HSE CHECKLIST

For

NW-TUNU 3D TZ Project

Crew 8611-TOTAL
 PT. BGP INDONESIA
CREW 8611(TOTAL) NW-TUNU 3D TZ Project

PT BGP INDONESIA
Checklist: TZ - Small Boat (Zodiac)

Inspected by: ____________ Department: ____________ Date: ____________ No. of Zodiac: ____________
G = Good Audit Follow-up
S = Satisfactory
U = Unsatisfactory G S U G S U
Boat of sound construction and hull well maintained
Engine in good working condition, with cover, no oil leakage
Boat daily checklist on board.
Boat motorist is certificated regarding local regulations. Knows and respects
the rules of navigation
Training for motorist and helper, including MOB, fire procedure, and etc.
PPE for crew - overalls, safety shoes, hat, gloves, sun glasses
All personnel on boat use life jackets, all life jackets in good condition
Radio communication
Journey management procedure respected (call on arrival and departure from
work site)
VTS monitor system
Is there basic equipment: map, fire extinguisher (2Kg ABC), two paddles,
bailer, proper fuel tanks, adequate spare fuel, anchor, pump, tool kit, First Aid
kit with checklist, signal mirror, whistle, canvas for shelter, red flag, flashlight
with spare batteries(dry wrapped), lifebuoy with flotation string (15mts),
plastic bags for rubbish collection
Floor covered with non-slip material
Is boat marked with passenger and cargo capacity
Is the boat marked with an identification number
" No smoking" - "Wear life jackets" signs posted
The motorist use the deadman switch and laniard
Boat motorist ties up the boat before unload and load, directs personnel
orderly embarking and disembarking
All passengers seated before moving
Boat motorist slows down near shrimp ponds, meet with local small wooden
boat, at bends and narrow creeks
Motorist: balance the boat when carrying cargo, control the
passengers, ensure passengers are holding the grab rope, ensure
passengers wear PFD
Audit Remarks:

Name: Signature:
Follow-Up Audit:

Name: Signature:

8611(TOTAL) HSE MS – A/R – CHECKLIST

V 1.0 X/XXX/2012 2/6
 PT. BGP INDONESIA
CREW 8611(TOTAL) NW-TUNU 3D TZ Project

8611(TOTAL) HSE MS – A/R – CHECKLIST

V 1.0 X/XXX/2012 3/6
 PT. BGP INDONESIA
CREW 8611(TOTAL) NW-TUNU 3D TZ Project
Checklist: TZ - Cable Boat (Fanglan)

Inspected by: ____________ Department: ____________ Date: ____________ Name of Cable boat: ____________
G = Good Audit Follow-up
S = Satisfactory
U = Unsatisfactory G S U G S U
Vessel of sound construction and hull well maintained. Name of the boat can
be read easily
Registration in conformity with country regulations, adequate boat document
vessel clean and ordered
Non slippy floor on engine room
Sign: Wear lifejacket
Sign: no smoking
Sign: Wear ear protection in engine room
Radio communication
Journey management procedure respected (call on arrival and departure from
work site)
VTS monitor system
Fixed firefighting equipment in engine room
Engine room isolated
Navigation equipment in good working condition
First Aid kit available, with checklist
Fire extinguishers in sufficient quantity
Lifebuoy with lighted buoy, 15 meter rope.
Drying pump on board
Life raft on board, and adequate for POB
Life raft in good condition and inspected
Map of the prospect on board
Store the life jackets at designated place while on board.
Pilot certified and competent
All workers trained and aware of: Procedure "Lost Vessel", "Medevac", "Man
Over Board", " Fire on board ", "Abandon ship"
Regularly emergency drill conducted.
All personnel trained in fire fighting
Personnel trained in first aid
Maximum number of POB posted
Audit Remarks:

Name: Signature:
Follow-Up Audit:

Name: Signature:

8611(TOTAL) HSE MS – A/R – CHECKLIST

V 1.0 X/XXX/2012 4/6
 PT. BGP INDONESIA
CREW 8611(TOTAL) NW-TUNU 3D TZ Project
Checklist: TZ - Airgun Boat

Inspected by: ____________ Department: ____________ Date: ____________ Name of Airgun boat: ___________
G = Good Audit Follow-up
S = Satisfactory
U = Unsatisfactory G S U G S U
Vessel of sound construction and hull well maintained. Name of the boat can
be read easily
Registration in conformity with country regulations, adequate boat document
Vessel in general good condition
Hull appears to be in good condition
vessel clean and ordered, non slippy floor
Sign: Wear lifejacket
Sign: no smoking
Sign: Wear ear protection
Radio communication
Journey management procedure respected (call on arrival and departure from
work site)
Binoculars
VTS monitor system
Fixed firefighting equipment in engine room
Engine room isolated
Navigation equipment in good working condition
First Aid kit available, with checklist
Fire extinguishers in sufficient quantity
Lifebuoy with lighted buoy, 15 meter rope.
Drying pump on board
Life raft on board, and adequate for POB
Life raft in good condition and inspected
Map of the prospect on board
Store the life jackets at designated place while on board.
Pilot certified and competent
All workers trained and aware of: Procedure "Lost Vessel", "Medevac", "Man
Over Board", " Fire on board ", "Abandon ship"
Gun mechanic trained and aware of: procedure of "Test for airgun"
Regularly emergency drill conducted.
All personnel trained in fire fighting
Personnel trained in first aid
Maximum number of POB posted

Compressors certified
Bottles<5 years, and certified
Hydraulic hoses in good condition
Air hoses in good condition
Manometers are functioning well
Made deployment of arrays at low pressure
Audit Remarks:

Name: Signature:

8611(TOTAL) HSE MS – A/R – CHECKLIST

V 1.0 X/XXX/2012 5/6
 PT. BGP INDONESIA
CREW 8611(TOTAL) NW-TUNU 3D TZ Project
Checklist: TZ - Catamaran

Inspected by: ____________ Department: ____________ Date: ____________ Name of Catamaran: ___________
G = Good Audit Follow-up
S = Satisfactory
U = Unsatisfactory G S U G S U
Catamaran of sound construction and hull well maintained
Engine in good working condition, with cover, no oil leakage
Steering system in good condition
Catamaran daily checklist on board.
Manual winch and the 4 legs in good condition
Drilling equipment stable on catamaran
Detonator and dynamite are separately stored, keep distance.
Detonator and dynamite are stored in box with lock, link to the rope (15
meters) with 2 buoys. Fix on the catamaran.
No radio or mobiles on catamaran.
Explosive handling procedure is aware and respected.
Explosive cautions sighs is posted.
Motorist is certificated regarding local regulations.
Training for motorist and helper, including MOB, fire procedure, and etc.
PPE for motorist - overalls, life jackets, safety shoes, hard hat, gloves, sun
glasses
Store the life jackets at designated place while on board.
Is there basic equipment: map, fire extinguisher (6Kg ABC, Foam), proper fuel
tanks, adequate spare fuel, anchor , tool kit, First Aid kit with checklist,
flashlight with spare batteries(dry wrapped), lifebuoy with flotation string
(15mts), plastic bags for rubbish collection
Floor covered with non-slip material
Catamaran surrounded with handrails and safety chains.
Marked with passenger and cargo capacity
Marked with an identification number
" No smoking", "Wear PPE", "Wear Ear Protection" signs posted
Emergency stop button of engines in good condition
While moving , motorist balance the catamaran, control the passengers,
ensure passengers are holding the handrail, ensure passengers wear PFD
Audit Remarks:

Name: Signature:
Follow-Up Audit:

Name: Signature:

8611(TOTAL) HSE MS – A/R – CHECKLIST

V 1.0 X/XXX/2012 6/6