Information
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Vessel Inspected
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Prepared by
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Date of inspection
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Document No.
1. DECK AREA
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Are all Obstacles on deck painted in black and yellow?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are all Areas at Height equipped with top-rails, mid-rails and toe-boards?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are the Railings around the vessel complete?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Do all Stairs and Steps have hand-rails and a non-slip profile?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are the first and last steps on all stars steps painted in black and yellow?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are all Escape Hatches and Emergency Doors clearly marked?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Is sufficient Light available for safe work?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are all Vent Pipes protected against water ingress?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Flame arrester gauzes fitted where required?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are all Embarkation Points free from obstacles?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Adequately illuminated?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Have a life ring available for immediate use?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are all Winches and wires adequately guarded?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Clearly marked with Warning Signage?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Indicate potential snap-back zones?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are Emergency Eye Wash Stations available on deck?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are SOPEP spill kits available?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Correctly serviced/stocked?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are all bollards/bitts in good condition?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Have the SWL marked?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Are all Decks/Walkways/Stairs free from obstructions/grease/oil?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
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Clearly identified?
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Action
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Closed out?
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Person responsible
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Date
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Evidence
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Evidence
Completion
Information Transfer
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Has the vessel Master / Mate been informed of the inspection results?
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BRIEF THE VESSEL MASTER / MATE PRIOR TO SENDING
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Has the vessel Superintendent been informed of the inspection results?
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BRIEF THE VESSEL SUPERINTENDENT PRIOR TO SENDING
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EMAIL TO HSE ADMIN AND THE VESSEL THE INSPECTION WAS CONDUCTED ON
