Dry Docking Inspection

Facility Name IMO Number

Port of Registry Inspection Date

Location

Scheduling

Work Order Created? Yes No N/A

AFE Project Setup? Yes No N/A

Operations Notified? Yes No N/A

HES Representative Notified? Yes No N/A

Marine Chemist Notified? Yes No N/A

Logistics/ Central Dispatch Notified? Yes No N/A

Safety

Shore Power Sufficient? Yes No N/A

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Safety

Chiller Water Discharge Diverted? Yes No N/A

Gray Water Discharge(s) Diverted? Yes No N/A

MSD Discharge Verified? Yes No N/A

MSD Discharge Diverted? Yes No N/A

Secondary Means of Egress? Yes No N/A

Lockout Tagout

HES Representative on site? Yes No N/A

Safe Work Permit Issued? Yes No N/A

Marine Chemist Certificate Obtained? Yes No N/A

Energy Sources Verified,

Yes No N/A
Isolated, Locked & Tagged?

Energy Source keys locked in Lockbox? Yes No N/A

Port Propulsion

Propeller Pass Fail Other

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Port Propulsion

Kort Nozzle Pass Fail Other

Stern Tube Bearing Pass Fail Other

Strut Pass Fail Other

Stern Tube Bearing Pass Fail Other

Cooper Bearing Pass Fail Other

Tail Shaft Pass Fail Other

Intermediate Shaft Pass Fail Other

Stuffing Box Pass Fail Other

Starboard Propulsion

Propeller Pass Fail Other

Kort Nozzle Pass Fail Other

Rope Guard Pass Fail Other

Stern Tube Bearing Pass Fail Other

Strut Bearing Pass Fail Other

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Starboard Propulsion

Strut Pass Fail Other

Cooper Bearing Pass Fail Other

Tail Shaft Pass Fail Other

Intermediate Shaft Pass Fail Other

Stuffing Box Pass Fail Other

Steering Rudder System

Port Steering Rudder Pass Fail Other

Port Outboard Flanking Rudder Pass Fail Other

Port Inboard Flanking Rudder Pass Fail Other

Starboard Steering Rudder Pass Fail Other

Starboard Outboard Flanking Rudder Pass Fail Other

Starboard Inboard Flanking Rudder Pass Fail Other

Steering Jockey Bars Pass Fail Other

Steering Pins/Bushings Pass Fail Other

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Steering Rudder System

Steering Linkage Pass Fail Other

Steering Hydraulic Rams/Hoses Pass Fail Other

Steering Pump System (Tank, Pump,

Pass Fail Other
Motor, Coupling)

Electronic Steering System Pass Fail Other

Flanking Jockey Bars Pass Fail Other

Flanking Pins/Bushings Pass Fail Other

Flanking Linkage Pass Fail Other

Flanking Hydraulic Rams/Hoses Pass Fail Other

Flanking Pump System (Tank, Pump,

Pass Fail Other
Motor, Coupling)

Electronic Flanking System Pass Fail Other

Hull

General Condition Pass Fail Other

Hull Coating Pass Fail Other

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Hull

General Condition Pass Fail Other

Hull Coating Pass Fail Other

Port Tow Knee Pass Fail Other

Starboard Tow Knee Pass Fail Other

Port Grid/Skin Coolers Pass Fail Other

Starboard Grid/Skin Coolers Pass Fail Other

Fendering Pass Fail Other

Keel Coolers Pass Fail Other

Sea Chest Pass Fail Other

Living Organisms Removed? Pass Fail Other

Re-Commissioning

Main Engines Verified Not-Verified N/A

Ship Systems Verified Not-Verified N/A

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Re-Commissioning

Electronics Verified Not-Verified N/A

Steering/Flanking Systems Verified Not-Verified N/A

Underwater Appendages Verified Not-Verified N/A

GENERAL

Comments (If applicable)

Equipment to be Rebuilt for Spare (If applicable)

Future Projects (If applicable)

COMPLETED BY

Full Name Signature Date

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