This guide covers the basic elements of a Shipboard Occupational Health and Safety Program (SOHSP). These elements are applicable to all vessel types including but not limited to tank vessels, dry bulk carriers, passenger vessels, roll-on roll-off vessels, ore bulk oilers, offshore supply vessels, tugboats, towboats, and barges. The elements described are fundamental pieces of a systematic occupational safety and health program and may be used by company line managers, health and safety personnel or consultants who are implementing, improving, or auditing the effectiveness of a shipboard health and safety program.