ISM Occupational Health and Safety Audit Form

Vessel Name IMO Number Date of Audit Location Lead Auditor Audited Department(s)

Audit Checklist

Item	Compliant	Finding/Remarks
1. Safety Policies & Procedures	YesNoN/A
2. Use of Personal Protective Equipment (PPE)	YesNoN/A
3. Machinery Safety	YesNoN/A
4. Risk Assessments	YesNoN/A
5. Emergency Procedures	YesNoN/A
6. Training & Drills	YesNoN/A
7. Accident/Incident Reporting	YesNoN/A
8. Medical Facilities/First Aid	YesNoN/A

Observations/Comments Corrective Actions Required Auditor(s) Signature Date