Title Page

  • Deck

  • Deck

  • Conducted on

  • Prepared by

  • Location
  • Personnel

External Decks

Super Structure (P)

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

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Doors (Incl locking & Self closing arrangement)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Companion Ways (Good,Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Portholes

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Guard Rails (Good,Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Any unauthorized holes / Penetrations

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Scuppers clear

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Super Structure (S)

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

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Doors (Incl locking & Self closing arrangement)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Companion Ways (Good,Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Portholes

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Guard Rails (Good,Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Any unauthorized holes / Penetrations

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Scuppers clear

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Super Structure (Ford) / Accom Front

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

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) NO Smoking/ Safety First Sign

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Portholes

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Funnel

  • Ques 1) Markings (Logo). (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) General Cleanliness / Paint condition (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Funnel Flaps (Marking + operation test)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Funnel Door Condition (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Ventillators

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

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Marking for space served (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Marking for Open / Close

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Butterfly nuts condition (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Mesh condition (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Operation test for proper sealing (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

E/R Skylight

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

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Nuts/Bolts Condition. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Lifting hooks condition. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Packing condition. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Stancheons (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Markings (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Provision Crane

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

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) SWL Marking. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Wire condition + Date change marking. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Sheave. (Good, Bad, Satisfactory)

  • 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) Limit Switches (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 7)Angle indicator free to move

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Motor Condition (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Hook & Locking arrangement

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Battery room

  • Ques 1) Battery room. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Emergency source for lighting. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) PPE + Eyewash. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Last battery changed marking

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Battery stowed and secured properly. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) MSDS (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Battery check record

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Paint Locker

  • Ques 1) Paint Inventory.

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Explosion proof lamp. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3)MSDS (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) PPE + Eyewash

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Sprinkler system last tested

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) CO2 System / Extinguisher (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Stowage & Securing of paints

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

SOPEP Locker

  • Ques 1) Updated Inventory.

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Adequate equipt per SOPEP

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Transfer pump and its attachments

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Drums with markings / Color coding

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) PPE / Clothing

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Emergency Generator

  • Ques 1) General appearance. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Oil / Exhaust / water Leaks

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Operational alarm test

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Anti Spalsh tapes on joints. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Lagging condition (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Thermometers (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Pressure guages

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Bilges clean (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Flywheel cover. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Flywheel area (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Running parameters

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Remote operation test

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Hull Structure (Port Side)

  • Ques 1) General Condition/visual appearancey. (Good , Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Free from oil staining

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

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

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Hull markings condition (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Load line marking clearly visible

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Hull fouling

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Anchor stowage condition. (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

Hull Structure (Stbd Side)

  • Ques 1) General Condition/visual appearancey. (Good , Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Free from oil staining

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

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

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Hull markings condition (Good, Bad, Satisfactory)

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Load line marking clearly visible

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Hull fouling

  • Details (If Any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Anchor stowage 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.