Information

  • Conducted on

  • Client / Site

  • Location
  • Job Name

  • Job Number

  • Prepared by

  • Personnel

TRUCKS

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  • Truck #

  • Equipment secured properly during transit?

  • Service engine or other warning lights activated?

  • Emergency Equipment Present?

  • Lights, blinkers, wipers, tire issues?

  • Other notable conditions

TRAILERS AND BOATS - TOWING

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  • Dive Trailer or Boat #

  • Registration?

  • Spare tire, jack, tire tool present?

  • Trailer lights working?

  • Break-away switch, safety chains, hitch, electrical connection, safety pin in good condition and used properly?

  • Do the emergency brakes seem operational?

  • Spare tire?

  • Other notable conditions

BOAT SAFETY EQUIPMENT

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  • One PFD for each person onboard?

  • PFD's readily accessible?

  • Life-Ring with 90' of floating line immediately available?

  • USCG approved fire extinguisher/s (2) type B I or (1) type B II Inspected and good condition?

  • Visual distress signals in kit (3) day and (3) night?

  • Sound producing device in kit?

  • Lighting for night operation or reduced visibility?

  • Trash and oil pollution placards in place?

  • Other notable conditions

SITE SAFETY

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  • Do hazardous conditions from vehicle traffic exist?

  • Was it briefed properly before starting work?

  • Have adequate safety precautions been taken?

  • Do environmental hazards exist?

  • Was it briefed properly before starting work?

  • Have adequate safety precautions been taken?

  • Other site or topside safety hazards?

  • Were they briefed properly before starting work?

  • Have adequate safety precautions been taken?

  • Other notable conditions

PERSONAL PROTECTIVE EQUIPMENT

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  • PPE worn properly by all personnel?

  • Is PPE applicable to the task being performed?

  • PPE in good condition?

  • Eye and face protection worn as required?

  • Hearing protection worn as required?

  • Decibel level reading

  • Respiratory protection worn as required?

  • Fall protection needed / worn?

  • Fall protection condition?

  • Workers dressed properly for the job / task?

  • Other notable conditions

GENERAL SITE SAFETY / HOUSEKEEPING

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  • Walkways, stairs, steps clear of material and debris?

  • Cords and hoses strung to prevent trip and fall hazard?

  • Compressor has functioning catch pan or other method of containing spills?

  • Liquid spills cleaned up immediately?

  • Dive station and work areas clean and orderly?

  • Trailers, spaces, and equipment kept clean and orderly?

  • Trash, scrap, and debris picked up and disposed of?

  • Other notable conditions

FIRE PROTECTION AND HAZARDS

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  • Fire Safety Included in Pre Job Briefing / JSA

  • Fire extinguishers readily accessible?

  • Fire extinguishers inspected?

  • Smoking prohibited within 50 feet of where flammables are located?

  • Is "No Smoking" signage in place?

  • Flammables stored and handled in approved containers?

  • Fuel Cans in good condition?

  • Fuel Can Type

  • Refueling of machinery while in operation is prohibited?

  • Adequate Cool Down time allowed prior to refueling?

  • Other notable conditions

ELECTRICAL SAFETY CONSIDERATIONS

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  • Extension cords in good condition?

  • Cords protected from sharp edges / routed properly?

  • Cords, connections, breakers, etc. Not overloaded?

  • Electrical connections kept dry?

  • Generators kept dry / protected from weather?

  • GFI's tested?

  • Overhead or nearby wiring hazards exist?

  • Other notable conditions

PORTABLE LADDERS

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  • Proper ladder selected for task?

  • Ladder rated sufficiently for intended use?

  • Ladder inspected prior to use?

  • Ladder/s being used properly?

  • Other notable conditions

CONFINED SPACE

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  • Is this a permit required space? (IDLH)

  • Is there a current and signed permit?

  • Dangers Present

  • Has the Atmosphere been Monitored

  • Monitor Information

  • Entry Point

  • Hazard Abatement

FALL ARREST EQUIPMENT

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  • Harnesses in good condition?

  • Harnesses labeled, annual inspection marked?

  • Fall arrest equipment inspection current?

  • Crew skilled at extraction device operation?

  • Lanyards in good condition?

  • Lanyards labeled, annual inspection marked?

  • Proper length lanyard being used fall zone clear?

  • Attachment point rigged properly and capable of supporting at least 5000 lbs?

  • Rigging in good condition?

  • All rigging components rated for the load?

  • Other notable conditions

DIVING READINESS

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  • Diving Brief Elements:

  • UESI Safe Practices Manual on-site?

  • Condition of Safe Practices Manual

  • Diver Fitness

  • Diver Harness

  • Diving Helmets

  • Bailout System

  • Emergency Aid / Phone List on-site and available to everyone?

  • Emergency telephone available?

  • First aid kit fully stocked with current inventory?

  • Emergency oxygen cylinders charged and within expiration date?

  • Emergency oxygen regulator in good condition?

  • AMBU bag with mask and oxygen tubing in good condition?

  • Depth / Time profile being tracked?

  • RNT of repet dives tracked and logged?

  • Deco Tables, Repet Tables, and No D Tables present?

  • Timekeeping device present and dedicated to the dive?

  • Divers' depth tracked by pneumo gauge?

  • All Hoses are labeled with current test cert?

  • Pneumo gauge/s calibrated within last 6 months?

  • Diver condition checked after each dive?

  • Carbon Monoxide monitor calibration current?

  • High Pressure Alarm in place and being used properly?

  • HP cylinders mounted securely?

  • HP Bank / E-Air system tested? Pressure and regulator setting checked frequently?

  • HP E-Air cylinder hydro test date within 5 years?

  • E-Air bank pressure?

  • Diver's Air Compressor #

  • Current air certification?

  • Intake Up-wind of exhaust? (6' / 12' rule)

  • LP Volume tank serviced within 1 year, hydro within 5 years?

  • 2-stage filter bank filters changed within 3 months, with string, then carbon filtration present?

  • Manifold pressure checked before every dive, and frequently during the dive?

  • Manifold pressure setting?

  • Alpha and Recreational Diving Flags flown visibly during diving operations?

  • Diving ladder extends at least 3 feet below the water and at least 3 feet above the surface?

  • Umbilicals pressure tested and marked every 10 feet?

  • A plan exists to assist an injured diver out of the water with adequate equipment available?

  • All dive team members are attentive to the dive?

  • Diver tended continuously throughout dive?

  • Diver's bailout pressure checked before every dive?

  • Divers dressed properly with sufficient exposure protection?

  • Standby rig capable of same or greater depth/length than the primary?

  • Standby rig connected to hat, air and comms tested, bailout ready, pressure recorded?

  • Standby diver ready for deployment?

  • Other notable conditions

  • TERMINATION OF DIVE

DIVING EMERGENCY DRILL

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  • Drill Elements

SAFETY / READINESS STATUS

  • Readiness Rating

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