Stage 1: Safety equipment on board

1.1) Fire Line Point onboard, are equipment in good condition?

1.1.1) Quantity?

1.1.2) Photo

1.2) Fire Hydrants at Quay Side, are equipment in good condition?

1.2.1) Quantity?

1.2.2) Photo

1.3) Fire Line Connection on Board (Leaking)? Are equipment in good condition?

1.3.1) Quantity?

1.3.2) Photo

1.4) Fire line pressure on board, are, are equipment in good condition?

1.4.1) Photo

1.5) Gangways to vessel, are equipment in good condition?

1.5.1) Quantity

1.5.2) Photo

1.6) Fire fighting equipment in fire boxes, are equipment in good condition?

1.6.1) Quantity?

1.6.2) Photo

1.7) Fire alarm and fire point flags, are equipment in good condition?

1.7.1) Quantity?

1.7.2) Photo

Stage 2: Site Inspection / Enforcement

HIRA - Height Safety

Job description.

Location.

Time of inspection.

Control measures in place.

Photo.
HIRA - Confined Space

Job description.

Location.

Time of inspection.

Control measures in place.

Photo.
HIRA - Fire Safety

Job description.

Location.

Time of inspection.

Control measures in place.

Photo.
HIRA - Electrical Safety

Job description.

Location.

Time of inspection.

Control measures in place.

Photo.
HIRA - Lifting Safety

Job description.

Location.

Time of inspection.

Control measures in place.

Photo.
HIRA - Material Handling

Job description.

Location.

Time of inspection.

Control measures in place.

Photo.

Stage 3

The above are the observations and findings during my shift work and i hereby handover the report to the vessel HSE lead and as well as the next shift HSE Coordinator.

Name of HSE Coordination preparing report:

Date and Time of report.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.