Information

  • Vessel Inspected

  • Prepared by

  • Date of inspection

  • Document No.

1. ELECTRICITY / ELECTRICAL EQUIPMENT

  • Are rubber mats in place before the main switchboards and main panels?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

  • Are switchboards sufficiently covered and isolation system in place?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

  • Is the emergency lighting operational?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

  • Are double adaptors / piggy back plugs in use?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

  • Broken plugs, sockets or switches?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

  • Portable power tools in good condition?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

  • All leads and tools tagged?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

  • Frayed or damaged leads?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

  • Maximum length of 240V leads <30m?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

  • All temporary leads off the floor or protected (leads: non-conductive supports / material)?

  • Evidence

  • Action

  • Closed out?

  • Person responsible

  • Date

  • Evidence

  • Evidence

Completion

Information Transfer

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

  • BRIEF THE VESSEL MASTER / MATE PRIOR TO SENDING

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

  • BRIEF THE VESSEL SUPERINTENDENT PRIOR TO SENDING

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

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.