ENCLOSED SPACE ENTRY PERMIT CARDAccording IMO Resolution A.864(20)This permit relates to entry into any enclosed space and should be completed by the master orresponsible officer and by the person entering the space or authorized team leader.General (See note 1)Location/name of enclosed spaceReason for entryThis permit is valid from: hrs Date to: hrs DateSection 1 - Pre-entry preparation(To be checked by the master or nominated responsible person) Yes No1.1 Has the space been thoroughly ventilated?1.2 Has the space been segregated by blanking off or isolating all connecting pipelinesor valves and electrical power/equipment?Has the space been cleaned where necessary?1.31.4 Has the space been tested and found safe for entry? (See note 2)Pre-entry atmosphere test readings: (See note 3)oxygen % vol (21%) By:hydrocarbon % LFL (less than 1%)toxic gases ppm (specific gas and PEL) Time:.1.5 Have arrangements been made for frequent atmosphere checks to be made while thespace is occupied and after work breaks?Have arrangements been made for the space 1.6 to be continuously ventilated throughoutthe period of occupation and during work breaks?Are access and illumination adequate?1.71.8 Is rescue and resuscitation equipment available for immediate use by the entrance tothe space?Has a responsible 1.9 person been designated to be in constant attendance at the entranceto the space?Has the officer 1.10 of the watch (bridge, engine room, cargo control room) been advised ofthe planned entry?Has a system of communication 1.11 between all parties been tested and emergency signalsagreed?Are emergency 1.12 and evacuation procedures established and understood by all personnelinvolved with the enclosed space entry?Is all equipment used in good working condition 1.13 and inspected prior to entry ?1.14 Are personnel properly clothed and equipped?Section 2 - Pre-entry checks(To be checked by the person entering the space or authorized team leader) Yes No2.1 I have received instructions or permission from the master or nominated responsibleperson to enter the enclosed spaceSection 1 of this permit has been satisfactorily 2.2 completed by the master or nominatedresponsible person?I have agreed and understand 2.3 the communication procedures2.4 I have agreed upon a reporting interval of minutes2.5 Emergency and evacuation procedures have been agreed and are understood2.6 I am aware that the space must be vacated immediately in the event of ventilation failureor if atmosphere tests show a change from agreed safe criteriaSection 3 - Breathing apparatus and other equipment(To be checked jointly by the master or nominated responsible person and the person who isto enter the space) Yes No3.1 Those entering breathing the space are familiar with the apparatus to be used3.2 The breathing apparatus has been tested as follows:3.2.1 gauge and capacity of air supply.3.2.2 low pressure audible alarm.3.2.3 face mask - under positive pressure and not leakingThe means of communication has been tested and emergency 3.3 signals agreed3.4 All personnel entering the space have been provided with rescue harnesses and,where practicable, lifelinesSigned upon completion of sections 1,2 and 3 by:Master or nominated responsible person Date TimeResponsible person supervising entry Date TimePerson entering the space or authorized team leader Date Time.Section 4 - Personnel entry(To be completed by the responsible person supervising entry)Names Time in Time outSection 5 - Completion of job(To be completed by the responsible person supervising entry)5.1 Job completed Date Time.5.2 Space secured Date Timeagainst entry5.3 The officer of the watch has been duly Date informed TimeSigned upon completion of sections 4 and 5 by:Responsible person supervising entry Date TimeTHIS PERMIT IS RENDERED INVALID SHOULD VENTILATION OF THE SPACESTOP OR IF ANY OF THE CONDITIONSNOTED IN THE CHECKLIST CHANGENotes:1 The permit should contain a clear indication as to its maximumperiod of validity.2 In order to obtain a representative cross-section of the space's atmosphere, samples should be takenfrom several levels and through as many openings as possible. Ventilation should be stopped for about10 minutes before the pre-entry atmosphere tests are taken.Tests for specific toxic contaminants, such as benzene or hydrogen sulphide, should be undertaken3depending on the nature of the previous contents of the space.GARBAGE COLLECTION AND DISPOSAL ORGANIZATIONIN ACCORDANCE WITH ANNEX V, MARPOL 73/78, MEPC. 277(70)FOR THE PREVENTION OF POLLUTION BY GARBAGE FROM SHIPSGarbage inccludes all kinds of victual domestic and operation waste generated during the normal operation of the ship and liable to be disposed offcontinuously or periodically except those substances which are defined or listed in other Annexes of MARPOL 73/78When disposal is permittedDistance from shoreIn special areas & Nearest LandOutside Special AreasWithin 3 milesFood waste comminuted or ground. Cleaning agentsCleaning agents and additives in deck and and additives in deck and external surfaces washwater.external surfaces washwaterCargo residues not considered harmfulWithin 3-12 milesto the marine environmentWithin 12-25 milesFood waste comminuted or ground. Cleaning agentsFood waste, Cleaning agents, Carcasses of animalsand additives in deck and external surfaces washwater.Cargo residues not considered harmfulCargo residues not considered harmfulMore than 25 milesto the marine environmentto the marine environmentDisposal of plastics, Synthetics Ropes, Fishing gear, Plastic Garbage Bag, Clinkers, Cooking oil, Floating dunnage,Lining & Packing Materials, Paper, Rags, Incinerator ashes, Glass, Metal, Bottles, Crockery, and similar refuse, E-wastes,Cargo residues consider harmful for the environmentSpecial Areas are:Mediterranean Sea, Black Sea, Baltic Sea, Red Sea, The Gulfs Area, Antarctic,The Wider Caribbean Region, The North Sea, The Oman Area of the Arabian Sea,The Southern South African waters.“Nearest Land” - Under MARPOL 73/78 as updated by MEPC.268(68)MANTARAKIS GROUP SA - Reorder Code: P7Signature of responsible officeror MasterSignature of the person who is to enteror team leaderP7ÊÜñôá åéóüäïõ óå êëåéóôïýò ÷þñïõòEnclosed Space Entry Permit CardP50WARNINGDIVERS EMPLOYING UNDERWATERINSPECTION / CLEANINGDO NOT TURN RUDDER? NI OI ?CA? EE AUNCOC / EAE ANEOI I O A? IAOOAO O? I OCI A? EOAI AEAI C OONAOAOA OI OEI I I EMANTARAKISP50P49P49WARNINGDIVERS EMPLOYING UNDERWATERINSPECTION / CLEANINGDO NOT TURN PROPELLER? NI OI ?CA? EE AUNCOC / EAE ANEOI I O A? IAOOAO O? I OCI A? EOAI AEAI C OONAOAOA OCI ? NI ? AEAMANTARAKISP85*NewEdition2018P85Mantarakis103P104P83P84P25A43P25B
P81IMO 981P10544