DescriptioRev 02: ARev 03: CRev 04: MRev 05: RRev 06: CRev 07: ARev 08: SRev 09: NRev 10: CFO D06 I
I
Name o
IMO Nu
Date of
Place o
Name o
Inspecto Date: ..
on of RevisionAddress on forChange of logoMajor RevisionRedesigned foClarify SectionAdd bookmarkSections 1.1,2New questionsCoding erors nspection & A
InspeFo
of Ship:
umber:
f Inspection
of Inspectio
of Lead Ins
ors signatu
..................
ns rm amended o and new addns to content ormat n 7 (ISM Impleks and amend .2, 3.2,3.6, 4.1s 2.1.2, 2.5.3,
Assessment R
ectionr Dry
n:
on:
spector:
ure: ............
.................
dress
ementation) questions to r
1,4.3, 4.4, 5.25.4.14, 7.1.2,
eport for Dry C
n andy Carg
..................
..................
read yes for p, 6.2, 6.3, 8.18.1.3. Corrn
Cargo Ships
d Assgo Sh
..................
..................
positive respon
to wording 6.2
Rev: 10
essmhips (
..................
..................
nse
2.10, 6.2.19
0 Date: 18-Ju
ment R(FOD0
..................
..................
l-12 ............ Pa
Repo06) 10
..................
..................
age: 1 of 15
ort
.............
...
FO D06 I
SECTIO1.11.21.31.41.5
SECTIO2.12.22.32.42.52.6
SECTIO3.13.23.33.43.53.6
SECTIO4.14.24.34.44.54.6
SECTIO5.15.25.35.45.5
SECTIO6.16.26.36.46.5
SECTIO7.17.27.3
SECTIO8.1
SECTIO9.1
SECTIO10.110.210.310.4
nspection & A
ON 1: VEGENERAL INPRINCIPAL DREGISTRATISHIP CONSTADDITIONA
ON 2: DOSTATUTORYTECHNICALINSPECTIONOPERATIONMANNINGADDITIONA
ON 3: EFFINSPECTIONFEEDBACKSAFETY MASAFE CARRISAFETY EQUSAFETY CUL
ON 4: SAFCERTIFICATSAFETY DOSAFETY PUBSAFETY PLASECURITY MENVIRONME
ON 5: STRHOLDSHATCH COVBALLAST TASHELL AND ADDITIONA
ON 6: MARECORDS ANOBSERVATISAFETY ANDBALLAST SYADDITIONA
ON 7: BRBRIDGE EQUNAVIGATIONADDITIONA
ON 8: HOEQUIPMENT
ON 9: COADDITIONA
ON 10: INSGENERALPHYSICAL INMANAGEMEADDITIONA
Assessment R
ESSEL PARTNFORMATIONDIMENSIONSION, CLASS &
TRUCTIONL COMMENTS
OCUMENTATY AND CLASS S
NSNAL
L COMMENTS FECTIVENE
N & REVIEWANAGEMENTIAGE OF COALUIPMENT TESTLTUREFETY, SECU
TIONCUMENTATIONBLICATIONS [IANS, DRAWINGMATTERSENTAL PLANS RUCTURAL
VERS AND ASSANKSDECK PLATINL COMMENTS
ACHINERY MND MANUALSON OF CONDID ENVIRONMEYSTEMSL COMMENTS
RIDGE MANAUIPMENTNAL PRACTICEL COMMENTS
OLDS - VENTTONDITION O
L COMMENTS SPECTION S
NSPECTION SUENT SUMMARYL COMMENTS
Report for Dry C
TICULARS
INSURERSOR OBSERVATIONSTATUS AND R
OR OBSERVAESS OF ISM
LTSURITY & EN
NIN ADDITION TGS & EQUIPME
AND RECORDL CONDITIO
SOCIATED ARE
NG, FITTINGS &OR OBSERVAMANAGEM
STIONS IN MAC
ENTOR OBSERVA
AGEMENT
ESOR OBSERVA
TILATION, L
OF CRANESOR OBSERVA
SUMMARY
UMMARYYOR OBSERVA
Cargo Ships
TIONS ON VES
RECORDS
TIONS ON THE
SYSTEM
NVIRONMEN
TO STATUTORYENTS
ONEAS& EQUIPMENTTIONS ON THE
MENTCHINERY SPAC
TIONS ON THE
TIONS ON THE
LIGHTING S
TIONS ON THE
TIONS ON THE
Rev: 10
SSEL PARTICUL
E DOCUMENTA
NTAL MANA
Y REQUIREMEN
TE STRUCTURAL
CES
E MACHINERY
E BRIDGE MANSECURING
E CARGO CRAN
E SUMMARY SE
0 Date: 18-Ju
LARS SECTION
ATION SECTION
AGEMENT
NTS]
L CONDITION S
MANAGEMEN
NAGEMENT SE
NES SECTION
ECTION.
l-12 ............ Pa
N.
N.
SECTION.
NT SECTION.
ECTION.
ge: 2 of 15
FO D06 I
SECT
1.1 G1.
1.
1.
1.
1.
1.2 Pr1.
1.
1.3 R1.
1.
1.
1.4 Sh1.
1.
1.
1.
1.
1.
1.5 A
SECT
2.1 St2.
2.
2.2 Te2.
2.
2.
nspection & A
TION 1: V
eneral Info.1.1 Year
.1.2 Place
.1.3 Name
.1.4 Name
.1.5 Name
rincipal Dim.2.1 Summ
.2.2 Summ
egistration.3.1 Flag:
.3.2 Class
.3.3 P&I C
hip Constr.4.1 Ship
.4.2 Doub
.4.3 Hatch
.4.4 Suita
.4.5 Is the
.4.6 Are c
[If Ye
dditional C
TION 2: D
tatutory an.1.1 The v
comp
.1.2 Is a M2.1.2.1
echnical .2.1 Was
[If No
.2.2 Are th
2.3 Have
Assessment R
VESSEL
ormation of build [mm
e built: .......
e of yard: ..
e of Owner
e of Compa
mensions mer Deadw
mer Draft [m
n, Class & I.................
s & Notation
Club: ..........
ruction Type: ........
ble/Single sk
h cover type
ble for heav
e vessel res
cargo holds
es]: At Sea
Comments
DOCUME
nd Class Stvessel's cerplete and va
Maritime La1 Is a Dec
the vessel f
o, provide de
he CSM sur
records of
Report for Dry C
PARTICU
m/yy]: ........
..................
..................
from Certifi
any on ISM
eight [tonne
metres]:
Insurers ..................
n: ...............
..................
..................
kin: ............
e: ...............
vy cargoes
stricted by S
used for ba
Nos:
or Observa
ENTATIO
tatus and Rrtification asalid: ............
bour Certificlaration of M
free of Cond
etails and d
rvey items u
ultrasonic t
Cargo Ships
ULARS
..................
..................
..................
icate of Reg
Document o
es]: .............
..................
..................
..................
..................
..................
..................
of 1.780 t/m
SOLAS XII/1
allast? ........
In Port N
ations on V
ON
Records s required u..................
cate on boaMaritime La
ditions of C
due date] : ..
up to date?
tests been m
Rev: 10
..................
..................
..................
gistry: ........
of Complian
..................
..................
..................
..................
..................
..................
..................
m3 and abo
14: .............
..................
Nos:
Vessel Part
nder statuto..................
ard? ...........abour Comp
Class at the
..................
.................
maintained
0 Date: 18-Ju
..................
..................
..................
..................
nce: ...........
..................
..................
..................
..................
..................
..................
..................
ve: .............
..................
..................
ticulars se
ory and clas..................
..................pliance on b
time of insp
..................
..................
on board? .
l-12 ............ Pa
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
ction.
ss requirem..................
..................board? .......
pection? .....
..................
..................
..................
ge: 3 of 15
...
...
...
...
...
...
...
...
...
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
ments is ........... ?
........... ?
........... ?
........... ?
...
........... ?
........... ?
FO D06 I
2.
2.
2.
2.
2.
2.
2.3 In2.
2.
2.
2.
2.4 O2.
2.
2.
2.5 M2.
2.
2.
2.6 A
nspection & A
[If yes
.2.4 Are th
.2.5 Does
[If No
.2.6 Is ves
[If No
.2.7 Is the
[If No
.2.8 Date
.2.9 Date
nspections .3.1 Is the
.3.2 Have
[If No
.3.3 Is the
.3.4 Have
[If No
perational .4.1 Are c
[If No
.4.2 Are th
[If No
.4.3 Is a B
Manning .5.1 The n
[Spec
.5.2 The w
.5.3 Are a
dditional C
Assessment R
s, period fo
he results o
s the vessel
o, reasons fo
ssel history
o, reasons fo
e vessel free
o, reasons fo
of last Spec
of last dry-d
e vessel free
all findings
o, provide de
e vessel free
all findings
o, provide de
cargo opera
o, provide de
he Loading
o, provide de
Ballast Oper
number of n
cify nationa
working lang
all Officers a
Comments
Report for Dry C
r which reco
of the ultraso
have an En
or same] : ..
free of maj
or same] :
e of any ext
or same] : ..
cial Survey
dock: .........
e of PSCI d
s been clear
etails] :
e of Flag St
s been clear
etails] :
tions planne
etails] :
Instrument
etails] :
rations Log
nationalities
lities] :
guage(s) un
and Enginee
or Observa
Cargo Ships
ords are av
onic tests c
nhanced Su
..................
or repairs?
tensive stee
..................
: .................
..................
eficiencies
red .............
tate inspect
red: ............
ed and reco
operationa
maintained
represente
nderstood o
ers able to c
ations on t
Rev: 10
ailable] : ....
onsidered s
urvey Progr
..................
.................
el renewal [
..................
..................
..................
in the last 6
..................
ion deficien
..................
orded in acc
al and test re
d ................
ed on board
on board is .
communica
the Docum
0 Date: 18-Ju
..................
satisfactory
ramme [ESP
..................
..................
>25 tons]? .
..................
..................
..................
6 months....
..................
ncies in the
..................
cordance w
ecords avai
..................
are: ..........
..................
ate effective
entation S
l-12 ............ Pa
..................
.................
P] report file
..................
..................
..................
..................
..................
..................
..................
..................
last 6 mont
..................
with the BLU
ilable .........
..................
..................
..................
ely in Englis
ection.
ge: 4 of 15
...
........... ?
e? ....... ?
...
........... ?
........... ?
...
...
...
........... ?
........... ?
ths? .... ?
........... ?
U Code ?
........... ?
........... ?
........... ?
...
h? ....... ?
FO D06 I
SECT
3.1 In3.
3.
3.2 Fe3.
3.
3.
3.
3.
3.
3.
3.
3.
3.
3.
3.
3.
3.
3.
3.
3.3 Sa3.
3.
3.
3.
3.
3.
3.
nspection & A
TION 3: E
nspection &.1.1 Has M
.1.2 Is it e
eedback .2.1 Has t
.2.2 Comm
.2.3 Are fi
.2.4 Comm
.2.5 Do cocause
.2.6 Comm
.2.7 Do threcur
.2.8 Comm
.2.9 Has emont
.2.10 Comm
.2.11 Is the
.2.12 Is it fo
.2.13 Comm
.2.14 Are Shull d
.2.15 Has a
.2.16 Doesand F
afety Mana.3.1 Is ind
.3.2 Are re
.3.3 Comm
.3.4 Are arespo
.3.5 Comm
.3.6 Is thelapse
3.3.6.13.3.6.2
.3.7 Comm
Assessment R
EFFECTIV
& Review Masters rev
effective? ...
there been f
ments:
ndings from
ments:
ompany proe analysis o
ments:
he companyrrence of de
ments:
emergency hs? ...........
ments:
ere a progra
ollowed and
ments:
Senior Officedamage and
any training
s ManagemeFlag? .........
agement duction/fami
ecords kept
ments:
all crew memonsibilities a
ments:
ere a culturees/deficienc1 At ship le2 At Comp
ments:
Report for Dry C
VENESS
view of SMS
..................
feedback fr
m RightShip
ocedures anof each defic
y procedureeficiencies. .
drill involvin..................
am for drills
d document
ers aware od possible n
been comp
ent regularl..................
liarization fo
t? ..............
mbers able and duties?
e of continuies evel ...........pany level?
Cargo Ships
S OF ISM
S been com
..................
rom the sho
p Inspection
nd practicesciency? ......
s and pract..................
ng Shore M..................
and exercis
ted? ..........
of MSC/Circneed for aba
pleted? ......
y provide ve..................
or new crew
..................
to understa..................
ous improv
..................
..................
Rev: 10
SYSTEM
mpleted in la
..................
ore manage
s correlated
s for handlin..................
tices include..................
Management..................
ses. ...........
..................
c. 1143 (Guandonment
..................
essels with ..................
w members
..................
and the lang..................
ement do
..................
..................
0 Date: 18-Ju
M
ast 12 mont
..................
ment .........
d and whole
ng of deficie..................
e measures..................
t been cond..................
..................
..................
ide lines onof bulk carr
..................
copies of C..................
conducted
..................
guage of the..................
o they learn
..................
..................
l-12 ............ Pa
ths .............
..................
..................
e Fleet infor
encies requi..................
s to prevent..................
ducted in las..................
..................
..................
n early asserier) ...........
..................
Circulars fro..................
.................
..................
eir documen..................
from past
..................
..................
ge: 5 of 15
........... ?
........... ?
........... ?
rmed? . ?
ire root ........... ?
t ........... ?
st 12 ........... ?
........... ?
........... ?
essment of ........... ?
........... ?
om Class ........... ?
........... ?
........... ?
nted ........... ?
........... ?
........... ?
FO D06 I
3.4 Sa3.
3.5 Sa
3.6 Sa3.
3.
SECT
4.1 C4.
4.
4.
4.
4.
4.
4.
4.
4.2 Sa4.
4.
4.
nspection & A
afe Carriag.4.1 The v
regulasensi
[If No
afety EquipSpec
[NB Dnote tand m
afety Cultu.6.1 What
whereclothi
.6.2 AdditSectio
TION 4: S
ertification.1.1 State
.1.2 Date
.1.3 Date
.1.4 State
.1.5 Date
.1.6 Date
.1.7 Date
.1.8 Other
afety Docu.2.1 Are S
accep
.2.2 Are m
.2.3 The f4.2.3.14.2.3.24.2.3.3
Assessment R
ge Of Coal vessel can bations. [Cheng devices
o, reasons fo
pment Testify which ite
Due to multito be taken
maintenance
ure t level of safe applicableng etc.] .....
ional Common.
SAFETY,
n e issuing Au
on which th
on which th
e issuing Au
on which th
of last inter
of last exte
r general co
umentationSafety Commptable frequ
minutes ava
following are1 Non-con2 Accident3 Hazardo
Report for Dry C
be considereck all procetc] ...........
or same] :
ts ems of safe
iple fatalitiewith regard
e of lifeboat
fety conscioe, legible dis..................
ments or Ob
SECUR
thority for th
he Docume
he Docume
thority for th
he Safety M
rnal audit. ..
ernal audit. .
omments on
mittee Meetuency? .......
ailable for la
e reported, nformities ...ts ...............
ous occurren
Cargo Ships
red suitableedures, rec..................
ty equipme
s that haved to the posts and asso
ousness ansplay of rele..................
bservations
ITY & EN
he Docume
nt of Comp
nt of Comp
he Safety M
Managemen
..................
..................
n safety cer
tings under..................
st two meet
investigate....................................nces [near-
Rev: 10
e for the carcords, condi..................
nt, if any, w
been assosting of instrociated equi
d practice isevant plans..................
on the Safe
NVIRONM
ent of Comp
liance was
liance was
Managemen
t Certificate
..................
..................
rtification:
rtaken on a ..................
tings? ........
d and analy....................................misses] .....
0 Date: 18-Ju
riage of coaition of mon..................
were tested
ciated with ructions on ipment]
s apparent s, safety not..................
ety, Security
MENTAL
pliance.
issued. ......
last endors
nt Certificate
e was issued
..................
..................
regular bas..................
..................
yzed: ......................................................
l-12 ............ Pa
al cargoes anitoring equ..................
by the insp
lifeboat drilthe safe op
onboard [intices, use o..................
y and Envir
MANAG
..................
ed. ............
e
d. ..............
..................
..................
sis and with..................
..................
..................
..................
..................
ge: 6 of 15
as per IMO ipment, ........... ?
ector:
lls, special peration
ncluding f protective........... ?
ronmental
GEMENT
...
...
...
...
...
........... ?
........... ?
........... ?
........... ?
........... ?
FO D06 I
4.
4.
4.
4.
4.3 Sa4.
4.
4.
4.
4.
4.4 Sa4.
4.
4.
4.
4.
4.
4.
4.
4.
4.
4.
4.
4.
4.
4.
4.5 Se4.
4.
4.
4.
nspection & A
.2.4 Corre
.2.5 Corre
.2.6 Corre
.2.7 Other
afety Publi.3.1 Accid
.3.2 GuideAban
.3.3 Guide
.3.4 Are M
.3.5 Other
afety Plans.4.1 Muste
.4.2 Fire C
.4.3 Conti
.4.4 Is Saf
.4.5 The Slist wa
.4.6 IMO s
.4.7 Esca
.4.8 Safet
.4.9 Safet
.4.10 Perm
.4.11 Is the
.4.12 Is atm
.4.13 Are c
.4.14 Are fi
.4.15 Other
ecurity Mat.5.1 Secu
.5.2 Appro
.5.3 Vesse
.5.4 Other
Assessment R
ective action
ective action
ective action
r general co
ications [Indent preven
elines on eadonment of
elines for th
MSDS availa
r general co
s, Drawingser lists. ......
Control Plan
ngency pla
fety Officer
SOPEP wasas up to da
signs were
pe routes w
ty plans wer
ty notices w
mits to work w
ere evidence
mosphere te
calibration re
re main iso
r general co
tters rity was at l
opriate secu
el has a val
r general co
Report for Dry C
ns recorded
ns and close
ns and close
omments on
n addition ttion on boa
arly assessmf Bulk Carrie
he mitigation
able for Car
omments on
s & Equipm..................
ns in accom
ns for emer
s identity w
s filed togette. .............
displayed. .
were marked
re displayed
were display
were issued
e that safety
esting equip
ecords avai
olation valve
omments on
level. .........
urity system
lid Continuo
omments on
Cargo Ships
d for items in
e-out record
e-out record
n safety doc
to statutoryard ship at s
ment of hulers [MSC/C
n and mana
rgo/Bunker/
n safety pub
ment ..................
mmodation a
rgency resp
well known t
ther with pip..................
..................
d. ...............
d ................
yed. ............
d. ...............
y equipmen
pment appro
lable for atm
es operation
n safety pla
..................
m was being
ous Synops
n security m
Rev: 10
n 4.2.3 ......
ded for inte
ded for exte
cumentation
y requiremsea and in p
l damage aCirc.1143] ..
agement of
/Hazardous
blications:
..................
and at gang
ponse. ........
to all onboa
ping diagram..................
..................
..................
..................
..................
..................
nt is regular
opriate and
mosphere te
nal? ...........
ns, drawing
..................
g implement
sis Record ..
matters:
0 Date: 18-Ju
..................
rnal audits?
ernal audits
n:
ents] port [ILO] (o
nd possible..................
fatigue. [MS
s Materials?
..................
gways. ........
..................
ard? ............
ms and othe..................
..................
..................
..................
..................
..................
rly checked?
fit for use?
esting equip
..................
gs and equi
..................
ted .............
..................
l-12 ............ Pa
..................
? ................
? ...............
r equivalen
e need for ..................
SC/Circ.101
? .................
..................
..................
..................
..................
er key plans..................
..................
..................
..................
..................
..................
? ...............
.................
pment? .....
..................
pment:
..................
..................
..................
ge: 7 of 15
........... ?
........... ?
........... ?
t) ........ ?
........... ?
14] ...... ?
........... ?
........... ?
........... ?
........... ?
........... ?
s, contact ........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... 0
........... ?
........... ?
FO D06 I
4.6 En4.
4.
4.
4.
4.
SECT[Guidanand clar
5.1 H5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.2 H5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
nspection & A
nvironmen.6.1 Bunk
.6.2 Garba
.6.3 Ballas
.6.4 Oil Re
.6.5 Other
TION 5: Snce Note: Arification en
olds .1.1 Bulkh
.1.2 Shell
.1.3 Hopp
.1.4 Tank
.1.5 Tops
.1.6 Bilges
.1.7 Wate
.1.8 Air ve
.1.9 Hold
.1.10 Prote
.1.11 Hold
.1.12 Other
atch Cover.2.1 Hatch
.2.2 Hatch
.2.3 Seali
.2.4 Comp
.2.5 Secu
.2.6 Track
.2.7 Hydra
.2.8 Drain
.2.9 Hatch
.2.10 Hatch
.2.11 Hatch
.2.12 Are h
Assessment R
ntal Plans aering Plan.
age Manag
st Managem
ecord Book
r general co
STRUCTUny structura
ntered in the
heads ........
plating Fra
per and Stoo
top plating
ide tank pla
s, Suction b
r ingress se
ents, Sound
ladders - ru
ective coatin
ventilation,
r general co
rs And Assh covers top
h covers int
ng rubber, c
pression ba
ring cleats
k-ways and
aulic system
ns and non-
h coaming p
h coaming s
h coaming c
hatches con
Report for Dry C
and Record..................
ement Plan
ment Plan ..
k .................
omments on
URAL COal item fittede appropriat
..................
ames, Brack
ol sloping p
.................
ating - as se
boxes, Exte
ensors .......
ding pipes M
ungs, stanch
ngs .............
Fire dampe
omments on
sociated Arps and side
ernal stays
channels ...
ars and weig
..................
rollers .......
m jacks &
return valve
plates [fwd,
stays [vertic
connections
sidered acc
Cargo Ships
ds ..................
n .................
..................
..................
n environme
ONDITIOd with a doute comment
..................
kets, Bracke
lating .........
..................
een from ho
ended spind
..................
Manhole cov
hions, platfo
..................
ers, Access
n hold cond
reas s ................
and/or stiff
..................
ght bearing
..................
..................
pipes ........
es ...............
aft, port & s
cal and horiz
s to deck pla
ceptable for
Rev: 10
..................
..................
..................
..................
ental plans
ON ubler shouldts field.]
..................
et connectio
..................
..................
old spaces ..
les etc. .....
..................
vers ...........
orms ..........
..................
s spaces ....
ition:
..................
feners ........
..................
pads .........
..................
..................
..................
..................
starboard] .
zontal] .......
ates ...........
r carriage of
0 Date: 18-Ju
..................
..................
..................
..................
and records
d be marked
..................
ons .............
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
f water sens
l-12 ............ Pa
..................
..................
..................
..................
s:
d as unsatis
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
sitive cargo
ge: 8 of 15
........... ?
........... ?
........... ?
........... ?
sfactory
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
oes? .... ?
FO D06 I
5.
5.
5.3 B5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.4 Sh5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
nspection & A
.2.13 Is infoand d
.2.14 Otherleaka
allast Tank.3.1 Bulkh
.3.2 Side
.3.3 Fram
.3.4 Tank
.3.5 Dump
.3.6 Suctio
.3.7 Air ve
.3.8 Manh
.3.9 Prote
.3.10 Catho
.3.11 Acces
.3.12 Sludg
.3.13 Other
hell and De.4.1 Shell
.4.2 Deck
.4.3 Deck
.4.4 Deck
.4.5 Air ve
.4.6 Wate
.4.7 Venti
.4.8 Railin
.4.9 Gang
.4.10 Non-s
.4.11 Wind5.4.115.4.115.4.115.4.115.4.11
[Inspe
[If Ye
Assessment R
ormation avdynamic loa
r general coage etc.]:
ks heads in tan
shell plating
es, Bracket
sloping pla
p valves an
on and Fillin
ents, Sound
hole covers
ective Coatin
odic protect
ss spaces t
ge, scale an
r general co
eck Platingplating (P&
plating incl
plating bet
pipes and
ents and So
rtight openi
lators, Mus
ngs, bulwark
gway, accom
slip paint, if
lass, winch.1 Brake-ba.2 Clutches.3 Foundat.4 Spurling.5 Have the
ector to issu
es date of la
Report for Dry C
vailable relaads imposed
omments on
nk spaces ..
g ................
ts, Side & L
ating ...........
d filling valv
ng valves, E
ding pipes ..
..................
ngs ............
tion - anode
to tanks, lad
nd other dep
omments on
g, Fittings &&S) .............
luding forec
ween hatch
valves [fire
ounding pipe
ings, acces
hroom head
ks and ram
mmodation,
f applied .....
es: ands & linins, gears & ctions ........... pipes, covee windlass/w
ue a recom
ast test]
Cargo Ships
ating to abilid by a helico
n hatch cov
..................
..................
Longitudinal
..................
ves for tops
Extended sp
..................
..................
..................
es or others
dders etc. ...
posits .........
n ballast tan
& Equipme..................
castle and p
hes .............
main, bunk
es ..............
s hatches,
ds [includin
ps ..............
deck and p
..................
ngs .............controls ........................ers, cockspwinch brake
mendation
Rev: 10
ty of any deopter landin
er condition
..................
..................
Stiffeners .
..................
side tanks...
pindles, Ma
..................
..................
..................
s .................
..................
..................
nk condition
ent ..................
poop ..........
..................
ker and hyd
..................
manholes ..
g fire flaps]
..................
pilot ladders
..................
..................
..................
..................purs and guaes been tes
if No.]
0 Date: 18-Ju
eck surface ng on that s
n [Include a
..................
..................
..................
..................
..................
arkings........
..................
..................
..................
..................
..................
..................
n:
..................
..................
..................
raulic] ........
..................
..................
.................
..................
s ................
..................
..................
..................
..................ards ...........ted ............
l-12 ............ Pa
to withstansurface?. ....
ny evidence
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
ge: 9 of 15
nd the static........... ?
e of
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
c
FO D06 I
[
5.
5.
5.
5.
5.
5.
5.
5.5 A
SECT
6.1 R6.
6.
6.2 O6.
6.
6.
6.
6.
6.
6.
6.
6.
6.
6.
6.
6.
6.
nspection & A
5.4.11
[Inspector to
.4.12 Bolla
.4.13 Moor
.4.14 Is a s
.4.15 Bunk
.4.16 Other
.4.17 Deck
.4.18 Other
dditional C
TION 6: M
ecords and.1.1 Exam
syste
.1.2 A comengin
bservation.2.1 Clean
is goo
.2.2 Is ME
.2.3 Tank
.2.4 Are a
.2.5 Purifi
.2.6 Drip t
.2.7 Are sacces
.2.8 Engin
.2.9 Is the
.2.10 All sto
.2.11 If No
.2.12 Are sappro
.2.13 Safet
.2.14 Enginin pro
Assessment R
.6 Are brak
o issue a re
rds, rollers
ring ropes, w
ship specific
ering conne
r deck mach
lighting ....
r general co
Comments
MACHINE
d Manuals mination of m
ms are func
mplete set oneers availa
n Of Conditnliness in thod. ............
E exhaust a
tops and b
all pump and
er room fre
trays in way
steering spassible? ......
ne room floo
ere evidence
ores/spares
o provide b
spare parts aopriately? ..
ty instructio
ne control rooper bins ...
Report for Dry C
ke tests a pa
ecommenda
& fairleads
wires, ancho
c emergenc
ections, ma
hinery inc. s
..................
omments on
or Observa
ERY MAN
machinery rctional and
of all machinable on boar
tions In Mahe engine ro..................
nd boiler in
ilge spaces
d valve gla
e of leaks a
y of machine
aces clean, ..................
or plates in
e that adeq
s requisition
rief details.
and other g..................
ns appropri
oom clean w..................
Cargo Ships
art of the PM
ation if No.]
..................
ors & cable
y towing pro
nifolds, sav
storing and
..................
n plating an
ations on t
NAGEME
records [login good ord
nery manuard. ..............
achinery Spoom in way ..................
sulation in g
s in a good c
nds free fro
and accumu
ery items a
free of obst..................
place and f
uate stores
ns are filled
gear or equi..................
ate to the s
with chairs s..................
Rev: 10
MS ............
..................
es ...............
ocedure pro
ve alls ........
bunkering c
..................
d deck fittin
the Structu
ENT
books etc.]der. ............
als in a lang..................
paces of scaveng
..................
good condit
clean condi
om leaks? ..
ulation of oil
nd fuel tank
tructions an..................
free of obst
s and spares
in less than
pment firml..................
space displa
secured, no..................
0 Date: 18-Ju
..................
..................
..................
ovided? ......
..................
cranes .......
..................
ngs:
ural Condit
suggest al..................
guage unde..................
ge spaces a..................
tion? ..........
ition. ..........
..................
l. ................
ks dry .........
nd oil leaks a..................
ructions .....
s are provid
n 30 days? .
y secured a..................
ayed ...........
o loose mat..................
l-12 ......... Page
..................
..................
..................
..................
..................
..................
..................
ion Section
l machinery..................
rstood by th..................
and crank ca..................
..................
..................
..................
..................
..................
and readily ..................
..................
ded ............
..................
and stored ..................
..................
ts and garba..................
e: 10 of 15
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
n.
y items and ........... ?
he senior ........... ?
ase doors ........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
age placed ........... ?
FO D06 I
6.
6.
6.
6.
6.
6.
6.
6.
6.
6.3 Sa6.
6.
6.
6.
6.
6.
6.
6.
6.
6.4 B6.
6.
6.
6.
6.
6.5 A
nspection & A
.2.15 Mach
.2.16 Monitand s
.2.17 Are g
.2.18 Is Cra
.2.19 Switc
.2.20 Auto-
.2.21 Lube
.2.22 Oil sa
[If No
.2.23 Other
afety and E.3.1 It is e
mach
.3.2 Oily W
.3.3 Oil co
.3.4 WhatSteer
.3.5 Criticmetho
.3.6 Standsuch
.3.7 Is the
.3.8 Gantr
.3.9 Other
allast Syst.4.1 No of
.4.2 Stripp
.4.3 De-ba
.4.4 De-ba
.4.5 Other
dditional C
Assessment R
hinery guard
toring and isafe conditio
gauges and
ankcase Oi
chboard pan
-closing dev
oil samples
ample repor
o, provide de
r general co
Environmeevident that hinery space
Water sepa
ontent mete
t type of plaring Gear? .
al Equipmeods to prom
dby arrangeequipment
ere a written
ry crane in
r general co
tems f ballast pum
ping system
allasting tim
allasting tim
r general co
Comments
Report for Dry C
ds in place .
ndicating deon ..............
instruments
l Mist Detec
nels were fr
vices on sou
s are taken
rt free of ad
etails] :
omments on
nt only safe a
es [Compliarator mainte
er last calibr
anned maint..................
ent and Systmote reliabil
ements haveis conducte
n procedure
ER last test
omments on
mps & rating
m ................
me required
me required
omments on
or Observa
Cargo Ships
..................
evices fitted..................
s functional
ctor operatin
ree of earth
unding pipe
regularly ...
verse comm
n machinery
and pollutionance with Menance reco
ration date ..
tenance sys..................
tems have ity have bee
e been idened. .............
e for fuel cha
ted on ........
n safety and
g ................
..................
excluding b
including b
n ballast sys
ations on t
Rev: 10
..................
d to relevan..................
l? ...............
ng correctly
indicators?
es being use
..................
ments ........
y space con
n-free practMARPOL] .ords in orde
..................
stem is in p..................
been identifen put in pla
ntified by the..................
ange-over i
..................
d environme
..................
..................
ballast hold
ballast hold.
stems:
the Machin
0 Date: 18-Ju
..................
t machinery..................
..................
y? ...............
? .................
ed properly
..................
..................
ndition:
ices are be..................
er ...............
..................
lace for all m..................
fied by the ace. ...........
e Company..................
n the SMS?
..................
ental issues
..................
..................
..................
..................
nery Manag
l-12 ......... Page
..................
y items and..................
..................
..................
..................
.................
..................
..................
ing followed..................
..................
..................
machinery, ..................
Company a..................
y and regula..................
? ................
..................
s:
..................
..................
..................
..................
gement Sec
e: 11 of 15
........... ?
in working ........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
d in the ........... ?
........... ?
...
including .... None
and ........... ?
ar testing of........... ?
........... ?
...
...
...
...
...
ction.
f
FO D06 I
SECT
7.1 B7.
7.
7.
7.
7.
7.2 N7.
7.
7.
7.
7.
7.
7.
7.
7.
7.3 A
SECT
8.1 Eq8.
8.
8.
8.
nspection & A
TION 7: B
ridge Equi.1.1 Bridg
.1.2 Is Bri
.1.3 All Br
.1.4 Operaunde
.1.5 Other
avigationa.2.1 Navig
.2.2 Relevavaila
.2.3 Up-to
.2.4 Relevbeen
.2.5 Therelatest
.2.6 Operadispla
.2.7 Thereall brinavig
.2.8 Recoinstru
.2.9 Other
dditional C
TION 8: H
quipment .1.1 Hold
.1.2 Wher
[If No
.1.3 Wherequip
.1.4 There ........
[If No
Assessment R
BRIDGE
pment e and Radi
dge Naviga
ridge and R
ating manurstood by th
r general co
l Practicesgation recor
vant and upable. ..........
o-date [corre
vant and upprovided. .
e is a definet navigation
ating proceayed and st
e are Owneidge and en
gation of the
ords are mauments ......
r general co
Comments
HOLDS -
ventilation
re applicabl
o, describe o
re applicablpment? ......
e are arrang.................
o, describe o
Report for Dry C
MANAGE
o Equipmen
ation Watch
Radio Equipm
als for Bridghe ships sta
omments on
s rds are avai
p-to-date na..................
ected] chart
p to date ma..................
ed practice warning in
dures and itaff are awa
ers/Managerngine room e vessel, at
intained of t..................
omments on
or Observa
VENTILA
is of the for
e, containe
observation
e is there a..................
gements pro..................
observation
Cargo Ships
EMENT
nt is provide
Alarm Syst
ment is in g
ge equipmeaff. .............
n bridge equ
ilable and m
avigational p..................
ts for the int
arine notices..................
for the colleformation. ..
nstructionsare of the sa
rs policy anequipment relevant sta
testing bridg..................
n navigation
ations on t
ATION, L
rced [mecha
r shoes on
ns] :
an ongoing i..................
ovided onbo..................
ns] :
Rev: 10
ed as per re
tem (BNWA
good workin
ent are avai..................
uipment:
maintained i
publications..................
tended voya
s for the tra..................
ection, disse..................
for Bridge ame ...........
d procedureand instrum
ages of the
ge and eng..................
n practices:
the Bridge
LIGHTING
anical] type
tank tops a
nspection r..................
oard for mo..................
0 Date: 18-Ju
elevant regu
AS) fitted an
g order. .....
lable on bo..................
n a satisfac
s to aid vess..................
age(s) have
ading patter..................
emination a..................
functions a..................
es, which rements, criticvoyage. ....
gine room eq..................
Manageme
G SECUR
e. ...............
are flush and
regime for c..................
onitoring the..................
l-12 ......... Page
ulations .....
nd functioni
..................
ard in a lan..................
ctory state.
sel operatio..................
e been prep
ns for the s..................
and monitor..................
re clearly sp..................
equire the tecal to the sa..................
quipment a..................
ent Section
RING
..................
d tight. .......
container las..................
e status of h..................
e: 12 of 15
........... ?
ng? ..... ?
........... ?
guage ........... ?
........... ?
ns are ........... ?
pared. . ?
hip have ........... ?
ing of all ........... ?
pecified, ........... ?
esting of afe ........... ?
nd ........... ?
n.
........... ?
........... ?
shing ........... ?
hold lights?........... ?
FO D06 I
8.
nspection & A
.1.5 Does
Assessment R
s the compa
Report for Dry C
any have a w
Cargo Ships
written proc
Rev: 10
cedure for C
0 Date: 18-Ju
Cargo Hold A
l-12 ......... Page
Access?. ...
e: 13 of 15
........... ?
FO D06 I
SECTEnter ob CertificBlocks Hook/sChain ShackleCrane wOil leakCrane CWindscFire extCabin hInternaEmergeExternaJib conPerformPerformPerformLimit sw Type
Weight
Capaci
9.1 A
SECT
10.1 G10
10
nspection & A
TION 9: Cbservations
cation, Mark
swivel
es wire ks Cabins creen wipertinguisher heater
al ladder ency stops al ladder
ndition mance mance recomance at inwitch setting
t (tonnes)
ty (tonnes)
dditional C
TION 10:
eneral 0.1.1 The v
........
0.1.2 The i10.1.210.1.2
Assessment R
CONDITIOs on cranes
king & Cond
s
rds n & out limgs
Comments
INSPEC
vessel was .................
nspection s2.1 Commen2.2 Commen
Report for Dry C
ON OF Cand grabs
dition
mits
or Observa
TION SU
inspected a..................
schedule wanced travel:nced inspec
Cargo Ships
CRANESin the follow
Cranes 1 ? ? ? ? ? ?
? ? ? ? ? ? ?
? ? ?
1 ?
0.0
0.0
ations on t
UMMARY
as per instru..................
as as follow: .................ction: ..........
Rev: 09
wing table:
2 ? ? ? ? ? ?
? ? ? ? ? ? ?
? ? ?
2 ?
0.0
0.0
the Cargo C
Y
uctions rece..................
ws: ....................................
9 Date: 27-Ju
3 ? ? ? ? ? ?
? ? ? ? ? ? ?
? ? ?
Grabs 3 ?
0.0
0.0
Cranes Sec
eived from R..................
............. .............
n-12 ....... Page
4 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?
4 ?
0.0
0.0
ction
RightShip b..................
@ @
e: 14 of 15
5 ? ? ? ? ? ?
? ? ? ? ? ? ?
? ? ?
5 ?
0.0
0.0
y email on:...
hrs. hrs.
FO D06 I
10
10
10
10
10
10
10
10.2 Ph10
10
10
10
10
10
10
10
10
10
10
10.3 MComme
10.4 A
nspection & A
10.1.2.10.1.2
0.1.3 Was
[If no
0.1.4 The o
[If yes
0.1.5 The M
[If NO
0.1.6 A me ........
[If Ne
0.1.7 The i
[If NO
0.1.8 A copwith M
[If NO
0.1.9 Vesse
hysical Ins0.2.1 Acco
0.2.2 Acco
0.2.3 Whee
0.2.4 Engin
0.2.5 Exter
0.2.6 Main/
0.2.7 Cargo
0.2.8 Hatch
0.2.9 Crane
0.2.10 Ballas
0.2.11 Other
Managemenent in gener
dditional C
Assessment R
3 Finished2.4 Returned
the ships g
, explain] : .
owners repr
s, who] : ....
Master had
O give reaso
mber of the.................
ever give rea
nspector dis
O give reaso
py of the InsMaster. ......
O give reaso
el status at
spection Summodation
mmodation
elhouse: ....
ne Room/M
rnal shell pla
/Weather D
o holds: .....
h Coamings
es .............
st tanks: ....
r spaces - s
nt Summaryral about the
Comments
Report for Dry C
d inspectiond to home b
gangway co
..................
resentative
..................
been appris
ons] : .........
e ships staf..................
asons] : .....
scussed ou
ons] : .........
spectors Lis..................
ons] :
time of insp
ummary structure: .
interior: ....
..................
achinery Sp
ate .............
eck & Fittin
..................
s, Trackway
..................
..................
stores etc: ..
y e apparent s
or Observa
Cargo Ships
: .................base: ..........
orrectly rigge
..................
was on boa
..................
sed of the R
..................
ff [or Superi..................
..................
utcomes wit
..................
st of Deficie..................
pection: ......
..................
..................
..................
paces: ........
..................
ngs: ............
..................
ys and Hatc
..................
..................
..................
standard an
ations on t
Rev: 10
..................
..................
ed giving sa
..................
ard during th
..................
RightShip in
..................
ntendent] a..................
..................
h the Maste
..................
encies and R..................
..................
..................
..................
..................
..................
..................
..................
..................
ch Covers...
..................
..................
..................
nd quality o
the Summa
0 Date: 18-Ju
.............
.............
afe access:
..................
he inspectio
..................
nspection. ..
..................
accompanie..................
..................
er and/or Su
..................
Recommend..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
f onboard m
ary Section
l-12 ......... Page
@ @
.................
..................
on. .............
..................
..................
..................
ed the Inspe..................
..................
uperintende
..................
dations has..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
managemen
n.
e: 15 of 15
hrs. hrs.
........... ?
...
.......... ?
...
........... ?
...
ector .... ?.............
...
ent. ...... ?
...
s been left ........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
........... ?
nt.
Top Related