Vessel Safety Evaluation

• Vessel Name

• Conducted on

  Date

• Evaluator

• Location
  Address

• Personnel

Credentials

• TWIC

  Excellent

  Good

  Sub-par

  Poor

• USCG Documents

  Excellent

  Good

  Sub-par

  Poor

• ISNetworld ID

  Excellent

  Good

  Sub-par

  Poor

Forms / Documents / Manuals

• Rough Logs up-to-date

  Excellent

  Good

  Sub-par

  Poor

• Entries in ink and white out is not used

  Excellent

  Good

  Sub-par

  Poor

• Required entries made

  Excellent

  Good

  Sub-par

  Poor

• Requested manuals readily accessible

  Excellent

  Good

  Sub-par

  Poor

• Customer specific manuals (OPS011, OPS055)

  Excellent

  Good

  Sub-par

  Poor

• Odyssea Marine SMS

  Excellent

  Good

  Sub-par

  Poor

• Odyssea Marine Maintenance Manual

  Excellent

  Good

  Sub-par

  Poor

• Odyssea Weekly Trainer

  Excellent

  Good

  Sub-par

  Poor

• Hand Over Notes

  Excellent

  Good

  Sub-par

  Poor

• JSAs correctly completed and up-to-date

  Excellent

  Good

  Sub-par

  Poor

• Safety Meetings completed and up-to-date

  Excellent

  Good

  Sub-par

  Poor

• Drills completed and up-to-date

  Excellent

  Good

  Sub-par

  Poor

• Passenger Orientations

  Excellent

  Good

  Sub-par

  Poor

• SE_1 / SE_2

  Excellent

  Good

  Sub-par

  Poor

• M-10

  Excellent

  Good

  Sub-par

  Poor

• Serious Marine Incident (Swabs and Forms)

  Excellent

  Good

  Sub-par

  Poor

• Vessel General Permit

  Excellent

  Good

  Sub-par

  Poor

• Chart Updates

  Excellent

  Good

  Sub-par

  Poor

• Other

  Excellent

  Good

  Sub-par

  Poor

Personnel

• Personal Protective Equipment

  Excellent

  Good

  Sub-par

  Poor

• Drills (actually witnessed)

  Excellent

  Good

  Sub-par

  Poor

• Familiarized with Telaurus

  Excellent

  Good

  Sub-par

  Poor

• Familiarized with SMS

  Excellent

  Good

  Sub-par

  Poor

• Smoking policy observed

  Excellent

  Good

  Sub-par

  Poor

• Demonstrate safety awareness / safe habits

  Excellent

  Good

  Sub-par

  Poor

• Other

  Excellent

  Good

  Sub-par

  Poor

Vessel Condition

• Gangway / Vessel Moorings

  Excellent

  Good

  Sub-par

  Poor

• Housekeeping / Cabin Cleanliness

  Excellent

  Good

  Sub-par

  Poor

• Safety Equipment

  Excellent

  Good

  Sub-par

  Poor

• Placards shown

  Excellent

  Good

  Sub-par

  Poor

• Waste Discharge Placard

  Excellent

  Good

  Sub-par

  Poor

• Fire Control Plan

  Excellent

  Good

  Sub-par

  Poor

• Emergency Instructions

  Excellent

  Good

  Sub-par

  Poor

• Station Bill

  Excellent

  Good

  Sub-par

  Poor

• Employee Help

  Excellent

  Good

  Sub-par

  Poor

• O'Brien's

  Excellent

  Good

  Sub-par

  Poor

• Lock out / Tag out

  Excellent

  Good

  Sub-par

  Poor

• Other

  Excellent

  Good

  Sub-par

  Poor

Security

• Placards shown

  Excellent

  Good

  Sub-par

  Poor

• MARSEC

  Excellent

  Good

  Sub-par

  Poor

• Gangway Signs

  Excellent

  Good

  Sub-par

  Poor

• Restricted Area

  Excellent

  Good

  Sub-par

  Poor

• Visitor Log completed

  Excellent

  Good

  Sub-par

  Poor

• Security Drills - must have 1 every 3 months

  Excellent

  Good

  Sub-par

  Poor

Environmental

• DOIs completed

  Excellent

  Good

  Sub-par

  Poor

• Fuel Transfer Procedures Followed

  Excellent

  Good

  Sub-par

  Poor

• Oil Record log (Foreign Flagged or 400 G.T. +)

  Excellent

  Good

  Sub-par

  Poor

• Fuel Containments in good condition

  Excellent

  Good

  Sub-par

  Poor

• Spill Kits in good condition

  Excellent

  Good

  Sub-par

  Poor

• Garbage log

  Excellent

  Good

  Sub-par

  Poor

• MSDS (well maintained / crew can find)

  Excellent

  Good

  Sub-par

  Poor

• Other

  Excellent

  Good

  Sub-par

  Poor

Lessons Learned / Fleet Messages / Office Memos

• Received and review of each has been documented

  Complete

  Incomplete

JSAs / Drills / Safety Meetings

• Date and content of most recent JSA

• Date and content of most recent safety meeting

• Date and content of most recent drill

Comments / Signatures

• Captain and crew comments

• Evaluator comments

• Captain's Signature

  Sign

• Evaluators Signature

  Sign