Palumbo Malta Shipyard Health, Safety and Environment Manual SECTION 3

Health, Safety and Environmental Policy Subsection HSEP-3.21.1

Commercial Diving (Pre-Dive Checklist and PTW)

PERMIT TO WORK FOR SAFE DIVING OPERATIONS OR ACTIVITIES Has Port Control been informed of the commencement of diving activities? (VHF,
Radio, Mobile)†
Adjacent vessels have been informed
Permit Number Date Of Issue Any unusual hazards or environmental conditions likely to affect the safety of the
Date of Dive Time of Dive Expected Duration HRS operation discussed and understood
Port of Dive Dive team have an established evacuation procedure.
Dive Location All dive equipment including breathing air supply systems, masks, helmets, suits
Type of Dive Docking Maintenance Other etc inspected prior to dive?
Dive Activity Have methods of communication been tested?
“Diver at Work” signs are displayed as appropriate- Flag Alpha.
Diving Method Nearby crane or scaffolding operations stopped.
All engines, propellers, rudders and suction inlets have been secured – lock out/tag
Dive Personnel Information out. Any keys/fuses kept by Master or Area Authority
On Task Completion
Contact Person Name Contact Person Number
Has the Port Control been informed of the conclusion of the diving activities?
Divers’ names and level of Dive Qualifications held: Commercial Others (list) Special Conditions or Requirements
1
2
3
4 I have inspected the work site and declare to have taken all necessary precautions including a task specific risk
assessment in accordance to legislative requirements. Jobsite supervision will be active for the whole duration
Name of Sea Craft Coxswain Name
of the task. Minimum deployment of two divers in water and one stand-by on jetty/seacraft during dive
Name of the Company carrying out the Diving operations.
Operation
Name of Trained Diving Supervisor (standby man)
Name of Diving Supervisor Signature Date Time
Checklist for Permit YES NO N/A
Remarks: (By Shipyard Personnel)
Safety talk/ meeting conducted by dive supervisor in presence of Dock Master or
Shipyard representative
Copy of subcontractor’s Risk Assessment attached or made available
Diving checklist completed Declaration on Completion of Dive
Will diving work require Jetty closure or marine traffic re-routing? Job is stopped/ completed and divers, material & machinery are withdrawn. Work area is clean, clear and the
First Aid Equipment permit is cancelled/ closed. Port Control has been informed of the conclusion of the diving activities.
Is there a comprehensive First Aid Kit available for use?
Is an AED present on site? (Recommended)
Divers, Rescue and Dive Equipment Status
Name & Signature of Diving Supervisor Date Time
Is all the dive emergency rescue equipment readily available for use? † 24 hrs working radio channel – landline contact number should be available with the diving team supervisor for
Valid divers’ certificates of medical fitness to perform dive maintaining contact with Valletta Port Control
Are the divers certified to carry out the assigned job?
All dive equipment has a valid certification? ‡ ‡ Copy of the diving equipment service details, maintenance or other relevant certificates shall be made available
Prior Commencement of Dive Operation YES NO N/A