Some larger and more robust hose clamps, like those used on many exhaust systems, must be tightened with a suitable socket and ratchet. These are often T-bar clamps, which, instead of having a worm-type screw and thread, have a threaded stud and cross piece on one end attached via a swivel to the band. The other end passes through another separate bar attached to the other end of the clamp. Tightening the nut on the end of the threaded stud forces the two T pieces toward each other, thus tightening the clamp.
No matter how good quality a hose clamp is, it can't be expected to work wonders. A common error is where a hose is clamped around a threaded fitting. The clamp may feel like it is holding the hose in place, and may well be, but liquid or, worse still, exhaust gasses can travel down the threads and leak into the boat. Similarly, it's bad practice to connect a hose to a plain pipe, for no matter how much you tighten the hose clamps, there's a good chance that a hose may, over time, work its way off the pipe. Hoses should, in almost every situation, be connected to a barbed fitting that, in concert with properly tightened hose clamp, makes a near-perfect joint.