DIVING WORK PERMIT
Project Name PANGUIL BAY BRIDGE PROJECT Date
Detailed Location:
Work Description:
Section – I DETAILS OF THE PERMIT REQUESTOR (SC
Permit Requestor Signature
Responsible Engineer Signature
Name of the Diver Head Signature
EHS In Charge Signature
Section – II PERMIT VALIDATIONS & CLOSURE
Start Work From Date / / Time : To Date / / Time :
Extend Work From Date / / Time : To Date / / Time :
From Date / / Time : To Date / / Time :
Section – III PREREQUISITE (Work can be stopped if one of the followings is not complied with)
Yes No NA Yes No N
A Method Statements & JSEA provided? J Stand by Diver dressed?
Two way communication established
B Equipment/system isolated and locked out and K
and known?
tagged out (LOTO)?
Emergency communication
C Wind/Waves checked? L
maintained available?
Emergency transportation
D Velocity and direction of the current confirmed? M
maintained ready?
Compressor for respiratory air
E In-water Visibility checked? N
chcecked?
An air flow meter provided and
F Diving equipment checked? O
properly function?
Watch man (look out) assigned and
G Depth guage properly calibrated as required? P
maintained?
Search light furnished for
H Diving record/Log maintained? Q
emergency?
Life Jackets available and worn by
I Diving dresses free of defects? R
all crew?
1 5
Details of employee working in the 2 6
water
3 7
4 8
APPROVED BY: