GOMO APPENDIX 8 - A

SAFETY ZONE ENTRY CHECK LISTS

PLEASE REFER TO NOTES ON USE OF THIS FORM

1 CHECK LISTS FOR VESSELS

1.1 ALL VESSELS, ARRIVAL AT OFFSHORE FACILITY

Vessel      
Facility      
Date & Time       (Date),       (Time, Local)

Status
ALL VESSELS COMMENTS
Yes No
1 Environmental conditions acceptable for a safe operation                  
(Including wind, sea, swell, visibility and current)
2 Limitations due to sea/weather condition                  
Safe approach / exit routes identified
3                  
Stand-off location identified
Confirm whether any simultaneous operations anticipated whilst
4                  
vessel is within safety zone
5 Confirm whether any prohibited zones at facility                  
6 Bridge and Engine room manned in accordance with GOMO                  
Communication established Include Details
                 
7 VHF Channel(s):-
                 
UHF Channel(s):-
8 No hot work / smoking on deck whilst within safety zone                  
9 Auto Pilot off                  
All manoeuvring and steering gear systems tested including
10                  
changeover between control positions and manoeuvring modes.
11 Emergency manoeuvring system confirmed to be operational                  
12 Operating location confirmed with facility                  
13 Status of overside discharges confirmed with facility                  
Vessel to be manoeuvred to set-up position before changing
14 mode                  
(1.5 ~ 2.5 ship’s lengths depending on whether in drift on or drift off situation)

15 Vessel operational capability reviewed / confirmed                  

(To include power, thrust, location, heading, etc.)

16 Risk assessment for alongside operations reviewed / confirmed                  
(If working on weather side complete additional risk assessment)

17 Facility to confirm readiness for vessel arrival and operation                  
(Including no overboard discharges which would affect vessel)

18 Manoeuvring mode during the operation to be agreed                  

(If DP mode vessel specific DP checklist to be completed)
On-going and / or planned activities within safety zone confirmed
19                  
between facility and any other vessels

FURTHER CHECK LISTS TO BE COMPLETED AS APPROPRIATE

PERMISSION RECEIVED TO ENTER SAFETY ZONE

DATE       TIME      
FROM       FUNCTION      
NAME       NAME      
SIGNATURE SIGNATURE
POSITION / RANK       POSITION / RANK      

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GOMO APPENDIX 8 - A
SAFETY ZONE ENTRY CHECK LISTS
PLEASE REFER TO NOTES ON USE OF THIS FORM
1.2 VESSELS ENGAGED IN LOGISTICS SUPPORT

IS THIS CHECK LIST RELEVANT:- YES / NO

(Delete as appropriate – if not relevant also cross out list)

STATUS
VESSELS ENGAGED IN LOGISTICS SUPPORT COMMENTS
Yes No
Proposed operations confirmed with facility.
1 Discharge and Back-Load                  
(Cargo, bulks, fluids, etc)
2 Anticipated duration of operations confirmed                  
Confirm discharge / back-load sequence with facility
1. Can stow be broken safely?      
(Adequate escape routes to safe havens, etc.)
3 2. Any priority lifts?                  
(Must not require “cherry picking” of stow)
3. Sufficient space for back-load except at last call?      
(See Notes below)
Confirm any other activities which may occur whilst vessel is
4 alongside and connected to facility                  
(Particularly any operations involving crane driver or deck crew)

5 Confirm availability of facility personnel, equipment                  

(Particularly for any operations involving hoses)

6 Confirm whether any changes of working face will be required                  
(If so, move from one to the next to be planned accordingly)
Confirm whether any unusual lifts will be involved
1. Any Main Block Lifts?                  
2. Any Vulnerable / Sensitive Lifts?                  
7
3. Any Lifts involving use of Tag Lines?                  
4. Any other Unusual Lifts?                  
(Including long objects, or not pre-slung lifts, etc.)
Confirm readiness to commence dry bulk transfer operations
8 1. Is Hose buoyancy adequate?                  
2. Has Valve configuration been correctly set?                  
Confirm readiness to commence liquid transfer operations
                 
1. Is Hose buoyancy adequate?
                 
9 2. Has Valve configuration been correctly set?
                 
3. If required, is illumination adequate?
                 
4. If required, is additional monitoring in place?
Confirm whether vessel will be required to receive any back-load
10 bulk cargoes.                  
(If so, confirm recent analysis report (see Annex 10 - E - 2) will be available prior
to accepting cargo)

NOTES

1. As a contingency, 10% of usable cargo deck of one clear bay is normally considered to
be sufficient for back load cargoes.

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GOMO APPENDIX 8 - A
SAFETY ZONE ENTRY CHECK LISTS
PLEASE REFER TO NOTES ON USE OF THIS FORM

1.3 ALL VESSELS, DEPARTURE FROM OFFSHORE FACILITY

Status
ALL VESSELS
Yes/No Comments
Vessel to be manoeuvred well clear of Facility before changing
1 mode                  
(1.5 ~ 2.5 ship’s lengths depending on whether in drift on or drift off situation)
2 All controls set to neutral position before changing mode                  
Departure route identified
3 Where practical, vessel to depart down weather or down current                  
from facility.
Navigation equipment restored to correct status for passage
4                  
making
Bridge and Engine Room to remain manned in accordance with
5 GOMO whilst within Safety Zone                  
May revert to STCW requirements on exit.

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GOMO APPENDIX 8 - A
SAFETY ZONE ENTRY CHECK LISTS
PLEASE REFER TO NOTES ON USE OF THIS FORM

2 CHECK LISTS FOR OFFSHORE FACILITIES

2.1 ALL VESSELS ENTERING SAFETY ZONE

STATUS
ALL VESSELS COMMENTS
Yes No
1 Confirm anticipated working locations with vessel                  
2 Confirm status of facility, where relevant                  
(Heading, movement, thruster use, etc.)
Communication established Include Details
3 VHF Channel(s):-                  
UHF Channel(s):-      
Confirm that vessel is aware of any prohibited zones around the
4                  
facility
Confirm whether any simultaneous operations anticipated whilst
5 vessel is within safety zone                  
(Nature and duration of any such operations to be advised to vessel)
Status of overside discharges to be confirmed and advised to
6                  
vessel
7 Vessel operational capability confirmed                  
(Vessel to advise any concerns and / or operational limits)

8 Facility to confirm readiness for vessel arrival and operation                  
(Including overboard discharges stopped where practical)
Vessel to advise proposed station keeping arrangements during
9 the operation                  
(If DP mode confirm proposed operational mode)
Confirm names of any other vessel attending the facility
                 
1. SBV:-
10                  
2. Vessel 1:-
                 
3. Vessel 2:-

FURTHER CHECK LISTS TO BE COMPLETED AS APPROPRIATE

PERMISSION GIVEN TO ENTER SAFETY ZONE

DATE       TIME      
NAME       NAME      
SIGNATURE SIGNATURE
POSITION       POSITION      

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GOMO APPENDIX 8 - A
SAFETY ZONE ENTRY CHECK LISTS
PLEASE REFER TO NOTES ON USE OF THIS FORM

2.2 VESSELS ENTERING SAFETY ZONE FOR LOGISTICS SUPPORT

IS THIS CHECK LIST RELEVANT:- YES / NO

(Delete as appropriate – if not relevant also cross out list)

STATUS
VESSELS PROVIDING LOGISTICS SUPPORT COMMENTS
Yes No
Proposed operations confirmed with vessel
1 Discharge and Back-Load                  
(Cargo, bulks, fluids, etc)
2 Anticipated duration of operations confirmed                  
Vessel to be informed of any anticipated delays during
3                  
operations.
Confirm discharge / back-load sequence with facility
1. Are there any priority lifts?                  
4 (Must not require “cherry picking” of stow)
2. Has vessel sufficient space for back-load?                  
Confirm any other activities which may occur whilst vessel is
5 alongside and connected to facility                  
(Particularly any operations involving crane driver or deck crew)

6 Confirm availability of facility personnel, equipment                  

(Particularly for any operations involving hoses)
7 Confirm whether any changes of working face will be required                  
Confirm whether any unusual lifts will be involved
1. Any Main Block Lifts?                  
2. Any Vulnerable / Sensitive Lifts?                  
3. Any Lifts involving use of Tag Lines?                  
8
4. Any other Unusual Lifts?                  
(Including long objects, or not pre-slung lifts, etc.)
5. Has crane driver appropriate competency & experience?                  
(previous experience of lifts of this nature)
Confirm readiness to commence dry bulk transfer operations
9 1. Is Hose buoyancy adequate?                  
2. Has Valve configuration been correctly set?                  
Confirm readiness to commence liquid transfer operations
                 
1. Is Hose buoyancy adequate?
10                  
2. Has Valve configuration been correctly set?
                 
3. If required, is illumination adequate?
Confirm whether vessel will be required to receive any back-load
11 bulk cargoes.                  
(If so, confirm recent analysis report (see Annex 10 - E -2) will be available prior
to cargo being delivered to vessel)

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GOMO APPENDIX 8 - A
SAFETY ZONE ENTRY CHECK LISTS
PLEASE REFER TO NOTES ON USE OF THIS FORM

Notes on use of this Form

1. This form is based on the check lists included in GOMO Appendix 8 – A.

Some minor re-formatting has been necessary to facilitate completion
electronically but all the contents of the source documentation have been
retained.
2. All relevant fields are to be checked or completed as appropriate.
3. Check lists to be timed, dated and signed off by responsible personnel
4. This form is electronically locked. If completed using electronic means
entries can only be made in shaded boxes.
For further information please contact GOMO.response@gmail.com

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