Vessel Overhaul

• Project Number

• Project Type

• Vessel

• Conducted on

  Date

• Prepared by

• Location
  Address

• Crew Members Present

Planning

• AFE Project Setup?

  Yes

  No

  N/A

• Work Order Created?

  Yes

  No

  N/A

• HES Representative Notified?

  Yes

  No

  N/A

• Marine Chemist Notified?

  Yes

  No

  N/A

• Operations Notified?

  Yes

  No

  N/A

• Logistics/ Central Dispatch Notified?

  Yes

  No

  N/A

Safety

• Secondary Means of Egress?

  Yes

  No

  N/A

• Shore Power Sufficient?

  Yes

  No

  N/A

Work Permitting/ Lockout Tagout

• HES Representative on site?

  Yes

  No

  N/A

• Marine Chemist Certificate Obtained?

  Yes

  No

  N/A

• Safe Work Permit Issued?

  Yes

  No

  N/A

• Energy Sources Verified, Isolated, Locked & Tagged?

  Yes

  No

  N/A

• Energy Source keys locked in Lockbox?

  Yes

  No

  N/A

Port Main Engine, De-commission

• Project Type

  Top End Overhaul

  Major Overhaul

  Periodic Maintenance

• Fuel Supply Isolated

  Yes

  No

  N/A

• Pneumatic Supply Isolated

  Yes

  No

  N/A

• Battery Supply Voltage Isolated

  Yes

  No

  N/A

• Equipment Specific Comments<br>

  Yes

  No

  N/A

• Engine Control Module (ECM) Isolated

  Yes

  No

  N/A

Starboard Main Engine, De-commission

• Project Type

  Top End Overhaul

  Major Overhaul

  Periodic Maintenance

• Fuel Supply Isolated

  Yes

  No

  N/A

• Pneumatic Supply Isolated

  Yes

  No

  N/A

• Battery Supply Voltage Isolated

  Yes

  No

  N/A

• Equipment Specific Comments<br>

  Yes

  No

  N/A

• Engine Control Module (ECM) Isolated

  Yes

  No

  N/A

Port Main Engine, Re-commission

• Fuel Supply Restored

  Yes

  No

  N/A

• Pneumatic Supply Restored

  Yes

  No

  N/A

• Engine Control Module (ECM) Reconnected

  Yes

  No

  N/A

• Battery Voltage Restored

  Yes

  No

  N/A

• All Components Free of Leaks

  Yes

  No

  N/A

• Instruments Working Properly

  Yes

  No

  N/A

• Alarm System Working Properly

  Yes

  No

  N/A

• Engine Control/ Throttle Responding Properly

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

Starboard Main Engine, Re-commission

• Fuel Supply Restored

  Yes

  No

  N/A

• Pneumatic Supply Restored

  Yes

  No

  N/A

• Engine Control Module (ECM) Reconnected

  Yes

  No

  N/A

• Battery Voltage Restored

  Yes

  No

  N/A

• All Components Free of Leaks

  Yes

  No

  N/A

• Instruments Working Properly

  Yes

  No

  N/A

• Alarm System Working Properly

  Yes

  No

  N/A

• Engine Control/ Throttle Responding Properly

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

Port Genset, De-commission

• Project Type

  Yes

  No

  N/A

• Fuel Supply Isolated

  Yes

  No

  N/A

• Pneumatic Supply Isolated

  Yes

  No

  N/A

• Battery Voltage Isolated

  Yes

  No

  N/A

• Equipment Specific Comments

  Yes

  No

  N/A

• Engine Control Module (ECM) Isolated

  Yes

  No

  N/A

Starboard Genset, De-commission

• Project Type

  Yes

  No

  N/A

• Fuel Supply Isolated

  Yes

  No

  N/A

• Pneumatic Supply Isolated

  Yes

  No

  N/A

• Battery Voltage Isolated

  Yes

  No

  N/A

• Equipment Specific Comments

  Yes

  No

  N/A

• Engine Control Module (ECM) Isolated

  Yes

  No

  N/A

Port Genset, Re-commission

• Fuel Supply Restored

  Yes

  No

  N/A

• Pneumatic Supply Restored

  Yes

  No

  N/A

• Engine Control Module (ECM) Re-connected

  Yes

  No

  N/A

• Battery Voltage Restored

  Yes

  No

  N/A

• High/Low Voltage Components Connected Properly

  Yes

  No

  N/A

• All Components Free of Leaks

  Yes

  No

  N/A

• Instruments Working Properly

  Yes

  No

  N/A

• Alarm System Working Properly

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

Starboard Genset, Re-commission

• Fuel Supply Restored

  Yes

  No

  N/A

• Pneumatic Supply Restored

  Yes

  No

  N/A

• Engine Control Module (ECM) Reconnected

  Yes

  No

  N/A

• Battery Voltage Restored

  Yes

  No

  N/A

• High/Low Voltage Components Connected Properly

  Yes

  No

  N/A

• All Components Free of Leaks

  Yes

  No

  N/A

• Instruments Working Properly

  Yes

  No

  N/A

• Alarm System Working Properly

  Yes

  No

  N/A

• Miscellaneous

  Yes

  No

  N/A

General

• Comments

  Yes

  No

  N/A

• Future Projects

  Yes

  No

  N/A

• Equipment to be Rebuilt for Spare

  Yes

  No

  N/A

Signature

• On Site Representative

  Sign