Safety checklist

A D D I T I O N AL S A FE T Y C H E C K S :

F IR ST A ID M ATE RIA LS :

Watertight doors - do they close properly?

Y N Location(s):____________________________________

Hatches/passageways - are they unobstructed?

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

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

Y N Who?:_________________________________________

Discussed refrigerant leak procedures?
Type of refrigerant used_________________
Discussed reporting/identifying inoperative
alarm/fire systems?
Did you hear the general alarm?
Where will you go during emergencies:
_____________________________________

Y N

Y N
Radios:
Y N How many SSB and VHF radios?: _________ / ________
Are emergency call instructions posted?
Y N Were procedures for making an emergency call discussed?

S AF ET Y O R I E NT A T I O N :

E M E RG E NC Y D R IL L S A ND D AT E ( S ) CO N D UC T E D :

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

Fire____________________________________________
Y N Abandon Ship __________________________________

Did the vessel conduct a safety orientation?

Y N Vessel Flooding/stabilization ________________________

Y N
Y N

Man Overboard _________________________________

Who gave the orientation? ________________

General alarm activation ___________________________

(Detail what was covered in the comment
section below)

Donning immersion suits ___________________________
Radio/visual distress signals ________________________
Were the drills hands-on involving actual gear?

Y N

Did you participate in the drills?

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 them with a copy? Y N
Additional Comments: (All "N" responses require a comment)
____________________________________________________________________________________
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