Huet & Sea Survival Inspection Checklist Form

• Document No.

• Conducted on

  Date
• Location
  Address

• Name of the Class

• Prepared by

• Add signature

  Sign

• Personnel

Classes Equipment

• Survival Kit

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Hand Flare

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Parachute Flare

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Bouyant Smoke Signal

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Life Jacket Aviation

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Ring Buoy

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

Water Practical Equipment

• Simulator of HUET

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Life Raft

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Vacuum

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Compressor

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Safety Sign

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• First Aid Kit

• Quantity

• Condition

  Lengkap

  Kurang

Personal Equipment

• Life Jacket

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Helm for HUET

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Diver’s Googles

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk

• Rubber Shoes (low)

• Quantity

• Condition

  Select Baik Buruk

  • Baik
  • Buruk