Marine Hazardous Cargo Handling Permit

Permit No.		Date Issued
Vessel Name		IMO No.
Berth/Location		Agent

Hazardous Cargo Details

Description of Cargo	UN No.	Class/Division	Quantity	Packing Group

Handling Operations

Operation Type
Date & Time Start
Date & Time End
Location/Area

Safety Precautions

Precaution/Requirement	Confirmed
PPE Provided
Spill Kits Available
Firefighting Equipment Ready
Emergency Contacts Informed

Additional Remarks

Vessel Master

Company Representative

Port Authority