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.
Engine Room
1. General
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Is the housekeeping to standard?
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Evidence
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Action required
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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 there adequate lighting in the area?
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Evidence
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Action required
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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 walkways / bilges etc. free of oil and grease?
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Evidence
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Action required
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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 obstacles painted in black and yellow?
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Evidence
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Action required
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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 drip trays available?
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Evidence
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Action required
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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 drip trays correctly used?
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Evidence
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Action required
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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 all Electrical insulation in good condition
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Evidence
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Action required
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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 hot parts (e.g. exhaust pipes) sufficiently covered?
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Evidence
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Action required
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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
2. Tools
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Are tools in good condition and fit for task?
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Evidence
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Action required
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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 electrical tools tested and tagged and in date ?
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Evidence
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Action required
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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 electrical extension leads tested and tagged?
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Evidence
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Action required
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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 electrical leads less than 30m long?
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Evidence
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Action required
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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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All leads free from fraying and damage?
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Evidence
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Action required
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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 extension leads off the floor / protected?
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Evidence
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Action required
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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 double adapters / piggy back plugs in use?
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Evidence
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Action required
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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 there any broken plugs / switches?
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Evidence
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Action required
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Closed out?
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Person Responsible
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Evidence
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Date
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Evidence
3. Machinery
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Is all machinery in good condition
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Evidence
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Action required
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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 safety guards in place on machinery?
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Evidence
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Action required
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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 stop buttons operational and not damaged?
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Evidence
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Action required
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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
4. Lifting / Rigging Gear
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Does all lifting / rigging gear appear to be in good condition?
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Evidence
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Action required
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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 Lifting / rigging gear tested and tagged ( correct colour tag)?
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Evidence
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Action required
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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 all non / incorrectly tagged gear separated?
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Evidence
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Action required
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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 the lifting / rigging gear stored correctly?
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Evidence
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Action required
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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 synthetic slings protected from chemicals / the environment?
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Evidence
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Action required
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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 the emergency stops work?
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Evidence
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Action required
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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
