Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
CERTIFICATES & DOCUMENTATION
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Radio License
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USCG Certificates of Documentation
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Minimum Safe Manning Certificate
NAUTICAL PUBLICATIONS (Up to Date)
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USCG Light List
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Notice to all Mariners
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Charts
Radio
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Radio functioning properly?
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Radar functioning properly?
NAVIGATION EQUIPMENT
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Depth sounder working properly?
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Compass working properly?
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AIS system working properly?
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Chart Plotter working properly?
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Navigation lights working properly?
LIFESAVING EQUIPMENT
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Is there sufficient number of life vests onboard (equipped with working strobes & whistles)?
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Are emergency escape routes marked and clear of obstructions?
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Is First Aid Kit USCG compliant and properly stocked?
FIREFIGHTING EQUIPMENT
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Is the Firefighting Plan posted?
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Are all portable fire extinguishers properly serviced with up-to-date inspection tags?
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Fire pumps and hoses are inspected and tested?
SAFETY ITEMS
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Exhaust pipes are properly insulated?
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All gauges and alarms are functioning properly?
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All guarding is secure and providing adequate protection?
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Ladders/Steps/Passageways are clear of obstructions?
POLLUTION PREVENTION
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Pollution placards are displayed? (MARPOL)
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Is the Pollution Kit fully stocked (booms, absorbent pads, containment bags)?
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If applicable, has the removal of waste been properly documented (trash, slop oil, bilge water)?
LOAD LINE ITEMS
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Are hatch covers in satisfactory working condition?
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Are Weather-tight doors working effectively?
MACHINERY ITEMS
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Air Compressor safety valves changed every two years?
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All handrails are checked and in good working condition?
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Hydraulic lines checked for wear and leaks?
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All engine room piping checked for leaks?
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All engine room pumps have been examined and are in good working order?
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Engine room floor is free from oil and debris?
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Engine room fans/exhaust are functioning properly?
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Emergency fuel shutoff system has been tested and is functioning properly?
ELECTRICAL
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All electrical boxes are marked and structurally sound?
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All wiring has been examined (when practical) and is properly secured?
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Batteries are properly secured?
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Electrical supply to navigate lights has been checked for damage?
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Lights needing globes or guards have been examined?
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Rubber mat on floor by main power box?
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Signature Person conducting checklist review
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Select date