Information

  • Vessel Name

  • Vessel Master

  • Client / Site

  • Intended Use

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Documentation

  • HSE Policy signed and displayed

  • Vessel Classification

  • JSA requirements adhered to

  • JSA reviewed and signed

  • Pre-Start Conducted and records kept

  • Emergency Drills / Local Facilities

  • Emergency Instructions / Station Bill

  • Training Certificates on board and current

  • Crews medical certificates recorded

  • Permit to work process (hot work, confined space, work at heights, man lift)

  • International Safety Management (ISM) Documentation

  • Vessel visitor register

  • Visitor Safety Induction

  • Handover process for masters in plans and effective

  • Permits and clearances from Port Authority

  • Standard Operating Procedures are available

  • Current nautical publication and navigation chart are available

  • Drugs and Alcohol Policy

  • Man Over Board Procedure

  • Ballast Water Management available

  • Medical Evacuation Procedure is available

  • Safe Navigation Procedure is available

  • Planned Maintenance System is in place and adhered to

2. PPE

  • Footwear, safety glasses, high vis long clothing, gloves

  • Hearing protection is available

  • Use of Lifejackets

3. Site Conditions

  • Access and Egress on Vessels

  • Gangway available and in good condition

  • Barricading Appropriate - including information tags attached

  • Signage Appropriate

  • Housekeeping at Acceptable standard. Redundant material & rubbish material

  • First Aid Kits available in vehicles and stocked

  • Clear access to emergency services equipment

4. Engine Room

  • Main, auxiliary and emergency engines are working fine

  • Ablutions located

  • Warning Sign for Hearing Protection

  • Guards/barricades on exposed shaft/gears

  • Chief Engineer Standing Orders signed and displayed

  • Escape Routes clearly displayed

  • General cleanliness, free of obstructions, slippery surfaces

5. Tools & Equipment

  • Radio and comms equipment available and in good condition

  • Electrical Equipment current tag, in good condition, used correctly

  • Rigging Equipment in good order, used correctly & safely

  • Rigging Equipment current inspection tag/identification

  • Equipment isolated as per procedure - Isolation tags and locks in used

  • Mobile Equipment in good order - Vehicle/Plant Housekeeping

  • Deck lightning is sufficient for night works

  • Housekeeping of tools and equipment

6. Vessel General

  • Check for visible leaks, hoses and couplings

  • Personal Awareness of Environment aspects

  • Supervisors active on safety

7. Life Saving Equipment

  • EPIRB available and updated?

  • Are life jackets available, sufficient and in good conditions

  • Are life rafts available, sufficient and in good conditions

  • Are life boats available, sufficient and in good conditions

8. Galley and Accommodation

  • General housekeeping and cleanliness

  • Accommodation is sufficient for assigned POB

  • Food storage in good condition

  • Cold storage in good condition

  • Food handlers certificates

9. Fire Suppression System

  • In engine room

  • In accommodation

  • In galley

  • In bridge

  • Fire extinguisher tested and tagged

10. Environmental

  • Sewage Water Treatment is available and in good condition

  • Oil Water Separator available and in good condition

  • Waste Segragation

  • Temporary Hazardous Storage

CORRECTIVE ACTIONS

  • 1.<br><br><br>

  • 2.<br><br><br>

  • 3.<br><br><br>

  • 4.<br><br>

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.