PBS Observation Checklist

Observer:	Willie Ewins	Vessel	Area:	Potable Water supply line / Main Engine room
Date		Time	Task Observed	Water cross contamination
Number of people observed?		1 2 3	Contractor:	N/A

Categories/Behaviours	Safe	At Risk	N/A	Observation-include exactly what you saw	Employee Response / Action Taken
1.0 Body Mechanics
1.1 Keeping eyes on Job/Path
1.2 Lift/Pulling/Pushing/Heaving
1.3 Line of fire/Danger
1.4 Use of handrails
1.5 Three Points of contact - Ladders
1.6 Body position/Stretching/Straining
2.0 PPE
2.1 Basic PPE (Long Pant, Long Sleeves)
2.2 UV Protection
2.3 Wearing Eye Face Protection
2.4 Using Foot Protection
2.5 Wearing Hand Protection
2.6 Using Hearing Protection
2.7 Using Task Specific Body Protection
2.8 Wearing Head Protection
2.9 Using Respiratory Protection
2.10 Wearing PFD's
3.0 Job Factors
3.1 Effictive Communication (Radio's Horns Bells)
3.2 Shortcuts Haste
3.3 Adherence to procedures
3.4 PreStart/Restart meetings conducted as required
3.5 Seamanship Practices
3.6 Situational Awareness
3.7 Access and Egress
4.0 Tools and Equipment
4.1 Effictive Communication (Radio's Horns Bells)
4.2 Shortcuts Haste
4.3 Adherence to procedures
5.0 Housekeeping
5.1 Material Storage
5.2 Storage of Hazardous Materials
5.3 Waste Management
5.4 Vessel Cleanliness
6.0 Health Awareness
6.1 Insect Vectors
6.2 Hydration Provisions
6.3 Sun Protection
6.4 Fitness for Work
6.5 Personnel Hygiene				There is a potential for cross contamination into the potable water supply line when using the Black and Grey water tank sprayers which are on a common line. This is a potential health risk to any persons drinking from the potable outlets on board the vessel should the isolation valve inadvertently fail or is accidentally be left partly open.	Disconnect and Isolate potable water supply lines. Re-plumb a separate line to be able to connect a water hose to activate the sprayers.
7.0 Environment
7.1 Effuent Removal
7.2 Rubbish Disposal
7.3 Oil Chemical Spills
7.4 Marine Species in Vessel Vacinity

Behaviour Number	Additional Information
1
2
3
4
5
Comments	The main potable water supply line has two pipes which branch off this line to each of the sprayers in the Black and Grey water tanks on board. These lines are only isolated by a single screw down two way gate valve. Should the isolation valve not be closed correctly after use a ventury effect could occur when a toilet is flushed causing cross contamination to the main potable water line which in turn is used for drinking water Etc. The sprayer lines should be disconnected and Isolated and a separate line re-plumbed to enable a water hose to be fitted when required for the purpose of using the sprayers to rinse the walls of these tanks.
Authorisationn Code