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IMOnumber
Dateoflastrenewalsurvey
Cargotype
Fornextport
Masterconfirmsallequipment
isoperatingsatisfactorily,
V
Ratings
II/5
ChiefEngineer>3000kW
V?
H/2
21Engineer
II/2
V?
OfficerEW
HI/1
V
RatingsEW
II/4
V
AMSA
36
Inspectionreport
AaedisMuimNhyAee
tetrdlasCneremm
Formorehelp,scantheQRcodeorgoto
AMSA.gov.au/form36
aShipandinspection
Shipname
Port
Inspector
Initialcompleted(date/time)
Inspectiontimeframe
Initialstarted(date/time)
Detailcompleted(date/time)
Detailstarted(date/time)
Comments
CDocumentationcheck
Appropriatecargopublications/documentation(shippersdeclaration,ship-to-shorechecklist)
Approvedstabilityinformation
Cargosecuringmanual
ContinuousSynopsisRecord
MLC&DMLC(partl&II)
DocumentofCompliance(asapplicable)
DocumentedSafetyManagementSystem
Enhancedsurveyreport(bulkcarrierortanker)
Garbagemanagementplan/recordbook
P&Icertificateofentry
BunkerOilPollution
LastPSCreport
Officiallogbookentries,recordsofdrills,etc.
OilRecordBook(s)/Bunkerdeliverynotes
P&AManual(ChemicalTankers)
Ship-typeappropriateforthecargo
Shore-basedradioequipmentmaintenanceagreement
SOPEP/SMPEP/SEEMP
Surveyreportfile
MARPOLAnnexVIDocuments
bMoreshipdetailsSHIPSYSmobileusers
Owner
OwnerIMO
Useship'sregistrationpapersorC.S.R.
Charterer
Country
Agent
Portofregistry
Departuredate/time
ETAatnextport
vesselisseaworthy
Notconfirmed
Comments
dCrewqualificationsSHIPSYSmobileusers
1234
Master>500GT
II/2
V?
GOC/ROC
ChiefOfficer>500GT
I/2
?
V
GOC/ROC
OfficerNW
I/1
V
GOC/ROC
RatingsNW
II/4
V
1.ValidCoC:TheCertificateofCompetency(CoC)keptonboard,mustbeanoriginalwithanEnglishtranslationincluded.
2.ValidFlagEndorsement:TheflagStatemustrecogniseany
certificateissuedbyanotherpartytoanyofficerserviceunder
itsflag
EQ\*jc3\*hps18\o\al(\s\up4(3),r)
q
EQ\*jc3\*hps18\o\al(\s\up4(Tanker),uiredfo)
r
EQ\*jc3\*hps18\o\al(\s\up4(E),o)
EQ\*jc3\*hps18\o\al(\s\up4(ndors),fficers)
EQ\*jc3\*hps18\o\al(\s\up4(e),a)
EQ\*jc3\*hps18\o\al(\s\up4(m),n)
EQ\*jc3\*hps18\o\al(\s\up4(nt:Tan),certific)
EQ\*jc3\*hps18\o\al(\s\up4(ker),ate)
EQ\*jc3\*hps18\o\al(\s\up4(e),s)
EQ\*jc3\*hps18\o\al(\s\up4(n),f)
ro
EQ\*jc3\*hps18\o\al(\s\up4(rs),ra)
EQ\*jc3\*hps18\o\al(\s\up4(e),ti)
EQ\*jc3\*hps18\o\al(\s\up4(mentsor),ngsassig)
EQ\*jc3\*hps18\o\al(\s\up4(c),n)
EQ\*jc3\*hps18\o\al(\s\up4(e),e)
EQ\*jc3\*hps18\o\al(\s\up4(rt),d)
i
EQ\*jc3\*hps18\o\al(\s\up4(f),s)
i
EQ\*jc3\*hps18\o\al(\s\up4(cat),pec)
EQ\*jc3\*hps18\o\al(\s\up4(e),if)
are
dutiesrelatedtocargooperationstoshowcompliancewithReg
V1/1andV/1-2.
4.Masters,ChiefEngineers,ChiefOfficersandSecond
Engineersandanyotherpersonwithimmediateresponsibility
forloading,dischargeandcareintransitandhandlingof
cargorequireatankerendorsementtoshowcompliancewith
RegV/101andV/1-2.
5.TheminimumrequirementforavesseloperatinginseaareaA3,isforonenavigatingofficertoholdavalidGMDSSGOC
andallotherstoholdvalidGMDSSROCcertificates.
4.4
Comments
External
hull&pre-boarding
1.1Hullcondition(port/starboard)
1.2Hullmarkings
1.3Accommodationladder&sidenetting
Comments
2Hoursofrestandfatigue
2.1Watchkeepingschedulepostedandeasilyaccessible
2.2
2.3
2.4
RestperiodscomplywithSTCWrequirementsRestperiodreflectsactualhoursworked
Watchkeeperson1st&subsequentwatchadequatelyrested
2.5
Watchkeeper'sabilitytoperformeffectivelynot
compromisedbynavigationplan/equipment/otherissues
Comments
5Radio
5.1CorrectMSIreception
5.2MF/HFDSCradiotelephonyGMDSSbattery-testedYesNo
5.3
5.4
SARTinspection
PortableVHFinspection
Comments
6Monkeyisland
6.1Mastsandattachments
6.2Ventclosures
6.3Standardcompass
Antennaeinspection
Navigationlights(RAM/NUC)
6.4
6.5
Comments
3
ISMcode
3.1
DesignatedPersonAshoreisdefined
3.23.3
Master'sreviewofISMsystem
Manuals,AuditReportsandDocumentControl
3.4
DocumentedEmergencyprocedures
Comments
4Wheelhouse
4.1ECDIS,VoyagePlanandpublications
4.2Navigationalaids
4.3Compass/compassdeviationrecords
FireDetectionPanel
4.5NavigationLightPanel
4.6BNWAS
Comments
7Externalsuperstructure&deck
7.1
7.27.37.4
7.5
7.6
7.7
7.8
7.9
7.107.117.12
7.13
Accommodationventclosures
Batteryroom/Batteryinspection
EPIRB
Weatherdoors/frames
Hydrants/hoses/nozzles
Engineroomdampers;identifywhichwereinspectedand/ortested(portforward,starboard,etc.)
Externalaccommodationladders
Emergencypowersourcetestcarriedout;batteries/
emergencygenerator(noblackout)
Funneldampers;identifywhichwereinspected/tested(aftfunnel,funneltoptrapdoor,etc)
Man-Overboardlight/smoke
FireControlPlanoutsideaccommodation
Lifebuoy/lines/lights
Paintlocker
11.3Overallcondition
8Boatdeck
8.1Boatpreparationandoversidelights
8.2Launchinginstructions
8.3Embarkationladder
Comments
9
9.1
Survivalcraft
Stowagerelease&launchingarrangements;identify
whichboatswereinspected(port,starboard,free-fall,etc.)
9.2Lifeboat/rescueboathull,attachments
9.3Lifeboat/rescueboatequipment
9.4Lifeboat/rescueboatenginetestinginc.YesNoclutch(port/starboard/freefall/rescueboat)
9.5Operationalreadiness
9.6Liferafts&liferaftsecuringarrangement
Comments
10
Maindecks
10.1
Loadlineclosingdevices;identifywhichwereinspected
10.210.3
10.4
Crewprotection
Deckstructuresandmachinery
Mooringarrangement(winches,ropes,wires)
10.5
10.6
Pilotboardingarrangements(includingmanrope)ConditionofFireMain
Comments
11Fixedfireextinguishingsystem
11.1Typefitted:CO?FoamDry-powder/hypermist
11.2Clearoperatinginstructions
Comments
12Emergencyfirepumps
12.1Emergencyfirepump(2hosesor4hosestested)
12.2EngineroomFireMainIsolatingValve
Comments
13Steeringgearflat
13.1Changeoverinstructions
13.2Emergencysteering
13.3Overallcondition
13.4Communicationtowheelhouse
13.5Reservesteeringoilstoragetank
Comments
14Engineroom
14.1Values,pipingandfittings
14.2Engineroomdoors
appliances
Fire
14.3
14.4Meanofescape(EEBD)
14.5Generalsafety(fire/electrical/insulation/oilysurface)
14.6Bilges/tanktopcleanliness
14.7Self-closingcocks,valves
14.8Machinerymaintenance(PMS)
14.9Machineryalarms
Comments
15Pollutionprevention-MARPOL
15.1AnnexI:Oilfilteringandassociatedequipment
15.2AnnexIV:Holdingtank/sewagetreatmentplant/comminutingsystem
15.3
V:Garbage
Annexarrangements
15.4AnnexVI:Compliantfuel/EGGS/alternativefuel/BDN
Comments
16
Accommodationandcatering
16.1
16.2
Cleanliness/hygiene
Sanitaryarrangements
Messandrecreationfacilities
Foodandfoodstorage
Firefightingarrangements
16.316.4
16.5
16.6
16.7
Overallcondition
FireDampers
Comments
18
18.118.218.3
18.4
18.518.618.718.8
18.9
18.1018.11
18.12
Passengerships
Emergencyplans
Zoneisolationoperation
SprinklerAutoPumpcut-in
Sprinklerstationalarms
Lifeboats;identifywhichboatswereinspected
Passengercabinemergencyinformation
Evacuationdirectionsigns
Emergencylighting
Watertightdoors,local&remote;identifywhichdoorsweretested
RescueandFastRescueBoat
Emergencydrillsdemonstration
Procedures&responsibilitiesforincidentresponse
Comments
17
Firecontrolstation
17.117.2
17.3
Fireman'soutfit
Remotestops/fuelshutoffs;identifywhichweretestedInternationalshoreconnection
17.4
FixedFireSuppressionSystemcontrols
Comments
一Additionalcomments
19Additionalforbulkcarriers
19.1Shippers'declarationonboard
19.2Loadinginstruments/loadingbooklet
19.3Master'sReport
19.4Monitoringequipment:Oxygengas,pHandTemperature
19.5Aqequacyofholdclosingarrangementsandventilators;givedetailsofinspectionandconditionfound
19.6
19.7
19.8
19.9
19.10
19.11
Electricalequipmentandcabling/gassamplingpoints
Cargohold(s)internalinspection;giveYesNo
detailsofinspectionandconditionfound
EnhancedSurveyrecordsYesNoN/A
WaterIngressAlarmSystem
De-wateringarrangement
Proceduresandresponsibilitiesforcargooperations
Comments
20
AdditionalforRO-RO's
20.1
20.2
Shelldoorslockingandsealingarrangements;ifcarried
out,identifywhichdoorswereinspected/tested
VehicleDeckdrainage;ifcarriedout,identifywhich
drainagearrangementsweretested
20.3
Ramp/bulwarks/guardrails
20.4Cargosecuringarrangements
20.5Firefightingarrangements
20.6Fireprotectionarrangements
20.7Generalstructuralinspections
20.8Waterfogandfoamapplicators
Comments
22
22.1
Additionalforshipscarryingcontainersandgeneralcargoes
Cargosecuringarrangements
22.2Dangerousgoods
22.3Navigationbridgevisibility
Comments
23AdditionalforAustralianvesselsFSC
23.1MedicalLockerCertificate(MO11)
23.2FireFightingApplicanceCertificate
23.3PortableextinguisherscomplywithASandMO15
23.4CertificatesofMedicalFitness(MO9)
23.5LiftCertificate
23.6LiferaftCertificate
23.7Fixedoxy/acetyleneinstallation(MO12)
23.8OHS(MI)arrangements;forMDIuseYesNoOHS(MI)checklistAMSA1108-
OHS(MI)Inspection-AdeMemoire(refITS63)
Comments
21
Additionalforgas/chemical/oiltankers
21.1
21.2
Proceduresandresponsibilitiesforcargohandlingoperations
L.G.systemsigned,inoperationYesNo
21.3
21.4
Pumproomandpumproomventilationsystem
Venting,purging,gas-freeingandventilation
21.5
Fireprotectionforcargotanksdeckarea
21.6
21.7
Portableoxygen/gasmeasuringinstrumentsEmergencytowingarrangementandprocedures
21.8
Oildischargemonitor
Comments
24MaritimeLabourConvent
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