PORT OF PLYMOUTH

CATTEWATERHARBOUR
COMMISSIONERS
2 The Barbican, Plymouth, PL1 2LR
01752 665934 / / PLYMOUTH PILOTAGE
SERVICE
2 The Barbican, Plymouth, PL1 2LR
01752 662708
Commercial Dive Permit No. Click or tap here to enter text.
Date of Dive : / Click or tap to enter a date. / Time of Dive : / From:Click or tap here to enter text. / To:Click or tap here to enter text.
Name of Diving Contractor
& Contractor Number / Click or tap here to enter text.
Full address of Contractor / Click or tap here to enter text.
Contact Tel/Mobile No(s) / Click or tap here to enter text.
Supervisor
Name / Diving Qualification / Number of Diving Qualification
Click or tap here to enter text. / Click or tap here to enter text. / Click or tap here to enter text.
If dive is being conducted from a vessel
Name of
Vessel / Person in charge
of Vessel / Name of
Nominated Lookout
Click or tap here to enter text. / Click or tap here to enter text. / Click or tap here to enter text.
Dive Details
Number of Divers
Involved in Dive
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Click or tap here to enter text. / ACOP under which Dive will be undertaken
Choose an item.
Area of Dive / Click or tap here to enter text. /
Location / Click or tap here to enter text. /
Intended Operation / Click or tap here to enter text. /
(To be completed by Harbour Office)
Tidal Information / Click or tap here to enter text. /
Weather Data / Click or tap here to enter text. /
Known Shipping Movements / Click or tap here to enter text. /
(To be completed by Harbour Office)
Restrictions / Click or tap here to enter text. /
Instructions / All diving operations must display the appropriate International Code Signal whilst diving take place.
Long Room Port Control and the Cattewater Harbour Office must be informed, before and after diving takes place, by either VHF Ch.14 or telephone 01752 665934. If diving operations take place outside of normal working hours then, then an answerphone message should be left at the Harbour Office giving start and finish times of diving operations.
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.
Signed: Click or tap here to enter text. Dive Supervisor
Signed: Click or tap here to enter text. Harbour Master/Assistant H.M.
Time/Date of Issue: Click or tap to enter a date.
Time Dive Completed: Click or tap here to enter text.
Signature of Person Notified: Click or tap here to enter text.
Name of Person Notified: Click or tap here to enter text.

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