be in constant attendance at □ □
the entrance to the space?
6. Has the Officer of the watch (bridge, engine room, cargo control room) been □ □
advised of the planned entry?
7. Has a system of communication between all parties been tested and □ □
emergency signals agreed?
8. Are emergency and evacuation procedures established and understood by all □ □
personnel involved with the enclosed space entry?
9. Is all equipment used in good working condition and inspected prior to
□ □
entry? (For breathing apparatus checks refer Section - 3)
10. Are personnel properly clothed and equipped? □ □
Page 2 of 4
Section 2
" PRE - ENTRY CHECKS "
(This section to be checked by the person entering the space or authorized team
leader)
Yes No
I have received instructions or permission from the master or nominated
1. □ □
responsible person to enter the enclosed space
Section 1 of this permit has been satisfactorily completed by the master or
2. □ □
nominated responsible person
3. I have agreed and understand the communication procedures □ □
4. I have aqreed upon a reDortinq interval of minutes. □ □
5. Emergency and evacuation procedures have been agreed and are understood □ □
I am aware that the space must be vacated immediately In the event
6. □ □
of ventilation failure or if atmosphere tests change from agreed safe
criteria.
Section 3
"PRE-ENTRY CHECKS FOR BREATHING APPARATUS AND OTHER RELATED
EQUIPMENT "
(This section to be checked and confirmed jointly by the Master / C/E / Responsible Officer
supervising entry and the person who is to enter the space)
Yes No
1. Those entering the space are familiar with the breathing apparatus to be used. □ □
2. The breathing apparatus has been tested as follows: □ □
■ pressure of BA set (in bars/kg/cm2/MPa etc.)
■ low pressure audible alarm tested
■ face mask - under positive pressure and not leaking
3. The means of communication has been tested and emergency signals agreed □ □
Rescue harnesses and, where required, lifelines have been checked and kept
4. □ □
ready for immediate use
Personal Gas Detectors being used by persons entering the enclosed space
5. □ □
have been tested
Following persons must sign upon completion of sections 1, 2 and 3 :
Master - Date Time
Responsible Officer
Date Time
supervising entry
Person entering the space Date Time
or authorized team leader
This section to be signed by the C/E, if applicable, upon completion of sections 1, 2 and 3
C/E (for machinery spaces and
Date Time
other spaces as applicable)
Page 3 of 4
Section 4
" ANY OTHER PERMIT REQUIRED / ISSUED"
Yes No
Hot Work □ □
1.
Cold Work □ □
2.
3. Electrical Isolation □ □
4. Work on Pressure Vessel □ □
5. Working Aloft □ □
Section 5
" PERSONNEL ENTRY"
(This section To be completed by Responsible Officer supervising entry)
Names of persons entering the space Time in Time out
Section 6
“CONTINUAL CHECKS” of the tank atmosphere will be done every hrs and after each
break.
Date Time Oxygen (% Vol) Hydrocarbon (% LFL) Toxic Gas (ppm). Tested By
Specify Gas
•
Section 7
"COMPLETION OF JOB "
(This section to be completed by a Responsible Officer)
Date Time
• Job completed
• Space secured against entry
• The officer of the watch has been duly informed
Signed upon completion of sections 5,6 and 7 by:
Responsible Officer Date Time
Master must be informed immediately on start and on
completion of job.
Page 4 of 4
THIS PERMIT IS RENDERED INVALID SHOULD VENTILATION OF THE SPACE STOP OR IF
ANY OF THE CONDITIONS NOTED IN THE CHECKLIST CHANGE.
Notes:
1. The permit shall contain a clear indication as to its maximum period of validity, which in any event, should not
exceed 08 hours.
2. In order to obtain a representafc» cross-section of the space’s atmosphere, samples shall be taken from
several levels and through as many openings as possible. Ventilation shall be stopped for about 10 minutes
before the pre-entry atmosphere tests are taken.
ADDITIONAL NOTES:
• AN ‘ENCLOSED SPACE’ IS DEFINED AS A SPACE THAT HAS THE FOLLOWING
CHARACTERISTICS:
o Limited openings for entry and exit o Unfavorable natural ventilation o Not
designed for continuous worker occupancy ENCLOSED SPACES INCLUDE, BUT
ARE NOT LIMITED TO, CARGO SPACES, DOUBLE BOTTOMS, FUEL TANKS,
BALLAST TANKS, FRESH WATER TANKS, PUMPROOMS, COMPRESSOR ROOMS,
COFFERDAMS, VOID SPACES, DUCT KEELS, INTERBARRIER SPACES, ENGINE
CRANKCASES, SEWAGE TANKS.
• PERMIT IS TO BE POSTED AT THE ENTRANCE OF THE SPACE TO BE ENTERED,
BEFORE ENTRY IS MADE.
■ IF THERE IS MORE THAN ONE ENTRANCE TO THE SPACE, WHICH CAN BE
USED FOR ACCESS, THEN A COPY TO BE POSTED AT EACH ENTRANCE.
■ IF THE ENTRANCES ARE NOT WITHIN SIGHT AND CONTROL OF THE
‘RESPONSIBLE OFFICER AT ENTRANCE’, THEN ADDITIONAL ‘RESPONSIBLE
PERSONS’ ARE TO BE DESIGNATED AS NECESSARY.
- THE PERSON ENTERING THE SPACE AND THE RESPONSIBLE OFFICER
SUPERVISING ENTRY MUST BE SEPARATE PERSONS.
■ ALL ENCLOSED SPACE ENTRIES ARE TO BE STRICTLY CONTROLLED, IN FULL
ACCORDANCE WITH THE REQUIREMENTS OF SAFETY MANUAL 202,
“ENCLOSED SPACE ENTRY PROCEDURES”, AND WITH DUE REGARD TO THE
PROCEDURES GIVEN IN ECM 205, FOR RESCUE FROM HOLD / TANK / ENGINE
ROOM.
- BECAUSE A SPACE HAS BEEN CERTIFIED SAFE, IT DOES NOT MEAN IT WILL
REMAIN SO, PARTICULARLY IF HOT WORK IS BEING CARRIED OUT.
■ THE ATMOSPHERIC CONDITION OF A SPACE SHOULD BE MONITORED
THROUGHOUT THE ENTRY, TO ENSURE SAFETY OF THE PERSONNEL AND
THE OPERATION. RE-CHECK OF ATMOSPHERIC CONTENT MUST BE CARRIED
OUT REGULARLY AT INTERVAL DETERMINED BY RISK ASSESMENT AND
ESPECIALLY AFTER BREAKS.
■ EVEN WHEN THE TESTS SHOW A TANK OR COMPARTMENT IS SAFE FOR
ENTRY, POCKETS OF GAS SHOULD ALWAYS BE SUSPECTED. THE USE OF
PERSONAL DETECTORS CAPABLE OF CONTINUOUSLY MONITORING THE
OXYGEN CONTENT, HYDROCARBON AND TOXIC VAPOUR IN THE
ATMOSPHERE IS HIGHLY RECOMMENDED.
Page 5 of 4
