Harbor Pilot Boarding Health Checklist

Vessel & Boarding Details

Vessel Name IMO Number Date Time Pilot Name Master Name

Crew & Visitors Health Status

Item	Yes	No
Any crew with fever, cough, sore throat, or respiratory symptoms?
Any COVID-19 suspected or positive cases on board?
Any crew member joined in last 14 days?
Any crew member disembarked in last 14 days?
Have all persons had temperature check today?

Boarding Arrangements

Pilot Ladder Condition PPE Provided (Mask, Gloves, etc.) Other Safety Precautions

Declarations

Remarks