Information
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Vessel Name
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Vessel ID
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. Documentation
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JSA for site reviewed and signed
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JSA requirements adhered to
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JSA reviewed and signed
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Waters edge briefing
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Pre-Start Conducted and records kept
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Emergency Drills / Local Facilities
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Training Certificates on board and current
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Permit to work process (hot work, confined space, work at heights, man lift)
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Safety Management System Documentation on board
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Records of vessel inductions/visitor register
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Handover process for masters in plans and effective
2. PPE
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Footwear, safety glasses, high vis long clothing
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Use of Lifejackets
3. Site Conditions
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Access and Egress on Vessels
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Barricading Appropriate - including information tags attached
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Signage Appropriate
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Housekeeping at Acceptable standard. Redundant material & rubbish material
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First Aid Kits available in vehicles and stocked
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Ablutions located
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Clear access to emergency services equipment
4. Tools & Equipment
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Electrical Equipment current tag, in good condition, used correctly &
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Rigging Equipment in good order, used correctly & safely
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Rigging Equipment current inspection tag/identification
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Equipment isolated as per procedure - Isolation tags and locks in used
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Mobile Equipment in good order - Vehicle/Plant Housekeeping
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Housekeeping of tools and equipment
6. Vessel General
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Check for visible leaks, hoses and couplings
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Personal Awareness of Environment aspects
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Supervisors active on safety
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Safe Work Methods
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Fire extinguisher tested and tagged
CORRECTIVE ACTIONS
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