Enclosed Space Painting Work Permit (Maritime)

Permit Details

Preparation & Precautions

Check Item Checked By Remarks
Space ventilated and atmosphere tested
Lighting and communication devices provided
Emergency rescue equipment on standby
Personal protective equipment available
Work area isolated/secured
Hot work not permitted simultaneously

Atmospheric Test Results

Test Result Time Tested By
Oxygen (%)
Flammable Gas (%)
Toxic Gas (ppm)

Permit Validity

Authorization

Issued By (Name/Rank)
Signature
Date/Time

Completion

Work Completed By
Signature
Date/Time