CCF 013document Status

CEYLON SHIPPING CORPORATION LTD.
REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL MANAGEMENT SYSTEM NO : 01
DATE 30.03.16
ISSUED: DPA
DOCUMENT STATUS - FILING SYSTEM CCF 013 APPROVED: TM
COMPANY COMMON FORMS

Doc. No. Title COPY TO OFFICE COPY REMAIN FREQUENCY PERSON RESPONSIBLE
ON BOARD
CCF 001 TRAINING PLAN (SHORE-STAFF) YES N/A AS REQUIRED TM

CCF 002 PERSONAL TRAINING RECORD YES N/A AS REQUIRED TM/DPA
CCF 003 COMPANY HSSEMS REVIEW MEETING REPORT YES N/A 06 MONTHS TM
CCF 004 OFFICE SAFETY COMMITTEE MEETING YES N/A O6 MONTHS DPA
CCF 005 INTERNAL SAFETY AUDIT SCHEDULE YES YES YEARLY DPA
CCF 006 INTERNAL AUDIT REPORT YES YES 06 MONTHS DPA
CCF 007 NON CONFORMITY REPORT YES YES AS REQUIRED MASTER/DPA
CCF 008 CORRECTIVE ACTION REQUEST YES YES AS REQUIRED DPA
CCF 009 06 MONTHS VESSEL INSPECTION REPORT YES YES 06 MONTHS TM
CCF 010 STAFF RECRUITMENT CHECKLIST YES N/A AS REQUIRED TM
CCF 011 INTERNAL AUDIT CHECK LIST YES YES 06 MONTHS DPA/MASTER
CCF 012 SHORE - BASED CONTINGENCY PLAN YES YES 01 YEAR DPA
CCF 013 DOCUMENTS STATUS - FILLING SYSTEM YES YES AS REQUIRED DPA
CCF 014 DOCUMENTS TRANSMITTAL MEMO YES N/A AS REQUIRED DPA
CCF 015 SEA STAFF APPLICATION FORM YES N/A AS REQUIRED TM
CCF 016 PURCHASE ORDER YES YES AS REQUIRED MASTER/CH. ENGINEER

SHIP COMMON FORMS

CEYLON SHIPPING CORPORATION LTD. REVISION
DATE 30.03.16
ISSUED: DPA
Doc. No. Title COPY TO OFFICE COPY REMAIN FREQUENCY PERSON RESPONSIBLE
ON BOARD
SCF 001 APPRAISAL REPORT YES NO AS REQUIRED MASTER

SCF 002 SHIP`S STAFF TRAINING PLAN YES YES YEARLY DPA/MASTER
SCF 003 SHIPBOARD SAFETY COMMITTEE MEETING REVIEW REPORT YES YES MONTHLY MASTER
SCF 004 CONTINGENCY PLAN DRILL SCHEDULE NO YES YEARLY DPA
SCF 005 SHIP BOARD EMERGENCY REPORT FORM YES YES AS REQUIRED MASTER
SCF 006 EMERGENCY STATION BILL NO YES AS REQUIRED DPA
SCF 007 ENCLOSE SPACE ENTRY PERMIT NO YES AS REQUIRED MASTER
SCF 008 HOT WORK PERMIT NO YES AS REQUIRED MASTER
SCF 009 MONTHLY INSPECTION REPORT YES YES MONTHLY MASTER/CH.ENG
SCF 010 RECORD OF SHIP'S CERTIFICATES YES YES MONTHLY MASTER
SCF 011 MAINTENANCE AND REPAIRS REPORT YES YES MONTHLY MASTER/CH.ENG
SCF 012 SHORE REPAIR FORM YES YES AS REQUIRED TM/MASTER/CH.ENG
SCF 013 STORES REQUISITION YES YES AS REQUIRED MASTER
SCF 014 SPARES REQUISITION YES YES AS REQUIRED MASTER
SCF 015 STORES AND SPARES INVENTORY YES YES AS REQUIRED CH.OFF/2ND ENG
SCF 016 CREW WAGES YES YES MONTHLY MASTER
SCF 017 CERTIFICATE OF WATCH-KEEPING SERVICE YES YES AS REQUIRED MASTER
SCF 018 DEFICIENCY DEFECT REPORT YES YES AS REQUIRED MASTER/CH.ENG
SCF 019 NOTE OF PROTEST YES YES AS REQUIRED MASTER
SCF 020 CREW CASH ADVANCE YES YES MONTHLY MASTER
SCF 021 HOT WORK CHECK LIST NO YES AS REQUIRED MASTER/CH.ENG
SCF 022 SHIP FAMILIARIZATION – CHECK LIST NO YES AS REQUIRED MASTER/CH.ENG
SCF 023 REST HOUR RECORDS NO YES MONTHLY MASTER/CH.ENG
DATE 30.03.16
ISSUED: DPA
SCF 024 ENTRY INTO ENCLOSED SPACES – CHECK LIST NO YES AS REQUIRED MASTER/CH.ENG
SCF 025 STOWAWAY SEARCH CHECK LIST NO YES AS REQUIRED MASTER/CH.ENG
SCF 026 CREW LIST YES YES MONTHLY MASTER
SCF 027 RISK ASSESSMENT FORM NO YES AS REQUIRED CH.OFF/MASTER
SCF 028 SHIP BOARD WORKING ARRANGEMENTS NO YES MONTHLY MASTER/CH.ENG

SHIP DECK FORMS

SDF 001 PROTOCOL OF HANDING OVER COMMAND OF VESSEL YES YES AS REQUIRED MASTER
SDF 002 SHIPBOARD HSSEM REVIEW REPORT YES YES 06 MONTHS MASTER
SDF 003 NOTICE OF READINESS YES YES AS REQUIRED MASTER
SDF 004 DEAD FREIGHT CLAIM YES YES AS REQUIRED MASTER
SDF 005 STEVEDORE DAMAGE CLAIM YES YES AS REQUIRED MASTER
SDF 006 TESTING OF CRITICAL EQUIPMENT REPORT (DECK / RADIO DEPT.) YES YES MONTHLY MASTER/CH.OFF/2ND OFFICER
SDF 007 DECK PLANNED MAINTENANCE SCHEDULE & RECORD YES YES MONTHLY MASTER/CH.OFF.
SDF 008 DECK LOG ABSTRACT YES YES MONTHLY MASTER/2ND OFF
SDF 009A PASSAGE PLAN – WP NO YES AS REQUIRED MASTER/2ND OFFICER

SDF 009B PASSAGE PLAN CHECK NO YES AS REQUIRED MASTER/2ND OFF
SDF 010 LIST OF PUBLICATIONS NO YES AS REQUIRED DPA/MASTER
SDF 011 ARRIVAL DEPARTURE BRIDGE CHECK LIST NO YES AS REQUIRED MASTER/DUTY OFF
SDF 012 PILOT CARD NO YES AS REQUIRED MASTER/DUTY OFF
SDF 013 PILOT EMBARKATION DISEMBARKATION NO YES AS REQUIRED MASTER/DUTY OFF
SDF 014 NAVIGATION IN CONGESTED AND COASTAL WATERS NO YES AS REQUIRED MASTER/DUTY OFF
DATE 30.03.16
ISSUED: DPA
SDF 015 CHANGING OVER THE WATCH BRIDGE NO YES DAILY MASTER/DUTY OFF
SDF 016 ANCHOR WATCH NO YES AS REQUIRED MASTER/DUTY OFF
SDF 017 NAVIGATING IN RESTRICTED VISIBILITY NO YES AS REQUIRED MASTER/DUTY OFF
SDF 018 NAVIGATION IN HEAVY WEATHER NO YES AS REQUIRED MASTER/DUTY OFF
SDF 019 DAILY BRIDGE TEST AND CHECKS NO YES DAILY MASTER/DUTY OFF
SDF 020 ECDIS FAMILIARIZATION NO YES AS REQUIRED MASTER/DUTY OFF
SDF 021 BC PRE ARRIVAL CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 022 BC HOLD PREPARATION CHECK LIST SDF 022 NO YES AS REQUIRED MASTER/CH.OFF
SDF 023 BC INFORMATION CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 024 BC CARGO OPERATION CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 025 BC CH BALLAST DEBALLAST CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 026 BC GRAIN LOADING CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 027 BC BULK LOADING CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 028 BC DANGEROUS CARGO LOADING CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 029 BC HOLD ENTERING CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 030 BC CRANE JOINT INSPECTION CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 031 BC CRANE INSPECTION AND TESTING CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 032 BC COAL CARGO CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 033 BC SHIP SHORE SAFETY CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 034 BC BULK CARGO MONITORING CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 035 BC TEMPERATURE DEW POINT MONITORING CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF
SDF 036 DECK WATCH-KEEPING CERTIFICATE YES YES AS REQUIRED MASTER
SDF 037 LOADING DISCHARGING SEQUENCE NO YES AS REQUIRED MASTER/CH.OFFICER

DATE 30.03.16
ISSUED: DPA
SHIP ENGINE FORMS

SEF 001 CH.ENG HANDOVER REPORT YES YES AS REQUIRED CH.ENG
SEF 002 CRITICAL EQUIPMENT CHECK LIST (ENGINE) YES YES MONTHLY CH.ENG
SEF 003 OVERHAULING REPORT FORM (ENGINE DEPT.) YES YES AS REQUIRED CH.ENG
SEF 004 MAIN ENGINE INSPECTION REPORT YES YES AS REQUIRED CH.ENG
SEF 005 MAIN ENGINE PISTON RING GROVE AND RING WEAR REPORT YES YES AS REQUIRED CH.ENG
SEF 006 MAIN ENGINE – CYLINDER LINER GAUGING REPORT YES YES AS REQUIRED CH.ENG
SEF 007 GENERATOR – CYLINDER LINER GAUGING REPORT YES YES AS REQUIRED CH.ENG/3RD ENG
SEF 008 GENERATOR – PISTON RING CLEARANCE REPORT YES YES AS REQUIRED CH.ENG/3RD ENG
SEF 009 GENERATOR – CRANK SHAFT GAUGING REPORT YES YES AS REQUIRED CH.ENG/3RD ENG
SEF 010 AUX. ENGINE CRANK SHAFT DEFLECTION REPORT YES YES AS REQUIRED CH.ENG/2ND ENG
SEF 011 INSPECTION AND INSULATION RECORD OF GENERATORS AND ELECTRIC YES YES 06 MONTH CH.ENG/2ND ENG
MOTORS
SEF 012 BATTERY MAINTENANCE REPORT NO YES MONTHLY CH.ENG/ELECT
SEF 013 RUNNING HOURS AND INSPECTION REPORT OF MACHINERY YES YES MONTHLY CH.ENG/2ND ENG
SEF 014 AUX. ENGINE PERFORMANCE REPORT YES YES MONTHLY CH.ENG/2ND ENG
SEF 015 ENGINE LOG ABSTRACT YES YES MONTHLY CH.ENG/4TH ENG
SEF 016 PLANNED MAINTENANCE SCHEDULE & RECORD YES YES MONTHLY 4TH ENG
SEF 017 CONTINUOUS SURVEY OF HULL AND MACHINERY YES YES AS REQUIRED CH.ENG/2ND ENG
SEF 018 TESTIMONIAL YES YES AS REQUIRED CH.ENG
SEF 019 ARRIVAL DEPARTURE CHECK ,ENGINE NO YES AS REQUIRED CH.ENG/DUTY ENG
SEF 020 BUNKERING CHECK LIST NO YES AS REQUIRED CH.ENG/DUTY ENG
SEF 021 ENGINE ROOM WATCH CHANGE OVER NO YES DAILY DUTY ENG
DATE 30.03.16
ISSUED: DPA
SEF 022 FUEL TRANSFER – CHECK LIST NO YES AS REQUIRED CH.ENG/DUTY ENG
SHIP SAFETY FORM

SSF 001 PROPULSION/STEERING/POWER FAILURE - ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 002 COLLISION- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 003 GROUNDING- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 004 FIRE- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 005 ABANDON SHIP- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 006 MAN OVERBOARD- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 007 PERSONNEL INJURY OR ILLNESS- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 008 HELICOPTER MEDI.EVAC OPERATIONS- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 009 PIRATE ATTACK- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 010 SALVAGE OWN SHIP- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 011 OIL POLLUTION- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 012 FLOODING- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 013 STIKING SUBMERGED OBJECT- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 014 CARGO SHIFTING- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 015 RECOVERY FROM ENCLOSE SPACE- ACTION CHECKLIST NO YES AS REQUIRED MASTER/CH.OFF
SSF 016 EMERGENCY SECURITY DRILL, EXERCISE, TRAINING SUMMARY RECORD NO YES AS REQUIRED MASTER/CH.OFF
SSF 017 EMERGENCY TOWING ACTION CHECK LIST NO YES AS REQUIRED MASTER/CH.OFF

CCF 013document Status

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CCF 013document Status

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CEYLON SHIPPING CORPORATION LTD.

COMPANY COMMON FORMS

CCF 001 TRAINING PLAN (SHORE-STAFF) YES N/A AS REQUIRED TM

SHIP COMMON FORMS

SCF 001 APPRAISAL REPORT YES NO AS REQUIRED MASTER

SDF 009A PASSAGE PLAN – WP NO YES AS REQUIRED MASTER/2ND OFFICER

SHIP ENGINE FORMS

SHIP SAFETY FORM

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