Safety Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

Job Information

• Superintendent

  Select Scott Sheppard Austin Spence Zach Parker Jason Smith Craig Barber Mike Orgeron

  • Scott Sheppard
  • Austin Spence
  • Zach Parker
  • Jason Smith
  • Craig Barber
  • Mike Orgeron

• Location

• Customer

• Equipment

  Select AB 4 AB 6 AB 7 AB 8 CBB 101 CBB 6150 CBB 7213 CBB 8160 Julie Marie Other

  • AB 4
  • AB 6
  • AB 7
  • AB 8
  • CBB 101
  • CBB 6150
  • CBB 7213
  • CBB 8160
  • Julie Marie
  • Other

Documents

• Federal and State Postings

  Yes

  No

  N/A

• Job Postings - Contacts, Medical

  Yes

  No

  N/A

• Safety Manuals - Company. Job Specific, & Forms

  Yes

  No

  N/A

• Document Binder

  Yes

  No

  N/A

• Safety Data Sheets

  Yes

  No

  N/A

• Safety File - Current & Organized

  Yes

  No

  N/A

• Regulatory Documents - COD, FCC, Stability

  Yes

  No

  N/A

• Daily Checklist.

  Yes

  No

  N/A

• VGP Inspections Complete.

  Yes

  No

  N/A

• Open Maintenance Deficiency Reports and Non-Conformities Addressed.

  Yes

  No

  N/A

• JSAs/AHAs Completed for Task Underway

  Yes

  No

  N/A

• Work Permit Completed for Task Underway

  Yes

  No

  N/A

• Orientation on All Crewmembers

  Yes

  No

  N/A

• All Visitors Logged In

  Yes

  No

  N/A

• Comments

Housekeeping

• Staterooms Neat and Tiddy

  Yes

  No

  N/A

• Galley Clean

  Yes

  No

  N/A

• Trash Cans Emptied, No Build Up on Deck

  Yes

  No

  N/A

• Walking/Working Surfaces Clear of Slip, Trip, and Fall Hazards

  Yes

  No

  N/A

• Immovable Hazards or Changes in Elevation Painted Bright Yellow

  Yes

  No

  N/A

• Matting in Good Condition

  Yes

  No

  N/A

• Decks Free of Oil or Pollutants

  Yes

  No

  N/A

• Oil/Pollutants Stored in Proper Containment

  Yes

  No

  N/A

• All Materials/Tools/Equipment Stored in Proper Location

  Yes

  No

  N/A

• Flammables Stored in Flammable Locker

  Yes

  No

  N/A

• All Areas Properly Lit

  Yes

  No

  N/A

• Free of Oil Leaks

  Yes

  No

  N/A

• MSD Serviced

  Yes

  No

  N/A

• Containments Clean and Dry

  Yes

  No

  N/A

• Potable Water Maintained

  Yes

  No

  N/A

• Comments

Safety Equipment

• Fire Extinguishers - Inspected Monthly, Annually, Labeled, Mounted, Charged

  Yes

  No

  N/A

• Life Rings

  Yes

  No

  N/A

• Smoke Detectors

  Yes

  No

  N/A

• Carbon Monoxide Detector

  Yes

  No

  N/A

• PPE - All Personnel Have Proper PPE & Wearing Appropriately

  Yes

  No

  N/A

• Lockout/Tagout - Appropriate Equipment On-site. Used When Required

  Yes

  No

  N/A

• GFCIs - Portable Present and Used, Fixed Plugs Labeled

  Yes

  No

  N/A

• First Aid Kit - Stocked

  Yes

  No

  N/A

• Rescue Boat - Equipped and Functional

  Yes

  No

  N/A

• General Alarm

  Yes

  No

  N/A

• Gas Detector - Tested, Calibrated

  Yes

  No

  N/A

• VHF Radio

  Yes

  No

  N/A

• Navigation Lights

  Yes

  No

  N/A

• Spill Kit

  Yes

  No

  N/A

• Comments

Tools & Equipment

• Equipment Free of Damage

  Yes

  No

  N/A

• Ladders/Stairs

  Safe

  At Risk

  N/A

• Cables

  Safe

  At Risk

  N/A

• Spuds

  Safe

  At Risk

  N/A

• Rigging Gear

  Safe

  At Risk

  N/A

• Electrical Equipment

  Safe

  At Risk

  N/A

• Hatch Covers

  Safe

  At Risk

  N/A

• Oxygen Acetylene Bottles

  Safe

  At Risk

  N/A

• Welding/Cutting Equipment

  Safe

  At Risk

  N/A

• Hand/Power Tools

  Safe

  At Risk

  N/A

• Gangways

  Safe

  At Risk

  N/A

• Guards

  Safe

  At Risk

  N/A

• Material Handling Equipment

  Safe

  At Risk

  N/A

• Winch

  Safe

  At Risk

  N/A

• Engines

  Safe

  At Risk

  N/A

• Fuel Pump/Hoses

  Safe

  At Risk

  N/A

• Air Compressor/Tools

  Safe

  At Risk

  N/A

• Comments

Observed Behaviors

• Observed Behaviors

  Safe

  At Risk

  N/A

• Comments

• Qualified Person

  Sign