Ship Pilotage Checklist Form
Checklist for pilots and bridge teams to confirm voyage, navigation, safety, and communication readiness before and during pilotage.
Vessel Name
*
Pilot Name
*
Date and Time of Pilotage
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Navigation Equipment Checked and Operational
*
Yes
No
N/A
Passage Plan Reviewed and Confirmed
*
Yes
No
N/A
Bridge Team Briefing Completed
*
Yes
No
N/A
Communication Equipment Checked and Operational
*
Yes
No
N/A
Engine and Steering Gear Ready
*
Yes
No
N/A
Safety Equipment Checked and Ready
*
Yes
No
N/A
Any Deficiencies or Hazards Noted
Pilotage Completed and Checklist Signed Off
*
Yes
No
Submit Checklist
Should be Empty: