Information

  • Project Number

  • Project Type

  • Vessel

  • Conducted on

  • Prepared by

  • Name

  • Location
  • Crew members Present

Planning

  • AFE Project Setup?

  • Work Order Created?

  • HES Representative Notified?

  • Marine Chemist Notified?

  • Operations Notified?

  • Logistics/ Central Dispatch Notified?

Safety

  • Secondary Means of Egress?

  • MSD Discharge Verified?

  • MSD Discharge Diverted?<br>

  • Gray Water Discharge(s) Diverted?

  • Chiller Water Discharge Diverted?

  • Shore Power Sufficient?

Work Permitting/ Lockout Tagout

  • HES Representative on site?

  • Marine Chemist Certificate Obtained?

  • Safe Work Permit Issued?

  • Energy Sources Verified, Isolated, Locked & Tagged?

  • Energy Source keys locked in Lockbox?

Port Propulsion

  • Propeller

  • Kort Nozzle

  • Strut

  • Rope Guard

  • Strut Bearing

  • Stern Tube Bearing

  • Tail Shaft

  • Intermediate Shaft

  • Cooper Bearing

  • Stuffing Box

Starboard Propulsion

  • Propeller

  • Kort Nozzle

  • Strut

  • Rope Guard

  • Strut Bearing

  • Stern Tube Bearing

  • Tail Shaft

  • Intermediate Shaft

  • Cooper Bearing

  • Stuffing Box

Steering Rudder System

  • Port Steering Rudder

  • Starboard Steering Rudder

  • Port Outboard Flanking Rudder

  • Port Inboard Flanking Rudder

  • Starboard Outboard Flanking Rudder

  • Starboard Inboard Flanking Rudder

  • Steering Jockey Bars

  • Steering Pins/Bushings

  • Steering Hydraulic Rams/Hoses

  • Steering Linkage

  • Steering Pump System (Tank, Pump, Motor, Coupling)

  • Electronic Steering System

  • Flanking Jockey Bars

  • Flanking Pins/Bushings

  • Flanking Hydraulic Rams/Hoses

  • Flanking Linkage

  • Flanking Pump System (Tank, Pump, Motor, Coupling)

  • Electronic Flanking System

Hull

  • General Condition

  • Hull Coating

  • Fendering

  • Port Tow Knee

  • Starboard Tow Knee

  • Port Grid/Skin Coolers

  • Starboard Grid/Skin Coolers

  • Keel Coolers

  • Sea Chest

  • Living Organisms Removed?

Re-Commissioning

  • Main Engines

  • Electronics

  • Ship Systems

  • Steering/Flanking Systems

  • Underwater Appendages

General

  • Comments?

  • Future Projects?

  • Equipment to be Rebuilt for Spare?

Signature

  • On Site Representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.