Bunker Transfer Operation Work Permit

Permit Details

Permit No.
Date Issued
Valid Until
Vessel Name
Location
Bunkering Company / Contractor

Work Description

Description of Operation
Bunker Grade(s) & Quantity
Source Tank(s)
Receiving Tank(s)
Transfer Start Time
Estimated Transfer Duration

Precautionary Checks

Check Item Status Remarks
Hoses/Couplings secured & checked
Spill response equipment available
Communication established
Scuppers plugged/drainage controlled
No hot work in/near operation area
Firefighting equipment available
Crew familiar with emergency procedure

Permit Authorization

Person in Charge (PIC) Name
Signature
Date
Receiving Vessel Master/Officer Name
Signature
Date