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    S 9.4C - Cold Work Permit

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    WILLIAM
    This document is a cold work permit form used for any work in hazardous or dangerous areas that will not generate high temperatures. It requires preparation checks to ensure the work area is safe, isolation of equipment, and personal protective equipment. The form must be signed by the master and person in charge of the cold work, and includes sections for preparation, instructions, and completion of the cold work. It aims to safely allow cold work such as opening fuel/oil lines, valves, and flanges in engine rooms or hazardous cargo tank areas.

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    © All Rights Reserved
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    S 9.4C - Cold Work Permit

    Uploaded by

    WILLIAM
    45 views1 page
    This document is a cold work permit form used for any work in hazardous or dangerous areas that will not generate high temperatures. It requires preparation checks to ensure the work area is safe, isolation of equipment, and personal protective equipment. The form must be signed by the master and person in charge of the cold work, and includes sections for preparation, instructions, and completion of the cold work. It aims to safely allow cold work such as opening fuel/oil lines, valves, and flanges in engine rooms or hazardous cargo tank areas.

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    S 9.4C - Cold work permit

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    This document is a cold work permit form used for any work in hazardous or dangerous areas that will not generate high temperatures. It requires preparation checks to ensure the work area is safe, isolation of equipment, and personal protective equipment. The form must be signed by the master and person in charge of the cold work, and includes sections for preparation, instructions, and completion of the cold work. It aims to safely allow cold work such as opening fuel/oil lines, valves, and flanges in engine rooms or hazardous cargo tank areas.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views1 page

    S 9.4C - Cold Work Permit

    Uploaded by

    WILLIAM
    This document is a cold work permit form used for any work in hazardous or dangerous areas that will not generate high temperatures. It requires preparation checks to ensure the work area is safe, isolation of equipment, and personal protective equipment. The form must be signed by the master and person in charge of the cold work, and includes sections for preparation, instructions, and completion of the cold work. It aims to safely allow cold work such as opening fuel/oil lines, valves, and flanges in engine rooms or hazardous cargo tank areas.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ON 

    BOARD COLD WORK PERMIT
    This permit relates to any work in a hazardous or dangerous area which will not involve generation of temperature conditions
    likely to be of sufficient intensity to cause ignition of combustible gases, vapours or liquids in or adjacent to the area involved.
    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  ________________________________________________________________________________
    Description 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 cold work ______________________________________________________________
    Personnel responsible for cold work ____________________________________________________________
    If vessel is in port, has written approval been obtained from port authorities, where necessary?   YES / NO

    SECTION 1
    Preparation and checks to be carried out by Officer in Charge of cold work to be performed.
    Yes No N/A
    1 The equipment/pipeline has been prepared as follows:
             Vented to atmosphere :        
             Drained :          
               Washed :                             
             Purged :          
    2 The equipment/pipeline has been isolated as follows:
             Lines Blanked :                   
             Lines Disconnected :    
             Valves Closed :           
             Other : _______________________________________
    3 Is equipment free from:
             Oil :
             Gas :
             H2S :
             Steam :
             Pressure :  

    4 Is surrounding area free from hazards?
    5 Has Lock‐out permit (S‐9.5 C) been filled if isolation is required for any source of energy?

    SECTION 2
    Information and instructions to person carrying out cold work:
    1 The following personal protection must be worn  ___________________________________________________________
    2 Equipment/pipeline contained following material in service  _________________________________________________
    3 Equipment expected to contain the following hazardous material when opened  _________________________________
    4 Special conditions / precautions  __________________________________________________________________

         In the circumstances noted it is considered safe to proceed with this cold work.

         Signed: Master _______________________ Person carrying out work task  _______________________
    or in charge of cold work team
    SECTION 3
    Cold work has been completed & all persons under my supervision, materials and equipment have been withdrawn.

    Person in charge of cold work team__________________ Time ____________ Date ___________


       
    THIS PERMIT IS RENDERED INVALID SHOULD  ANY OF THE CONDITIONS NOTED IN THE CHECKLIST CHANGE

    Note : This permit should be used for but not be limited to the following cold work:
    A.OPENING UP FUEL OIL / DIESEL OIL / LUB OIL PIPELINES, VALVES AND FLANGES IN THE ENGINE ROOM
    B.OPENING UP OF ANY PIPELINES, VALVES, FLANGES OR PUMPS IN HAZARDOUS AND DANGEROUS AREAS SUCH AS PUMPROOMS, 
    CARGO TANKS AND VOID SPACES
    Generated by PARIS on 25 Mar 2021
    Rev. 1 06/20 S - 9.4 C

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