JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
Name of BORNEO III Month: MARCH 2016
Vessel:
This checklist to be done ONCE ANNUALLY and submitted to office to Technical department
Trading Certificates Expiry Date Remark
1 Certificate Of Class (Hull/Machinery) 29 DEC 2016
2 Load Line Certificate – ILL 29 DEC 2016

3 Safety Equipment Certificate – SLE 29 DEC 2016

4 Safety Construction Certificate (if 29 DEC 2016

any)-SLC
5 Safety Radio Certificate – SLR 29 DEC 2016

6 International Oill Pollution Prevention ISSUE :14 JULY 2011

Certificate (if any) – IOPP
7 International Tonnage Certificate – ISSUE:19 DEC 2011
ITC
8 Safety Management Certificate 25 MAY 2019
(SMC) (if any)
9 DOC for IMDG (if any) 29 DEC 2016
1 Inter. Ship Security Certificate (ISSC) ISSUE 20 MARCH
0 (if any) 2012
1 Malaysia Registry Certificate
1
1 Safe Manning Document/Certificate 27 DEC 2016
2
1 Domestic Shipping License - DSL 21 MAY 2016
3
1 Derating Exemption Certificate 04 MAY 2016
4
1 Radio Station License 31 DEC 2016
5
1 Immersion Suits & TPA Exemption
6 Certificate
1 Cargo Securing Manual Exemption (if

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
7 any)
1 Mast Light Exemption (if any)
8
1 GMDSS Shore Based Maintenance 30 OCTOBER 2020
9
2 P & I Certificate 20 FEB 2017
0
2 Insurance Certificate (Hull & 11 APRIL 2016
1 Machinery)
2 Crew Article of Agreement
2
2 Other
3

Equipment Certificates Expiry Date Remark

1 Rescue Boat Davit – Load Test (if ISSUE 15 SEP 2015
any)
2 Rescue Boat Davit Hook ISSUE 15 SEP 2015
3 FRC Davit – Load Test (if any) N/A
4 FRC Hook – Load Test (if any) N/A
5 FRC Hook – Visual & MPI (if any) N/A
6 FRC Spreader Bar – Load Test N/A
7 FRC Spreader Bar – Visual & MPI N/A
8 Gangway – Load Test N/A

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
9 Gangway fittings – Load Test N/A
1 Fuel Flow Calibration (if required) 02 JAN 2017
0
1 Barometer – Last Calibration ISSUE : 02 JAN 2016
1
1 Deviation Card – Last Calibrated ISSUE : 02 JAN 2016
2
1 Portable Fire Extinguisher Certificate ISSUE : 15 DEC 2015
3
1 CO2 Fixed System – Annual Service ISSUE : 15 DEC 2015
4
1 CO2 Fixed System – 5 Yearly Service
5
1 B.A. Set – Annual Service ISSUE : 15 DEC 2015
6
1 Oxygen Resuscitator – Annual 10 DECEMBER 2016 SATISFACTORY
7 Service
1 Medical Oxygen – Annual Service
8
1 EEBDs – Annual Service ISSUE : 15 DEC 2015
9
Anchor Mooring Winches
1 Load Tension Meter Calibration N/A
2 Length Meter Calibration N/A
Crane
1 Annual Load Test N/A
2 04 Yearly Inspection N/A
3 Load Cell Calibration N/A

Equipment Certificates Available On Board: (Please Tick)

Anchor Mooring Wires Crane Wires
Spare Anchor Mooring Wires Spare Crane Wires

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY

FRC Davit Wire Rescue Boat Davit Wire √

Navigational Equipment Qty Condition/Remarks

1 Radar 2 UNIT SATISFACTORY
2 Anemometer 1 UNIT SATISFACTORY
3 Inclinometer N/A
4 Echo Sounder 1 UNIT SATISFACTORY
5 GPS 1 UNIT SATISFACTORY
6 AIS (If fitted) 1 UNIT SATISFACTORY
7 Ship Security Alert System (if fitted)
8 Gyro Compass
9 Auto Pilot 1 UNIT
1 Magnetic Compass 2 UNIT FWD & AFT
0
1 Engine Indicator (RPM, Temp. 3 UNIT SATISFACTORY
1 Pressure)
1 Throttle Control 2 UNIT SATISFACTORY
2
1 Bow Thruster Control 1 UNIT SATISFACTORY
3
1 Stern Thruster Control (if any) 1 UNIT SATISFACTORY
4
1 Joy Stick Control (if any) 2 UNIT FWD & AFT
5
1 Search Light (Forward & Aft) 2 UNIT FWD & AFT
6
1 Ship Horn 1 UNIT SATISFACTORY
7

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
1 Clear View Screen/Wiper 5 UNIT 1 ON PORTSIDE NOT WORKING
8
1 Aldis Lamp c/w Battery & Charger 1 SET SATISFACTORY
9
2 Navigation Lights & Control Panel 1 UNIT SATISFACTORY
0
2 Helm Indicator/Rudder Indicator 2 UNIT FWD & AFT
1
2 Binoculars 2 UNIT NIGHT & DAY VISION
2

Chart (Please State Chart No, Year of Publication & Last Corrected Notice Number)
Chart No. Year Pub. Last Chart No. Year Pub. Last
Correction Correction

Nautical Publications/Manual Edition Condition/ Remarks

1 Notices To Mariners (Last NOT ANY LATES SATISFACTORY
Week available) NTM ONBOARD
2 Local Tide Table (Year) 2016 YEAR SATISFACTORY
3 Nautical Almanac (Year) 2011 YEAR SATISFACTORY
4 SOLAS 2008 & 2009 YEAR SATISFACTORY
5 MARPOL 2006 & 2011 YEAR SATISFACTORY
6 STCW 2011 YEAR SATISFACTORY
7 COLREGS 2003 YEAR SATISFACTORY
8 International Code of Signal 2005 YEAR SATISFACTORY

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
9 Merchant Ship Search & 20th OCTOBER 2011 SATISFACTORY
Rescue Manual (MERSAR)
1 Code of Safe Working 2011 YEAR SATISFACTORY
0 Practice (COSWP)
1 Bridge Procedures Guides 2007 YEAR SATISFACTORY
1
1 Ship Medical Guide 3rd EDITION SATISFACTORY
2
1 SOPEP manual JULY 2013 SATISFACTORY
3
1 Garbage management JULY 2013 SATISFACTORY
4 manual
1 Cargo Securing manual
5
1 DP FMEA Manual
6
1 SMS / HSE manual JULY 2013 SATISFACTORY
7

Records & Documentation Up to Date (Please Tick)

Record of Waste Disposal √ Daily Master Logbook √

Oil Record Book √ Daily Chief Engineer Logbook √

Permit to Work Official Logbook √

Tool Box Meetings √ Charterer’s Records

Radar Log Radio log √

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
Minutes of Meetings Received to Date: Meeting No & Explained to All
Crew
1 Monthly Safety Management Meeting
2 Annual SMS Review

Ship’s Pyrotechnics Qty Expiry Date Remarks

1 Parachute Rockets 12 JAN 2017 SATISFACTORY
SET
2 Hand Flares 6 SET JUNE 2017 SATISFACTORY

3 Orange Smoke Signals 2 PCS SEPT 2018 SATISFACTORY

4 Line Throwing Apparatus 4 SET 2023 SATISFACTORY

5 Man overboard Smoke Signal 2 SET FEB 2017 SATISFACTORY

Ship’s Life Saving Equipment

1 SART Battery 1 PCS JULY 2017 SATISFACTORY

2 EPIRB Battery 1 PCS MARCH SATISFACTORY

2018
3 EPIRB HRU 1 PCS MARCH SATISFACTORY
2018

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY

Fire Fighting Equipment Qty Condition/Remarks

1 Fire Monitor/s
2 Fire Pump/s 1 SATISFACTORY
3 Fire Emergency Pump/s 1 SATISFACTORY
4 Fire Extinguishers (Deck & 18 SATISFACTORY
Accommodations)
5 Fire Extinguishers – Last Service LAST SERVICE : 10 DECEMBER 2015
Date
6 Fire Hydrants, Fire Hoses & 5 SATISFACTORY
Nozzles
7 Fire Axes 1 SATISFACTORY
8 Fire Buckets 1 SATISFACTORY
9 Fireman’s Outfits c/w Safety Hand 2 SATISFACTORY
Lamp
1 Breathing Apparatus with 4 SET 3 SPARE BOTTLES
0 (2) Spare Bottles
1 General Emergency Alarm 1 UNIT SATISFACTORY
1
1 Emergency Lighting 35 SATISFACTORY
2 PCS

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
Life Saving Apparatus Qty Condition/Remarks
1 Life Buoys with Lifeline 2 PCS SATISFACTORY
2 Lifebuoys with Light 4 PCS SATISFACTORY
3 Life Jackets c/w Whistle & Lights 67 SATISFACTORY
PCS
4 Life Jacket Donning Instruction - 4 PCS SATISFACTORY
Posted
5 Oxygen Resuscitator c/w Two 1 SET LAST SERVICE : 10 DECEMBER 2015
Spare Bottles
6 Stretchers 1 SET PARAGUARD EXCEL
7 Scramble Nets 2 SET SATISFACTORY
8 Rescue Boat c/w Outboard 1 UNIT SATISFACTORY
Engine)
9 Muster Lists – Up to date & 3 SATISFACTORY
Posted
1 Fire & Life Saving Plan 3 SATISFACTORY
0
1 Work Vests c/w Retroflective Tape 4 PCS SATISFACTORY
1
1 Emergency Shower Station
2

Life Rafts Qty Next Service HRU Expiry Date

1 Life raft 06 Men (Port & Starboard)

2 Life raft 10 Men (Port & Starboard)

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY

3 Life raft 20 Men (Port & Starboard)

4 Life raft 25 Men (Port & Starboard) 8 UNIT DECEMBER 2016 AUGUST 2018

Date Last
Emergency Drills/HSE Meeting Remarks
Conducted
1 Fire Drill 18 MARCH
2016
2 Abandon Ship Drill 18 MARCH
2016
3 Man overboard Drill 18 MARCH
2016
4 Rescue Boat/FRC Drill
5 Steering Gear Drill
6 Oil Pollution Drill (SOPEP)
7 Power Failure Drill 06 MARCH
2016
8 Collision/Grounding Drill 06 MARCH
2016
9 Safety/HSE Meeting 06 MARCH
2016

Others Drill: (Please specify)

1 IMDG DRILL 06 MARCH

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
2016
2

Communications Qty Condition/ Remarks

1 VHF Radio 2 PCS FWD & AFT
2 SSB Radio
3 MF / HF Radio 1 PCS SATISFACTORY
4 Inmarsat ‘C”
5 Inmarsat “Mini – M”
6 Walkie Talkies (Qty)
7 Walkie Talkies (Qty) EXI 3 PCS 1 UNIT ANTENA BROKEN
8 GMDSS Walkie Talkies 3 PCS 6 SPARE BATTERY & 1 UNIT NOT
FUNCATION
9 P.A Talk Back System 1 PCS NOT FUNCATION
10 Intercom System 1 PCS SATISFACTORY
11 Mobile Telephone – DST / Maxis etc 1 PCS
12 Fax Machine – DST / Maxis etc.

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY

Engine & Machinery Qty Condition/ Remarks

1 Main Engines 3 SET SATISFACTORY
2 Generators Set 2 SET SATISFACTORY
3 Bow Thruster/s 1 SET BOW THURSTER OIL STILL
CONTAMIRATED WITH FUEL
4 Stern Thruster/s
5 Auxiliary Pump/s
6 Guards & Fencing
7 Air Conditioning Unit/s 2 SET AIR COND COMPRESOR NO 2
OIL PRESSURE TRIP
8 Emergency Steering Gear 1 SET SATISFACTORY
9 Main Engine Control/Power Switch 3 SET SATISFACTORY
Board
1 Lighting & Emergency Lighting
0
1 Water Maker (If any)
1
1 Tools
2
1 Bilge Lines 6 SET SATISFACTORY
3

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
1 Fresh Water Piping
4
1 Cleanliness/House Keeping
5
1 First Aid Kits 3 BOX UP TO DATE
6

Accommodation – Housekeeping/Fittings Condition/ Remarks

1 Mess Room SATISFACTORY

2 Cabins – Lockers / Chairs / Lighting / Bedding SATISFACTORY

3 Toilet & Shower Rooms SATISFACTORY

4 Presence of Cockroaches
5 Air Ventilation in Accommodation Space SATISFACTORY
6 First Aid Kits SATISFACTORY

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
7 Sick Bay (If any)
8 Laundry Facilities SATISFACTORY
9 Galley SATISFACTORY
1 Kitchen Utensils SATISFACTORY
0
1 Dry Store/Cold Store SATISFACTORY
1
1 Recreational Facilities SATISFACTORY
2
1 Air cond room SATISFACTORY
3
1 Paint store SATISFACTORY
4
1 CO2 Room SATISFACTORY
5
1 Cold room SATISFACTORY
6
1 Water tight doors SATISFACTORY
7
1 Hatch covers SATISFACTORY
8
1 IMO SIGN & marking & label SATISFACTORY
9
2 S/Gear room SATISFACTORY
0
2 Rope store SATISFACTORY
1
2 Workshop & bench work
2

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY

Mooring/Towing Equipments Qty Condition/ Remarks

1 Anchor Windlass 1 PCS SATISFACTORY
2 Sea Anchors N/A
3 Sea Anchor Cable N/A
4 Mooring Anchors N/A
5 Anchor Mooring Winches N/A
6 Towing Winch – Brakes/Controls N/A
7 Wire Counter Read Out (If any) N/A
8 Tension Meter (If any) N/A
9 Towing Wire Socket Size Last N/A
Changed
1 Work Wire Socket Size Last N/A
0 Changed
1 Work Wire Winch – Brakes/Controls N/A
1
1 Pad Eyes – Gog wire N/A
2
1 Capstans N/A
3
1 Tugger Winches N/A
4
1 Anchor Buoys (Qty & Type) N/A
5

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
Pennant Wires – Anchor & Buoy Moorings
Size Qty Conditi Size Qt Conditi
on y on

Soft Moorings
Size Qty Condition Size Qt Conditi
y on
MOORING 48 MM 3 SET
ROPE SATISFACTO
RY

Emergency Equipments Qty Remarks

1 Towel (12 pcs)

2 Blankets (12 pcs) 1 PCS ISSUE DATE: 31 OCTOBER 2011

3 First Aid Kit (25 men)

4 Air Splints (6 sets) 6 SET SATISFACTORY

5 Oil Cleaner (Litres)

6 Dry Ration (If any)

7 Helicopter Strops (If any)

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
8 Marker Buoys

Deck/Hull/Superstructure Condition/Remarks
1 Boat Transfer Area SATISFACTORY
2 Boat Landing (P & S) SATISFACTORY
3 Fendering SATISFACTORY
4 Paint Work SATISFACTORY
5 Wood on Aft Deck SATISFACTORY
6 Railing/Bulwark SATISFACTORY
7 Crash Rails
8 Deck Lighting SATISFACTORY
9 Ventilators SATISFACTORY
10 Water Tight Door & Hatches SATISFACTORY

Store/Spare Requisition Order/s Pending: (Please state RO & Item Number/s)

Request No Dated Item/s Pending (Item Nos)
1 005/B3/2016 02 MARCH RESCUE BOAT 1 UNIT
2016
2 005/B3/2016 02MARCH GARBAGE RECORD BOOK

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY
2016
3

Work Order/s Pending: (Please State)

Dated Description
1
2
3
4
5
Other Concerns (if any); Please highlight

Chief Signature
Engineer’s :
Name:

Chief Officer’s Signature

Name: :

Master’s Name: Signature

:

Marine Sup : Signature

:

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 JCB OIL & GAS SERVICES SDN BHD (525411-V)

Doc. No. : Checklist Nos: 14 Issued: Distribution:

JCB-SMM-CL July 2013 Ship and Office

VESSEL INSPECTION CHECKLIST – ANNUALY

Technical Sup: Signature

:

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