Title Page

  • Deck

  • Deck

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Safety

General alarm

  • Ques 1) Identification with IMO Symbol<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Manual call points glass covers<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Operation test<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Auto closure of fire doors to be tested with activation of alarm<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fire detectors & alarm

  • Ques 1) Identification of detectors<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Any alarm fault on Panel<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) No isolation of zone<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Operational test & Test Record<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Check testing kit for all types of detectors on board.<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Cargo hold sampling system working<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Vent Fans & Flaps

  • Ques 1) O-S- Marking<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Identification marking<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) External condition<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Operational condition<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Closing completely <br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Wire mesh condition <br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Testing record<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Emergency Stops

  • Ques 1) Operational test & Test Record (Eng room / Accom & Car Decks)<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Operating instructions<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Identification of areas served<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) IMO Symbols<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Quick Closing valves<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Air bottle pressure (for serving QCV)<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fixed foam system

  • Ques 1) Operating instructions<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Any leaks in the lines<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Level Guage & Liquid level<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Last analysis report<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Lines Last blown record<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hypermist System

  • Ques 1) Operating instructions<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) State of readiness (Kept on Auto & FW from tank valve to be open)<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Last line blown record<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Last tested for pump operation<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Min Water level marking on FW tank<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fixed CO2 System

  • Ques 1) Operating instructions<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) CO2 room Fan<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vent <br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Bottles Securing<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Transporting / Locking pin removed (for operational readiness)<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Operational test + Alarm testing record<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Inspection and Hydro testing marks<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Test Records + Certificate<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Low Pressure CO2 System

  • Ques 1) Operating instructions<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) CO2 room Fan<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Natural Vent <br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Liquid level<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Testing arrangement operational<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Operational readiness<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Operational test + Alarm testing record<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Associated guages of system<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Excessive icing / Insulation condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) How many compressors working / Frequency of cut-in/cut-off<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Compressor parameters & Checks<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Safety guards for belts in place<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Sprinkler system

  • Ques 1) Last line blow through<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Pipe line & Nozzles condition<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Valve freely operational and marked<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Emergency Fire pump

  • Ques 1) Operating instructions<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) General condition - No leaks etc<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Minimum draft for suction to be marked<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Operation test - 2 hoses, one on forwardmost part and one at highest part of vessel<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Priming pump condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Suction valve to be open at all times - Operational readiness<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Emergency fire pump room bilges transfer valves moving freely<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Foam Applicator

  • Ques 1) IMO Symbol<br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Hoses and Nozzles condition<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Expiry Dates / Test date Check<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Securing arrangement<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fire main/hydrants

  • Ques 1) IMO Symbol at location<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Pipe line condition, specially underside<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Last pressure test stencil<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Expansion Joint<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Drain valves - Identified and marked<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Isolating valves - Identified and marked<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) U clamps<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Hydrant caps (Connected with chain/rope etc)<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Free to open & Close<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Condition of Rubber gasket in hydrant<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Extinguishers

  • Ques 1) IMO Symbol at location<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Adequate numbers & Spares as per approved fire plan<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Last test record & Certificate<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Operating instructions (incl Temp range)<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Condition of body; Hose & Pressure on guage<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Marked for location (as per number)<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Inspection card <br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Hoses and nozzles

  • Ques 1) Adequate numbers as per approved fire plan<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Spares one of each type<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Condition of hose - Brittleness/inner lining etc<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Coupling secured with wire (No jubilee clamps allowed)<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Coupling reuuber gasket condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) All dual type nozzles, operating freely<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Nozzle ruuber gaskets condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Spanner with each hose connection<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Hose box condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fire Station

  • Ques 1) IMO Symbol<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) International Shore Connection<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) With spare bolts/ Gaskets and 2 spanners<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) All equipment as per Fire plan<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Any alarms in detection panels<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Fireman's outfit & SCBA

  • Ques 1) Condition of Mask - Any cracks/ air tightness, rubber condition<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Gloves - All fingers to be separate<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Gloves length to overlap the jacket hand

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Silver lining condition - No cracks etc<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Fire retardant boots<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Life line and securing clip condition <br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Condition of SCBA + Complete checks<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Bottles with sufficient pressure<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Fire axe + Torch Condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

EEBD

  • Ques 1) Sufficient numbers as per SEQ<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Pressure guage in green range<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Inspection records<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Training unit on board<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Emergency Lighting

  • Ques 1) Check all working<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Marking visible (Red dot or equivalent)<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Record of testing<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Adequate spares available<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Life Jacket / Immersion Suits

  • Ques 1) Sufficient numbers as per SEQ<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Condition - Any damages etc<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Markings - Name / POR<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Light (expiry dates)/Whistle<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Immersion Suits Seam Leak test record<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Life buyos

  • Ques 1) Sufficient numbers as per SEQ

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) General condition - No cracks<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Marking visible (Name / POR)

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) SI Light in working condition<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Line Condition + Length<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) MOB Marker - Expiry date<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) MOB Marker - Correctly installed / Operational readiness<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

LTA + Pyrotechnics

  • Ques 1) Sufficient as per SEQ / SOLAS

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Expiry dates within limit (not less than 3 months from date of inspection)<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) IMO Symbols marked at locations<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Life Rafts

  • Ques 1) Expiry Date<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) HRU correctly rigged<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Launching instructions displayed under emcy lighting<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Container condition + Markings per SOLAS<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Transportation straps removed<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Container with Certificate <br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Cradle condition & Release handle free to move<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Certificate<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Davits condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Free to move - Handle working & highlighted<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Atlas hook condition for davit launched rafts<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Wire condition for davit launched<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Life Boat (P)

  • Ques 1) Operating instructions under emcy lighting<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Exterior condition (Specially under resting pads)<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Markings - Name / POR / No. of Pers / dimensions etc<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Ford & Aft hook foundation and Release cable condition<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Grabline condition<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Skates condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Non return valve ball condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Propeller condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Rudder Condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Painter condition<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Window Glass condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) RR Tapes condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Door hinge and locking condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) General cleanliness<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Seating marking<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Safety belt (incl. hooks) condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Operating instructions (Engine and onload/offload release)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Hook release correctly reset<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 19) Compass and its light condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Searchlight condition<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Internal & Canopy Light working<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Test engine on both sources<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Bilge pump operation<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 24) Bilges clean and dry<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Rudder operation (Incl. emcy ops)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Fire extinguisher<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 27) Ration / Pyrotech / First aid kit etc expiry dates<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 28) FPD & Recovery strops<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

L/B Davit (P)

  • Ques 1) Foundation condition<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Limit Switches<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Davit winch + Manual operating lever<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Harbour pins<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Sheaves<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Floating blocks<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Boat Falls<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Winch motor + Gear Oil level<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) General appearance (Rust etc)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) General Lubrication<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Last wire renewal date<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Embarkation Ladder(P)

  • Ques 1) Canvas Cover<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Shackle Condition<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Rope condition<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Steps Condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Life Boat (S)

  • Ques 1) Operating instructions under emcy lighting<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Exterior condition (Specially under resting pads)<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Markings - Name / POR / No. of Pers / dimensions etc<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Ford & Aft hook foundation and Release cable condition<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Grabline condition<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Skates condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Non return valve ball condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Propeller condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) Rudder Condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Painter condition<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Window Glass condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) RR Tapes condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Door hinge and locking condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) General cleanliness<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Seating marking<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Safety belt (incl. hooks) condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Operating instructions (Engine and onload/offload release)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Hook release correctly reset<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 19) Compass and its light condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Searchlight condition<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Internal & Canopy Light working<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Test engine on both sources<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Bilge pump operation<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 24) Bilges clean and dry<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 25) Rudder operation (Incl. emcy ops)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 26) Fire extinguisher<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 27) Ration / Pyrotech / First aid kit etc expiry dates<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 28) FPD & Recovery strops<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

L/B Davit (S)

  • Ques 1) Foundation condition<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Limit Switches<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Davit winch + Manual operating lever<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Harbour pins<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Sheaves<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Floating blocks<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Boat Falls<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Winch motor + Gear Oil level<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) General appearance (Rust etc)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) General Lubrication<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Last wire renewal date<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Embarkation Ladder(S)

  • Ques 1) Canvas Cover<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Shackle Condition<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Rope condition<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Steps Condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Free Fall Lifeboat

  • Ques 1) Operating instructions under emcy lighting<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Exterior condition (Specially under resting pads)<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Markings - Name / POR / No. of Pers / dimensions etc<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Release Mechanism<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Grabline condition<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Propeller Condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Rudder Condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Window Glass condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) RR Tapes condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) Door hinge and locking condition<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) General cleanliness<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 12) Seat Condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 13) Safety belt (incl. hooks) condition

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 14) Operating instructions (Engine and onload/offload release)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 15) Hook release correctly reset<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 16) Compass and its light condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 17) Searchlight condition<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 18) Internal & Canopy Light working<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 19) Test engine on both sources<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 20) Bilge pump operation<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 21) Bilges clean and dry<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 22) Rudder operation (Incl. emcy ops)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 23) Fire extinguisher<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 24) Ration / Pyrotech / First aid kit etc expiry dates<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

FF L/B Davit

  • Ques 1) Foundation condition<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Limit Switches<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Condition of Hyd Cylinder ; Hyd Lines & Operating levers (Hyd Leaks)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Harbour pins<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Sheaves<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Floating blocks<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Wire condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Winch motor + Gear Oil level<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) General appearance (Rust etc)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) General Lubrication<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

Rescue Boat/Fast RB

  • Ques 1) Operating instructions under emcy lighting<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Exterior condition<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Markings - Name / POR / No. of Pers / dimensions etc<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Atlas hook condition <br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Wires condition<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) RB, Equipment<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Boat Lashings & resting block condition<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Condition of canvas cover<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

L/B Davit (P)

  • Ques 1) Foundation condition<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Limit Switches<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Davit winch + Manual operating lever<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Harbour pins<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Sheaves<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Floating blocks<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Boat Falls<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Winch motor + Gear Oil level<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) General appearance (Rust etc)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) General Lubrication<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Last wire renewal date<br><br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

L/B Davit (S)

  • Ques 1) Foundation condition<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 2) Limit Switches<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 3) Davit winch + Manual operating lever<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 4) Harbour pins<br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 5) Sheaves<br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 6) Floating blocks<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 7) Boat Falls<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 8) Winch motor + Gear Oil level<br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 9) General appearance (Rust etc)<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 10) General Lubrication<br><br><br><br><br>

  • Details (if any)

  • Image

  • Action Required

  • Due Date

  • Ques 11) Last wire renewal date<br><br><br><br><br><br>

  • 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.