| Vessel Name | Date | ||
|---|---|---|---|
| Officer in Charge | Voyage No. |
| Item | Checked | Remarks |
|---|---|---|
| Access control to restricted areas | ||
| Patrol of deck and cargo spaces | ||
| Inspection of lifeboats and lifesaving appliances | ||
| Check of mooring lines and fenders | ||
| Inspection of engine room and machinery spaces | ||
| All shore personnel accounted for | ||
| Check for any suspicious items or bags | ||
| Verification after shore leave |
| Officer's Name | Signature |
|---|