Crew Change Visit Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Stores

• Food

  Yes

  No

  N/A

• Consumables ( Filters, Cleaners, Inks, Forms etc)

  Yes

  No

  N/A

• Fuel/Oil/Water

  Yes

  No

  N/A

Operational Status

• Hazards to Navigation

  Yes

  No

  N/A

• Changes at Installation

  Yes

  No

  N/A

• Changes to procedure

  Yes

  No

  N/A

• Special Instructions to Vessel

  Yes

  No

  N/A

Maintenance

• Work Planned

  Yes

  No

  N/A

• Work Completed

  Yes

  No

  N/A

• Work outstanding

  Yes

  No

  N/A

• Third Party Support required?

  Yes

  No

  N/A

Vessel Condition

• Appearance Good?

  Yes

  No

  N/A

• Certificates in Date?

  Yes

  No

  N/A

• Reports in Date

  Yes

  No

  N/A

• Inspections in date - SIP

  Yes

  No

  N/A

Crew Status

• Qualifications

  Yes

  No

  N/A

• Competence

  Yes

  No

  N/A

• Safety

  Yes

  No

  N/A

• Welfare/Morale

  Yes

  No

  N/A

Drills/Surveys/Inspections

• Scheduled

  Yes

  No

  N/A

• Completed

  Yes

  No

  N/A

• High Findings?

  Yes

  No

  N/A

Critical Systems and Emergency Response Equipment Checked

• FRC

  Yes

  No

  N/A

• Fire

  Yes

  No

  N/A

• Lifesaving Equipment

  Yes

  No

  N/A

• Pollution Prevention Equipment

  Yes

  No

  N/A

• Communications

  Yes

  No

  N/A

• Navigation Equipment (including Lights)

  Yes

  No

  N/A

• Stand-by Propulsion and Steering Controls

  Yes

  No

  N/A

• Generators

  Yes

  No

  N/A

• Mooring systems

  Yes

  No

  N/A

• Emergency Shut Down

  Yes

  No

  N/A

• Water Tight Integrity

  Yes

  No

  N/A

Campaigns

• Hrs of Rest Records and non-conformities

  Yes

  No

  N/A

• Duties in accordance with Schedule

  Yes

  No

  N/A

• Oil and Garbage Record Books completed with receipts

  Yes

  No

  N/A