Z5

• Site conducted

  Select

• Conducted on

  Date

• Visiting Manager

• Location
  Address

Master and Crew Details

• Master

• Date Joined

  Date

• Chief Engineer

• Date Joined

  Date

• Is there an OIM on board?

  Yes

  No

  N/A

• OIM Name

• Date Joined

  Date

Summary

• Executive Summary

Review of Safety Meeting Minutes

• Are there any known critical safety items at time of inspection?

  Yes

  No

  N/A

Safety Observations

• Are Safety Observations being addressed or closed satisfactorily?

  Yes

  No

  N/A

• Is there evidence to show Safety Observations are being actioned and closed out?

  Yes

  No

  N/A

Near Miss Reports

• Have any Near Miss reports been submitted in the last month?

  Yes

  No

  N/A

• How many Near Miss reports have been submitted in the last month?

• Over the last month, did the number of Near Miss Reports exceed the number of Incident Reports?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Have all Near Miss reports been investigated satisfactorily?

  Yes

  No

  N/A

• Have corrective / preventative actions been raised?

  Yes

  No

  N/A

Incident Reports

• Have any incident reports been submitted in the last month?

  Yes

  No

  N/A

• How many incident reports have been submitted in the last month?

• Have all incident reports been investigated satisfactorily?

  Yes

  No

  N/A

• Have corrective / preventative actions been raised?

  Yes

  No

  N/A

• Are any outstanding actions arising from incident reports still open?

  Yes

  No

  N/A

• Are any outstanding actions arising from incident reports overdue?

  Yes

  No

  N/A

Review of Shipboard Management Items

• Are there any critical items (affecting Operational Status) at the time of the inspection?

  Yes

  No

  N/A

• Are there any Safety Management Issues outstanding at time of inspection?

  Yes

  No

  N/A

• Do regular housekeeping inspections been take place? (is there evidence of housekeeping inspections?)

  Yes

  No

  N/A

Emergency Preparedness

• Have safety / emergency drills been conducted in accordance with ship owner requirements?

  Yes

  No

  N/A

• Record Date, Time and Details of last Emergency Drill

  Yes

  No

  N/A

• Was an emergency drill held / witnessed during the inspection?

  Yes

  No

  N/A

YTD Performance Against Fleet Safety KPIs

• Does the OIM monitor performance against Fleet Safety KPIs and review with senior staff on board?

  Yes

  No

  N/A

• Comments relating to performance against Company Safety KPIs

• Has the OIM been set objectives / completed initial performance review for commission with SSUP or Fleet Manager?

  Yes

  No

  N/A

• Has the OIM set objectives / completed initial performance review for HODs aboard the vessel?

  Yes

  No

  N/A

• Introduction / Summary

Vessel Status

• Was the vessel conducting operations at the time of the visit?

  Yes

  No

  N/A

Vessel Inspection

• Is the hull / topside paintwork in good condition?

  Yes

  No

  N/A

• Is the appearance of the outside decks clean?

  Yes

  No

  N/A

• Are the outside decks tidy?

  Yes

  No

  N/A

• Are the outside decks well illuminated at night?

  Yes

  No

  N/A

• Is the appearance of the accommodation clean?

  Yes

  No

  N/A

Certification

• Does the vessel have any active conditions of class?

  Yes

  No

  N/A

• Is the Trading Certificates file maintained and up to date?

  Yes

  No

  N/A

• Is the latest copy of the SMC and DOC posted for all crew / visitors to view?

  Yes

  No

  N/A

• Is the Safety and Environmental Policy available and posted on board?

  Yes

  No

  N/A

• Is the ships Library, documentation and manuals valid, up-to-date and accessible on board? (Regs4Ships)

  Yes

  No

  N/A

• Are crew, officers and the Master certificated sufficiently in accordance with Safe Manning Document, STCW and Flag State requirements?

  Yes

  No

  N/A

• Was a sample checked?

  Yes

  No

  N/A

Gangway and Moorings

• Are rat guards correctly rigged and securely fastened on all mooring lines?

  Yes

  No

  N/A

• Are gangway and moorings in good condition?

  Yes

  No

  N/A

• Are Gangway and moorings rigged as required? (e.g. Wires, steps, gangway net, bottom stanchion's, manropes)

  Yes

  No

  N/A

• Are Gangway and moorings clean and tidy?

  Yes

  No

  N/A

• Is an international ship-shore fire connection available at the gangway?

  Yes

  No

  N/A

• Are emergency plans at the gangway available and up-to-date?

  Yes

  No

  N/A

Access Control

• Was Photo ID Checked upon boarding the vessel?

  Yes

  No

  N/A

• Is a visitors log being maintained?

  Yes

  No

  N/A

• Are restricted areas clearly marked and controlled?

  Yes

  No

  N/A

• Is the gangway watchmen, officers and crew in neat working clothes?

  Yes

  No

  N/A

• Were any crew or officers witnessed not wearing appropriate PPE?

  Yes

  No

  N/A

• Was the manager accompanied by an officer throughout visit?

  Yes

  No

  N/A

LSA

• Are davits, falls and launching apparatus for boats and life rafts in good order and maintained well?

  Yes

  No

  N/A

• Is the condition of the embarkation ladders acceptable?

  Yes

  No

  N/A

• Are HRUs fitted correctly?

  Yes

  No

  N/A

• Are launching instructions for life rafts and lifeboats clearly visible and in good condition?

  Yes

  No

  N/A

• Is the Rescue Boat working and in good order?

  Yes

  No

  N/A

• Are lifebuoys inspected fitted with lines / lights as per local signage?

  Yes

  No

  N/A

• Is the lifebuoy at the pilot boarding station / gangway fitted with a line?

  Yes

  No

  N/A

• Have emergency drills been carried out in accordance with company training matrix?

  Yes

  No

  N/A

Fire Safety

• Are all fire dampers and vents inspected; clearly marked, easy to operate and seal / operate effectively?

  Yes

  No

  N/A

• Are means of escape clearly marked, lit and free of obstructions?

  Yes

  No

  N/A

• Does all FFE inspected appear to be in good order?

  Yes

  No

  N/A

• Are EEBDs inspected fully charged and ready for immediate use?

  Yes

  No

  N/A

• Do all fire doors inspected function as required?

  Yes

  No

  N/A

• If the fire / emergency alarm sounds whilst on board, was the alarm audible to the manager?

  Yes

  No

  N/A

• Where compartments are covered by fixed Co2 systems, is appropriate signage in place at the entrance to the compartment?

  Yes

  No

  N/A

Bridge

• Is the deck log book completed in accordance with company and Master's standing orders?

  Yes

  No

  N/A

• Is the garbage record book maintained and up-to-date?

  Yes

  No

  N/A

• Is the EPIRB battery in date and is the unit fitted with the correct HRU?

  Yes

  No

  N/A

• Are all fire zone isolations recorded on the bridge / or in accordance with ship owner policy / Master's standing orders?

  Yes

  No

  N/A

• Are SARTS inspected in date?

  Yes

  No

  N/A

• Is the BNWAS fitted with a key?

  Yes

  No

  N/A

• Is the key in the unit at time of inspection?

  Yes

  No

  N/A

• Is the ECDIS / charts up-to-date at time of inspection?

  Yes

  No

  N/A

Accommodation

• Is the galley clean and well maintained?

  Yes

  No

  N/A

• Is garbage segregation in place in the Galley?

  Yes

  No

  N/A

• Is cooking oil disposed in compliance with MARPOL?

  Yes

  No

  N/A

• Are all sanitary facilities tested functioning correctly?

  Yes

  No

  N/A

• Has chlorine level in fresh / potable water been maintained at 0.2ppm (at the tap)?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are records of chlorine testing maintained and available for inspection?

  Yes

  No

  N/A

• Is there evidence that taps in the hospital flushed regularly?

  Yes

  No

  N/A

• Is signage around the accommodation suitable and in good order?

  Yes

  No

  N/A

• Are emergency lights marked?

  Yes

  No

  N/A

• Are stairwells clear of obstructions and adequately marked?

  Yes

  No

  N/A

• Is latest MLC inspection of living conditions posted on notice board (if required by flag state)?

  Yes

  No

  N/A

Engine Room

• Is the Engine Room Log book being maintained in accordance with company and Chief Engineers standing orders?

  Yes

  No

  N/A

• Is the engine room clean and tidy?

  Yes

  No

  N/A

• Are escape routes inspected clear of obstructions?

  Yes

  No

  N/A

• Are escape route signs in place and sufficient?

  Yes

  No

  N/A

• Are bilges, bottom plates and tank tops clear of oil?

  Yes

  No

  N/A

• Is the ORB up to date and signed by the Master?

  Yes

  No

  N/A

• Are all fire pumps in working order?

  Yes

  No

  N/A

• When was the last at sea emergency steering drill carried out?

  Date

• Does all ER fire fighting equipment inspected appear to be in good order?

  Yes

  No

  N/A

• Do audible alarms on watertight doors inspected function when doors are in motion?

  Yes

  No

  N/A

• Are records available on board to show engineers are trained in the use of watertight doors?

  Yes

  No

  N/A

• Other findings?

Safety on board

• Was a safety induction performed?

  Yes

  No

  N/A

• Was safety / evacuation information relayed to the inspector at time or, or shortly after boarding the vessel?

  Yes

  No

  N/A

• Was appropriate PPE available and issued at the vessel?

  Yes

  No

  N/A

• Were toolbox talks witnessed during the visit?

  Yes

  No

  N/A

• Did the toolbox talk cover items listed on the TBT prompt cards?

  Yes

  No

  N/A

• Were all permits to work, at time of inspection, completed and posted correctly?

  Yes

  No

  N/A

• Was there any evidence of Permit to Work system not being followed during the visit?

  Yes

  No

  N/A

• Was risk assessment completed / reviewed ahead of any work tasks witnessed during the inspection?

  Yes

  No

  N/A

• Was work being undertaken on board adequately supervised?

  Yes

  No

  N/A

• Were control of work procedures followed?

  Yes

  No

  N/A

• Are crew familiar with who the DPA is?

  Yes

  No

  N/A

• Are crew able to identify how to contact the DPA?

  Yes

  No

  N/A

• Are regular Head of Department meetings held on board?

  Yes

  No

  N/A

• When was the last HOD meeting held on board?

  Date