Pilot Tug Observation Checklist Form
Use this form to document and evaluate a pilot tug operation observation, including conditions, readiness, checklist items, issues, and follow-up notes.
Observation Details
Observer Name
*
Observer Role / Title
*
Observation Date
*
-
Month
-
Day
Year
Date
Observation Time
*
Hour Minutes
AM
PM
AM/PM Option
Location / Port / Terminal
*
Tug / Vessel Name or Identifier
*
Operation Type
*
Docking
Undocking
Shifting Berth
Escort
Other
Operational Conditions
Weather Condition
*
Clear
Cloudy
Rain
Fog
Snow
Storm
Other
Visibility
*
Good
Moderate
Poor
Restricted
Other
Wind Condition / Speed
Sea / Water Condition
Calm
Slight
Moderate
Rough
Very Rough
Other
Daylight Status
*
Daylight
Dawn
Dusk
Night
Other Conditions Affecting the Operation
Tug and Crew Readiness
Number of Tugs Involved
*
Tug Type(s) Used
*
Harbor Tug
Escort Tug
Ocean Tug
Z-Peller Tug
Raiding Tug
Other
Crew Readiness / Briefing Completed
*
Yes
No
Communication Equipment Working
*
Yes
No
Required Safety Equipment / PPE Available and Used
*
Hard Hat
Life Jacket
Safety Boots
High-Visibility Vest
Gloves
Hearing Protection
Eye Protection
Other
Observation Checklist
Pre-operation briefing completed and clear
*
Yes
No
Not observed
Line handling performed safely and correctly
*
Yes
No
Not observed
Tug positioning maintained as instructed
*
Yes
No
Not observed
Communication with pilot/bridge was effective
*
Yes
No
Not observed
Maneuvering accuracy was within expected limits
*
Yes
No
Not observed
Speed control was appropriate for conditions
*
Yes
No
Not observed
Instructions were followed promptly and accurately
*
Yes
No
Not observed
Overall performance rating
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Incidents, Deficiencies, and Follow-up
Incident or Near-Miss Occurred?
*
Yes
No
Deficiency Description
Immediate Corrective Action Taken
Recommendation for Follow-Up or Training
Observer Comments / Sign-Off Notes
Submit Observation
Should be Empty: