This is not a mandatory form, but a typical Shipyard Competent Person Log. [29 CFR 1915.7(d)]

 

SHIPYARD COMPETENT PERSON LOG

 

Job No. Vessel /Type: Location/Berth:
Marine Chemist Cert# SCP Name: Date:
Space/Cargo Operation Time Test Results Instructions/Designation
O2% LEL Toxics
Forward Rake, Void Inspection & cold work 0510 21 < 1% NA SAFE FOR WORKERS NOT SAFE FOR HOT WORK

1. Maintain Ventilation
1 Port, Diesel Inspection & cold work 0515 21 < 1% NA
1 Starboard, Diesel Inspection & cold work 0520 21 < 1% NA
2 Port, Diesel Inspection & cold work 0525 21 < 1% < 0.5
2 Starboard, Diesel Inspection & cold work 0530 21 < 1% < 0.5
3 Port, F.O. Inspection & cold work 0540 21 2% 3 ppm ENTER WITH RESTRICTIONS
Wear 1/2 mask OV respirator
Maintain Ventilation
3 Starboard,  F.O. Inspection & cold work 0545 21 3% 4 ppm
4 Port,  F.O. Inspection & cold work 0550 21 < 1% < 0.5 SAFE FOR WORKERS SAFE FOR HOT WORK

1. Maintain Ventilation
2. Maintain Firewatch
4 Starboard,  F.O. Inspection & Hot Work 0600 21 < 1% < 0.5
5 Port, Diesel Inspection & Hot Work 0610 21 < 1% NA
5 Starboard, Diesel Inspection & Cold Work 0615 21 < 1% NA
Aft Rake, Void Hot Work 0630 19.8 < 1% NA
Specific Toxics & PEL/TLVs (List) Benzene in gasoline PEL = 1.0 ppm, TLV = 0.5 ppm
 
Safe Entry Conditions:
 
Oxygen = 19.5 to 22% LEL = < 10% Toxics = < PEL/TLV
       
Standard Designations:
 
  SAFE FOR WORKERS
 
NOT SAFE FOR WORKERS
 
ENTER WITH RESTRICTIONS
 
  SAFE FOR HOT WORK
 
NOT SAFE FOR HOT WORK
 
SAFE FOR LIMITED HOT WORK
 

*Only Generators Use Diesel and Main Engine during

Maneuvers