Vessel Name
Inspector
Project
Date
Location
NO
:
:
:
:
:
ITEM
DESCRIPTION
1. GENERAL SPECIFICATIONS
1
2
3
4
5
6
7
8
9
10
Certificate of Nationality
International Tonnage Certificate
Classification Certificate of Hull
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Stability Booklet
Garbage Management Manual
Shipboard Oil Pollution Emergency
Oil Record Book
Damage Stability
3. MAIN DIMENSIONS
1
2
3
4
5
6
7
*refer
to Tonnage Certificate
Breadth
Depth
*refer to Tonnage Certificate
5
6
*condition
*condition
*condition
*must be tested
*condition
5. GENERAL SAFETY
Validation
Start
Expire
INSPECTOR FINDING
N
Y
NA
COMMENT / REMARK
2
3
Available on vessel
Available on vessel
Poster / Signs
Pilot ladder
6. DRILLS
1
Test communication
Emergency Generator
Drill Record
Gyro Compass
3
4
5
6
7
8
Daylight Signal
*)
*) GT> 150
Navigation Lamps
10
11
12
13
Bel Haluan
Gong *)vessel >100m
Suling
Bola-bola hitam
*) all works
working properly
working properly
working properly
working properly
working properly
working properly ; main source provide for main
and emergency power
- lampu tiang haluan & buritan;
- lampu samping;
- lampu buritan;
- lampu jangkar;
- lampu
NUV (Not Under Command);
- Panel Distribusi
Available on vessel
Available on vessel
working properly
Minimum 3 set
Life Raft
- Stowage condition;
embarcation ladder
Life Jacket
*) GT>500
of vessel
10 Alarm system
11 Line throwing appliances
2
3
Hydrants
Fire Hoses
- battery
- good condition;
nozzels with jet/spray in engine room;
- switch
operation jet spray easily to operate
Nozzels
Nozzels box
10 Fixed CO2
*)engine room
-1
12 Fireman Outfit
available on vessel
15 Mean Of Escape
16
- well testing
Automatic Alarm
Watch Radio Receiver 2182kHz
Main & Back Up Installation
VHF Installation
Navtex Receiver
Working properly
Working properly
Working properly
Working properly
Working properly
23 Satelite EPIRB
- Working properly;
Battery validity,
last services by third parties
24 Source of power
25
26
27
28
29
Antenna
Tools and spares
Radio Log Book
Clock
Lighting in Radio Room
VHF Installation
MF Installation
MF/HF Installation
Working properly
Inmarsat
Navtex Receiver
Working properly
Satelite EPIRB
Source of power
Antenna
9
10
11
12
Working properly
Working properly
- last
Available on vessel
Available on vessel
Ensure data accuration
Working properly
Engine Room
Main Engine
Work deck
A Frame
- Location on vessel,
Capacity (WLL);
Hydraulic / Fixed;
- Height / width;
Facility (Wire / Pole Block);
- Certification Sighted;
picture
Boom Crane
Winch
13. HSE
- Lifting Register sighted and up to date;
Oil Spill Contingency Plan;
- SOPEP Kits;
- Vessel ERP Contact;
- Vessel Induction by Marine Crew;
Note:
Place/Date,
MGS Representative