VESSEL INSPECTION CHECKLIST

Name of Vessel Berth Date Time Weather Conditions Type of Cargo Flag Displayed HSE Officer

AREAS OF INSPECTION
Tick appropriate box YES
ACCESS TO SHIP Safe Access between ship and shore Gangway equipped with safety net Safety Net extends 5 meters outside landing platform Life ring with heaving line hanging close to gangway Rat guards on mooring lines SHIPS DECK Housekeeping on ships deck Safe access and egress routes Fire fighting system suitably positioned and functional Warning alarms/signals suitable positioned, labeled and functional Suitable and sufficient lighting on deck SHIPS HOLD Housekeeping in ships hold Safe stowage of cargo in ships hold Safe access into and egress out of ships hold Good environmental conditions in ships hold Suitable and sufficient lighting in ships hold SHIPS GEARS/CRANES Gears/cranes certified Safe Working Load (SWL) prominently displayed Housekeeping in cranes cabin Ergonomic provisions in cranes cabin Functionality of gears Functionality of cranes lights

NO

Remarks/Action Taken

COMPLIANCE TO INTERNATIONAL REGULATIONS Dangerous Cargo Manifest Placards with UN numbers and Proper shipping names Segregation of dangerous cargo in ships hatch/deck Pollution Placard MARPOL Trash Placard Flags

I certify that I have personally examined this vessel and find it meets the above requirements at the time of this Vessel Safety Check.

Printed Name of the HSE Officer Signature Date

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