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pdfVessel Safety Checklist
VES SEL N AM E : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
VESS EL 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.
Note: 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.
Is hydrostatic release installed correctly?
Y
N
Pg 1 0
S UR VI VA L C RA F T :
Number of:________________________
E P IR B * (When Required):
Pg 17
Location(s):_______________________________________
Y
N
Total capacity:_____________________
Battery exp. date: __________ (expires on date displayed)
# of crew & observer/s on board________
Hydrostatic release expiration date (cat. 1 only):____/____
(expires on date displayed)
Located in a Coast Guard approved location?:
Y
N
NOAA Registration Valid?
Y
N
Registered to this vessel (name of vessel displayed):
Y
N
Alphanumeric code on decal matches code on EPIRB:
Y
N
Signal tested (or asked to see station log in wheelhouse for
most recent test. Signal should be tested monthly):
Y
N
Is the decal valid?
Y N
Sufficient capacity?
Y N
Survival craft(s) stowed correctly? Float
Y N
free or otherwise in accordance with the Federal
Requirements for Commercial Fishing Industry
Vessels (page 13)
Exp. date: _________ (expires on date displayed)
Service Due decal exp. date:____/____
(expires on date displayed-inflatables only)
Hydrostatic release exp. date:___/_____
(expires on date displayed)
Your survival craft assignment: ____________
*Visual inspection of EPIRB only. Leave all testing/handling to crew
Enter information for all additional survival
craft in the comments section.
I M M E R S I O N S UI T / P F D S :
Available for everyone on board?
Pg 6
Y N Extinguisher(s) found in every main area/corridor?
Location(s):________________________
D I STRESS S I G N AL S :
F IRE E XT INGU IS HERS :
Extinguishers in “good and serviceable condition” (gauge in
the green, low amounts of rust, canister in good condition,
unobstructed, hoses attached, service tags available)?
Pg 16
T H RO W A B L E F L O TAT IO N D EVI CES :
(ask captain for assistance)
Number of flotation devices appropriate for vessel size?
Location(s):________________________
Number of: Rings_____________/Slings_____________
Expiration dates checked?
Y N Easily accessible?:
(expires on date displayed)
Name of vessel displayed on each?
If checked, number of flares:__________
Location(s):_______________________________________
Pg 19
Y
N
Y
N
Pg 8
Y
N
Y
N
Y
N
17
A D D IT IO N AL S A FE T Y C H E C K S :
F IR ST A ID M A T E R I A L S :
Watertight doors (when required)- do they close
Pg 2 4
Y N Location(s):_____________________________________
properly?
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
Y N Radios:
factory with captain/crew?
Y N
Pg 26
How many SSB and VHF radios?: _________ / ________
Y N Are emergency call instructions posted?
Discussed refrigerant leak procedures?
Type of refrigerant used___________________
Discussed reporting/identifying inoperative
Y N
Were procedures for making an emergency call discussed?
Y N
Did you review the information on the Station Bill?
Y N
Y N
alarm/fire systems?
Y N
Did you hear the general alarm?
Where will you go during emergencies:
______________________________________
Does the vessel maintain watch at all times while
under way?
Y N
If no, was the captain, your contractor,
Y N
and FMA informed?
S AF ET Y O R I E N T A T I O N :
Did you complete drills upon embarking the
vessel?
Pg 2 9 E M ERG E NC Y D R IL L S A ND D AT E ( S ) CO N D UC T E D : Pg 2 9
Y N Fire____________________________________________
Abandon Ship ___________________________________
Did the captain use this safety checklist to
complete the required vessel safety orientation?
Y N
Did the vessel conduct a safety orientation?
Y N
Vessel Flooding/stabilization____________________
General alarm activation ___________________________
Who gave the orientation? ________________
Donning immersion suits ___________________________
Detail what was covered below
Radio/visual distress signals ________________________
_______________________________________
_______________________________________
C OM M E N T S
COMMENT):
Man Overboard __________________________________
( A LL “ N ” RES PO N SE S REQ U IRE A
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
____________________________________________
Were the drills hands-on involving actual gear?
Y N
Did you participate in the drills?
Y N
O B S E R V E R P ERS O NAL P RO TECTIVE E QUI PM ENT :
Personal Locator Beacon? (UIN:________________________)
NOAA Registration Decal Expiration Date:____________
Immersion Suit with Strobe Light and Battery?
Personal Flotation Device with Strobe Light and
Battery?
Cruise #: _______________
Observer Signature: ________________________________________________________
Date: __________________
Captain Name: ____________________________________________________________
Captain Signature (optional): _________________________________________________
Date: __________________
*If so, were you able to supply a copy? Y N
Blue indicates “no go” items!
18
Y N
Serial #:_______________________________
Observer Name: ___________________________________________________________
*Did the vessel request a copy of the Checklist? Y N
Y N
Y N
File Type | application/pdf |
File Title | 2015 Logbook Partial Coverage.book |
Author | Marlon.Concepcion |
File Modified | 2015-04-22 |
File Created | 2015-04-22 |