Information

  • Machine / Boat:

  • Location
  • Date:

  • Inspected by:

  • Nearest First Aid Attendant:

  • ETV Location

Onsite

  • Number of Fire Tools, Extinguishers:

  • Number of Spill Kits:

  • First Aid Kit Level:

  • Hi-Vis / Hard Hat / Eye Protection

  • Hearing Protection / Footwear Caulks

  • Bucking Pants / Pressure Bandage

  • Life Jacket / Life Ring / Whistle

  • Safe work procedures followed

  • Sort traffic controlled / Slip & trip hazards controlled

  • Push Bar / Trailer Lift Hook / Tow Line / Tow Guard

  • Stake Lines / Skid Ways / Pike Poles / Axe Handle

  • Sharp Chain / Dogs / Rakers / Bar / Tip / Brake

  • Throttle Safety / Idle Correct

  • Windows / Guards / Wipers / Horn / Back Up Alarm

  • Stairs / Ladders / Railings / Exhaust Leaks

  • Seatbelt / Seat Condition

  • Bilge Working / Engine Cover / Leaks Controlled

  • Confined Space Stickers / EMS Stickers / Fuel Stickers

  • In Case of Accident Sheet in FEL

  • Crew Signatures

  • Crew Member
  • Name / Signature

  • Position

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.