Information
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Purpose
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Department
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To ensure proper display, type full name "Boat Department, Yard Department" etc.
EMPLOYEE INFORMATION
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Employee Name
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Last four digits of social security number
COMPANY INFORMATION
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Company
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Position
EVALUATION
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Date of Evaluation
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Evaluation conducted by:
RIGGING
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Does the employee perform overhead rigging duties
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Review rigger card to ensure it is current. If not current advise that rigger duties are suspended and contact supervisor immediately
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Can demonstrate a proper rigging inspection
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Can demonstrate proper rigging of a load
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Able to identify rigging gear by name
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Is familiar with tag line use and restrictions
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Can the employee describe what cone of exposure means?
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Can employee describe specific procedures that must be followed while working near or within the cone of exposure?
WELDER HELPER DUTIES
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Does the employee perform welder helper duties as part of his regular duties
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Is familiar with PPE requirements associated with welder helper duties
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Can demonstrate or describe hand tool inspection
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Is employee aware of when a fire watch must be assigned
HOT WORK AND FIRE WATCH
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Does employee perform hot work or fire watch duties as part of their regular duties
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Can describe when a hot work permit is required
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Can explain when a fire watch is required
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Is aware of how long a fire watch must remain on site following the completion of hot work
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Can explain what safety equipment is required when a hot work permit is required
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Is aware of special fire extinguisher requirement
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Is aware of Chevron specific fire blanket requirements
PERSONAL PROTECTIVE EQUIPMENT
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Was wearing PPE required for the task being performed upon arrival
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Can demonstrate proper inspection of PPE
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Understand the limitations of PPE
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Is familiar with BBI PPE policies
BEHAVIOR BASED SAFETY PROCESS
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Is there evidence that the employee is participating in the process
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Understands proper completion of the Take 5 card
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Familiar with stop work authority policy
JSEA
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Was a JSEA prepared for the task being performed upon arrival
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Aware of when a JSEA must be updated
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Can the employee demonstrate proper completion of a JSEA
ACCIDENT/NEAR MISS REPORTING
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Is familiar with reporting criteria and procedures
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Can define near miss
FUEL TRANSFER
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Can describe and/or demonstrate fuel transfer procedures
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Is aware that all spills must be reported immediately
SHORT SERVICE EMPLOYEES
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Able to describe how SSE's are identified
SPUD UNIT OPERATION
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Does the employee operate a spud unit as part of their duties
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If possible, have a barge foreman or experienced boat captain familiar with proper spud operation available during review
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Can the employee demonstrate proper inspection procedures
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Is the employee able to demonstrate raising the spud in a controlled manner
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Can employee demonstrate lowering the spuds in a controlled manner
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Does the employee lock the spud brake after each operation
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Ask the employee about traveling and what requirement must be met to travel (spud pins). Are they aware of the policy
CRANE OPERATION
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Does the employee operate a crane as part of their duties
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Ask to see crane operator card, is it current and appropriate for the crane operated
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Can the operator demonstrate a proper crane inspection
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Can the operator demonstrate knowledge of crane load chart
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Does operator appear to have proper and reasonable control of the machine while operating
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Give the operator some test hand signals, does he understand proper handsignals
BOAT SPECIFIC
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Is the employee assigned to a boat
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Position
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Can describe emergency fire procedures
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Can describe emergency man overboard procedures
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Can describe emergency general alarm procedures
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Able to identify rigging and towing gear and able to describe its required maintenance and inspection
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Is employee familiar with proper engine and generator maintenance
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Is proficient with wheelhouse electronics including communication and navigation equipment
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Can describe emergency fire procedures
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Can describe emergency man overboard procedures
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Can describe emergency general alarm procedures
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Able to identify rigging and towing gear and able to describe its required maintenance and inspection
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Is employee familiar with proper engine and generator maintenance
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Is proficient will wheelhouse electronics including communication and navigation equipment
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Is familiar with the navigational "rules of the road"
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Captain must be present during evaluation to ensure Deck Hand is providing honest answers
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Can describe role in an emergency fire on alarm situation
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Can describe role in an emergency man overboard situation
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Can describe role in an emergency general alarm situation
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Able to identify rigging and towing gear and able to describe its required maintenance and inspection
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Is employee familiar with proper engine and generator maintenance
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Is deck hand capable of throwing a rope
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Is deck hand familiar with knots and rope handling
CONCLUSION
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NOTES OR OBSERVATIONS:
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Is additional training required?
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Will the lack of training place the employee or personnel around him in danger?
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CONTACT DEPARTMENT MANAGER IMMEDIATELY
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ENSURE TRAINING IS SCHEDULED ASAP
ACKNOWLEDGEMENTS
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Evaluator Name
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Employee Signature