Information

  • Manifest number

  • Backload or Load out

  • Vessel Name

  • Scope

  • Scope

  • Vessel Arrival Date

  • Location

General Information

  • Toolbox Meeting Held?

  • Select date

  • Task Description

  • Task Description

  • Number of lifts IN Bound

  • Cargo IN Bound Tons

  • Number of lifts OUT Bound

  • Cargo OUT Bound Tons

  • Number Lifts Relocated on Deck

  • Number of lifts OUT Bound

  • Cargo OUT Bound Tons

  • Number of lifts IN Bound

  • Cargo IN Bound Tons

  • Fuel/bunkers Quantity in/out litres

  • Call Out

  • Team Name

  • Type of Call Out

  • 4 Person Team

  • Add stevedore
  • Stevedore Hours

  • Vessel Arrival Time

  • 3 Person Team

  • Add stevedore
  • Stevedore Hours

  • Vessel Arrival Time

  • Add stevedore
  • Stevedore Hours

  • Vessel Arrival Time

  • Add stevedore
  • Stevedore Hours

  • Vessel Arrival Time

  • Team Name: Call Out

  • ETA Ongoing?

  • E.T.A

  • Tie Up time (actual)

  • ETD Ongoing?

  • E.T.D

  • Vessel Rubbish?

  • Vessel Rubbish Details. Weight/lifts/bins

  • Stores?

  • Number of Pallets

  • Total KG's

Quantities and Extars

Quantities And Extras

  • Manifest Present?

  • Gangway Used

  • Lifts over 7T

  • Number of Lifts over 7 Tons

  • Cargo Start

  • Break Start

  • Break Finish

  • Cargo Finish

  • Time Gangway Removed

  • Times
  • Break Start

  • Break Finish

  • Cargo Start

  • Cargo Finish

Delays Noted

Delays Identified

  • Any Delays?

  • What was the Delay?

  • Details

  • Details

  • Details

  • Description of Non Conformance

  • Stop work Authority Used

  • Details of Stop work

  • Actual Let Go Time

  • Completed By

  • Name of person completing form

  • Supervisors Signature

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.