Management Vessel Visitation Summary Report

• Document No.

• Report completed

  Date

• Prepared by

Vessel information

• Date / Time

  Date

• Vessel Name

  Polar Adventure

  Polar Discovery

  Polar Endeavour

  Polar Enterprise

  Polar Resolution
• Vessel Location
  Address

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  Media

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  Drawing

Vessel Condition Status

• Main Deck Coating in Good Condition?

  Yes

  No

  N/A

• Superstructure Coating in Good Condition?

  Yes

  No

  N/A

• Mooring Lines in Good Condition?

  Yes

  No

  N/A

• House Interior in Good Condition?

  Yes

  No

  N/A

• Engine Spaces in Good Condition?

  Yes

  No

  N/A

• Navigation Equipment working status?

  YES

  YES with Exception (see detail)

  NO (see detail)

• Navigation Equipment detail

Activities Undertaken

• Attend Safety Toolbox meetings

  Yes

  No

  N/A

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  Media

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

  Yes

  No

  N/A

• Engage Employees in Operational discussions

  Yes

  No

  N/A

• Engage Employees in Personal Performance and Career Development discussions

  Yes

  No

  N/A

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Life Saving Rule Verification

• 

• COP leadership assisting in leadership engagement/ LSR verification activity:

  Select Chris Bulera Doug Lamson Bob Hayes Vance Webb Monty Morgan Bill Rich John Wright

  • Chris Bulera
  • Doug Lamson
  • Bob Hayes
  • Vance Webb
  • Monty Morgan
  • Bill Rich
  • John Wright

• LSR Verification (MMT, HSE, OPS & Eng Superintendent)

  Select Work Permits Confined Space Entry Permits Working Aloft (at heights) LOTO (Energy Isolation) Excavation work authorization Safe Lifting By-Pass Authorization Driving Safety

  • Work Permits
  • Confined Space Entry Permits
  • Working Aloft (at heights)
  • LOTO (Energy Isolation)
  • Excavation work authorization
  • Safe Lifting
  • By-Pass Authorization
  • Driving Safety

• Leadership Engagement Activity - Check all that apply (MMT Only this section)

  Select HSE town hall / Leadership town Hall Review of recent VL's, Business Plan Updates or Focus Topics Communication of new requirements or initiatives Communication of new requirements or initiatives Assess health of safety systems and workplace culture Participate in Job Hazard Analysis (JHA) Communication of corporate initiatives Other (Please explain below)

  • HSE town hall / Leadership town Hall
  • Review of recent VL's, Business Plan Updates or Focus Topics
  • Communication of new requirements or initiatives
  • Communication of new requirements or initiatives
  • Assess health of safety systems and workplace culture
  • Participate in Job Hazard Analysis (JHA)
  • Communication of corporate initiatives
  • Other (Please explain below)

• Enter description for Other here

• How many participants in this leadership engagement?

  Select 1-5 6-10 11-20 >20

  • 1-5
  • 6-10
  • 11-20
  • >20

• 

Crew Lists

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Comments

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Report completion

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