ST KITTS & NEVIS
INTERNATIONAL SHIP REGISTRY
Flag StateInspection Report
(Annual or Occasional)
The Saint Christopher & Nevis Merchant Shipping Act Cap. 7.05
Department of Maritime Affairs
Name of Vessel:
Port and Country of
Inspection:
Date of Inspection
(dd/mm/yy)
Date of last Inspection
(dd/mm/yy)
Time of Inspection
Start:
Type of Inspection:
NAME OF INSPECTOR:
Finish:
First
Annual
Occasional
ID NUMBER:
INSPECTION REPORTS: This inspection form is to be signed by the Inspector and the Master of the vessel. The original shall remain onboard kept by the Master as one of the vessels official documents.
PART A: - GENERAL
1.Official No.
2. IMO No
3. Call Sign
5a. Gross Tonnage
5b. Net Tonnage
9. Total Power (Kw)
8. Recognised
Organisation:
9. Recognised Security
Organisation:
10. Classification Society
(+class notation):
11. ETA/Next Port:
6. Length
8. Vessel Type
4. Caribship No.
7. Year Keel Laid
Unrestricted
Restricted
10. Type of Service
12. NAME OF LOCAL PORT AGENT
Agents Name
13. NAME AND ADDRESS OF MANAGER & DPA (ISM) & CSO (ISPS)
Company Name
Address 1
Address 2
Address 3
DPA Name
CSO Name
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Tel
Fax
Email
Mobile
Mobile
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St Kitts & Nevis International Ship Registry Flag State Inspection Report
14. Name of Maritime
Resident Agent
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PART B: - SHIPS OFFICIAL DOCUMENTS
Issued By
Statutory certificates and exemptions
Issued
dd/mm/yyyy
Expiration
dd/mm/yyyy
Last
Endorsement
dd/mm/yyyy
International Tonnage Certificate
Passenger Ship Safety Certificate And Form P
International Lad Line Certificate
Cargo Ship Safety Construction Certificate
Cargo Ship Safety Equipment Certificate and Form E
Cargo Ship Safety Radio Certificate and Form R
Certificate of Fitness for the Carriage of Dangerous Chemicals in Bulk
Certificate of Fitness for the Carriage of Liquefied Gases in Bulk
Document of authorization for the carriage of grain (if applicable)
Document of compliance with special requirements for ship carrying
dangerous goods
Exemption Certificate (from Reg. )
International Oil Pollution Prevention Cert.
IOPP Supplement
International Air Pollution Prevention Cert.
IAPP Supplement
International Energy Efficiency Certificate
International Sewage Pollution Prevention Cert.
International Pollution Prevention Certificate for the Carriage of Noxious
Liquid Substance in Bulk (NLS Certificate)
Garbage Pollution Prevention Cert. / Certificate of Compliance
Anti-Fouling System Certificate / Statement of Compliance
Copy of Document of Compliance
Safety Management Certificate
International Ship Security Certificate
Class Survey status and Conditions of Class outstanding
Exemptions
Certificate of Class
Civil Liability Certificate (for Tankers)
MLC
International Energy Efficiency Certificate
Passenger ship Operational Limitations
Masters Decision Support System
Search and rescue Plan
Light ship calculation 5 yearly
Other Certificates
DMLC part 1 and 2
Issued By
Issued
dd/mm/yyyy
Expiration
dd/mm/yyyy
Last
Endorsement
dd/mm/yyyy
Certificate of Registry
Minimum Safe Manning Certificate
Ship Radio Station Licence (No. )
Continuous Synopsis Record Numbers 1 to -----
Crews Articles of Agreement
CLC Bunkers
Port
Date
dd/mm/yyyy
Detained?
No. of detainable
deficiencies
Certificates issues by Flag
Last Port State Control Inspection Reports (last 3 or
those in last 12 months, whichever is the greater number)
Remarks:
Yes
No
Remarks:
Yes
No
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Remarks:
Yes
No
Remarks:
Yes
No
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St Kitts & Nevis International Ship Registry Flag State Inspection Report
PART C: - Plans and Manuals
Y/N
Remarks
1.
Muster List and Emergency Instructions
2.
Damage Control Plan and Booklets
3.
Fire Control Plans or Booklet
4.
8.
Fire Equipment Booklet of Instructions
Shipboard Oil Pollution Emergency Plan (SOPEP) - RO and date
of approval
Shipboard Marine Pollution Emergency Plan (SMPEP) - RO and
date of approval
Stability Information (Intact Stability Booklet RO and date of
approval
Dangerous Goods special list or manifest or detailed stowage plan
9.
5.
6.
7.
Garbage Management Plan-as AMMENDED Jan 2013
10.
SOLAS Training Manual to Jan 2013 Ammendments
11.
Shipboard Management Documentation
(a) Safety Management System Manual (ISM)
(b) Cargo Handling Procedure
(c) Contingency Plan
(d) Ship Security Plan (ISPS)
12.
Cargo Securing Manual
13.
Other Plans 1: SEEMP
14.
Other Plans 2: OZONE DEPLETING SUBSTANCES BOOK
SHIP SECURITY PLAN
EMERGENCY TOWING BOOKLET
MLC Complaints procedure poster
MLC Hours of work and rest posted
MLC work routine posted
PART D: - Records
Records
Y/N
Last
Entry
Records
Y/N
Last Entry
Compass Error Book (Magnetic and
Gyro)
12
Oil Record Book (Part 2)
Chronometer Rate Book
13
Cargo Record Book (MARPOL
Annex II)
Radar Log Book
14
Masters Standing Orders
Radar Maintenance Book
15
Bridge Bell Book
16
Engine Room Bell Book
17
Maintenance records of main and
auxiliary machinery
Engine room log book in use and
signed by the Chief Engineer
Machinery Failure alarms and safety
trip tests
Engine Room Log Book
18
Emergency Steering gear test
Radio Log Book for GMDSS
19
GMDSS Maintenance Record Book
20
10
Garbage Record Book-Jan 2013
21
Unmanned machinery space alarm
system test
Machinery space closings and fan
dampers test
Remote pump and fan stops &
Remote closing valves test
11
Oil Record Book (Part 1)
PART E:
Publications and Charts
Y/N/
NA
Last
Pub.
Publications and Charts
Y/N/
NA
Last Entry
Navigational Charts
13
ISGOTT (tankers)
Pilot Charts
14
IGC Code
Pilot Books / Sailing Directions
15
Notices to Mariners
IMO Routing Schemes
16
Nautical Almanac
SOLAS (Fire and LSA Guide)
17
Tide Tables
IMO Port State Procedures
18
Navigation Tables
Radio Aids to Navigation
19
MARPOL
List of Coast Stations (List IV)
20
COLREGS
CCSS Code or other applicable
21
International Code of Signals
ISM Code
22
IAMSAR Manual vol. III
10
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11
ISPS Code
23
List of Ship Stations (List IV)
12
IMDG Code
24
IMO STCW 78/95
List of of Radio determination and Special
Service Stations (List VI)
Call signs and Numerical Identities of Stations Used by the Maritime Mobile & Maritime Mobile-Satellite Services (List
VII A)
27
Manual for use by Maritime Mobile and Maritime Mobile-Satellite Services
28
Maritime Circular letters of St. Kitts & Nevis
29
International Medical Guide for Ships (World Health Organization) latest edition
25
26
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St Kitts & Nevis International Ship Registry Flag State Inspection Report
PART F:
Bridge Logbooks
Y/N
Last Entry
Bridge Logbooks
Last Entry
Y/N
Fire Drills
Lookout on Duty
Abandon Ship Drill
Oil Spill Drill
Drafts and Soundings
10
Operation of Watertight Doors
Accidents
11
Emergency Steering Drills
Arrivals and Departures
12
Inspection of LSA
Weather and Sea Conditions
13
Security drills & familiarisation /
briefing
Helmsman on Duty
14
Security exercises
Remarks:
PART G: Aids to Navigation and Communications
Sea areas which the ship is certified to operate within
A1
A2
A3
A4
Y/N
Vessel Equipped for GMDSS
SHORE BASED
MAINTENANCE
CONTRACT
Type of Maintenance
Radio Electronics (First or Second
Class) Officer
Duplicated System
VHF
MF/HF
MMSI Number
INMARSAT SES
Installed or Onboard = I Operational = 0
Equipment
1
Y/N
Y/N
Equipment
19
Magnetic Compass
Date Last Adjusted
Gyro Compass Master
Date Last Adjusted
This is done using:
Y/N
Y/N
Y/N
a. LSD/DCS
Radar (9 GHz)
b. Radiotelephony
Radar Plotting Facilities
c. Direct-printing telegraphy
Automatic Radar Plotting Aid
20
Two-way Radio communications
using the aeronautical
frequencies
Echo sounding device
Rudder Angle Indicator and Rate of
Revolution of each Propeller.
Device to indicate speed and
distance
a. Entrance Group Calling
Rate of turn Indicator
b. Direct Printing Telegraphy
Signal Flags and Day Shapes
c. Radiotelephony
21
INMARSAT SES Installation
with:
Daylight Signalling Lamp
22
Ship to Shore Distress Alerts
Communication & Alarm System
23
NAVTEX Receiver
Engine Room Telegraph
24
Satellite EPIRB / VHF EPIRB
Radio Navigation System
25
Radar Transponder
VHF Radio Installation capable of
transmitting and receiving DSC and
Radio telephony
26
Portable Waterproof VHF
15
27
Voyage Data Recorder or SVDR
16
VHF Radio installation of Continuous
DSC - watch on Channel 70
28
Ship Security Alert System
SART
29
LRIT System
GPS
30
AIS
31
BNTERRWAS
17
.
18
.
MF or MF/HF Radio installation
capable of transmitting and
receiving.
10
.
11
.
12
.
13
.
14
.
Remarks:
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St Kitts & Nevis International Ship Registry Flag State Inspection Report
Part H: Certificates of Officers and Crew (attach copy of Crew List)
Officers
Certificate of Endorsement
Position
Home Country License
Master
Expiration
Date
Expiration
Date
Chief Mate
Deck Officer
Deck Officer
Deck Officer
Radio Officer
Chief Engineer
2nd Engineer
Engineer Officer
10
Engineer Officer
11
Engineer Officer
12
Ship Security Off.
RATINGS
Deck
Name
Engine
Grade
Number
Nationality
Grade
Electro Technical
Stewards and Cook
Other
STCW Grade
II/4
II/5
III/4
III/5
III/6
III/7
N/A
N/A
13
Number
14
Have valid SKN seamans book? Y/N
15
Have appropriate endorsements? Y/N
Total
Remarks:
Minimum Safe Manning
16
Indicate if current officers and ratings conform to the vessels Minimum Safe Manning Certif. Y/N
17
Watch schedules provide for appropriate amount of rest? Y/N
Safety Training
18 Is there any type of documentation of the crews familiarization with the vessels emergency procedures and operation? Y/N
Remarks:
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GMDSS
certification
Endorsements
Y/N
Y/N
St Kitts & Nevis International Ship Registry Flag State Inspection Report
Part I: Life-saving appliances and arrangements
1
Lifeboats
Number
Total
Capacity
Port
Starboard
Free Fall
Annual maintenance of
lifeboat davits and
WINCHES by a
recognised company
Date
Name of
company
Rescue boat
Liferafts
[a) Port
[b) Starboard
[c] Other
Marine Evacuation Systems
With motor
Y/N
Lifebuoys
8
9
10
11
12
13
1
2
With hydrostatic releases
Y/N
Initial
deployment
Y/N
With
lifelines
Y/N
StandardLifejackets
Childrens
lifejackets
Extra large (140kg)
Immersion suits
Thermal protective
aids
Signals
Number
Expiration date
Rocket parachute flares
Man overboard Signal
Line-throwing appliance
Number of rockets
Fire & Abandon Ship Drills observed by inspector Y/N
NOTE TO INSPECTOR:
At least partial drills may be asked for.
Exercise descriptions
Number
Part J: Fire Fighting Equipment
Main Fire pumps
Emergency fire pump (Fore) Must Be Tested
(Aft) - Must Be Tested
3
4
5
6
7
Fire main
Fire hoses
Dual Fire nozzles with shutoff (spray/jet type)
Portable Fire extinguishers
Fixed fire-extinguishing systems in machinery
spaces
Visible conditions
Fire-extinguishing arrangements in cargo spaces
9
10
11
Visible conditions
Fixed fire detection and fire alarm systems
Watertight doors
Escape openings (hatches) unobstructed?
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Visible condition
of boat and
launching
appliances
Appropriate
stowage
Y
N
With
whistle
Y/N
7
Last date
lowered
to the
water
Name of
company
Date
5 yearly
load test of
lifeboat
davits and
winches
by
recognised
company
Engine
Tested
Y
N
5
Operating instructions for survival craft visible Y/N
Personal LSA
Number
With
With
reflective lights Y/N
tape Y/N
6
Type
With
smoke
signals
Y/N
Last date
Visible
of service conditions
Last date of service
Visible conditions
Visible conditions
Expiration date
Visible conditions
Last date of inspection
Type
Type
Last date of
inspection
Last date of
inspection
Operation Y/N
Satisfactory condition Y/N
Y/N
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Part J: (Cont) Fire Fighting Equipment
9
Emergency source of
electrical power
Type
[a] Generator
[b] Accumulator battery
Emergency equipment
Number
10 Firemans outfit
Emergency Escape Breathing Device
Breathing apparatus
Last date of inspection
11 International Shore Connections on each side Y/N
Operation Y/N Last tested
Complete set
Visible conditions
Spare charges
Part K: General conditions
1
2
3
4
Hull and superstructure appearance Y/N
Load Lines Marks visible
Y/N
Date of last Dry-dock
Navigational lights
Engine Room
Bilges clean
Oily rags properly stowed Y/N
Y/N
Oily water filtering equipment
6
7
Oil discharge monitoring and control system
Steering gear room
Emergency instructions visible
Oil Leaks Y/N
Y/N
Auxiliary Steering Geer
Y/N
Main steering gear
Crew quarters
9
10
11
12
Galley and mess rooms
Food storage areas
Freezers
Anchoring equipment
13
14
15
16
17
18
19
Mooring lines
Cargo handling equipment
Accommodation ladder
Pilot ladder
Crew Accommodation and recreational facilities
Hospital Medical facilities
Y/N
Internal spaces
Galleys Y/N
Pantri
Y/N
Handling
Y/N
es
spaces
Y/N
Refrigerator spaces
Y/N
20
Alleyways and means of escape
21
Restricted areas
22
External
Y/N
Weather Decks
Y/N
Super structures ect
Hull
Gangways (including safety nets)
Accommodation Ladders Y/N
Step
23
Clearly identified and locked if not in use Y/N
Y/N
24
25
Deck Lighting Y/N
Deck Piping
Valves and electrical conducts
26
Lifting Appliances (cranes, derricks ect.) and associated equipment.
Confirm SWL marked on all lifting appliances
Y
N
Watertight doors Y/N
Fire flaps
28
Y/N
Y/N
Free from obstruction and clearly marked Y/N
Guard Rails
27
Clean and
Free of
Vermin
Y/N
Y/N
Y/N
Stairways
Fittings
Y/N
Y/N
LAST TEST DATE:
Portholes
Y/N
Ventilator closures Y/N
Other
closing
devices
Y/N
Sounding pipes Y/N
Air Vent pipes
Y/N
External storage spaces
- Gas bottle Y/N
- Rope stowage Y/N
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29
Access & closing arrangements of cargo compartments
- Securing and sealing capability Y/N
Part L: General Remarks
If a passenger vessel, fill ANNEX PART A.
If tanker, ANNEX PART B.
If MODU or FPSO,
ANNEX PART C.
IMPORTANT NOTICE
NEITHER THE INSPECTION NOR THE REPORT CONSTITUTES A CERTIFICATION, WARRANTY OR OTHER REPRESENTATION AS TO THE
SEAWORTHINESS OF THE VESSEL DESCRIBED HEREIN NOR DO THEY RELIEVE ANY PERSON OR ORGANIZATION FROM THEIR
RESPONSIBILITIES AND OBLIGATIONS TO ENSURE THAT THE VESSEL IS MAINTAINED IN A SEAWORTHY CONDITION.
INSPECTOR
PRINT NAME :
Sign:
ID #
MASTER (OR REPRESENTATIVE)
PRINT NAME:
Sign:
NOTICE TO MASTERS:
Masters are required to review all entries in this report before signing it. It is recommended that they discuss with inspector any findings which may not
agree with actual condition prevailing on board at the time of inspection.
ADDITIONAL NOTES/COMMENTS TO BE ADDED ON SEPARATE SHEETS. THERE ARE ( ) NUMBER OF
ADDITIONAL SHEETS TO THIS REPORT.
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Signature of inspector
Name (print)
Signature of master
Name (print)
Date
Date
INSPECTOR NO.
Vessels stamp
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Name of vessel:
Official number
Deficiencies List:
REV. 28/03/2014
Port of inspection:
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St Kitts & Nevis International Ship Registry Flag State Inspection Report
ANNEX PART A: PASSENGER VESSELS
1
2
3
4
5
6
7
8
9
IS THERE A DECISION SUPPORT SYSTEM FOR EMERGENCY
MANAGEMENT ON THE NAVIGATIONAL BRIDGE AVAILABLE FOR THE
MASTER (SOLAS CH.III/24-4)?
A DISTRESS ALARM PANEL AT THE CONING POSITION WITH INITIAL
DISTRESS ALERT BUTTONS ON IT IS INSTALLED (SOLAS CH.IV/6.5-4)?
THE PUBLIC ADDRESS SYSTEM IS OPERATIONAL AND AUDIBLE ON ALL
OPEN DECKS ABOVE AMBIENT NOISE (SOLAS CH.III/6.5)?
THE GENERAL EMERGENCY ALARM SYSTEM IS OPERATIONAL (SOLAS
CH.III/6.4)?
A PLAN FOR COOPERATION OF SEARCH AND RESCUE SERVICES IN THE
TRADING AREA IN EVENT OF EMERGENCY APPROVED BY THE
ADMINISTRATION IS ON BOARD (CHAPTER V 15[c])?
A TWO WAY ON SCENE RADIOCOMMUNICATIONS FOR SEARCH AND
RESCUE PURPOSES USING THE AERONAUTICAL FREQUENCIES 121.5
MHz AND 123.1 MHz IS INSTALLED AND OPERATIONAL (SOLAS CH.IV/7.5)?
THERE IS A TWO WAY PORTABLE RADIOTELEPHONE APPARATUS FOR
EACH MEMBER OF THE FIRE PATROL (SOLAS CH.II-2/40 FOR NEW
PASSENGER SHIPS > 36 PASSENGERS)?
THERE ARE AT LEAST TWO EPIRBS ON BOARD (SOLAS CH.III/6.2.3)?
14
THERE ARE AT LEAST TWO RADIO TRANSPONDERS ON BOARD (SOLAS
CH.III/6.2.2)?
THERE IS A CENTRAL CONTROL STATION FOR REMOTE CONTROL AND
MONITORED FIRE DOORS, FIRE DETECTION ALARMS, SHUTTING DOWN
FANS, REACTIVATION OF FANS, SUPPLY FROM MAIN AND EMERGENCY
SOURCE OF POWER (SOLAS CH.II-2/40)?
SUPPLEMENTARY EMERGENCY LIGHTING IS INSTALLED AND
OPERATION (SOLAS CH.II-1/42.1)?
A HELICOPTER LANDING AND PICKUP AREAS HAS BEEN FITTED (SOLAS
CH.III/24.3)?
IS THE OPENING OF WATERTIGHT DOORS DURING NAVIGATION LOGGED
(SOLAS CH.II-1/15.6.5)?
IS THERE AN EMERGENCY MUSTER RECORD (SOLAS CH.III/24.2.3)?
15
IS THERE A DEDICATED RADIO OFFICER (SOLAS CH.IV/16.2)?
16
AUTOMATIC SPRINKLERS FOR ACCOMMODATION AND SERVICE SPACES,
STAIRWAY ENCLOSURES AND CORRIDORS ARE INSTALLED (SOLAS CH.II2/41-1.3.4: 41-2.5 & 36-1.2)?
IS THERE A SMOKE DETECTION AND ALARM SYSTEM FOR
ACCOMMODATION AND SERVICE SPACES, STAIRWAY ENCLOSURES AND
CORRIDORS (SOLAS CH.II-2/36)?
IS THERE A WATER FOG APPLICATOR FOR EACH PAIR OF BREATHING
APPARATUS (SOLAS CH.II-2/17.3.2)?
IS THERE PORTABLE FOAM APPLICATORS (SOLAS CH.II-2/17.3.2)?
10
11
12
13
17
18
19
20
21
22
23
24
25
26
27
ARE THERE ENOUGH FIREMANS OUTFITS ON THE VESSEL (SOLAS CH.II2/17.3.1)?
ARE THE ESCAPE ROUTES ON RO-RO PASSENGER SHIPS MARKED AND
IN COMPLIANCE (SOLAS CH.II-2/28.1)?
IS EACH LIFERAFT FITTED WITH A BOARDING RAMP AND SELF RIGHTING
OR REVERSIBLE (SOLAS CH.III/24-1.2.3 & .2.4)?
NUMBER OF FAST RESCUE BOATS ON BOARD (SOLAS CH.III/24-1.3)?
ARE THERE ENOUGH CREW TRAINED FOR THE FAST RESCUE BOATS
(SOLAS CH.III/24-1.3)?
ARE THERE SUFFICIENT NUMBER OF LIFEJACKETS STOWED IN THE
VICINITY OF THE ASSEMBLY STATION (SOLAS CH.III/24-1.5)?
DO THE DISCHARGE VALVES FOR SCUPPER HAVE POSITIVE MEANS OF
CLOSING THAT IS OPERABLE FROM A POSITION ABOVE THE BULKHEAD
DECK (SOLAS CH.II-2/31.2.1.2)?
IS THE OPERATION OF THESE VALVES RECORDED IN THE LOGBOOK?
NOTES
REMARKS:
SIGNATURE OF INSPECTOR
NAME (PRINT)
DATE
INSPECTOR NO.
REV. 28/03/2014
SIGNATURE OF MASTER
NAME (PRINT)
DATE
VESSELS STAMP
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ANNEX PART B: TANKER VESSELS
NOTES
CONDITIONS OF CARGO PUMP ROOM (SOLAS CH.II-2/63)
CONDITIONS OF THE FIXED DECK FOAM SYSTEM (SOLAS CH.II-2/61)
CONDITIONS OF THE INERT GAS SYSTEM (SOLAS CH.II-2/62)
ARE THE INSTRUCTION MANUALS FOR THE INERT GAS SYSTEM ON
BOARD (SOLAS CH.II-2/62.21)?
IS CARGO TANK VENTING AND PURGING AND/OR GAS-FREEING (ALL
TANKERS CONSTRUCTED AFTER 01JAN94, SOLAS CH.II/59)?
IS THERE MEANS TO GAIN SAFE ACCESS TO THE BOW (ALL TANKERS
SHALL BE FITTED BY THE FIRST SCHEDULED DRY-DOCKING AFTER 1
JULY 1998 BUT NOT LATER THAN 1 JULY 2001, SOLAS CH.II-2/3-3.2)?
IS THERE AN EMERGENCY TOWING ARRANGEMENT FITTED (FITTED AT
BOTH ENDS OF EVERY TANKER OF NOT LESS THAN 20,000 TONNES OF
DEADWEIGHT CH.II-1/3-4)?
IS THE INSTRUMENT FOR THE MEASURING OF OXYGEN AND
FLAMMABLE VAPOUR CONCENTRATIONS ON DOUBLE HULL AND
DOUBLE BOTTOMS ON BOARD (NEW OIL TANKERS 01OCT94, SOLAS
CH.11-2/59.4)?
IS THE PORTABLE INSTRUMENT FOR MEASURING FLAMMABLE VAPOUR
CONCENTRATIONS, SPARES AND MEANS OF CALIBRATION ON BOARD
(ALL TANKERS SOLAS CH.II-1/59.5)?
ARE THERE DEDICATED SEAWATER BALLAST TANKS TO HAVE AN
EFFICIENT CORROSION PREVENTION SYSTEM (NEW OIL TANKERS AND
BULK CARRIERS 01JULY98, SOLAS CH.II-1/3-2)?
IS THERE ANY PERMANENT ACCESS FROM A PIPE TUNNEL TO THE MAIN
PUMP ROOM. IS IT FITTED WITH A WATERTIGHT DOOR (NEW TANKERS
01JULY98, SOLAS CH.II-2/56.9)?
IS THERE A SECONDARY MEANS OF FULL FLOW RELEASE OF VAPOUR
FROM CARGO TANKS, OR ALTERNATIVELY PRESSURE SENSORS WITH
MONITORING (NEW TANKERS 01JULY98, SOLAS CH.II-2/59.1.2.3)?
IS THERE A CRUDE OIL WASHING SYSTEM INSTALLED (NEW CRUDE OIL
TANKER OF 20,000 TONS DEAD WEIGHT AND ABOVE, MARPOL ANNEX
I/13)?
IS THERE AN OPERATIONS AND EQUIPMENT MANUAL FOR CRUDE OIL
WASHING (MARPOL ANNEX I/13B)?
IF THE VESSEL IS A CHEMICAL TANKER, IS THE IBC CODE ONBOARD
(SOLAS CH.VII, PART B)?
IF THE VESSEL IS A GAS CARRIER, IS THE IGC CODE ON BOARD (SOLAS
CH.VII, PART C)?
IF THE VESSEL IS A CHEMICAL TANKER OR GAS CARRIER CARRYING
CARGOES EMITTING TOXIC VAPOURS OR GASES, AND DOES NOT
CARRY TOTALLY ENCLOSED LIFEBOATS, DOES IT HAVE LIFEBOATS WITH
A SELF-ENCLOSED AIR SUPPORT SYSTEM AND ARE THE BOATS FIREPROTECTED (SOLAS CH.III/31.1.6, 31.1.7)?
PROCEDURE AND ARRANGEMENTS MANUAL (P&A) for ships carrying NLS
cargo (MARPOL ANNEX II)
5
6
7
8
9
10
11
12
13
14
15
16
17
18
REMARKS:
SIGNATURE OF INSPECTOR:
NAME (PRINT)
DATE
INSPECTOR NO.
REV. 28/03/2014
SIGNATURE OF MASTER
NAME (PRINT)
DATE
VESSELS STAMP
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ANNEX PART C: MOBILE OFFSHORE DRILLING UNITS
AND FLOATING PRODUCTION STORAGE OFFLOADING
FACILITY (APPLICABLE 1989 MODU CODE AS AMENDED
IN 1991)
NOTES
GENERAL SAFETY CONDITION OF TOWING ARRANGEMENT (REG. 14.4)
IS THERE A RECORD OF WEEKLY AND MONTHLY INSPECTIONS OF LIFE
SAVING EQUIPMENT (REG. 10.8.6/7)?
AUTOMATIC FIRE DETECTION AND ALARM SYSTEM IN ALL
ACCOMMODATION AND SERVICE AREAS TESTED AND IN ORDER
(REG.9.7)
FIXED AUTOMATIC GAS DETECTION AND ALARM SYSTEM FOR ALL
ENCLOSED AREAS OF THE UNIT WHERE FLAMMABLE GAS MAY BE
DETECTED. TESTED AND IN ORDER (REG. 9.8.1)
TWO (2) PORTABLE GAS MONITORING DEVICES FOR MEASURING OF
CONCENTRATION OF FLAMMABLE GAS, TESTED AND IN ORDER (REG.
9.8.2)
AT LEAST TWO (2) DRY POWDER EXTINGUISHERS (MINIMUM 45 KG 100
LB) AND CO2 EXTINGUISHERS (MINIMUM 18 KG 40 LB) ARE PROVIDED
NEAR THE ACCESS TO THE HELICOPTER DECK (REG. 9.11.2.1/3)
AT LEAST TWO (2) FIRE HOSES WITH DUAL PURPOSE NOZZLES ARE
PROVIDED ON HELICOPTER DECK (REG. 9.11.2.4)
IS THE NON-SKID SURFACE AND SAFETY NET ON HELICOPTER DECK IN
GOOD CONDITION (REG. 13.2.4/3.3)?
IS THERE A WIND DIRECTION INDICATOR ON HELICOPTER DECK, AND IS
IT IN ORDER (REG. 13.4.1)?
ARE THE YELLOW AND BLUE LIGHTS ON HELICOPTER DECK
OPERATIONAL (REG. 13.4.3)?
IS THERE A RECORD OF EXAMINATION AND CERTIFICATION OF LIFTING
DEVICES ON BOARD (REG. 12.1.5/1.6)?
GENERAL SAFETY CONDITION OF THE SUPPORTING STRUCTURE AND
LIMIT SWITCHES
IS THERE A LOADING RATING CHARTS OR LOAD INDICATORS FOR ALL
LIFTING DEVICES ARE AVAILABLE TO THE OPERATOR AT ALL TIMES
ARE THE CRANE OPERATION AND MAINTENANCE MANUALS AVAILABLE
(REG. 12.1.10)?
CRANE OPERATIONS, IF CONDUCTED DURING INSPECTION, ARE
CARRIED OUT SAFELY AFTER COORDINATING DICSCUSSIONS OF ALL
PERSONS INVOLVED?
IS COMMUNICATION WITH CRANE OPERATORS MAINTAINED
THROUGHOUT OPERATION?
IS THERE ADDITIONAL RADIO EQUIPMENT ROOM FITTED AS FAR AS IS
PRACTICABLE FROM THE RADIO EQUIPMENT AND FITTED IN
COMPLIANCE WITH SECTION 11.5.1 (REG. 11.5.2)? INDICATE IF AN
EXEMPTION WAS GRANTED IN THE REMARKS SECTION/
AT LEAST TWO (2) TWO WAY VHF RADIOTELEPHONE APPARATUS AND
TWO RADAR TRANSPONDERS ARE AVAILABLE ON THE MODU (REG.
10.7.1)
DO ALL LIFEBOATS HAVE A TWO WAY VHF RADIOTELEPHONE
APPARATUS AND A RADAR TRANSPONDER (REG. 10.7.1)?
HAS THE RADIO BEEN SURVEYED AT ANNUAL INTERVALS (REG. 11.10.3)?
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
IS THERE RADIOCOMMUNICATION EQUIPMENT REQUIRED FOR FLIGHT
SAFETY AS DETERMINED BY THE COASTAL STATE ON BOARD (REG.
11.6)?
IS THERE CLEAR LABELLING OF HAZARDOUS AREAS AS PRACTICAL
(ZONES 0, 1 AND 2) (REG. 6.1)?
AT LEAST TWO WIDELY SEPARATED FIXED METAL LADDERS OR
STAIRWAYS PROVIDED FROM THE DECK TO THE SURFACE OF THE
WATER (REG. 10.3.7)
REMARKS:
SIGNATURE OF INSPECTOR
NAME (PRINT)
DATE
INSPECTOR NO.
REV. 28/03/2014
SIGNATURE OF MASTER
NAME (PRINT)
DATE
VESSELS STAMP
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