36 Month Drydock

• Project Number

• Project Type

• Vessel

• Conducted on

  Date

• Prepared by

• Name

  Sign
• Location
  Address

• Crew members Present

Planning

• AFE Project Setup?

  Yes

  No

  N/A

• Work Order Created?

  Yes

  No

  N/A

• HES Representative Notified?

  Yes

  No

  N/A

• Marine Chemist Notified?

  Yes

  No

  N/A

• Operations Notified?

  Yes

  No

  N/A

• Logistics/ Central Dispatch Notified?

  Yes

  No

  N/A

Safety

• Secondary Means of Egress?

  Yes

  No

  N/A

• MSD Discharge Verified?

  Yes

  No

  N/A

• MSD Discharge Diverted?<br>

  Yes

  No

  N/A

• Gray Water Discharge(s) Diverted?

  Yes

  No

  N/A

• Chiller Water Discharge Diverted?

  Yes

  No

  N/A

• Shore Power Sufficient?

  Yes

  No

  N/A

Work Permitting/ Lockout Tagout

• HES Representative on site?

  Yes

  No

  N/A

• Name

  Sign

• Marine Chemist Certificate Obtained?

  Yes

  No

  N/A

• Name

  Sign

• Safe Work Permit Issued?

  Yes

  No

  N/A

• Energy Sources Verified, Isolated, Locked & Tagged?

  Yes

  No

  N/A

• Energy Source keys locked in Lockbox?

  Yes

  No

  N/A

Port Propulsion

• Rope Guard

  Pass

  Fail

  Other

• Strut Bearing

  Pass

  Fail

  Other

• Stern Tube Bearing

  Pass

  Fail

  Other

• Tail Shaft

  Pass

  Fail

  Other

• Intermediate Shaft

  Pass

  Fail

  Other

• Cooper Bearing

  Pass

  Fail

  Other

• Stuffing Box

  Pass

  Fail

  Other

Starboard Propulsion

• Propeller

  Pass

  Fail

  Other

• Rope Guard

  Pass

  Fail

  Other

• Strut Bearing

  Pass

  Fail

  Other

• Stern Tube Bearing

  Pass

  Fail

  Other

• Tail Shaft

  Pass

  Fail

  Other

• Intermediate Shaft

  Pass

  Fail

  Other

• Cooper Bearing

  Pass

  Fail

  Other

• Stuffing Box

  Pass

  Fail

  Other

Steering Rudder System

• Port Steering Rudder

  Pass

  Fail

  Other

• Starboard Steering Rudder

  Pass

  Fail

  Other

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A