Safety checklist

Vessel Safety Checklist
V E S S E L N A M E : _________________________________

VESSEL

P E R M I T:___________ ____

Ensure the USCG Commercial Fishing Vessel
Safety decal is not expired based on the
information noted on the face of the decal.

Is the decal valid?

Y N

S U R V I V A L C R A F T:
Number of:________________________

EPIRB: (Visual inspection only. Please leave all testing/handling to crew)
Location(s):_______________________________________

Total capacity:_____________________

Battery exp. date: __________ (expires on date displayed)

# of crew & observer/s on board________

Hydrostatic release expiration date:______/_____ (expires
on date displayed)

Sufficient capacity?

Y N

Survival craft(s) able to float free? (Note:

Y N

some vessels have their rafts in a float free cradle this is an approved cradling system, so long as the
painter line is properly attached to a weak link.)

Service Due decal exp. date:____/____
(expires on date displayed)
Hydrostatic release exp. date:___/_____
(expires on date displayed)

Located in a float free location?:

Y

N

Registered to this vessel (name of vessel displayed):

Y

N

Alphanumeric code on decal matches code on EPIRB:

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

NOAA Registration Decal:
Exp. date: _________ (expires on date displayed)

Signal tested (or asked to see station log in wheelhouse for
most recent test. Signal should be tested monthly):

Your raft assignment:________________
I M M E R S I O N S U I T /PFD S :
Available for everyone on board?
Location(s):________________________

F L A RE S :

(ask captain for assistance)

Location(s):________________________
Expiration dates checked?

F I RE E X T I N G U I S H E R S:
Y N Extinguisher(s) found in every main area/corridor?
Extinguishers in “good and serviceable condition” (gauge in
the green, low amounts of rust, canister in good condition,
unobstructed, hoses attached, service tags available)?
T H RO W A B L E F L O T A T I O N D E V I C E S:
Number of flotation devices appropriate for vessel size?
Y N Easily accessible?:

(expires on date displayed)

Name of vessel displayed on each?

If checked, number of flares:__________

Location(s):_______________________________________
10

ADDITIONAL SAFETY

C H E C K S:

F I R S T A I D M A T E R I A L S:

Factory hydraulic shut-off(s) - know location?

Y N Location(s):_____________________________________

Watertight doors - do they close properly?

Y N Is there an individual trained in CPR/First Aid on board?

Hatches/passageways - are they unobstructed?

Y N Who?:_________________________________________

Discussed safe places to work on deck and in
factory with captain/crew?

Y N

Discussed refrigerant leak procedures?

Y N Radios:

Type of refrigerant used___________________
Discussed reporting/identifying inoperative
alarm/fire systems?
Did you hear the general alarm?

How many SSB and VHF radios?: _________ / ________
Y N Are emergency call instructions posted?

Y N

Y N Were procedures for making an emergency call discussed?

Y N

S A F E T Y O R I E N T A T I O N:

EMERGENCY DRILLS

Where will you go during emergencies:
______________________________________

Fire____________________________________________

If you did not complete drills upon embarking
the vessel, did the captain use this safety
checklist to complete the required vessel safety
orientation?
Did the vessel conduct a safety orientation?

Man Overboard __________________________________
Y N Vessel Flooding/stabilization ________________________
General alarm activation ___________________________
Y N Donning immersion suits ___________________________
Radio/visual distress signals ________________________

(Detail what was covered in the comment
section below)
OBSERVER PERSONAL PROTECTIVE
E Q U I P M E N T:
Personal Locator Beacon?
UIN:__________________________________
NOAA Registration Decal Expiration
Date:__________________________________
Immersion Suit with Strobe Light and
Battery?
Serial #:_______________________________
Personal Flotation Device with Strobe Light
and Battery?

A N D D A T E( S ) C O N D U C T E D:

Abandon Ship ___________________________________

Who gave the orientation? ________________

Were the drills hands-on involving actual gear?

Y N

Did you participate in the drills?

Y N

C O M M E N T S (A L L “N”
C O M M E N T):

R E S P O N S E S RE Q U I RE A

Y N _______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Y N _______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Y N _______________________________________________
_______________________________________________

Observer Name: ___________________________________________________________ Cruise #: _______________
Observer Signature: ________________________________________________________ Date: __________________
Captain Name: ____________________________________________________________________________________
Captain Signature (optional): _________________________________________________ Date: __________________
*Did the vessel request a copy of the Checklist? Y N

*If so, were you able to supply a copy?

Blue indicates “no go” items!
11

Y N

Y N

____________________________________________________________________________________

Vessel Safety Checklist
V E S S E L N A M E : _________________________________

VESSEL

P E R M I T:___________ ____

Ensure the USCG Commercial Fishing Vessel
Safety decal is not expired based on the
information noted on the face of the decal.

Is the decal valid?

Y N

S U R V I V A L C R A F T:
Number of:________________________

EPIRB: (Visual inspection only. Please leave all testing/handling to crew)
Location(s):_______________________________________

Total capacity:_____________________

Battery exp. date: __________ (expires on date displayed)

# of crew & observer/s on board________

Hydrostatic release expiration date:______/_____ (expires
on date displayed)

Sufficient capacity?

Y N

Survival craft(s) able to float free? (Note:

Y N

some vessels have their rafts in a float free cradle this is an approved cradling system, so long as the
painter line is properly attached to a weak link.)

Service Due decal exp. date:____/____
(expires on date displayed)
Hydrostatic release exp. date:___/_____
(expires on date displayed)

Located in a float free location?:

Y

N

Registered to this vessel (name of vessel displayed):

Y

N

Alphanumeric code on decal matches code on EPIRB:

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

NOAA Registration Decal:
Exp. date: _________ (expires on date displayed)

Signal tested (or asked to see station log in wheelhouse for
most recent test. Signal should be tested monthly):

Your raft assignment:________________
I M M E R S I O N S U I T /PFD S :
Available for everyone on board?
Location(s):________________________

F L A RE S :

(ask captain for assistance)

Location(s):________________________
Expiration dates checked?

F I RE E X T I N G U I S H E R S:
Y N Extinguisher(s) found in every main area/corridor?
Extinguishers in “good and serviceable condition” (gauge in
the green, low amounts of rust, canister in good condition,
unobstructed, hoses attached, service tags available)?
T H RO W A B L E F L O T A T I O N D E V I C E S:
Number of flotation devices appropriate for vessel size?
Y N Easily accessible?:

(expires on date displayed)

Name of vessel displayed on each?

If checked, number of flares:__________

Location(s):_______________________________________
12

ADDITIONAL SAFETY

C H E C K S:

F I R S T A I D M A T E R I A L S:

Factory hydraulic shut-off(s) - know location?

Y N Location(s):_____________________________________

Watertight doors - do they close properly?

Y N Is there an individual trained in CPR/First Aid on board?

Hatches/passageways - are they unobstructed?

Y N Who?:_________________________________________

Discussed safe places to work on deck and in
factory with captain/crew?

Y N

Discussed refrigerant leak procedures?

Y N Radios:

Type of refrigerant used___________________
Discussed reporting/identifying inoperative
alarm/fire systems?
Did you hear the general alarm?

How many SSB and VHF radios?: _________ / ________
Y N Are emergency call instructions posted?

Y N

Y N Were procedures for making an emergency call discussed?

Y N

S A F E T Y O R I E N T A T I O N:

EMERGENCY DRILLS

Where will you go during emergencies:
______________________________________

Fire____________________________________________

If you did not complete drills upon embarking
the vessel, did the captain use this safety
checklist to complete the required vessel safety
orientation?
Did the vessel conduct a safety orientation?

Man Overboard __________________________________
Y N Vessel Flooding/stabilization ________________________
General alarm activation ___________________________
Y N Donning immersion suits ___________________________
Radio/visual distress signals ________________________

(Detail what was covered in the comment
section below)
OBSERVER PERSONAL PROTECTIVE
E Q U I P M E N T:
Personal Locator Beacon?
UIN:__________________________________
NOAA Registration Decal Expiration
Date:__________________________________
Immersion Suit with Strobe Light and
Battery?
Serial #:_______________________________
Personal Flotation Device with Strobe Light
and Battery?

A N D D A T E( S ) C O N D U C T E D:

Abandon Ship ___________________________________

Who gave the orientation? ________________

Were the drills hands-on involving actual gear?

Y N

Did you participate in the drills?

Y N

C O M M E N T S (A L L “N”
C O M M E N T):

R E S P O N S E S RE Q U I RE A

Y N _______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Y N _______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Y N _______________________________________________
_______________________________________________

Observer Name: ___________________________________________________________ Cruise #: _______________
Observer Signature: ________________________________________________________ Date: __________________
Captain Name: ____________________________________________________________________________________
Captain Signature (optional): _________________________________________________ Date: __________________
*Did the vessel request a copy of the Checklist? Y N

*If so, were you able to supply a copy?

Blue indicates “no go” items!
13

Y N

Y N

Vessel Safety Checklist
V E S S E L N A M E : _________________________________

VESSEL

P E R M I T:___________ ____

Ensure the USCG Commercial Fishing Vessel
Safety decal is not expired based on the
information noted on the face of the decal.

Is the decal valid?

Y N

S U R V I V A L C R A F T:
Number of:________________________

EPIRB: (Visual inspection only. Please leave all testing/handling to crew)
Location(s):_______________________________________

Total capacity:_____________________

Battery exp. date: __________ (expires on date displayed)

# of crew & observer/s on board________

Hydrostatic release expiration date:______/_____ (expires
on date displayed)

Sufficient capacity?

Y N

Survival craft(s) able to float free? (Note:

Y N

some vessels have their rafts in a float free cradle this is an approved cradling system, so long as the
painter line is properly attached to a weak link.)

Service Due decal exp. date:____/____
(expires on date displayed)
Hydrostatic release exp. date:___/_____
(expires on date displayed)

Located in a float free location?:

Y

N

Registered to this vessel (name of vessel displayed):

Y

N

Alphanumeric code on decal matches code on EPIRB:

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

NOAA Registration Decal:
Exp. date: _________ (expires on date displayed)

Signal tested (or asked to see station log in wheelhouse for
most recent test. Signal should be tested monthly):

Your raft assignment:________________
I M M E R S I O N S U I T /PFD S :
Available for everyone on board?
Location(s):________________________

F L A RE S :

(ask captain for assistance)

Location(s):________________________
Expiration dates checked?

F I RE E X T I N G U I S H E R S:
Y N Extinguisher(s) found in every main area/corridor?
Extinguishers in “good and serviceable condition” (gauge in
the green, low amounts of rust, canister in good condition,
unobstructed, hoses attached, service tags available)?
T H RO W A B L E F L O T A T I O N D E V I C E S:
Number of flotation devices appropriate for vessel size?
Y N Easily accessible?:

(expires on date displayed)

Name of vessel displayed on each?

If checked, number of flares:__________

Location(s):_______________________________________
14

ADDITIONAL SAFETY

C H E C K S:

F I R S T A I D M A T E R I A L S:

Factory hydraulic shut-off(s) - know location?

Y N Location(s):_____________________________________

Watertight doors - do they close properly?

Y N Is there an individual trained in CPR/First Aid on board?

Hatches/passageways - are they unobstructed?

Y N Who?:_________________________________________

Discussed safe places to work on deck and in
factory with captain/crew?

Y N

Discussed refrigerant leak procedures?

Y N Radios:

Type of refrigerant used___________________
Discussed reporting/identifying inoperative
alarm/fire systems?
Did you hear the general alarm?

How many SSB and VHF radios?: _________ / ________
Y N Are emergency call instructions posted?

Y N

Y N Were procedures for making an emergency call discussed?

Y N

S A F E T Y O R I E N T A T I O N:

EMERGENCY DRILLS

Where will you go during emergencies:
______________________________________

Fire____________________________________________

If you did not complete drills upon embarking
the vessel, did the captain use this safety
checklist to complete the required vessel safety
orientation?
Did the vessel conduct a safety orientation?

Man Overboard __________________________________
Y N Vessel Flooding/stabilization ________________________
General alarm activation ___________________________
Y N Donning immersion suits ___________________________
Radio/visual distress signals ________________________

(Detail what was covered in the comment
section below)
OBSERVER PERSONAL PROTECTIVE
E Q U I P M E N T:
Personal Locator Beacon?
UIN:__________________________________
NOAA Registration Decal Expiration
Date:__________________________________
Immersion Suit with Strobe Light and
Battery?
Serial #:_______________________________
Personal Flotation Device with Strobe Light
and Battery?

A N D D A T E( S ) C O N D U C T E D:

Abandon Ship ___________________________________

Who gave the orientation? ________________

Were the drills hands-on involving actual gear?

Y N

Did you participate in the drills?

Y N

C O M M E N T S (A L L “N”
C O M M E N T):

R E S P O N S E S RE Q U I RE A

Y N _______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Y N _______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Y N _______________________________________________
_______________________________________________

Observer Name: ___________________________________________________________ Cruise #: _______________
Observer Signature: ________________________________________________________ Date: __________________
Captain Name: ____________________________________________________________________________________
Captain Signature (optional): _________________________________________________ Date: __________________
*Did the vessel request a copy of the Checklist? Y N

*If so, were you able to supply a copy?

Blue indicates “no go” items!
15

Y N

Y N

16

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