Audit

Planning

AFE Project Setup?

Work Order Created?

HES Representative Notified?

Marine Chemist Notified?

Operations Notified?

Logistics/ Central Dispatch Notified?

Safety

Secondary Means of Egress?

Shore Power Sufficient?

Work Permitting/ Lockout Tagout

HES Representative on site?

Marine Chemist Certificate Obtained?

Safe Work Permit Issued?

Energy Sources Verified, Isolated, Locked & Tagged?

Energy Source keys locked in Lockbox?

Port Main Engine, De-commission

Project Type

Fuel Supply Isolated

Pneumatic Supply Isolated

Battery Supply Voltage Isolated

Equipment Specific Comments

Engine Control Module (ECM) Isolated

Starboard Main Engine, De-commission

Project Type

Fuel Supply Isolated

Pneumatic Supply Isolated

Battery Supply Voltage Isolated

Equipment Specific Comments

Engine Control Module (ECM) Isolated

Port Main Engine, Re-commission

Fuel Supply Restored

Pneumatic Supply Restored

Engine Control Module (ECM) Reconnected

Battery Voltage Restored

All Components Free of Leaks

Instruments Working Properly

Alarm System Working Properly

Engine Control/ Throttle Responding Properly

Miscellaneous

Starboard Main Engine, Re-commission

Fuel Supply Restored

Pneumatic Supply Restored

Engine Control Module (ECM) Reconnected

Battery Voltage Restored

All Components Free of Leaks

Instruments Working Properly

Alarm System Working Properly

Engine Control/ Throttle Responding Properly

Miscellaneous

Port Genset, De-commission

Project Type

Fuel Supply Isolated

Pneumatic Supply Isolated

Battery Voltage Isolated

Equipment Specific Comments

Engine Control Module (ECM) Isolated

Starboard Genset, De-commission

Project Type

Fuel Supply Isolated

Pneumatic Supply Isolated

Battery Voltage Isolated

Equipment Specific Comments

Engine Control Module (ECM) Isolated

Port Genset, Re-commission

Fuel Supply Restored

Pneumatic Supply Restored

Engine Control Module (ECM) Re-connected

Battery Voltage Restored

High/Low Voltage Components Connected Properly

All Components Free of Leaks

Instruments Working Properly

Alarm System Working Properly

Miscellaneous

Starboard Genset, Re-commission

Fuel Supply Restored

Pneumatic Supply Restored

Engine Control Module (ECM) Reconnected

Battery Voltage Restored

High/Low Voltage Components Connected Properly

All Components Free of Leaks

Instruments Working Properly

Alarm System Working Properly

Miscellaneous

General

Comments

Future Projects

Equipment to be Rebuilt for Spare

Signature
On Site Representative
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.