Information
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Project Number
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Project Type
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Vessel
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Conducted on
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Prepared by
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Name
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Location
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Crew members Present
Planning
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AFE Project Setup?
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Work Order Created?
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HES Representative Notified?
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Marine Chemist Notified?
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Operations Notified?
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Logistics/ Central Dispatch Notified?
Safety
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Secondary Means of Egress?
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MSD Discharge Verified?
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MSD Discharge Diverted?<br>
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Gray Water Discharge(s) Diverted?
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Chiller Water Discharge Diverted?
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Shore Power Sufficient?
Work Permitting/ Lockout Tagout
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HES Representative on site?
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Marine Chemist Certificate Obtained?
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Safe Work Permit Issued?
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Energy Sources Verified, Isolated, Locked & Tagged?
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Energy Source keys locked in Lockbox?
Port Propulsion
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Propeller
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Kort Nozzle
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Strut
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Rope Guard
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Strut Bearing
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Stern Tube Bearing
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Tail Shaft
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Intermediate Shaft
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Cooper Bearing
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Stuffing Box
Starboard Propulsion
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Propeller
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Kort Nozzle
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Strut
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Rope Guard
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Strut Bearing
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Stern Tube Bearing
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Tail Shaft
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Intermediate Shaft
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Cooper Bearing
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Stuffing Box
Steering Rudder System
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Port Steering Rudder
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Starboard Steering Rudder
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Port Outboard Flanking Rudder
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Port Inboard Flanking Rudder
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Starboard Outboard Flanking Rudder
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Starboard Inboard Flanking Rudder
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Steering Jockey Bars
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Steering Pins/Bushings
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Steering Hydraulic Rams/Hoses
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Steering Linkage
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Steering Pump System (Tank, Pump, Motor, Coupling)
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Electronic Steering System
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Flanking Jockey Bars
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Flanking Pins/Bushings
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Flanking Hydraulic Rams/Hoses
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Flanking Linkage
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Flanking Pump System (Tank, Pump, Motor, Coupling)
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Electronic Flanking System
Hull
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General Condition
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Hull Coating
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Fendering
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Port Tow Knee
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Starboard Tow Knee
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Port Grid/Skin Coolers
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Starboard Grid/Skin Coolers
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Keel Coolers
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Sea Chest
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Living Organisms Removed?
Re-Commissioning
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Main Engines
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Electronics
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Ship Systems
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Steering/Flanking Systems
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Underwater Appendages
General
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Comments?
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Future Projects?
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Equipment to be Rebuilt for Spare?
Signature
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On Site Representative