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VESSEL INSPECTION CHECKLIST Name of Vessel Berth Date Time Weather Conditions Type of Cargo Flag Displayed HSE Officer AREAS OF INSPECTION Tick appropriate box YES NO Remarks/Action Taken ACCESS TO SHIP Safe Access between ship and shore Gangway equipped with safety net Safety Net extends 5 meters outside landing platform Life ring with heaving line hanging close to gangway Rat guards on mooring lines SHIP’S DECK Housekeeping on ship’s deck Safe access and egress routes Fire fighting system suitably positioned and functional Warning alarms/signals suitable positioned, labeled and functional Suitable and sufficient lighting on deck SHIP’S HOLD Housekeeping in ship’s hold Safe stowage of cargo in ship’s hold Safe access into and egress out of ship’s hold Good environmental conditions in ship’s hold Suitable and sufficient lighting in ship’s hold SHIP’S GEARS/CRANES Gears/cranes certified Safe Working Load (SWL) prominently displayed Housekeeping in crane’s cabin Ergonomic provisions in crane’s cabin Functionality of gears Functionality of crane’s lights

Plipdeco Haulier Inspection Checklist Sample Form

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Page 1: Plipdeco Haulier Inspection Checklist Sample Form

VESSEL INSPECTION CHECKLIST

Name of Vessel

Berth

Date

Time

Weather Conditions

Type of Cargo

Flag Displayed

HSE Officer

AREAS OF INSPECTION

Tick appropriate box

YES NO

Remarks/Action

Taken

ACCESS TO SHIP

Safe Access between ship and shore

Gangway equipped with safety net

Safety Net extends 5 meters outside landing platform

Life ring with heaving line hanging close to gangway

Rat guards on mooring lines

SHIP’S DECK

Housekeeping on ship’s deck

Safe access and egress routes

Fire fighting system suitably positioned and functional

Warning alarms/signals suitable positioned, labeled and functional

Suitable and sufficient lighting on deck

SHIP’S HOLD

Housekeeping in ship’s hold

Safe stowage of cargo in ship’s hold

Safe access into and egress out of ship’s hold

Good environmental conditions in ship’s hold

Suitable and sufficient lighting in ship’s hold

SHIP’S GEARS/CRANES

Gears/cranes certified

Safe Working Load (SWL) prominently displayed

Housekeeping in crane’s cabin

Ergonomic provisions in crane’s cabin

Functionality of gears

Functionality of crane’s lights

Page 2: Plipdeco Haulier Inspection Checklist Sample Form

COMPLIANCE TO INTERNATIONAL REGULATIONS

Dangerous Cargo Manifest

Placards with UN numbers and Proper shipping names

Segregation of dangerous cargo in ship’s hatch/deck

Pollution Placard

MARPOL Trash Placard

Flags

I certify that I have personally examined this vessel and find it meets the above

requirements at the time of this Vessel Safety Check.

Printed Name of the HSE Officer __________________________________

Signature __________________________________

Date __________________________________