Vessel Refueling Safety Checklist
Complete this checklist to ensure all safety protocols are followed before, during, and after vessel refueling operations.
Vessel Name
*
Date of Refueling
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Refueling
*
Name of Responsible Officer
*
First Name
Last Name
Contact Number of Responsible Officer
*
Please enter a valid phone number.
Format: (000) 000-0000.
Pre-Refueling Safety Checks
*
Fire extinguishers are available and operational
Spill response equipment is ready
No smoking signs posted and enforced
All unnecessary personnel cleared from area
Proper PPE worn by all involved personnel
Operational Checks
*
Communication established between vessel and fuel provider
Hoses and connections inspected for leaks or damage
Drip trays/pans in place
Bonding/grounding established (if required)
Emergency shut-off procedures reviewed
Post-Refueling Verification
*
All valves and connections secured
Area inspected for spills or leaks
All equipment returned to proper storage
Incident or near-miss reported (if applicable)
Were there any incidents, spills, or near-misses during refueling?
*
No incidents or spills
Yes, incident or spill occurred (please describe below)
If yes, describe the incident, spill, or near-miss
Additional Comments or Observations
Signature of Responsible Officer
*
Submit Checklist
Submit Checklist
Should be Empty: