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pdfVessel Safety Checklist
VESSEL NAME: ______________________________ VESSEL PERMIT:__________ VESSEL LENGTH EST.:_________
Ensure the USCG Commercial Fishing Vessel Safety
decal is not expired. The expiration date is at the end
of the month displayed.
Some rafts are stored in a float free cradle - this is an approved cradling
system, as long as the painter line is properly attached to a weak link.
Is the decal valid?
SURVIVAL CRAFT:
Y N Is hydrostatic release installed correctly?
Y N
Pg 10 EPIRB * (When Required): Pg 17
Y N
Number of: ______________________________
Location(s): ______________________________________
Total capacity: ___________________________
Battery exp. date:______________(expires at end of month
displayed)
# of crew & observer/s on board _____________
Y N Hydrostatic release expiration date (cat. 1 only): _____/ ______
(expires at end of month displayed)
Y N
Located in a Coast Guard approved location?
Y N
Sufficient capacity?
Survival craft(s) stowed correctly?
Float free or otherwise in accordance with the Federal
Requirements for Commercial Fishing Industry Vessels
(page 13)
NOAA Registration Valid?
Y N
Service Due decal exp. date: ________ /_______
Exp. date: _______________________________________
(Unless otherwise noted, expires at end of month displayed)
(expires at end of month displayed- inflatables only)
Registered to this vessel (name of vessel displayed):
Y N
Hydrostatic release exp. date: _______ /_______
Alphanumeric code on decal matches code on EPIRB:
Y N
(expires at end of month displayed)
Signal tested (or asked to see station log in wheelhouse
for most recent test. Signal should be tested monthly):
Your survival craft assignment: ______________
Enter information for all additional survival craft in the
comments section.
Y N
*Visual inspection of EPIRB only. Leave all testing/handling to crew
IMMERSION SUIT/PFDS:
Pg 6 FIRE EXTINGUISHERS:
Pg 19
Available for everyone on board?
Y N Extinguisher(s) found in every main area/corridor?
Y N
Location(s): _____________________________
DISTRESS SIGNALS:
(ask captain for assistance)
Extinguishers in “good and serviceable condition” (gauge in
the green, low amounts of rust, canister in good condition,
unobstructed, hoses attached, service tags available)?
Y N
Pg 16 THROWABLE FLOTATION DEVICES:
Pg 8
Number of flotation devices appropriate for vessel size?
Y N
# of distress signals meet federal requirements
Y N
Number of: Rings _______________ / Slings ____________
Location(s): _____________________________
Easily accessible?
Y N
All distress signals within expiration date (expires
Y N
on date displayed)
Y N Name of vessel displayed on each?
Location(s): ______________________________________
13
ADDITIONAL SAFETY CHECKS:
FIRST AID MATERIALS:
Watertight doors (when required)- 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
Discussed refrigerant leak procedures?
Y N
Type of refrigerant used
(Freon or Ammonia) _______________________________
Identified person to discuss reporting marine
casualties or inoperative alarms?
Y N
Did you hear the general alarm?
Y N
Where will you go during emergencies?
________________________________________________
Will the vessel maintain watch at all times
while under way?
Y N
If no, inform the captain, your contractor, and FMA. Do
not remain on the vessel
SAFETY ORIENTATION:
Did you complete drills upon embarking the
vessel?
Y N
Who?: ____________________________________
Communication Equipment:
Pg 26
How many SSB and VHF radios?: _______ / _______
Are emergency call instructions posted?
Y N
Were procedures for making an emergency call
discussed?
Y N
Additional Communication Equipment
List any additional communication systems on board in the
comment section (satellite phone, inReach, etc.)
STATION BILL:
Pg 28
Did you review the information on the Station Bill?
Y N
Describe your duties outlined in the station bill:
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Pg 29 EMERGENCY DRILLS
Y N AND DATE(S) CONDUCTED:
Pg 29
Fire ________________________________________
Did the captain address all of the items in the
safety checklist during the safety orientation?
Y N
Did the vessel conduct a safety orientation?
Y N
Who gave the orientation? __________________________
Detail what was covered below
________________________________________________
________________________________________________
________________________________________________
________________________________________________
COMMENTS (ALL “N” RESPONSES REQUIRE A
COMMENT):
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Abandon Ship ________________________________
Man Overboard ______________________________
Vessel Flooding/stabilization ____________________
General alarm activation _______________________
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 PERSONAL PROTECTIVE EQUIPMENT:
Do you have the PLB that was issued to you?
Y N
PLB UIN: _________________________________
Immersion Suit with Strobe Light and Battery?
Y N
Serial #: ___________________________________
Personal Flotation Device with Strobe Light and
Battery?
Observer Name: _________________________________________________
Cruise #: ______________
Observer Signature: ______________________________________________
Date: _________________
Captain Name: __________________________________________________
Captain Signature (optional): _______________________________________
Date: _________________
Blue indicates “No Go” items!
14
Pg 24
Y N
File Type | application/pdf |
File Modified | 2020-08-12 |
File Created | 2020-08-12 |