SCUBA Diving Permit
Managed and Administered by Qatar General Petroleum Corporation
This Permit is restricted to SCUBA Diving for Media, Scientific and Trouble-Shooting Operations. The Permit Shall be Completed and Signed by all Parties Detailed Below Prior to Commencement of the Dive. Dive Activities SHALL NOT Deviate From Those Detailed Below. Sponsor Organisation RLC Dive Permit No.: Issue Date: Expiry Date: ........../........../.......... ........../........../..........
Part 1
Application To Be Completed By Contractor Diving Supervisor
Time Duration
Proposed Dive Date(s)
Description of SCUBA Dive Work
(Attach Copy of SCUBA Dive Plan and Risk Assessment)
I declare that the stated equipment and personnel are suitable and
certified for the SCUBA diving activities described above. _________________________ Diving Supervisor's Name ________________________ Signature
I, as Sponsor Representative, have reviewed the SCUBA diving plan, risk assessment and permit and endorse the above. _________________________ Sponsor Representative's Name ________________________ Signature
I have reviewed the SCUBA Dive application and noted the activities stated therein, on the proposed date. _________________________ Authorised RLC Representative Name ________________________ Signature ________________________ Date
Part 2
Pre-Dive Checklist & Briefing - Contractor Diving Supervisor and RLC Representative
Yes No
Requirements To Be Initialled by Appropriate Party Sea Water Intakes and Outlets Isolated and Locked Out Diving Equipment Tested and Operational Safety Equipment and Required Markers/Flags Accounted For Diving Vessel Operational Communications Equipment (Vessel to Shore, Surface to Diver) Operational Weather and Sea Conditions Reviewed and Declared Safe Dive Team Briefed and Familiar With Dive Plan Shipping Traffic Schedule Reviewed All Vessel's Masters Informed of Dive Activities/Instructions to Cease Vessel Movement Port Control Tower Notified of Dive Activities, Location and Duration, Diving Signs Displayed
I understand my responsibilities and have fully briefed personnel under my supervision. _________________________ Diving Supervisor's Signature ________ Date ________ Time
Permission is granted for SCUBA diving to commence.
_________________________ RLC Representative's Signature
________ Date
________ Time
Part 3
Dive Completion and Sign-Off
The SCUBA Diving Operations have been completed, this Permit and all copies closed, and vessel and diver logs submitted.
_________________________ Diving Supervisor's Signature
________ Date
________ Time
_________________________ Port Supervisor's Signature
________ Date
________ Time
_________________________ Sponsor Repr. Signature
________ Date
________ Time
Original: Port Operations
FREE-008-001
1st Copy: Diving Supervisor
DP-REE-008 REV 2 FEB 03