Information

  • Document No.

  • Report completed

  • Prepared by

Vessel information

  • Date / Time

  • Vessel Name

  • Vessel Location
  • Add media

  • Add drawing

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

  • Add media

  • 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

  • Add media

  • Add drawing

Life Saving Rule Verification

  • no label
  • 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)

  • Enter description for Other here

  • How many participants in this leadership engagement?

  • no label

Crew Lists

  • Add media

  • Add drawing

Comments

  • Add media

  • Add drawing

Report completion

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.