Title Page

  • Deck

  • Deck

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Deck

Forecastle Deck

  • Ques 1) Bulwark & Railing in good condition without bends dents detachments

  • Details (if any)

  • Image for Bulwark & Railing

  • Action Required

  • Due Date

  • Ques 2) Deck Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Snap Back Zone Marking

  • Details (if any)

  • Images for Snap Back Zone Marking

  • Action Required

  • Due Date

  • Ques 4) Stencilling Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image for Stencilling

  • Action Required

  • Due Date

  • Ques 5) Condition of Vent / Flaps / Rope / Hatch (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Vent / Flaps / Rope / Hatch

  • Action Required

  • Due Date

  • Ques 6) Condition of Suez Light Davit (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Suez Light Davit

  • Action Required

  • Due Date

  • Ques 7) Receptacle for Suez Light (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Receptacle for Suez Light

  • Action Required

  • Due Date

  • Ques 8) Condition of Companion Ladders (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Companion Ladders

  • Action Required

  • Due Date

Forecastle Store

  • Ques 1) Condition of W/T Door (Good / Bad / Satisfactory)

  • Details (if any)

  • Image for W/T Door

  • Action Required

  • Due Date

  • Ques 2) Condition of Lightning in Forecastle Store (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Lightning in Forecastle Store

  • Action Required

  • Due Date

  • Ques 3) Condition of Insulation Mat (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Insulation Mat

  • Action Required

  • Due Date

  • Ques 4) Dewatering System Alarm (Operational/ Non-Operational)

  • Details (if any)

  • Image of Dewatering Alarm

  • Action Required

  • Due Date

  • Ques 5) Bilge pump out system markings & instructions

  • Details (if any)

  • Images for Bilge Pump

  • Action Required

  • Due Date

  • Ques 6) Check Oil before pump out marking

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) General Housekeeping

  • Details (if any)

  • Images

  • Action Required

  • Due Date

  • Ques 8) Deck Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Deck

  • Action Required

  • Due Date

  • Ques 9) Condition of Hydraulic Hatch Cover (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Hatch Cover

  • Action Required

  • Due Date

  • Ques 10) Condition of Additional Machinery Installed (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for additional Machinery

  • Action Required

  • Due Date

  • Ques 11) Condition of Bitter and Hammer (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Bitter & Hammer

  • Action Required

  • Due Date

  • Ques 12) Condition of Spare Wires & Marking (Good / Bad / Satisfactory)

  • Images of Wire & Marking

  • Action Required

  • Due Date

  • Ques 13) Condition of L/J and Imm Suits marking (Good / Bad / Satisfactory)

  • Details (if any)

  • Images for Life Jacket & Immersion Suits

  • Action Required

  • Due Date

  • Ques 14) Emergency Towing Plan

  • Image

  • Action Required

  • Due Date

  • Ques 15) Chemicals/Lub oils Stored - MSDS & PPE

  • Details (if any)

  • Image

  • Due Date

  • Ques 16) Condition of Anchor wash pipe to hawsepipe (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Windlass

  • Ques 1) General Condition & Lubrication (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Condition of Lever Locking pins (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Condition of Bow Stopper (Good / Bad / Satisfactory)

  • Details (if any)

  • Image of Bow Stopper

  • Due Date

  • Ques 4) Condition of Brake Lining (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Condition of foundation & bolts (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Condition of Gear Protection (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Inspection Window Cover

  • Details (if any)

  • Image for Inspection Window Cover

  • Action Required

  • Due Date

  • Ques 8) Hyd. Leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Condition of Motor (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Operating Lever Lock (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Condition of Spurling pipe & hawse pipe Cover (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Condition of Exposed Cable (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fore Mast

  • Ques 1) General Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image for Fore Mast

  • Action Required

  • Due Date

  • Ques 2) Electric cable guide & securing stays condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Turnbuckle greased and covered

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Condition of Light fixtures and fog horn (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Condition of Navigation & anchor Light (Good / Bad / Satisfactory)

  • Details (if any)

  • Image of Navigational & Anchor Light

  • Action Required

  • Due Date

  • Ques 6) Condition of Anchor Ball (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Forward Talk back System

  • Ques 1) Operational Test

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Mooring ropes (Fwd)

  • Ques 1) General condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 2) Identified as per Certificate

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Correct Reeving

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Question 4) Condition of Tail Ropes (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Mooring Winch Fwd

  • Ques 1) General Condition & Lubrication (Good / Bad / Satisfactory)

  • Details (if any)

  • Image for Mooing Winch Fwd

  • Action Required

  • Due Date

  • Ques 2) Condition of Lever Locking pins (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Brake Lining Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Foundation & Bolts Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Gear Protection Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Hyd. Leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Motor Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 8) Operating Lever Lock Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Direct Marking

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Remote Control Lever Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fairlead Rollers & Bollards/bitts Fwd

  • Ques 1) SWL Marking

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Rollers free to move (Lubrication)<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Roller Covers securing bolts

  • Details (if any)

  • Image of securing Bolts

  • Action Required

  • Due Date

  • Ques 4) Stripe / X marking on top cover

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Geeral Appearance<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Rope Stoppers Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image for Rope Stopper

  • Action Required

  • Due Date

Main deck (S)

  • Ques 1) General Appearance (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Bulwark & Railing Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Walkway(Safety passage) Marking

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Heavy weather line

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Various Stencilling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Scuppers - Clear of blockages

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Fire Line isolation valve & Drain valve

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Fire control plan at accom entrance

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Cross over platforms

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Weather tight doors

  • Details (if any)

  • Image

  • Due Date

  • Ques 11) Ballast valve control box

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Hyd. Leaks in ballast control box

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Natural Vents conditions

  • Details (if any)

  • Image

  • Due Date

  • Ques 14) Escape Trunk Condition/Arrangement

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Main deck (P)

  • Ques 1) General Appearance (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Select date

  • Ques 2) Bulwark & Railing Condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action required

  • Due Date

  • Ques 3) Walkway(Safety passage) Marking

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Heavy weather line

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Various Stencilling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Scuppers - Clear of blockages

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Fire Line isolation valve & Drain valve

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Fire control plan at accom entrance

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Cross over platforms

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Weather tight doors

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Ballast valve control box

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Hyd. Leaks in ballast control box

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Natural Vents conditions

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Pipe Line

  • Ques 1) General Condition of Pipeline (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Due Date

  • Ques 2) Condition of underside Pipeline (Good / Bad / Satisfactory)

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 3) Condition of Expansion Joints (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Condition of U Clamps (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Identification

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Condition of Drain Valves (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Condition of Isolation Valves (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Air/sounding pipe (s)

  • Ques 1) General condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Rust & Weld Seems

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Internal condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Internal Rubber Gasket condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Float condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Wire Mesh condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 7) Save all tray capacity stencil

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Save all plugs with chain

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Sounding caps

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Stencilling on air pipe/sounding pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Air sounding pipes(s)

  • Ques 1) General condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Rust & Weld Seems

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Internal condition (Good / Bad / Satisfactory)

  • Image

  • Action Required

  • Select date

  • Ques 4) Internal Rubber Gasket condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Float condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Wire Mesh condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Save all tray capacity stencil

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Save all plugs with chain

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Sounding caps

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Stencilling on air pipe/sounding pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hatch coamings and covers of No.1

  • Ques 1) Top side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Under side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vents condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Cements Hold Secured

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Marking / Stenciling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Control lever Box - Hyd leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Control block - connections

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Hyd Hoses

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Condition of sprocket (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Chain (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Chain Tightness

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Bottle screw condition at chain ends

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Hyd. Jacks for hatch covers

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Canvas covers for hyd rams

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Drain valves (NRV)for drain channel

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Caps for drain valves

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Gas sampling point stencil & Cap

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Compression bar condition

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 19) Rubber packing compression

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Resting pads

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Cleats - Condition of rubber gasket & metal washer & Nut

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Rollers moving freely

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Hinge; Bushes Condition

  • Details (if any)

  • Image

  • Due Date

  • Ques 24) Grease nipple and associated pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Hatch cover stopper condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Water Tightness tested: (Date)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hatch coamings and covers of No.2

  • Ques 1) Top side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Under side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vents condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Cements Hold Secured

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Marking / Stenciling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Control lever Box - Hyd leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Control block - connections

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Hyd Hoses

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Condition of sprocket (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Chain (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Chain Tightness

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Bottle screw condition at chain ends

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Hyd. Jacks for hatch covers

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Canvas covers for hyd rams

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Drain valves (NRV)for drain channel

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Caps for drain valves

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Gas sampling point stencil & Cap

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Compression bar condition

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 19) Rubber packing compression

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Resting pads

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Cleats - Condition of rubber gasket & metal washer & Nut

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Rollers moving freely

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Hinge; Bushes Condition

  • Details (if any)

  • Image

  • Due Date

  • Ques 24) Grease nipple and associated pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Hatch cover stopper condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Water Tightness tested: (Date)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hatch coamings and covers of No.3

  • Ques 1) Top side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Under side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vents condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Cements Hold Secured

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Marking / Stenciling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Control lever Box - Hyd leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Control block - connections

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Hyd Hoses

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Condition of sprocket (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Chain (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Chain Tightness

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Bottle screw condition at chain ends

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Hyd. Jacks for hatch covers

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Canvas covers for hyd rams

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Drain valves (NRV)for drain channel

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Caps for drain valves

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Gas sampling point stencil & Cap

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Compression bar condition

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 19) Rubber packing compression

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Resting pads

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Cleats - Condition of rubber gasket & metal washer & Nut

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Rollers moving freely

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Hinge; Bushes Condition

  • Details (if any)

  • Image

  • Due Date

  • Ques 24) Grease nipple and associated pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Hatch cover stopper condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Water Tightness tested: (Date)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hatch coamings and covers of No.4

  • Ques 1) Top side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Under side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vents condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Cements Hold Secured

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Marking / Stenciling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Control lever Box - Hyd leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Control block - connections

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Hyd Hoses

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Condition of sprocket (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Chain (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Chain Tightness

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Bottle screw condition at chain ends

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Hyd. Jacks for hatch covers

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Canvas covers for hyd rams

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Drain valves (NRV)for drain channel

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Caps for drain valves

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Gas sampling point stencil & Cap

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Compression bar condition

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 19) Rubber packing compression

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Resting pads

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Cleats - Condition of rubber gasket & metal washer & Nut

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Rollers moving freely

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Hinge; Bushes Condition

  • Details (if any)

  • Image

  • Due Date

  • Ques 24) Grease nipple and associated pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Hatch cover stopper condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Water Tightness tested: (Date)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hatch coamings and covers of No.5

  • Ques 1) Top side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Under side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vents condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Cements Hold Secured

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Marking / Stenciling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Control lever Box - Hyd leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Control block - connections

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Hyd Hoses

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Condition of sprocket (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Chain (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Chain Tightness

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Bottle screw condition at chain ends

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Hyd. Jacks for hatch covers

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Canvas covers for hyd rams

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Drain valves (NRV)for drain channel

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Caps for drain valves

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Gas sampling point stencil & Cap

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Compression bar condition

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 19) Rubber packing compression

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Resting pads

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Cleats - Condition of rubber gasket & metal washer & Nut

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Rollers moving freely

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Hinge; Bushes Condition

  • Details (if any)

  • Image

  • Due Date

  • Ques 24) Grease nipple and associated pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Hatch cover stopper condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Water Tightness tested: (Date)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hatch coamings and covers of No.6

  • Ques 1) Top side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Under side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vents condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Cements Hold Secured

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Marking / Stenciling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Control lever Box - Hyd leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Control block - connections

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Hyd Hoses

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Condition of sprocket (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Chain (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Chain Tightness

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Bottle screw condition at chain ends

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Hyd. Jacks for hatch covers

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Canvas covers for hyd rams

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Drain valves (NRV)for drain channel

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Caps for drain valves

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Gas sampling point stencil & Cap

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Compression bar condition

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 19) Rubber packing compression

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Resting pads

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Cleats - Condition of rubber gasket & metal washer & Nut

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Rollers moving freely

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Hinge; Bushes Condition

  • Details (if any)

  • Image

  • Due Date

  • Ques 24) Grease nipple and associated pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Hatch cover stopper condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Water Tightness tested: (Date)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hatch coamings and covers of No.7

  • Ques 1) Top side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Under side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vents condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Cements Hold Secured

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Marking / Stenciling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Control lever Box - Hyd leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Control block - connections

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Hyd Hoses

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Condition of sprocket (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Chain (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Chain Tightness

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Bottle screw condition at chain ends

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Hyd. Jacks for hatch covers

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Canvas covers for hyd rams

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Drain valves (NRV)for drain channel

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Caps for drain valves

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Gas sampling point stencil & Cap

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Compression bar condition

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 19) Rubber packing compression

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Resting pads

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Cleats - Condition of rubber gasket & metal washer & Nut

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Rollers moving freely

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Hinge; Bushes Condition

  • Details (if any)

  • Image

  • Due Date

  • Ques 24) Grease nipple and associated pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Hatch cover stopper condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Water Tightness tested: (Date)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hatch coamings and covers of No.8

  • Ques 1) Top side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Under side condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vents condition (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Cements Hold Secured

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Marking / Stenciling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Control lever Box - Hyd leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Control block - connections

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Hyd Hoses

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Condition of sprocket (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Chain (Good / Bad / Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Chain Tightness

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Bottle screw condition at chain ends

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Hyd. Jacks for hatch covers

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Canvas covers for hyd rams

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Drain valves (NRV)for drain channel

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Caps for drain valves

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Gas sampling point stencil & Cap

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Compression bar condition

  • Details (if any)

  • Add media

  • Action Required

  • Due Date

  • Ques 19) Rubber packing compression

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Resting pads

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Cleats - Condition of rubber gasket & metal washer & Nut

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Rollers moving freely

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Hinge; Bushes Condition

  • Details (if any)

  • Image

  • Due Date

  • Ques 24) Grease nipple and associated pipe

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Hatch cover stopper condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Water Tightness tested: (Date)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

After Deck

  • Ques 1) Railing. (Good, Bad, Satisfactory)

  • Details (if any)

  • Image for railing

  • Action Required

  • Due Date

  • Ques 2) Deck condition. (Good, Bad, Satisfactory)

  • Details (if any)

  • Image for Deck condition

  • Action Required

  • Due Date

  • Ques 3) Snap Back zone marking.

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Stencilling

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Vent flaps

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Rope hatch

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Stern light & Stern Post

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Garbage Station (inc drums covers)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Garbage posters

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Garbage Compactor

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Oxygen Room

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Garbage Compactor

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Flash back arresters

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Warning posters

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Bottles securing arrangement

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Mooring Winch Aft

  • Ques 1) General Condition & Lubrication. (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Lever Locking pins. (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Brake lining condition (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Foundation & bolts condition (Good , Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Gear protection condition (Good ,Bad ,Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Hyd. Leaks

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Motor condition (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Operating levers lock (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Direction Marking

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Remote control lever (Good,Bad,Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fairlead Rollers & Bollards/bitts Aft

  • Ques 1) SWL Marking

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Rollers free to move (Lubrication)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Roller Covers securing bolts

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Stripe / X marking on top cover

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Geeral Appearance

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Rope Stoppers Condition (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Mooring ropes (Aft)

  • Ques 1) General Condition (Good , Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Identified as per certificate

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Correct Reeving

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Tail Ropes Condition (Good,Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Aft Stn Talk back Sys.

  • Ques 1) Operational Test (Good,Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fairlead Rollers & Bollards/bitts Aft

  • Ques 1) General Condition (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) SWL Marking

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Wire condition (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Sheave

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) General lubrication (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Hook & Locking arrangement

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Air motor condition (Good, Bad, Satisfactory)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

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.