Title Page

  • 001

  • Client / Site

  • Conducted on

  • Jay Le

  • Location
  • Personnel


  • Are there any slippery conditions on walkways or working surfaces?

  • Are passageways, walkways, staging platforms, ramps, stairways, emergency exits, and aisles clear of debris, tools, materials, equipmemt, hoses, and electrical service cords?

  • If a walkway or part of a walkway is being used as a working surface, is that portion blocked off to prevent it from being used as a walkway?

  • Are cords and hoses protected using cord ramps where forklifts are known to travel?

  • Do working areas and walkways including onboard vessels have adequate lighting?

  • Are adequate trash bins provided?


  • Are flammable or combustible materials/liquuds while not in use stored away in flammable lockers?

  • Are flammable or combustible materials that are in use near any ignition sources? (E.g. slag, sparks, flames...etc)

  • Have areas with unknown atmospheres been inspected and certified as safe for hot/safe for men by a marine chemist and inspected thoroughly by a shipyard competent person prior to the commencement of hot work?

  • Are fire trees readily available and accessible?

  • Are fire extinguishers accessible?

  • Are local fire department's phone number posted?


  • Are current and valid hot work permits posted in required areas?

  • Is there proper ventilation where hot work is being performed in required areas? (E.g. enclosed areas, confined spaces...etc.)

  • Is fire watch assigned, qualified, and equipped with a fire extinguisher?

  • Are areas where sparks and hot slag are known to land clear of flammable and/or combustible materials/liquids? Are there signs or precautionary measures taken to warn others from standing or walking nearby?

  • Are fuel gases, oxygen hose lines, or torches left unattended in confined/enclosed spaces?

  • Are all fuel gases and oxygen hose lines disconnected at the supply manifold at the end of each shift?


  • Tag verification?

  • Any damaged, broken, or defective components? (E.g. guardrails, toeboards, mudsils, cross braces...etc.)

  • Are employees below protected from falling objects?

  • Are guardrails, intermediate rails, toeboards, and screens in place?

  • Do movable scaffolds have wheel locked in place prior to use?

  • For applicable scaffolds, are mudsils and baseplates properly secured?

  • Is safe access provided to all staging levels?


  • Can employees step safely to or from the wharf, float, barge, or river towboat?

  • Are flush manholes or other small openings of comparable sizes in the deck or other working surfaces covered and/or guarded above the height of 30 inches?

  • Are there safety guard hatch kit rails in place over large opened hatches that is not protected by coamings to a height of 24 inches?

  • Are employees exposed to unguarded edges of decks, platforms, flats, or similar flat surfaces above 5 ft. ?

  • Are there any sections of bilges where floor plates or gratings that have been removed?

  • Do guard rails have a top rail, midrail, and posts that run vertically in height within a 42-45 inches from the upper surface of the top rail to the floor, platform, runway, or ramp level?

  • Are employees wearing safety harnesses 5 feet above a solid surface where adequate guard rails are not omitted?

  • Are ladders secured to prevent slipping, sliding, or falling?

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.