Information
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Document No.
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Inspection for
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Vessel Name
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Stevedoring Company
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Type of Operation:
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Date/Time of ETB:
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Conducted on
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Location
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Inspection Team
Pictures of Observations
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Gangway Condition
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Toolbox Talk
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Ingress/ Egress to worksite
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Verifying Notice of Stevedoring Operations (NOSO)
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Operations
Unsafe Condition/ Actions
- Unsafe Condition/ Act
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Unsafe Condition (environment related) or Unsafe Actions (worker related)
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Rectification Photo
Acknowledgement
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SLO In-Charge
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WSH Personnel
