LIST OF - DAFTAR

~ LIFE SAVING APPLIANCES

~PERALATAN KESELAMATAN JIWA
~ FIRE FIGHTING APPARATUS
~ PERALATAN PEMADAM KEBAKARAN
~ INTERNATIONAL FLAG SIGNAL
~ SINYAL BENDERA INTERNASIONAL

Date: TB. YAPEN II

Tanggal : 6 Agt 2015
2nd Officer
Mualim 2

CHECKLIST FFA AND LSA INVENTORY

Daftar Periksa Inventaris FFA Dan LSA
13
14
15
16
17

E.E.B.D / E.L.S.A
Total E.E.B.D / E.L.S.A
Safety harness - Perlengkapan pengaman
Two-way VHF radio - Radio VHF dua-arah
Spare battery two-way VHF - Baterai cadangan VHF dua-arah
Aldis lamp - Lampu Aldis

Na
Na
1
1
Na
Na

Form Code
Revision
Page

LF-A 026
01/2012
2 of 6

Na
Na

VESSEL NAME :
NAMA KAPAL:

Date:
Tanggal:

Bridge
Bridge

Good
Good

Date: TB. YAPEN II

Prepared by
Disiapkan oleh

2nd Officer
Mualim 2
LF-A 026/DEC 2012

Written by : SK

Approved by : VP/DPA

Retention period : 1 year

CHECKLIST FFA AND LSA INVENTORY

Daftar Periksa Inventaris FFA Dan LSA
17
18
19
20
21
22
23
24
25
26
27
28

Water spray nozzle - Nozel penyemprot air

Fire hose with hose coupling (65m/mX20M) - selang kebakaran dengan kopling selang (65m/mX20M)
Fire hose with hose coupling (65m/mX15M) - selang kebakaran dengan kopling selang (65m/mX15M)
International shore connection piece - Potongan koneksi darat internasional
Breathing apparatus set ( SCBA ) - Alat bantu pernapasan (SCBA)
Fireman outfit, complete - Baju pemadam kebakaran, lengkap
E.E.B.D
CO2 disch. Nozzle - Nozel pengeluaran CO2
CO2 Bottle 6 Kg or 9 kg - Botol CO2 6 Kg atau 9 kg
Portable compresor for refilling B.A cylinder - Kompresor portabel untuk pengisian ulang silinder BA
General alarm switch - Saklar alarm umum
Fire blanket - Selimut kebakaran
Immersion suit Test kit - Alat Tes Pakaian Kedap Air

Na
Na
1
Na
Na
Na
Na
Na
Na
Na
1
Na
Na

Form Code

LF-A 026

Revision

01/2012

Page

4 of 6

VESSEL
NAME :
NAMA
KAPAL:

Date:
Tanggal:

Na

Na

Poor

Bridge

Good

Date: TB. YAPEN II

Prepared by
Disiapkan oleh

2nd Officer
Mualim 2
LF-A 026/DEC 2012

Written by : SK

Approved by : VP/DPA

Retention period : 1 year

Form Code
Revision
Page

CHECKLIST FFA AND LSA INVENTORY

Daftar Periksa Inventaris FFA Dan LSA
VESSEL'S NAME - NAMA KAPAL:
36
Numeral flag 4 - Bendera nomor 4
Numeral flag 5 - Bendera nomor 5
37
38
Numeral flag 6 - Bendera nomor 6
39
Numeral flag 7 - Bendera nomor 7
40
Numeral flag 8 - Bendera nomor 8
41
Numeral flag 9 - Bendera nomor 9
42
National Flag - Bendera Nasional
43
Owner / Company flag - Bendera Pemilik/Perusahaan
Name flag ( 9 ) - Bendera Nama (9)
44
45
Name flag ( V ) - Bendera Nama (V)
46
Name flag ( A ) - Bendera Nama (A)
47
Name Flag ( R ) - Bendera Nama (R)
48
Name Flag ( 6 ) - Bendera Nama (6)
49
Bangladesh
50
Brunei
51
China - Tiongkok
52
Cambodia - Kamboja
53
Hongkong
54
India
55
Indonesia
56
Japan - Jepang
57
Korea
58
Malaysia
59
Pakistan
60
Philippine - Filipina
61
Singapore - Singapura
62
Srilanka
63
Taiwan
64
Thailand
65
Vietnam

1
1
1
1
1
1
1
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
1
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a

LF-A 026
01/2012
6 of 6
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a

1
1
1
1
1
1
1
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
1
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a
N/a

Date: TB. YAPEN II

Prepared by
Disiapkan oleh

2nd Officer - Mualim 2

LF-A 026/DEC 2012

Written by : SK

Approved by : VP/DPA

Retention Period : 1 year