Dart Harbour Permit to Work

I am a- *

Dart Harbour Employee

Contractor (including Commercial Diver)

Recreational Diver

Requiring a film or drone permit.

Name of person requesting permit. *

Contractor Section

Company Name *

Company email address *

Your Contact Telephone Number *

Office or Emergency Contact number

Confirm the following: *

The task has a Risk Assessment completed.

The task has a Method Statement completed.

I am suitably trained and qualified.

I hold valid third party liability insurance.

Please provide any further information you feel we need below:

Please read (or download) P54 - Contractor Permit to work

When Shore Side:
Wherever possible contractors should stick to Yellow marked walkways in the workshop & yard. All health & Safety signage to be adhered to. Contractors should be made aware of fire exits and muster stations. If an alarm sounds contractors should:
Stop work. Turn off equipment if possible.
Leave building by nearest safe exit.
Make way to muster point (DHNA Carpark – Across railway line).

When Working from the Dartmouth Office:
Contractors working from the Dartmouth Office, must make their selves known in the office. If the office is not open, contact the duty HM on 07968 839 846

When Afloat:
When contractors are working afloat they should adhere to DHNA guidelines and advice. When aboard any DHNA vessels or pontoons a life jacket must be worn, this can be provided by DHNA. Our office telephone number is 01803 832337 for any enquires.

Do you agree to the above? *

Yes

Will you be bringing your own lifejacket? *

Yes

No - Need Dart Harbour lifejacket

Not Required - working ashore.

Please provide us with copies of your RAMS and insurance.

Drop a file here or click to upload Choose File

Maximum upload size: 15.73MB

Name of people carrying out the task - including Dart Harbour employees.

Recreational Diver Section

Your email address *

Your Contact Telephone Number *

Emergency Contact number

Have you read P51 - Permit to work (inc confined spaces) *

Yes

Date of task *

Start time of task *

:

Estimated end time of task *

:

Location of task *

Location of Task *

Staff involved *

Task that requires a permit. *

Description of works or tasks to be carried out *

Are the public at risk? *

Yes - describe mitigationsYes - describe mitigations

No

Commercial Diving Operations

Please confirm that the Tide and Weather are suitable for your intended dive. *

Yes

Confirm high water time for date of dive: (Tide data can be found on Dart Harbours Website) *

Are you requesting a LNTM to be issued?

Yes

No

Dive Supervisor Qualification: *

If diving from a Vessel, state the Vessel's name:

Approved code of practice under which Dive will be undertaken (tick box) *

All diving operations must display the appropriate International Code Signal whilst diving takes place.
The Harbour Office must be informed by either VHF or telephone before and after diving takes place.
If diving operations take place outside of normal working hours then start and finish times of diving operations are to be notified to the Duty HM on 07968 839846.
The dive will be conducted under relevant HSE ACOP’s the contents of which I am aware, and a site-specific risk assessment has been undertaken.
No diving is to take place without this permit being approved by the Duty HM

I agree to the above dive instructions. *

Yes

Recreational Diving Operations

Please confirm that the Tide and Weather are suitable for your intended dive. *

Yes

Confirm high water time for date of dive: (Tide data can be found on Dart Harbours Website) *

Are you requesting a LNTM to be issued?

Yes

No

If diving from a Vessel, state the Vessel's name:

Approved code of practice under which Dive will be undertaken (tick box) *

Recreational Projects

Scientific Projects

Media Projects

Recreational Dive (No ACOP)

The dive must be risk assessed, including the tide times, heights, traffic density, ship and vessel movements etc.
All diving operations must display the appropriate International Code Signal whilst diving takes place.
The Harbour Office must be informed by either VHF or telephone before and after diving takes place.
Recreational dives will not be permitted to take place outside of normal working hours.
Each dive boat should carry a large “A” flag capable of being seen by surface traffic in all wind conditions during diving activities
• Each diver should carry a delayed surface marker buoy (and be trained in its use)
• Each dive boat should have diver recall signals (which the divers should recognise)
• Each dive boat shall carry a First Aid kit and Diver Oxygen equipment
No diving is to take place without this permit being approved by the Duty HM

File Upload (insurance and RAMS)

Drop a file here or click to upload Choose File

Maximum upload size: 15.73MB

I agree to the above dive instructions. *

Yes

Confined or Enclosed Space

Please read the following documents.

RA1004 Confined space entry

Film and Drone Section

Company Name (if applicable)

Applicants email address *

Your Contact Telephone Number *

Office or Emergency Contact number

Will a drone be used? *

Yes

No

Confirm the following: *

The task has a Risk Assessment completed.

The task has a Method Statement completed.

I am suitably trained and qualified.

I hold valid third party liability insurance that meets Regulation (EC) 785/2004

What qualification does the pilot hold:What qualification does the pilot hold:

Please provide any further information you feel we need below:

Please provide us with copies of your RAMS and insurance.

Drop a file here or click to upload Choose File

Maximum upload size: 15.73MB

Working at Height

Please select and read any related documents below

RA3003 Drying a vessel out

RA2005 Use of Tower Scaffhold

RA3003 Painting and Antifouling

P40 Dartmouth Grid Brief

Chainsaw (yard or afloat)

Please select and read any related documents below

RA3019 Operation of a chainsaw

RA1009 Operation of Hercules

Extended use of H.A.V tools

Please check the precautions being used. *

Please select and read any related documents below

RA2003 Use of power tools

RA2002 Use of hand tools

P9 Contruction of Mooring Blocks

Remote Hot Works

Please check the precautions being used. *

Please select and read any related documents below

Work on Electrical Systems Greater than 24v

Please check the precautions being used. *

Please read the following documents.

List documentation readList documentation read

Mud Work

Please check the precautions being used. *

Please select and read any related documents below

RA1005 Mud Working

Engine Immobilised

Please check the precautions being used. *

The keys have been placed on the defective hook

If vessel is Aries or Ariadne ensure that battery is disconnected

A WhatsApp Message has been sent

OtherOther

Salvage Ops

Please check the precautions being used. *

Please select and read any related documents below

RA2012 - Vessel taking on water (investigation, pumping and eventual stabilisation of leak)

Is a LNTM required?

Yes

No

Is a POLREP required?

Yes

No

Any hazards noticed during your task based assessment that haven't been in a risk assessment?

Works are not to take place without a Duty HM approving permit.

*

I understand

For queries, please contact the office during working hours on 01803 832337.

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Dart Harbour Permit to Work

Contractor Section

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Recreational Diver Section

Commercial Diving Operations

Recreational Diving Operations

Confined or Enclosed Space

Film and Drone Section

Working at Height

Chainsaw (yard or afloat)

Extended use of H.A.V tools

Remote Hot Works

Work on Electrical Systems Greater than 24v

Mud Work

Engine Immobilised

Salvage Ops

Works are not to take place without a Duty HM approving permit.

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Contractor Section

Uploading Files. Please Wait.

Recreational Diver Section

Commercial Diving Operations

Recreational Diving Operations

Confined or Enclosed Space

Film and Drone Section

Working at Height

Chainsaw (yard or afloat)

Extended use of H.A.V tools

Remote Hot Works

Work on Electrical Systems Greater than 24v

Mud Work

Engine Immobilised

Salvage Ops

Works are not to take place without a Duty HM approving permit.

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