Vessel information
Date / Time

Vessel Name

Vessel Location

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Vessel Condition Status

Main Deck Coating in Good Condition?

Superstructure Coating in Good Condition?

Mooring Lines in Good Condition?

House Interior in Good Condition?

Engine Spaces in Good Condition?

Navigation Equipment working status?

Navigation Equipment detail

Activities Undertaken

Attend Safety Toolbox meetings

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Engage Employees in Safety discussions. Reinforce "Our work is never so urgent that we cannot take the time to do it safely".

Engage Employees in Operational discussions

Engage Employees in Personal Performance and Career Development discussions

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Life Saving Rule Verification

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COP leadership assisting in leadership engagement/ LSR verification activity:
LSR Verification (MMT, HSE, OPS & Eng Superintendent)
Leadership Engagement Activity - Check all that apply (MMT Only this section)

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How many participants in this leadership engagement?

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Crew Lists
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Report completion
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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.