Task Evaluation

• Task Description

• Vessel

• Location on ship

• Prepared by

• Date of Evaluation

  Date

• Document No.

PAPERWORK

• Was a Pre-Start completed?

  Yes

  No

• Details

• Is the task noted in the Pre-Start?

  Yes

  No

• Details

• Have all the work crew signed on?

  Yes

  No

• Details

• Is a permit required?

  Yes

  No

• Is it in place?

  Yes

  No

• Is it current?

  Yes

  No

• Details

• Is it completed correctly?

  Yes

  No

• Details

• Details

• Is a SWMS required?

  Yes

  No

• Is the SWMS current?

  Yes

  No

• Details

• Are all the work crew signed on?

  Yes

  No

• Details

• Is there a JSEA?

  Yes

  No

• Is it current?

  Yes

  No

• Details

• Are all work crew signed on?

  Yes

  No

• Details

• Details

• STARRT Completed?

  Yes

  No

• All work crew signed on?

  Yes

  No

• Details

• Take 5's completed by all work crew?

  Yes

  No

• Details

ISOLATIONS

• Are Isolations required for this task?

  Yes

  No

• Is the isolation effective?

  Yes

  No

• Details

• Are all the work crew locked on?

  Yes

  No

• Details

CONFINED SPACE / WAH

• Is work being conducted in a confined space or at height?

  Yes

  No

• Is a rescue plan in place?

  Yes

  No

• Details

• Is all rescue equipment identified available?

  Yes

  No

• Details

• Are people trained to use the rescue equipment?

  Yes

  No

• Details

PERSONS

• Are there a sufficient number of people in the work crew to conduct the task safely?

  Yes

  No

• Details

• Are all team members trained and VOC'd?

  Yes

  No

• Details

BARRICADING

• Is barricading required?

  Yes

  No

• Is it in place?

  Yes

  No

• Details

• Suitable i.e. Hard / soft / danger / caution?

  Yes

  No

• Details

• Are information tags attached?

  Yes

  No

• Details

PPE

• Are all work crew members wearing basic PPE?

  Yes

  No

• Details

• Is specialised PPE required?

  Yes

  No

  N/A

• Are the work crew wearing the specialised PPE?

  Yes

  No

• Details

TOOLS

• Are tools being used?

  Yes

  No

• Are all tools fit for the task?

  Yes

  No

• Evidence

  Media

• Evidence

• Action

• Are electrical tools tagged?

  Yes

  No

• Evidence

  Media

• Evidence

• Action

• Are there any non-proprietary tools (hand made)?

  Yes

  No

• Evidence

  Media

• Evidence

• Action

• Are any banned items being used?

  Yes

  No

• Evidence

  Media

• Evidence

• Action

HOUSEKEEPING

• Is the work area clean and tidy?

  Yes

  No

• Evidence

  Media

• Evidence

• Close out action

• Closed out?

  Yes

  No

• Evidence

  Media

• Evidence

• Are all electrical leads off the deck / protected?

  Yes

  No

  N/A

• Evidence

  Media

• Evidence

• Close out action

• Closed out?

  Yes

  No

• Evidence

  Media

• Evidence

• Have areas of line-of -fire been identified?

  Yes

  No

  N/A

• Evidence

  Media

• Evidence

• Close out action

• Closed out?

  Yes

  No

• Evidence

  Media

• Evidence

• Is an oil or chemical spill possible?

  Yes

  No

  N/A

• Is bunding in place?

  Yes

  No

  N/A

• Evidence

  Media

• Evidence

• Close out action

• Closed out?

  Yes

  No

• Evidence

  Media

• Evidence

• Is a spills kit in place?

  Yes

  No

  N/A

• Evidence

  Media

• Evidence

• Close out action

• Closed out?

  Yes

  No

• Evidence

  Media

• Evidence

Information transfer

• Has the vessel Master / Mate been informed of the inspection results?

  Yes

  No

• BRIEF THE VESSEL MASTER / MATE PRIOR TO SENDING

• Has the vessel Superintendent been informed of the inspection results?

  Yes

  No

• BRIEF THE VESSEL SUPERINTENDENT PRIOR TO SENDING

• EMAIL TO HSE ADMIN AND THE VESSEL THE INSPECTION WAS CONDUCTED ON