GH MELTEMI - SMS Manual 3 of 3 - Forms Manual PDF

CONBULK SHIPMANAGEMENT
CORPORATION
FORMS MANUAL
CONTROLLED COPY No.: ( 13 )
DOCUMENT CONTROL INFORMATION

VALID FROM ISSUED BY D.P.A. APPROVED BY G.M.
MICHAIL ANDREAS
10/04/2019 BILALAKOS MAROUDAS
Name / Signature Name
_____________________________________________________________________________________________
Effective Date: 06/05/2019 Issue/Revision: 2/1 Page 1 of 1
CONBULK SHIPMANAGEMENT CORP. FORMS MANUAL
Controlled Documentation List
M/V GH MELTEMI (Manual control No.13)
CHAPTER TITLE OF DOCUMENT ISSUE DATE ISSUE REV. DATE REVISION
Cover Page 31/12/2018 2 06/05/2019 1
Controlled Documentation List 31/12/2018 2 01/09/2020 4
Record of Amendments & Revisions 31/12/2018 2 01/09/2020 4
App. A Vessels Filing System 31/12/2018 2 01/09/2020 3
App. B Matrix of Forms, Checklists and Posters 31/12/2018 2 01/09/2020 4
App. C Forms, Checklists and Posters As per vessel specific

Record of Amendments & Revisions
FORM REV. EFFECTIVE

S/N TITLE
NUMBER NO. DATE
FORMS MANUAL RE-ISSUED TO NUMBER 2, REVISION 0

1. ALL FORMS 0 31/12/18
(CURRENT ISSUE 2/0 SUSPEND THE PREVIOUS ONE INCLUDING AMENDMENTS)
COVER PAGE REVISED TO OMIT INCLUDE DPA’S NAME 1
CONTROLLED
DOCUMENTATION REVISED TO INCLUDE AMENDMENTS DATED 06/05/19 1
LIST
RECORD OF
AMENDMENTS & REVISED TO INCLUDE AMENDMENTS DATED 06/05/19 1
2. REVISIONS
06/05/19
MATRIX OF
FORMS,
AMENDED TO INCLUDE REVISED FORMS 1
CHECKLISTS AND
POSTERS
REVISED TO INCLUDE ENVIRONMENTAL PROTECTION MEASURES
OPS-04 1
ELEMENTS
CONTROLLED
LIST
RECORD OF
REVISIONS
VESSELS FILING
AMENDED TO INCLUDE REVISED AND NEW ADDED FORMS 1
SYSTEM
MATRIX OF
FORMS,
CHECKLISTS AND
POSTERS
S-04 REVISED TO INCLUDE NEAR MISSES REPORTING 1
S-05 REVISED TO INCLUDE NEAR MISSES REPORTING 1
S-08 REVISED TO INCLUDE REQUIRED MISSING INFORMATION 1

3. 10/10/19
OPS-09 REVISED TO MODIFY FORMAT 1
OPS-15 REVISED TO MODIFY FORMAT 1
D-02 REVISED TO MODIFY WORDING 1
D-06 REPORTING FREQUENCY AMENDED FROM MONTHLY TO WEEKLY 1
NEW FORM ADDED “MONTHLY SAFETY INSPECTION RECORDS” TO SATISFY

D-07 1
SAFETY MONTHLY SOLAS REQUIREMENTS
D-12 RESTRUCTURED TO SATISFY SAFETY WEEKLY SOLAS REQUIREMENTS 1
T-02 REVISED TO MODIFY WORDING 1
T-15 REPORTING FREQUENCY AMENDED FROM MONTHLY TO 3 MONTHS 1
T-27 REVISED TO SATISFY ISM CHAPTER 10 REQUIREMENTS 1

FORM REV. EFFECTIVE

S/N TITLE
NUMBER NO. DATE
CONTROLLED
LIST
RECORD OF
REVISIONS
VESSELS FILING
SYSTEM
MATRIX OF
FORMS,
CHECKLISTS AND
POSTERS
S-01 REVISED TO MODIFY FORMAT 1

4. 01/01/20
CREW-06 REVISED TO MODIFY FORMAT 1
SUP-01 REVISED TO MODIFY FORMAT 1

FORM REV. EFFECTIVE

S/N TITLE
NUMBER NO. DATE
SUP-09 NEW FORM ADDED “LUBRICANTS REQUISITION FORM” 0
ECL-3 REVISED TO MODIFY FORMAT 1
ECL-20 REVISED TO MODIFY FORMAT 1
CONTROLLED
LIST
RECORD OF
REVISIONS
VESSELS FILING
AMENDED TO INCLUDE REVISED, REVOKED AND NEW ADDED FORMS 3
SYSTEM
MATRIX OF
FORMS,
AMENDED TO INCLUDE REVISED, REVOKED AND NEW ADDED FORMS 4
CHECKLISTS AND
POSTERS
S-01 SAFETY FORM “DRILLS REPORT” REVISED TO MODIFY FORMAT 2
SAFETY FORM “MASTER’S REVIEW ON SMS” REVISED TO CHANGE

S-06 FREQUENCY REPORTING FROM 6 MONTHS TO 3 MONTHS AFTER 2
EMBARKATION
S-12 SAFETY FORM “BATTERIES INSPECTION REPORT” REVOKED -
S-16 NEW SAFETY FORM “WORKING OVERSIDE OR ALOFT” ADDED 0
OPS-12 OPERATIONAL FORM “BUNKERING PRELOADING PLAN” REVOKED -
5. OPS-13 OPERATIONAL FORM “BUNKERING TEAM” REVOKED - 01/09/20
OPS-14 OPERATIONAL FORM “PRE BUNKER TRAINING” REVOKED -
DECK FORM “WEEKLY PLAN MAINTENANCE – DECK DEPARTMENT” REVISED

D-02 2
TO MODIFY FORMAT
DECK FORM “HATCH COVER INSPECTION REPORT” REVISED TO MODIFY
D-04 1
FORMAT
DECK FORM “WEEKLY ACCOMMODATION/HEALTH/SAFETY INSPECTION
D-06 2
REPORT” REVISED TO MODIFY FORMAT
DECK FORM “MONTHLY SAFETY INSPECTION RECORDS” REVISED TO
D-12 2
MODIFY FORMAT
CREW-01 CREW FORM “CREW APPRAISAL REPORT” REVISED TO MODIFY FORMAT 1
CREW-04 CREW FORM “DECK / ENGINE WATCHES” REVISED TO MODIFY FORMAT 1
CREW FORM “ALCOHOL RANDOM TEST RESULTS” REVISED TO MODIFY

CREW-05 1
FORMAT
CREW-07 CREW FORM “NEW CREW FAMILIARIZATION” REVISED TO MODIFY FORMAT 1
CREW FORM “VISITOR’S FAMILIARIZATION BASIC EMERGENCY

CREW-08 1
INFORMATION” REVISED TO MODIFY FORMAT
CREW FORM “CHIEF OFFICER’S HANDOVER REPORT” REVISED TO MODIFY
CREW-09 1
FORMAT

FORM REV. EFFECTIVE

S/N TITLE
NUMBER NO. DATE
CREW FORM “OFFICER’S / ENGINEER’S HANDOVER REPORT” REVISED TO

CREW-10 1
MODIFY FORMAT
CREW-11 CREW FORM “ONBOARD COMPLAINT FORM” REVISED TO MODIFY FORMAT 1
CREW FORM “FAMILIARIZATION WITH BRIDGE EQUIPMENT” REVISED TO

CREW-12 1
MODIFY FORMAT
CREW FORM “FAMILIARIZATION WITH ENGINE EQUIPMENT” REVISED TO
CREW-13 1
MODIFY FORMAT
OFFICE FORM “MASTER’S FAMILIARIZATION ON SMS” REVISED TO MODIFY
O-01 1
FORMAT
OFFICE FORM “MASTER’S CAREER EVALUATION REPORT” REVISED TO
O-02 1
MODIFY FORMAT
OFFICE FORM “CHIEF ENGINEER’S CAREER EVALUATION REPORT” REVISED
O-03 1
TO MODIFY FORMAT
OFFICE FORM “OFFICE PERSONNEL FAMILIARIZATION” REVISED TO MODIFY
O-04 1
FORMAT
OFFICE FORM “THIRD PARTY INSPECTION REGISTER” REVISED TO MODIFY
O-05 1
FORMAT
OFFICE FORM “INTERNAL AUDIT (OFFICE/VESSEL) / MRM SCHEDULE”
O-06 1
REVISED TO MODIFY FORMAT
OFFICE FORM “SCHEDULE OF OFFICE-VESSELS DRILLS” REVISED TO
O-07 1
MODIFY FORMAT
OFFICE FORM “OFFICE INTERNAL AUDIT REPORT” REVISED TO MODIFY
O-08 1
FORMAT
OFFICE FORM “VESSEL INTERNAL AUDIT REPORT” REVISED TO MODIFY
O-09 1
FORMAT
5. O-10 OFFICE FORM “NON-CONFORMITY FORM” REVISED TO MODIFY FORMAT 1 01/09/20
OFFICE FORM “NON-CONFORMITY REGISTER” REVISED TO MODIFY

O-11 1
FORMAT
OFFICE FORM “OFFICE-VESSEL DRILL EVALUATION REPORT” REVISED TO
O-12 1
MODIFY FORMAT
T-01 TECHNICAL FORM “CHIEF ENGINEER’S HAND OVER REPORT” REVOKED -
TECHNICAL FORM “WEEKLY PLANNED MAINTENANCE – ENGINE

T-02 -
DEPARTMENT” REVOKED
TECHNICAL FORM “MONTHLY REPORT OF OPERATING HOURS MAIN
T-03 -
ENGINE” REVOKED
T-04 TECHNICAL FORM “MAIN ENGINE PERFORMANCE” REVOKED -
T-05 TECHNICAL FORM “MAIN ENGINE BEARING CLEARANCES” REVOKED -
TECHNICAL FORM “MAIN ENGINE CYLINDER OVERHAULING REPORT”

T-06 -
REVOKED
T-07 TECHNICAL FORM “MAIN ENGINE’S CRANK SHAFT DEFLECTION” REVOKED -
TECHNICAL FORM “MONTHLY REPORT OF OPERATING HOURS DIESEL

T-08 -
GENERATOR” REVOKED
T-09 TECHNICAL FORM “D.G. PERFORMANCE REPORT” REVOKED -
TECHNICAL FORM “D/GENERATOR ENGINES INSPECTION REPORT”

T-10A -
REVOKED
TECHNICAL FORM “DIESEL GENERATOR’S CRANK SHAFT DEFLECTION”
T-10B -
REVOKED

FORM REV. EFFECTIVE

S/N TITLE
NUMBER NO. DATE
TECHNICAL FORM “D. GENERATORS CONNECTING ROD POCKETS

T-10C -
MEASUREMENTS” REVOKED
TECHNICAL FORM “MONTHLY MAIN ENGINE MAJOR SPARE PARTS REPORT”
T-11 -
REVOKED
TECHNICAL FORM “MONTHLY AUX DIESEL ENGINES MAJOR SPARE PARTS
T-12 -
REPORT” REVOKED
TECHNICAL FORM “ENGINE ROOM AUXILIARY MACHINERY MAINTENANCE”
T-13 -
REVOKED
TECHNICAL FORM “GENERAL INSPECTION / MAINTENANCE REPORT”
T-14 -
REVOKED
T-15 TECHNICAL FORM “MEGGER TEST REPORT” REVOKED -
TECHNICAL FORM “MONTHLY LUB OIL-GASES-CHEMICALS CONSUMPTION

T-16 -
REPORT” REVOKED
T-17 TECHNICAL FORM “ENGINE LOG ABSTRACT” REVOKED -
TECHNICAL FORM “PERIODIC INSPECTION AND TESTING ON WELDING AND

T-18 -
CUTTING POWER SOURCES” REVOKED
T-19 TECHNICAL FORM “SPARES REQUISITION” REVOKED -
TECHNICAL FORM “AUXILIARY MACHINERY RUNNING HOURS REPORT”

T-20 -
REVOKED
TECHNICAL FORM “DIESEL GENERATOR’S TURBOCHARGER INSPECTION
T-21 -
REPORT” REVOKED
TECHNICAL FORM “MAIN ENGINE’S TURBOCHARGER INSPECTION REPORT”
T-22 -
REVOKED
5. TECHNICAL FORM “DAILY LOG FOR AQUAMATIC IMPRESSED CURRENT 01/09/20

T-23 -
CATHODIC PROTECTION SYS. (I.C.C.P.)” REVOKED
TECHNICAL FORM “ONBOARD LOG – COOLING WATER TREATMENT
T-24 -
PROGRAMS” REVOKED
TECHNICAL FORM “ONBOARD LOG – BOILER WATER TREATMENT
T-25 -
PROGRAMS” REVOKED
T-26 TECHNICAL FORM “ANTI-FOULING SYSTEM LOG” REVOKED -
TECHNICAL FORM “CRITICAL / STAND-BY EQUIPMENT INSPECTION

T-27 -
RECORDS” REVOKED
TE-01 NEW TECHNICAL FORM “CHIEF ENGINEER’S HAND OVER REPORT” ADDED 0
NEW TECHNICAL FORM “MONTHLY REPORT OF OPERATING HR

TE-02 0
[ME/DG/BOILER] ” ADDED
TE-03 NEW TECHNICAL FORM “MAIN ENGINE PERFORMANCE REPORT” ADDED 0
NEW TECHNICAL FORM “MAIN ENGINE INSPECTION

TE-04 0
(DEFLECTION/CLEARANCES) ” ADDED
NEW TECHNICAL FORM “MAIN ENGINE CYLINDER OVERHAULING REPORT”
TE-05 0
ADDED
TE-06 NEW TECHNICAL FORM “ME EXHAUST V/V” ADDED 0
TE-07 NEW TECHNICAL FORM “M/E BEARING CLEARENCE” ADDED 0
NEW TECHNICAL FORM “MAIN ENGINE FUEL VALVES PRESSURE TEST

TE-08 0
RECORD” ADDED
TE-09 NEW TECHNICAL FORM “M/E BOLT” ADDED 0

FORM REV. EFFECTIVE

S/N TITLE
NUMBER NO. DATE
NEW TECHNICAL FORM “RECORD OF INSPECTION THROUGH SCAVENGE

TE-10 0
PORT” ADDED
TE-11 NEW TECHNICAL FORM “GENERATOR REPORT OVERHAULING” ADDED 0
TE-12 NEW TECHNICAL FORM “D/G CRANK SHAFT DEFLECTION” ADDED 0
TE-13 NEW TECHNICAL FORM “D/G TURBO CHARGERS” ADDED 0
TE-14 NEW TECHNICAL FORM “D/G PERFORMANCE” ADDED 0
TE-15 NEW TECHNICAL FORM “MEGGER TEST” ADDED 0
TE-16 NEW TECHNICAL FORM “INVENTORY LIST OF GASES” ADDED 0
TE-17 NEW TECHNICAL FORM “CHEMICAL INVENTORY” ADDED 0
TE-18 NEW TECHNICAL FORM “PRE BUNKER TRAINING” ADDED 0
TE-19 NEW TECHNICAL FORM “FWG PERFORMANCE” ADDED 0
TE-20 NEW TECHNICAL FORM “ELECTRICAL MOTORS RUNNING HOURS” ADDED 0
TE-21 NEW TECHNICAL FORM “ENGINE STORES I” ADDED 0
TE-22 NEW TECHNICAL FORM “AUTOMATION” ADDED 0
TE-23 NEW TECHNICAL FORM “DAILY LOG FOR ICCP” ADDED 0

5. 01/09/20
TE-24 NEW TECHNICAL FORM “MGPS SYSTEM” ADDED 0
TE-25 NEW TECHNICAL FORM “CRANE SLEW BEARING ROCKING TEST” ADDED 0
TE-26 NEW TECHNICAL FORM “OPEN REQUISITIONS SUMMARY” ADDED 0
TE-27 NEW TECHNICAL FORM “BUNKERING PRELOADING PLAN” ADDED 0
NEW TECHNICAL FORM “AUX. MACHINERIES RUNNING HOURS AND CHANGE

TE-30 0
OVER” ADDED
NEW TECHNICAL FORM “PERIODIC INSPECTION AND TESTING ON WELDING
TE-31 0
& CUTTING POWER SOURCES” ADDED
NEW TECHNICAL FORM “E/R ALARM & MONITORING SYS ALARM CHECKLIST”
TE-32 0
ADDED
TE-33 NEW TECHNICAL FORM “WINDLASS BRAKE TEST” ADDED 0
TE-34 NEW TECHNICAL FORM “BUNKERING TEAM” ADDED 0
TE-35 NEW TECHNICAL FORM “BATTERIES” ADDED 0
TE-36 NEW TECHNICAL FORM “BALLAST TANKS INSPECTION” ADDED 0
TE-37 NEW TECHNICAL FORM “TAIL SHAFT MONITORING” ADDED 0
TE-38 NEW TECHNICAL FORM “LUBE OIL INVENTORY MISCELANEOUS” ADDED 0
TE-39 NEW TECHNICAL FORM “FIRE ALARM SYSTEM TEST LOG” ADDED 0

FORM REV. EFFECTIVE

S/N TITLE
NUMBER NO. DATE
NEW TECHNICAL FORM “GENERAL INSPECTION MAINTENANCE REPORT”

TE-55 0
ADDED
NEW TECHNICAL FORM “WEEKLY PLANNED MAINTENANCE (ER
TE-56 0
DEPARTMENT) ” ADDED
TE-57 NEW TECHNICAL FORM “CRITICAL ST/BY EQUIPMENT” ADDED 0
TE-58 NEW TECHNICAL FORM “M/E CRITICAL SPARE PARTS” ADDED 0
TE-59 NEW TECHNICAL FORM “D/G CRITICAL SPARE PARTS” ADDED 0
TE-61 NEW TECHNICAL FORM “SPARE PARTS REQUISITION” ADDED 0
BRIDGE
COMPANY’S CHECKLIST “HANDOVER THE WATCH CHECKLIST” REVOKED -
CHECKLIST-01
ENGINE
REVISED TO MODIFY FORMAT AND PROCEDURES 1
CHECKLIST-01
ENGINE
5. REVISED TO MODIFY FORMAT AND PROCEDURES 1 01/09/20
CHECKLIST-02
ENGINE
REVISED TO MODIFY FORMAT AND PROCEDURES 1
CHECKLIST-03
ENGINE NEW COMPANY’S CHECKLIST “SAFETY CHECK LIST PRIOR TO DRYDOCKING”
0
CHECKLIST-04 ADDED
ENGINE NEW COMPANY’S CHECKLIST “DRY DOCK INSPECTION & CERTIFICATION
0
CHECKLIST-05 REPORT” ADDED
ENGINE
NEW COMPANY’S CHECKLIST “POST DRY DOCK / NEW DELIVERY” ADDED 0
CHECKLIST-06
ENGINE NEW COMPANY’S CHECKLIST “CHANGE-OVER TO UNMANNED MACHINERY
0
CHECKLIST-07 SPACE (U.M.S.) CONDITION” ADDED
ENGINE
NEW COMPANY’S CHECKLIST “ELECTRICAL ISOLATION CERTIFICATE” ADDED 0
CHECKLIST-08
ENGINE
NEW COMPANY’S CHECKLIST “OWS OPERATION CHECKLIST” ADDED 0
CHECKLIST-09
SMS POSTER
NEW SMS POSTER “HANDOVER THE WATCH” ADDED 0
P-07

M/V GH MELTEMI (Manual Control No.13)
Vessel Filing System
File S-1
S/N DESCRIPTION FORMS
1 Annual Drills Planning S – 11
2 Drills Report S – 01
3 Schedule of Office-Vessels Drills O – 07
Office Vessel Drill –
Office-Vessels Drill Evaluation Report O – 12
4 Safety Meeting Report S – 02
5 Onboard Training Program S – 03
6 Incident / Accident / Near Miss Report S – 04
Company's Response to Incident / Accident / Near Miss Report S – 05
7 Master's Review on SMS S – 06
8 Medical Report S – 07
File S-2
1 Enclosed Space Entry Permit S – 08
2 Hot Work Permit S – 09
3 Ship Medicine Inventory Report S – 10
4 Training Form S – 14
5 Working Overside or Aloft Permit S – 16
File O-1
1 Lashing Security Materials Inspection OPS – 01
2 Reefer Container Damage Report OPS – 02
3 List of Certificates OPS – 03
4 Passage Plan OPS – 04
5 Stevedore Damage Report OPS – 05
SDR Completion Report OPS – 15
6 Notices to Mariners Traffic Record OPS – 06
7 Master / Pilot Information Exchange OPS – 07
8 IMDG Containers OPS – 08
File O-2
1 Reefer Container Daily Temp. Monitoring Log OPS – 09
2 Document Transmittal Form (D.T.F.) OPS – 10
3 Onboard Publications & Manuals OPS – 11

File D-1
1 Paints Inventory D – 01
2 Weekly Plan Maintenance - Deck Department D – 02
3 Tanks Inspection Form D – 03
4 Hatch Cover Inspection Report D – 04
5 Cargo Hold Inspection Form D – 05
6 Weekly Accommodation/Health/Safety Inspection Report D – 06
File D-2
1 Monthly Safety Inspection Records D – 07
2 Calibration of Instrument D – 09
3 Deck Equipment Inspection Report D – 10
4 Master’s 3-Monthly Inspection Report D – 11
5 Weekly Safety Inspection Report D – 12
6 Navigation - Radio Equipment Inspection Report D – 13
7 Cargo Gear Equipment Inspection Report D – 14
8 Means Embarkation and Disembarkation Inspection Report D – 15
9 Potable Water Test Log Book D – 16
10 Refrigerator Temperature Log D – 17
File C-1
1 Crew Certificates List Crew – 02
2 Master’s Hand Over Report Crew – 03
3 Deck Watches Crew – 04
4 Alcohol Random Test Results Crew – 05
5 Table of Shipboard Working Arrangements and Resting Hours Crew – 06
6 New Crew Familiarization Crew – 07
7 Visitor’s Familiarization Crew – 08
8 Chief Officer’s Handover Report Crew – 09
9 Officer’s Handover Report Crew – 10
10 Onboard Complaint Form Crew – 11
11 Familiarization with Bridge Equipment Crew – 12
12 Familiarization with Engine Equipment Crew – 13

File P-1
1 Stores Requisition Form SUP – 01
2 Landing Note for Ship's Parts SUP – 02
3 Proforma Invoice - Packing List SUP – 03
4 Provisions - Cabin Requisition Form SUP – 04
5 Gases & Chemicals Requisition Form SUP – 05
6 Paints Requisition Form SUP – 06
7 Marine Valves Requisition Form SUP – 07
8 Pipes - Elbows Requisition Form SUP – 08
9 Lubricants Requisition Form SUP – 09
File M-1
1 Master’s Familiarization on SMS O – 01
2 Third Party Inspection Register O – 05
3 COPY of Third Party Inspection Report –
 Investigation and Analysis Report S – 13
 Corrective Actions Close-up –
4 Internal Audit (Office/Vessel)/MRM Schedule O – 06
5 Non-Conformity Register O – 11
6 Vessel’s Internal Audit Report O – 09
Non-Conformity Form O – 10
7 Superintendents Inspection Report O – 13
Superintendents Recommendation Follow-up O – 14
File T-1
1 Tail Shaft Monitoring TE – 37
2 Lube Oil Analysis Specific (Stern Tube)
File T-2
1 Monthly Report of Operating Hr [ME/DG/BOILER] TE – 02
2 Aux. Machineries Running Hours and Change Over TE – 30

File T-3
1 Main Engine Inspection (Deflection/Clearances) TE – 04
2 Main Engine Cylinder Overhauling Report TE – 05
3 ME Exhaust v/v TE – 06
4 M/E Bearing Clearance TE – 07
5 Main Engine Fuel Valves Pressure Test Record TE – 08
6 M/E Bolt TE – 09
7 Record of inspection through scavenge port TE – 10
File T-4
1 Generator Report Overhauling TE – 11
2 D/G Crank Shaft Deflection TE – 12
3 D/G Turbo Chargers TE – 13
File T-5
1 Megger Test Reports TE – 15
2 FWG Performance TE – 19
3 Automation TE – 22
4 Crane Slew Bearing Rocking Test TE – 25
5 Periodic Inspection and Testing on Welding & Cutting Power Sources TE – 31
6 E/R Alarm & monitoring sys Alarm Checklist TE – 32
File T-6
1 Electrical Motors Running hours TE – 20
2 Daily log for ICCP TE – 23
3 MGPS system TE – 24
File T-7
1 Main Engine Performance Report TE – 03
2 D/G Performance TE – 14
File T-8
1 Open Requisitions Summary TE – 26
2 Lube oil Inventory miscellaneous TE – 38
3 Spares Parts Requisition TE – 61
File T-9
1 PRE-Bunker training TE – 18
2 Bunkering preloading plan TE – 27
3 Bunkering Team TE – 34
File T-10
1 Inventory list of gases TE – 16
2 Chemical Inventory TE – 17
3 Engines Stores Inventory List TE – 21
File T-11
1 Critical st/by equipment TE – 57
2 M/E Critical Spare parts TE – 58
3 D/G Critical Spares Parts TE – 59
File T-12
1 General Inspection Maintenance Report TE – 55
2 Weekly Planned Maintenance – Eng. Dept. TE – 56
File T-13
1 Chief Engineer's Hand Over Report TE – 01
File T-14
1 Windlass Brake test TE – 33
2 Batteries TE – 35
3 Ballast tanks inspection TE – 36
4 Fire Alarm System Test Log TE – 39

File V-1 VESSEL’S CERTIFICATES

S/N DESCRIPTION
1 Vessel’s Certificates
File V-2 CLASSIFICATION SOCIETY

1 Quarterly List
2 Enhanced Survey Program--Flag, Class, etc Documents
3 Survey Reports and Occasional Survey Reports
4 Structure Condition Evaluation Report
5 IN-OUT Letters, Correspondence, for CLASS ITEMS
File V-3 THIRD PARTIES INSPECTIONS

1 PSC Inspections– Reports – Actions-etc
2 FLAG Inspection – Reports – Actions-etc
3 P&I Club Inspections – Reports – Actions-etc
4 Charterer’s Inspections –Reports –Actions-etc
File V-4 ISM CORRESPONDENCE

1 ISM, IN-OUT Correspondence for ISM Items
2 ISM, Revisions – Additions
File V-5 COMMUNICATION

1 In coming telexes / faxes
2 Out going telexes / faxes
3 Owners Letters
4 Miscellaneous Letters
File V-6 OPERATIONAL COMMUNICATION / CHARTERERS

1 In coming telexes/ faxes / letters (Owners, Charterers, Agents)
2 Out going telexes/ faxes / letters (Owners, Charterers, Agents)
3 Charter Party
4 Delivery / Redelivery surveys - Notices of readiness
5 Present voyage bill of ladings
6 Loading plan and Stability / Trim Calculations

File V-7 FLAG ADMINISTRATION

S/N DESCRIPTION
1 Flag Circulars
2 Flag Advisories
3 Flag Technical Circulars
4 Flag Guidelines
File V-8 MGA’s

1 Master General Accounts
File V-9 External Audit Reports

1 External ISM Audit Reports
2 External ISPS Audit Reports
3 External ISM Audit Non-Conformities
4 External ISPS Audit Non-Conformities
File V-10 COMPANY’S CIRCULARS

1 Company Circulars
File V-11 INVENTORY HAZARDOUS MATERIALS

1 Inventory Hazardous Materials

File E-1 CORRESPONDENCE

S/N DESCRIPTION
1 PMS, ISM, IN / OUT Correspondence, etc
File E-2 WORKING / RELAXATION PERIOD

1 Table of Shipboard Working Arrangements and Resting Hours Crew - 06
File E-3 COMPANY’S CHECKLISTS Part A

S/N DESCRIPTION CHECKLIST
1 Arrival - Engine Stand By Checklist Engine Checklist-01
File E-3 COMPANY’S CHECKLISTS Part B

1 Departure - Engine Stand By Checklist Engine Checklist-02
File E-3 COMPANY’S CHECKLISTS Part C

1 Equipment Test (One Hour prior to Stand-by) Engine Checklist-03
File E-3 COMPANY’S CHECKLISTS Part D

1 Safety Check List prior to Drydocking Engine Checklist-04
Dry Dock Inspection & Certification Report Engine Checklist-05
Post Dry Dock / New Delivery Engine Checklist-06
File E-3 COMPANY’S CHECKLISTS Part E

1 Change-over to Unmanned Machinery Space (U.M.S.) Condition Engine Checklist-07
File E-3 COMPANY’S CHECKLISTS Part F

1 Electrical Isolation Certificate Engine Checklist-08

File E-3 COMPANY’S CHECKLISTS Part G

S/N DESCRIPTION CHECKLIST
1 OWS Operation Checklist Engine Checklist-09
File E-4 CERTIFICATES

S/N DESCRIPTION
1 Machinery Certificates (The files provided by the Shipyard)
File E-5 COMPANY CIRCULARS

1 Technical Circulars
File E-6 ENGINE SPARE PARTS

1 Spare Parts Delivery Receipts
2 Pending Spare Parts Delivery Receipts
3 Packing Lists from Received Spares
4 Spare Parts Transportation Forms
File E-7 ENGINE STORES

1 Stores Requisitions
2 Stores Delivery Receipts
File E-8 EXTRA WORKS

1 Extra Works for E/R
File E-9 SERVICE RECORDS

1 Service Records
File E-10 ENGINE LOG ABSTRACTS

1 Engine Log Abstracts

File E-11 DRYDOCKING REPAIR RECORDS

S/N DESCRIPTION
1 Drydocking Repair Records
File E-12 MAIN ENGINE

1 Bulletins
2 Service Letters
File E-13 MISCELLANEOUS MACHINERY

1 Bulletins
2. Service Letters
File E-14 TECHNICAL DEPT.

1 Notices
2 Instructions to Chief Engineer by Superintendent
File E-15 OUTSTANDING WORKS

1 Outstanding Works
File E-16 WATER TREATMENT PROGRAM

1 Cooling Water Treatment Program
2 Boiler Water Treatment Program

CONBULK SHIPMANAGEMENT CORP. M/V GH MELTEMI FORMS MANUAL
MATRIX OF FORMS, CHECKLISTS AND POSTERS
SAFETY FORMS MONTHS

Issue / Vessel's Send
No. Description Interval Form No. Distribution 1 2 3 4 5 6 7 8 9 10 11 12
Rev. Folder by/via
1 Drills Report Occasion S-01 2/2 S-1 Office / Vessel email
2 Safety Meeting Report Monthly S-02 2/1 S-1 Office / Vessel email
3 Onboard Training Program Annually S-03 2/1 S-1 Office / Vessel email
4 Incident / Accident / Near Miss Report Occasion S-04 2/2 S-1 Office / Vessel email
5 Company's Response to Incident / Accident / Near Miss Report Occasion S-05 2/2 S-1 Office / Vessel email
6 Master's Review On SMS 3 Months after Embark. S-06 2/2 S-1 Office / Vessel email
7 Medical Report Occasion S-07 2/1 S-1 Office / Vessel email
8 Enclosed Space Entry Permit Occasion S-08 2/2 S-2 Vessel N/A
9 Hot Work Permit Occasion S-09 2/1 S-2 Vessel N/A
10 Ships Medicine Inventory Report 6 Months S-10 2/1 S-2 Office / Vessel email
11 Annual Drills Planning Occasion S-11 2/1 S-1 Office / Vessel email
12 Investigation and Analysis Report Occasion S-13 2/1 M-1 Office / Vessel email
13 Training Form Occasion S-14 2/1 S-2 Office / Vessel email
14 Working Overside or Aloft Permit Occasion S-16 2/0 S-2 Vessel N/A
OPERATIONAL FORMS MONTHS

Rev. Folder by/via
1 Lashing Security Materials Inspection Monthly OPS-01 2/0 O-1 Office/Vessel email
2 Reefer Container Damage Report Occasion OPS-02 2/0 O-1 Office/Vessel email
3 List of Certificates Monthly OPS-03 2/0 O-1 Office/Vessel email
4 Passage Plan Occasion OPS-04 2/1 O-1 Vessel N/A
5 Stevedore Damage Report Occasion OPS-05 2/0 O-1 Office/Vessel email
6 Notices to Mariners Traffic Record Occasion OPS-06 2/0 O-1 Vessel N/A
7 Master / Pilot Information Exchange Occasion OPS-07 2/0 O-1 Vessel N/A
8 IMDG Containers Occasion OPS-08 2/0 O-1 Office/Vessel email
9 Reefer Container Daily Temp. Monitoring Log Monthly OPS-09 2/1 O-2 Office/Vessel email
10 Document Transmittal Form (D.T.F.) Occasion OPS-10 2/0 O-2 Office/Vessel email
11 Onboard Publications & Manuals 6 Months OPS-11 2/0 O-2 Office/Vessel email
12 SDR Completion Report Occasion OPS-15 2/1 O-1 Office/Vessel email
Matrix of Forms, Checklists and Posters

Date: 01/09/2020
Issue/Revision: 2/4 1 of 6
DECK FORMS MONTHS

Rev. Folder by/via
1 Paints Inventory Monthly D-01 2/0 D-1 Office/Vessel email
2 Weekly Plan Maintenance - Deck Department Weekly D-02 2/2 D-1 Office/Vessel email
3 Tanks Inspection Form 6 Months D-03 2/0 D-1 Office/Vessel email
4 Hatch Cover Inspection Report 2 Months D-04 2/1 D-1 Office/Vessel email
5 Cargo Hold Inspection Report 2 Months D-05 2/0 D-1 Office/Vessel email
6 Weekly Accommodation/Health/Safety Inspection Report Weekly D-06 2/2 D-1 Office/Vessel email
7 Monthly Safety Inspection Records Monthly D-07 2/0 D-2 Office/Vessel email
8 Calibration of Instrument 2 Months D-09 2/0 D-2 Office/Vessel email
9 Deck Equipment Inspection Report Monthly D-10 2/0 D-2 Office/Vessel email
10 Master's 3-Monthly Inspection Report 3 Months D-11 2/0 D-2 Office/Vessel email
11 Weekly Safety Inspection Report Weekly D-12 2/2 D-2 Office/Vessel email
12 Navigation - Radio Equipment Inspection Report Monthly D-13 2/0 D-2 Office/Vessel email
13 Cargo Gear Equipment Inspection Report Monthly D-14 2/0 D-2 Office/Vessel email
14 Means Embarkation and Disembarkation Inspection Report Monthly D-15 2/0 D-2 Office/Vessel email
15 Potable Water Test Log Book Occasion D-16 2/0 D-2 Office/Vessel email
16 Refrigerator Temperature Log Occasion D-17 2/0 D-2 Vessel N/A
CREW FORMS MONTHS

Rev. Folder by/via
1 Crew Appraisal Report Occasion Crew-01 2/1 N/A Office email
2 Crew Certificates List Monthly Crew-02 2/0 C-1 Office/Vessel email
3 Master's Hand Over Report Occasion Crew-03 2/0 C-1 Office/Vessel email
4 Deck / Engine Watches Occasion Crew-04 2/1 C-1 Vessel N/A
5 Alcohol Random Test Results Occasion Crew-05 2/1 C-1 Vessel N/A
6 Table of Shipboard Working Arrangements and Resting Hours Monthly Crew-06 2/1 C-1 / E-2 Vessel N/A
7 New Crew Familiarisation Occasion Crew-07 2/1 C-1 Vessel N/A
8 Visitor's Familiarisation Occasion Crew-08 2/1 C-1 Vessel N/A
9 Chief Officer's Handover Report Occasion Crew-09 2/1 C-1 Vessel N/A
10 Officer's / Engineer's Handover Report Occasion Crew-10 2/1 C-1 Vessel N/A
11 Onboard Complaint Form Occasion Crew-11 2/1 C-1 Office/vessel email
12 Familiarization with Bridge Equipment Occasion Crew-12 2/1 C-1 Vessel N/A
13 Familiarization with Engine Equipment Occasion Crew-13 2/1 C-1 Vessel N/A

Date: 01/09/2020
SUPPLY FORMS MONTHS

Rev. Folder by/via
1 Stores Requisition Form Occasion SUP-01 2/1 P-1 Office/Vessel email
2 Landing Note for Ship's Parts Occasion SUP-02 2/1 P-1 Office/Vessel email
3 Proforma Invoice - Packing List Occasion SUP-03 2/1 P-1 Office/Vessel email
4 Provisions - Cabin Requisition Form Occasion SUP-04 2/1 P-1 Office/Vessel email
5 Gases & Chemicals Requisition Form Occasion SUP-05 2/1 P-1 Office/Vessel email
6 Paints Requisition Form Occasion SUP-06 2/1 P-1 Office/Vessel email
7 Marine Valves Requisition Form Occasion SUP-07 2/1 P-1 Office/Vessel email
8 Pipes - Elbows Requisition Form Occasion SUP-08 2/1 P-1 Office/Vessel email
9 Lubricants Requisition Form Occasion SUP-09 2/0 P-1 Office/Vessel email
OFFICE FORMS MONTHS

Rev. Folder by/via
1 Master’s Familiarization on SMS Occasion O-01 2/1 M-1 Office/Vessel email
2 Master’s Carrer Evaluation Report Occasion O-02 2/1 N/A Office N/A
3 Chief Engineer's Carrer Evaluation Report Occasion O-03 2/1 N/A Office N/A
4 Office Personnel Familiarization Occasion O-04 2/1 N/A Office N/A
5 Third Party Inspection Register Occasion O-05 2/1 M-1 Office/Vessel email
6 Internal Audit (Office/Vessel)/MRM Schedule Occasion O-06 2/1 M-1 Office/Vessel email
7 Schedule of Office-Vessels Drills Occasion O-07 2/1 S-1 Office/vessel email
8 Office Internal Audit Report Occasion O-08 2/1 N/A Office N/A
9 Vessel's Internal Audit Report Occasion O-09 2/1 M-1 Office/Vessel email
10 Non-Conformity Form Occasion O-10 2/1 M-1 Office/Vessel email
11 Non-Conformity Register Occasion O-11 2/1 M-1 Office/Vessel email
12 Office-Vessels Drill Evaluation Report Occasion O-12 2/1 S-1 Office/vessel email
13 Superintendents Inspection Report 6 Months O-13 2/0 M-1 Office/Vessel email
14 Superintendents Recommendation Follow-up Occasion O-14 2/0 M-1 Office/Vessel email

Date: 01/09/2020
TECHNICAL FORMS MONTHS

Rev. Folder by/via
1 Chief Engineer's Hand Over Report Occasion TE-01 2/0 T-13 Office/Vessel email
2 Monthly Report Of Operating Hr [ME/DG/BOILER] Monthly TE-02 2/0 T-2 Office/Vessel email
3 Main Engine Performance Report BI Monthly TE-03 2/0 T-7 Office/Vessel email
4 Main Engine Inspection (Deflection/Clearances) 6 Months & *O/H TE-04 2/0 T-3 Office/Vessel email * * * * * * * * * *
5 Main Engine Cylinder Overhauling Report Occasion TE-05 2/0 T-3 Office/Vessel email
6 ME Exhaust v/v Occasion TE-06 2/0 T-3 Office/Vessel email
7 M/E Bearing Clearence 6 Months & *O/H TE-07 2/0 T-3 Office/Vessel email * * * * * * * * * *
8 Main Engine Fuel Valves Pressure Test Record Every 2000 running Hrs TE-08 2/0 T-3 Office/Vessel email
9 M/E Bolt Yearly TE-09 2/0 T-3 Office/Vessel email
10 Record of Inspection through Scavenge Port BI Monthly TE-10 2/0 T-3 Office/Vessel email
11 Generator Report Overhauling After Inspection TE-11 2/0 T-4 Office/Vessel email
12 D/G Crank Shaft Deflection 6 Months & *O/H TE-12 2/0 T-4 Office/Vessel email * * * * * * * * * *
13 D/G Turbo Chargers After Inspection TE-13 2/0 T-4 Office/Vessel email
14 D/G Performance Monthly TE-14 2/0 T-7 Office/Vessel email
15 Megger Test BI Monthly TE-15 2/0 T-5 Office/Vessel email
16 Inventory list of gases BI Monthly TE-16 2/0 T-10 Office/Vessel email
17 Chemical Inventory Monthly TE-17 2/0 T-10 Office/Vessel email
18 PRE Bunker training Occasion TE-18
TE 18 2/0 T-9
T 9 Vessel N/A
19 FWG Performance Monthly TE-19 2/0 T-5 Office/Vessel email
20 Electrical Motors Running hours Monthly TE-20 2/0 T-6 Office/Vessel email
21 Engines Stores Inventory List Monthly TE-21 2/0 T-10 Office/Vessel email
22 Automation C/Eng. Hand Over TE-22 2/0 T-5 Office/Vessel email
23 Daily log for ICCP Monthly TE-23 2/0 T-6 Office/Vessel email
24 MGPS System Monthly TE-24 2/0 T-6 Office/Vessel email
25 Crane Slew Bearing Rocking Test 4 Months TE-25 2/0 T-5 Office/Vessel email
26 Open Requisitions Summary Monthly TE-26 2/0 T-8 Office/Vessel email
27 Bunkering preloading plan Occasion TE-27 2/0 T-9 Vessel N/A
28 Aux. Machineries Running hours and Change Over Monthly TE-30 2/0 T-2 Office/Vessel email
29 Periodic Inspection and Testing on Welding & Cutting Power Sources Monthly TE-31 2/0 T-5 Office/Vessel email
30 E/R Alarm & monitoring sys Alarm Checklist 3 Months TE-32 2/0 T-5 Office/Vessel email
31 Windlass Brake Test Monthly TE-33 2/0 T-14 Office/Vessel email
32 Bunkering Team Occasion TE-34 2/0 T-9 Vessel N/A
33 Batteries Monthly TE-35 2/0 T-14 Office/Vessel email
34 Ballast tanks inspection 6 Months TE-36 2/0 T-14 Office/Vessel email
35 Tail Shaft Monitoring Monthly TE-37 2/0 T-1 Office/Vessel email
36 Lube Oil Inventory Miscelaneous 6 Months TE-38 2/0 T-8 Office/Vessel email

Date: 01/09/2020
TECHNICAL FORMS MONTHS

Rev. Folder by/via
37 Fire Alarm System Test Log 3 Months TE-39 2/0 T-14 Office/Vessel email
38 General Inspection Maintenance Report Monthly TE-55 2/0 T-12 Office/Vessel email
39 Weekly Planned Maintenance (ER DEPARTMENT) Weekly TE-56 2/0 T-12 Office/Vessel email
40 Critical st/by Equipment Monthly TE-57 2/0 T-11 Office/Vessel email
41 M/E Critical Spare Parts Monthly TE-58 2/0 T-11 Office/Vessel email
42 D/G Critical Spares Parts Monthly TE-59 2/0 T-11 Office/Vessel email
43 Spares Parts Requisition Monthly TE-61 2/0 T-8 Office/Vessel email
EMERGENCY CHECKLISTS
No. DESCRIPTION CHECKLIST Issue / Rev.
1 Guidance on the use of the Emergency Checklists ECL 2/0
2 Collision ECL-1 2/0
3 Grounding / Stranding ECL-2 2/0
4 Fire ECL-3 2/1
5 Heavy Weather Damage ECL-4 2/0
6 Hull Failure ECL-5 2/0
7 Excessive List ECL-6 2/0
8 Flooding ECL-7 2/0
9 Main Engine Failure ECL-8 2/0
10 Steering Failure ECL-9 2/0
11 Power Failure ECL-10 2/0
12 Man Overboard ECL-11 2/0
13 Search and Rescue ECL-12 2/0
14 Personnel Injury or Illness ECL-13 2/0
15 Rescue from Enclosed Space ECL-14 2/0
16 Piracy ECL-15 2/0
17 Salvage of Own Ship ECL-16 2/0
18 Abandon Ship ECL-17 2/0
19 Oil Pollution ECL-18 2/0
20 Helicopter Operations ECL-19 2/0
21 Recovery of Persons from the Water ECL-20 2/1
22 ECDIS Failure Check List ECL-21 2/0

Date: 01/09/2020
COMPANY'S CHECKLISTS
No. DESCRIPTION CHECKLIST Issue / Rev.
1 Critical Port Operations Control Checklist BRIDGE CHECKLIST-02 2/0
2 Bridge Preparation for Arrival & Departure BRIDGE CHECKLIST-03 2/0
3 Restricted Visibility BRIDGE CHECKLIST-04 2/0
4 Anchoring & Anchor Watch BRIDGE CHECKLIST-05 2/0
5 Navigating in Heavy Weather or in Tropical Storm Areas BRIDGE CHECKLIST-06 2/0
6 Navigating in Ice BRIDGE CHECKLIST-07 2/0
7 Arrival - Engine Stand By Checklist ENGINE CHECKLIST-01 2/1
8 Departure - Engine Stand By Checklist ENGINE CHECKLIST-02 2/1
9 Equipment Test (One Hour prior to Stand-by) ENGINE CHECKLIST-03 2/1
10 Safety Check List prior to Drydocking ENGINE CHECKLIST-04 2/0
11 Dry Dock Inspection & Certification Report ENGINE CHECKLIST-05 2/0
12 Post dry Dock / New Delivery ENGINE CHECKLIST-06 2/0
13 Change-over to Unmanned Machinery Space (U.M.S.) Condition ENGINE CHECKLIST-07 2/0
14 Electrical Isolation Certificate ENGINE CHECKLIST-08 2/0
15 OWS Operation Checklist ENGINE CHECKLIST-09 2/0
SMS POSTERS
No. DESCRIPTION POSTERS Issue / Rev.
1 Master's Standing Orders P-01 2/0
2 Chief Engineer's Standing Orders P-02 2/0
3 Harassment And Bullying P-06 2/0
4 Handover the Watch P-07 2/0
NOTE: All reports/FORMS shall be kept on board for at least 5 years unless otherwise specified.
Date: 01/09/2020
CONBULK SHIPMANAGEMENT CORP. S-01
Drills Report
Vessel: Drill Description:

Date Planned for: Date carried out: Time commenced: Time completed:
Participants (No. as per Crew List) Scenario / Description / Location:

1 13
2 14
3 15
4 16
5 17
6 18
7 19
8 20
9 21
10 22
11 23
12 24
Actions Taken Yes No
Master's Drill Evaluation

a. Overall Performance: Good Satisfactory Poor To be repeated:
b. Crew Performance: Good Satisfactory Poor Training Required:
c. Communications: Good Satisfactory Poor Descr. Of Defective eq.:
d. Cond. of Equip. used: Good Satisfactory Poor Descr. Of Defective eq.:
Tick on subjects of Training / Lectures provided at the completion of the drill
* Type here if any different training/lecture given

* Type here if any different training/lecture given
Training and/or lectures provided as above are not to be recorded in "S-14 Training form"
Master's Name: Master's Signature:
S-01
Date: 01/09/2020
Frequency: Occasion
Issue/Revision:2/2 File: S-1 Page 1 of 2
Drills Report
Attached Photos
1. 2.
3. 4.
5. 6.
Note: Supporting documents (photos) must be included every time when a drill is carried out.
S-01
Date: 01/09/2020
Frequency: Occasion
Safety Meeting Report
(On Board Management Review)
Vessel: Date:
Participants (No. as per Current Crew List)

1 5 9 13 17 21
2 6 10 14 18 22
3 7 11 15 19 23
4 8 12 16 20 24
Items Discussed & Action Agreed
Master
(Name / Signature / Vessel's Stamp)
S-02
Date: 01/01/2020
Frequency: Monthly
Onboard Training Program
Date Seminar / Training Topic Trainer / Rank
Note: Record of Crew participants to be entered in "S-14 Training Form".
D.P.A.
(Signature / Name)
S-03 *(Office Use Only)

Date: 01/01/2020
Frequency: Annually
Incident / Accident / Near Miss Report
Vessel: Date:
Master or Responsible Person to report: Report No.:
Type of Event / Casualty (fill accordingly)

Incident Accident Casualty Injury
Near Miss Damage Failure Other
Initial Report
Vessel Name: Date and time of event:
Vessel Location: Latitude: Longitude: Port:
Vessel Operational Condition:
(Loading, Unloading, under Repairs, under Inspection, etc.)
Weather Condition:
(Wind, Sea, Tide, Fog, Rain, Ice, etc.)
Narrative of the Event:

Describe facts, conditions, operations and actions in a chronological order
from the beginning to the end)
Persons involved:
(Persons involved in the operation related to the event and persons
present in the area)
Taken / Suggested / Corrective / Preventive actions:

(Describe in sequence and with a time frame the actions taken and the
results)
Due Date of Corr./Prev. Action: Date of Rectification:

Responsible Person: Responsible Person:
Instructions: This report must be filled by the Master or other responsible person, in case of the above-mentioned casualties. The possible causes,
the corrective actions, due dates, the responsible person etc. are to be appointed in this form. A copy of this report remains on board while the
prototype is sent to the Company.
S-04
Date: 01/01/2020
Frequency: Occasion
Incident / Accident / Near Miss Report
Consequences To:
Humans* Vessel* Equipment* Cargo* Environment* Others*
*Report full names & other details of persons injured, Describe Damages, give Details, Diagrams, Plans, Photos, Report damages, Type of Damages,
Describe pollution, Quantities, type of pollutant, tank etc.
Any other Comment:

(Add pages if necessary)
First Estimation of Root Causes (according to Master’s - Responsible Person’s opinion)

Direct Causes-substandard acts Direct Causes-substandard cond. Personal Factors Job Factors
Failure to follow rules / pract. Poor Housekeeping Lack of Skills Inadeq. work stand/rs
Failure to use PPE properly Inadequate / defective PPE Physical stress Inadequate procedures
Defective equipment Inadequate warning system Lack of knowledge Inadequate supervision
Incorrect use of equipment Adverse sea condition Improper performance Inadeq. communication
Incorrect navigation outdated charts, publication Fatigue Inadequate purchasing
Improper position for task environmental conditions Mental / physical stress Inadequate maintenance
Failure to follow maintenance fire & explosion hazards Lack of experience Inadequate monitoring
Failure to warn/ secure defective eq., machinery, tool Inadeq. phys. capability Inadequate equipment
Other: Other: Other: Other:
All above are confirmed by:
Chief Engineer Master / Other Responsible

(Signature / Name) (Signature/ Stamp / Name)
(Delete as appropriate)
S-04
Date: 01/01/2020
Frequency: Occasion
Company's Response to Incident / Accident / Near Miss Report
Vessel: Date: Report No.:
Responsible: DPA OPERATION TECHNICAL OTHERS

Name /
Signature
Description of People Process / Operation Property Environmental
Evaluation of Major Serious Minor
Company Evaluation Causes

Substandard acts/ practices Substandard conditions
Failure to follow Rules, Regulations, & SMS Safety req. Inadequate guards / barriers / PPE
Failure to use Personal Protective Equipment properly Defective equipment or machinery
Operating equipment without authority Poor housekeeping
Incorrect use of equipment or machinery Inadequate warning system / ventilation
Using defective equipment or machinery Fire & explosions hazards
Failure to follow repair/maintenance instructions Adverse weather/ sea conditions
Incorrect navigation or ship’s handling Noise of temperature
Failure to warn / secure Port & berthing facilities
Improper position for task Outdated charts, publications, documents
Improper loading/lifting/handling of storage Hazardous environmental conditions
Under influence of alcohol or drugs Bunkers and / or lubricating oils
Other (describe): Other (describe):
Personal Factors Job Factors
Inadequate physical/ mental capability Inadequate leadership/supervision
Injury or illness / Fatigue Inadequate engineering / preventive maintenance
Drugs / alcohol Inadequate purchasing
Exposure to health hazards Inadequate or absent procedure
Lack of knowledge – experience - training Excessive wear & tear
Lack of skill / inadequate practice - performance Inadequate tools or equipment
Improper motivation Inadequate work standards
Other (describe): Other (describe):
Conclusions for Prevention
Are the taken measures satisfactoty? Yes No Are the Master's suggestions adequate? Yes No
Identify additional measures/ actions in order to prevent recurrence:
Name: Signature Date:

Verification of additional actions taken (by the Master):
Name: Signature Date:
DPA General Manager

(Signature / Name) (Signature / Name)
S-05 *(Office Use Only)

Date: 01/01/2020
Frequency: Occasion
Master's Review on SMS
Vessel: Date:
Current Master Onboard since: Previous Master:
1. General Report on the SMS

A Company's Policies and Objectives Yes No
1 The system is fully understood by senior officers
2 The system is fully understood by other officers serving onboard
3 The system is fully understood by ratings serving onboard
4 The structure of the documentation helps for the proper understanding of the SMS
5 The procedures in general are clear, understood and implemented onboard
6 The Fleet Instructions in general are clear, understood and implemented onboard
7 The Drills according to “Drills Report” are carried out with satisfactory results
8 Support received from the office is satisfactory
B Record Keeping Yes No

1 Are Company’s Forms easy to complete?
2 Are signatures on forms always being filled as required?
3 Are records entered in the Official Log Book as required?
4 Is the Oil record book and Garbage Log Book correctly filled up and updated?
5 Is the Chart correction Log up to date with charts corrected?
6 Is the SOPEP updated with Oil Pollution drill entries and up to date?
C Company's Documents Yes No

1 Are all Books (controlled editions) available on board?
2 Are documents updated with the latest revisions?
D Seafarers Familiarization Yes No

1 Are New Joiners familiarised to Safety and Environment aspects?
2 Is the Company’s familiarisation procedure easy to follow?
3 Are the relative checklists appropriate for this purpose?
4 Is the training program on board implemented and recorded into the relevant form?
E Shipboard Communications Yes No

1 Are routine reports simple to follow up?
2 Do you have to recommend any improvements?
F Deck Department Maintenance Yes No

1 Is the Maintenance Inspection Schedule and reporting system Effective?
2 Do you have to propose any improvements regarding the Deck Maintenance Forms?
3 Do you have something additional to propose regarding the Topic?
G Charts & Nautical Publications Yes No

1 Do you have any comments or suggestions as far as the supply of Charts and Publications?
2 Is the system of correction of charts & publications effective?
S-06
Date: 01/09/2020
Frequency: 3 Months After Embarkation
H Safety Meetings & SMS Review Yes No

1 Do the safety meetings carried out monthly and recorded into the form ‘Safety meetings report?
2 Do these safety meetings improve awareness of the crew?
3 Do these safety meetings reduce possibilities of accidents and near misses?
4 Do you have to propose any additional improvement?
5 Do the safety drills listed in form ‘Drills Report’ increase the readiness of crew to respond to
critical conditions?
I Accident & Hazardous Occurrences Reporting Yes No

1 Does the analysis of Accidents/Incidents or Dangerous Occurrences achieve to minimize such
situations to the Company’s vessels
2 Have any Accident/Incident or Dangerous occurrences Occurred to your vessel?
3 If yes, have you reported it as required, by telex or by completing and forwarding the relevant
form to the Office?
J Internal Audits & Non-Conformities Yes No

1 Has an Internal Audit been carried out to your vessel?
2 Have any Non-Conformities been found?
3 Have you closed the Non-Conformities?
4 Do the Audits help crew to understand the ISM requirements & minimise the deficiencies of the
K Alcohol & Drugs Yes No

1 Is the Drug & Alcohol Policy understood and implemented by all seafarers onboard?
L Contigency Plan Yes No

1 Has a drill been carried out between the company and your Vessel?
2 Does the Vessel’s Contingency Plan assist you to confront emergency situations?
3 Do you have any recommendations for improvement on the relative manual?
Remarks on the above Items (General Report on the SMS)

Item Comments
Please attach any sheets at the end of report in order to make the proposals clear
S-06
Date: 01/09/2020
2. Proposals for Improvements

S/N Description Yes No
1 Are there proposals for improvement from the Master?
2 Are there proposals for improvement from other senior officers?
3 Are there proposals for improvement from other third parties inspecting the vessel?
Please give a brief outline the suggestions from improvement and attach any sheets as necessary in order to make
these proposals clear
Attached Documents
No. Regarding
3. General Conclusion
No. Regarding Good Average Poor
1 Support received from office
2 Level of understanding of the SMS by senior officers
3 Level of understanding of the SMS by other officers
4 Level of understanding of the SMS by ratings
5 Quality of Officers onboard
6 Quality of crew onboard
7 Safety Awareness of the officers serving onboard
8 Safety Awareness of the ratings serving onboard
9 Execution/Performance of safety drills carried out
10 Implementation of the documented SMS
11 Impression of third parties inspecting the vessel
Master
(Signature / Name / Stamp)
S-06
Date: 01/09/2020
Medical Report
Vessel: Port: Date:
Dear Sir,
The Bearer of this form Mr.

complaints of
Kindly examine him and let us have your report below.
Your Faithfully
MASTER
Diagnosis:
Medication:
Medication given: Yes No

Hospitalisation required: Yes No
Fit for Service: Yes No If No, state Number of days: Days
Repatriation required: Yes No If Yes, state ability to travel: Yes No
Notes to the Doctor:

1 This form must be completed
2 The original of this form must be returned to the vessel
3 A photocopy of this form must be attached to your account
Doctor Master
(Signature / Name) (Signature/ Stamp / Name)
S-07
Date: 01/01/2020
Frequency: Occasion
Enclosed Space Entry Permit
(This permit relates to entry into any enclosed space and should be completed by the master or responsible person and by any persons entering the
space, e.g. a competent person and attendant.)
Vessel: Date:
Location / Name of enclosed space:

Reason for entry:
From: hrs Date:
This permit is valid: To: hrs Date:
(Note 1: The permit should contain a clear indication as to its maximum period of validity.)
Section 1 - Pre-entry preparation (To be completed by the Responsible Officer before entrance to space) Yes No
• Has the space been thoroughly ventilated by mechanical means?
• Has the space been segregated by blanking off or isolating all connecting pipelines or valves
and electrical power / equipment?
• Has the space been cleaned where necessary?
•
• Has the space been tested and found safe for entry?
(Note 2: Samples should be taken from several levels and through as many openings as possible. Ventilation should
be stopped for about 10 minutes before the pre-entry atmosphere tests are taken)
Pre-entry atmosphere test readings:
- Oxygen % vol (21%)* By:
- Hydrocarbon % LFL (less than 1%)
- Toxic gases ppm (less than 50% OEL of the specific gas) Time:
(Note 3: Tests for specific toxic contaminants, such as benzene or hydrogen sulphide,
should be undertaken depending on the nature of the previous contents of the space)
• Have arrangements been made for frequent atmosphere checks to be made while the space is
occupied and after work breaks?
• Have arrangements been made for the space to be continuously ventilated throughout the
period of occupation and during work breaks?
• Are access and illumination adequate?
• Is rescue and resuscitation equipment available for immediate use by the entrance to the space
• Has an attendant been designated to be in constant attendance at the entrance to the space?
Has the officer of the watch (bridge, engine room, cargo control room) been advised of the
•
planned entry?
• Has a system of communication between all parties been tested and emergency signals agreed
• Are emergency and evacuation procedures established and understood by all personnel
involved with the enclosed space entry?
• Is
I allll equipment
i t used
d iin good
d working
ki condition
diti andd iinspected
t d prior
i tto entry?
t ?
• Are personnel properly clothed and equipped?
* Note that National requirements may determine the safe atmosphere range.
Section 2 - Pre-entry checks (To be completed by the person entering the space or authorized team leader) Yes No
• I have received instructions or permission from the master or nominated responsible person to
enter the enclosed space.
• Section
S ti 1 off thi
this permit
it h
has b
been satisfactorily
ti f t il completed
l t dbby th
the master
t or nominated
i t d
responsible person.
• I have agreed and understand the communication procedures.
• I have agreed upon a reporting interval of minutes.
• Emergency and evacuation procedures have been agreed and are understood.
• I am aware that the space must be vacated immediately in the event of ventilation failure or if
atmosphere tests show a change from agreed safe criteria.
S-08
Date: 01/01/2020
Frequency: Occasion
Enclosed Space Entry Permit
Section 3 - Breathing apparatus and other equipment (To be checked by the master or nominated
Yes No
responsible person and the person who is to enter the space)
• Those entering the space are familiar with any breathing apparatus to be used.
• The breathing apparatus has been tested as follows:
•
- Gauge and capacity of air supply
- Low pressure audible alarm if fitted
- Face mask – under positive pressure & not leaking
• The means of communication has been tested and emergency signals agreed
• All personnel entering the space have been provided with rescue harnesses and, where
practicable, lifelines.
Signed upon completion of sections 1, 2, and 3 (Name & Signature)

Master or nominated responsible person Date: Time:
Attendant: Date: Time:
Person entering the space: Date: Time:
Person entering
g the space:
p Date: Time:
Section 4 – Personnel entry (To be completed by the responsible person supervising entry)
Names: Time in Time out
Section 5 – Completion of Job (To be completed by the responsible person supervising entry)
• Job completed: Date: Time:
• Space secured against entry: Date: Time:
• The Officer of the watch has been duly informed: Date: Time:
Signed upon completion of sections 4, and 5 by:

Responsible person supervising entry: Date: Time:
THIS PERMIT IS RENDERED INVALID SHOULD VENTILATION OF THE SPACE STOP OR IF ANY OF THE
CONDITIONS NOTED IN THE CHECKLIST CHANGE.
S-08
Date: 01/01/2020
Frequency: Occasion
Hot Work Permit
(MUST BE COMPLETED PRIOR STARTING THE HOT WORK)
Vessel: Date:
Location of Hot Work:
Crew Employed:
S/N Name Rank Signature
1.
2.
3.
4.
SAFETY CHECK LIST

To be completed by the Responsible Officer before work activity begins: Yes No
Duty officers (Deck and Engine) notified
Appropriate warning notices displayed
Electric Power isolated where appropriate
Hydraulic Power isolated where appropriate
Alarm Systems operative where fitted
Required tools and equipment adequate and available
Required safety equipment adequate and available
Communication link established and tested
Access to and from work location adequate
All flammable materials have been removed
The area is ventilated
Unauthorised personnel is kept away from the work area
The adjacent to the work area spaces have been inspected
SPECIAL PRECAUTIONS TO BE TAKEN (if necessary)
APPROVAL GRANTED
Competent Person Rank Signature Date Time
The Chief Officer who is assessing the space to be entered, is deciding on the
Valid for: hrs
duration of its validity
APPROVAL GRANTED
The work completed and all persons under my supervision, materials and equipment have been withdrawn
Competent Person Rank Signature Date Time
Chief Officer Master

(Signature / Name) (Signature / Name)
S-09
Date: 01/01/2020
Frequency: Occasion
Ships Medicine Inventory Report
Vessel: Date:
MEDICINES
W.H.O. / Drawer /
S/N SUBSTANCE R.O.D. A.O.B. Expiry
IMPA Closet
1 391701 Gen. Name: Acetylsalicylic acid - 100 tablets x 300mg 30000 mg
Known as: Aspirin tablets x mg mg
Aspro tablets x mg mg
Other: tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
2 391702 Gen. Name: Aciclovir - 70 tablets x 400mg 28000 mg
Known as: Zovirax tablets x mg mg
Acyclovir tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
3 391703 Gen. Name: Adrenaline - 10 amp x 1ml=1mg 10 mg
Known as: Epinephrine ampoule x mg mg
Adrenaline 1:1000 ampoule x mg mg
Other: ampoule x mg mg
ampoule x mg mg
Remarks: Sum: 0 mg
4 391704 Gen. Name: Amethocaine 0.5% eye drops - 20 single-use vial x 1ml 20 ml
Known as: Tetracaine vial x ml ml
Other: vial x ml ml
vial x ml ml
Remarks: Sum: 0 ml
5 391705 Gen. Name: Amoxicillin + Clavulanate - 40 tablets x 875/125mg 40000 mg
Known as: Augmentin tablets x mg mg
Co-amoxyclav tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
6 391706 Gen. Name: Artemether - 12 amp x 1ml=80mg 12 ml
Known as: Larither ampoule x ml ml
Other: ampoule x ml ml
ampoule x ml ml
Remarks: Sum: 0 ml
7 391707 Gen. Name: Artemether + Lumefantrine - 24 tablets x 20/120mg 3360 mg
Known as: Riamet tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
8 391708 Gen. Name: Atropine - 10 amp x 1.2ml/mg 12 ml
Known as: ND ampoule x ml ml
ampoule x ml ml
Remarks: Sum: 0 ml
9 391709 Gen. Name: Azithromycin - 10 tablets x 500mg 5000 mg
Known as: Zithromax tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
10 391710 Gen. Name: Ceftriaxone - 30 amp x 1g powder for inj. 30000 mg
Known as: Rocephin ampoule x mg mg
ampoule x mg mg
Remarks: Sum: 0 mg
S-10
Date: 01/01/2020
Frequency: 6 Months
Issue/Revision: 2/1 File: S-2 1 of 10
W.H.O. / Drawer /
IMPA Closet
11 391711 Gen. Name: Cetirizine - 30 tablets x 10mg 300 mg
Known as: Zyrtec tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
12 391712 Gen. Name: Charcoal, activated - 2.4 pcs x 50g in 300ml purified water 120 g
Known as: ND pcs x g g
Other: pcs x g g
pcs x g g
Remarks: Sum: 0 g
13 391713 Gen. Name: Ciprofloxacin - 20 tablets x 250mg 5000 mg
Known as: Ciproxin tablets x mg mg
Cipro tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
15 391714 Gen. Name: Cloves, oil of - 2pcs x 10ml 20 ml
Known as: Syzygium aromaticum pcs x ml ml
Other: pcs x ml ml
pcs x ml ml
Remarks: Sum: 0 ml
16 391715 Gen. Name: Dexamethasone - 6 amp x 4mg/ml 24 mg
Known as: Decadron ampoule x mg mg
ampoule x mg mg
Remarks: Sum: 0 mg
17 390822 Gen. Name: Diazepam - 50 tablets x 5mg 250 mg
Known as: Valium tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
18 391717 Gen. Name: Docusate with Senna (or equivalent) - 30 tablets x 50mg+8mg 1740 mg
Known as: Coloxyl tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
19 390631 Gen. Name: Doxycycline - 20 tablets x 100mg 2000 mg
Known as: Neo-Dagracycline tablets x mg mg
Unidox tablets x mg mg
Vibra-S tablets x mg mg
Vibramycine tablets x mg mg
Doryx tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
20 391719 Gen. Name: Ethanol 70%, hand cleanser gel - 10pcs x 100ml 1000 ml
Known as: ND pcs x ml ml
Other: pcs x ml ml
pcs x ml ml
Remarks: Sum: 0 ml
21 391720 Gen. Name: Ethanol 70% liquid - 2pcs x 500ml 1000 ml
Known as: ND pcs x ml ml
Other: pcs x ml ml
pcs x ml ml
Remarks: Sum: 0 ml
22 391721 Gen. Name: Fluorescein 1% strips - 20strips 20 str.
Known as: ND pcs x str str
Other: pcs x str str
pcs x str str
Remarks: Sum: 0 str
S-10
Date: 01/01/2020
Frequency: 6 Months
W.H.O. / Drawer /
IMPA Closet
23 391722 Gen. Name: Frusemide - 5 amp x 4ml=40mg 200 mg
Known as: Lasix ampoule x mg mg
Furosemide ampoule x mg mg
ampoule x mg mg
Remarks: Sum: 0 mg
24 391723 Gen. Name: Glucagon, ready to use - 1 amp x 1mg 1 mg
Known as: Gulcagen ampoule x mg mg
ampoule x mg mg
Remarks: Sum: 0 mg
25 391724 Gen. Name: Haloperidol - 10 amp x 1ml=5mg 50 mg
Known as: Haldol ampoule x mg mg
ampoule x mg mg
Remarks: Sum: 0 mg
26 390849 Gen. Name: Hydrocortisone 1% cream - 4 pcs x 30g 120 g
Other: pcs x g g
pcs x g g
Remarks: Sum: 0 g
27 391726 Gen. Name: Ibuprofen - 200 coated tablets x 400mg 80000 mg
Known as: Advil tablets x mg mg
Actifen tablets x mg mg
Nerofen tablets x mg mg
Genpril tablets x mg mg
Haltran tablets x mg mg
Medipren tablets x mg mg
Brufen tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
28 391727 Gen. Name: Isosorbide dinitrate - 20 tablets x 5mg 100 mg
Known as: Cedocard tablets x mg mg
Isordil tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
29 391728 Gen. Name: Lignocaine 1% (without adrenaline) - 10 amp x 5ml 50 ml
Known as: Xylocaine ampoule x ml ml
Lidocaine ampoule x ml ml
ampoule x ml ml
Remarks: Sum: 0 ml
30 391729 Gen. Name: Loperamide - 60 tablets x 2mg 120 mg
Known as: Imodium tablets x mg mg
Diacure tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
31 391730 Gen. Name: Mebendazole - 6 tablets x 100mg 2000 mg
Known as: Vermox tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
S-10
Date: 01/01/2020
Frequency: 6 Months
W.H.O. / Drawer /
IMPA Closet
32 391731 Gen. Name: Metoprolol - 60 tablets x 100mg 6000 mg
Known as: Selokeen tablets x mg mg
Lopresor tablets x mg mg
Toprol XL tablets x mg mg
Betaloc tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
33 391732 Gen. Name: Metronidazole - 30 tablets x 500mg 15000 mg
Known as: Flagyl tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
34 390851 Gen. Name: Miconazole 2% cream - 4 pcs x 30g 120 g
Known as: Daktarin pcs x g g
Dermacure pcs x g g
Monistat pcs x g g
Other: pcs x g g
pcs x g g
Remarks: Sum: 0 g
35 391734 Gen. Name: Midazolam - 10 amp x 1ml=5mg 50 mg
Known as: Hypnovel ampoule x mg mg
ampoule x mg mg
Remarks: Sum: 0 mg
36 391735 Gen. Name: Misoprostol - 3 tablets x 200mg 600 mg
Known as: Cytotec tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
37 391918 Gen. Name: Morphine (injectable) - 20 amp x 1ml=10mg 200 mg
Known as: ND ampoule x mg mg
ampoule x mg mg
Remarks: Sum: 0 mg
38 391737 Gen. Name: Morphine (oral) - 1 bottle x 100ml/mg 100 ml
Known as: ND bottle x ml ml
Other: bottle x ml ml
bottle x ml ml
Remarks: Sum: 0 ml
39 390656 Gen. Name: Naloxone - 10 amp x 1ml=0.4mg 10 ml
Known as: Narcan ampoule x ml ml
ampoule x ml ml
Remarks: Sum: 0 ml
40 391739 Gen. Name: Omeprazole - 30 tablets x 20mg 600 mg
Known as: Losec tablets x mg mg
Prilosec tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
41 391740 Gen. Name: Ondansetron - 20 tablets x 4mg 80 mg
Known as: Zofran tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
S-10
Date: 01/01/2020
Frequency: 6 Months
W.H.O. / Drawer /
IMPA Closet
42 390658 Gen. Name: Oral rehydration salts - 30 sachets (each to be dissolved in 1000ml) 30 pcs
Known as: Repolyte pcs pcs
Gastrolyte pcs pcs
Dioralyte pcs pcs
Other: pcs pcs
pcs pcs
Remarks: Sum: 0 pcs
43 391742 Gen. Name: Oxymetazoline 0.5% (or equivalent) nasal drops - 4 units 4 pcs
Known as: Drixine pcs ml
Other: pcs ml
pcs ml
Remarks: Sum: 0 ml
44 390660 Gen. Name: Paracetamol - 200 tablets x 500mg 100000 mg
Known as: Acetaminophen tablets x mg mg
Tylenol tablets x mg mg
Panadol tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
45 391744 Gen. Name: Permethrin 1% lotion - 1 bottles x 200ml 200 ml
Known as: Loxazol pcs x ml ml
Elimite pcs x ml ml
Nix pcs x ml ml
Other: pcs x ml ml
pcs x ml ml
Remarks: Sum: 0 ml
46 391745 Gen. Name: Permethrin 5% lotion - 1 bottles x 300ml 300 ml
Known as: Lyclear pcs x ml ml
Other: pcs x ml ml
pcs x ml ml
Remarks: Sum: 0 ml
47 391746 Gen. Name: Povidone iodine ointment 10% - 1 pcs x 25g 25 g
Known as: Betadine pcs x g g
Povidine pcs x g g
Other: pcs x g g
pcs x g g
Remarks: Sum: 0 g
48 391746 Gen. Name: Povidone iodine solution 10% - 2 pcs x 100ml 200 ml
Known as: Betadine pcs x ml ml
Povidine pcs x ml ml
Other: pcs x ml ml
pcs x ml ml
Remarks: Sum: 0 ml
49 391747 Gen. Name: Prednisone - 30 tablets x 25mg 750 mg
Known as: Prednisolone tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
50 390672 Gen. Name: Salbutamol aerosol inhaler 2pcs x 0.1mg/dose(200 doses) 2 pcs
Known as: Albuterol pcs pcs
Ventolin pcs pcs
Proventil pcs pcs
Other: pcs pcs
pcs pcs
Remarks: Sum: 0 pcs
S-10
Date: 01/01/2020
Frequency: 6 Months
W.H.O. / Drawer /
IMPA Closet
51 390673 Gen. Name: Sodium chloride 0.9% infusion - 5 bottles x 1000ml 5000 ml
Known as: NaCl 0.9% pcs x ml ml
Saline solution pcs x ml ml
Other: pcs x ml ml
pcs x ml ml
Remarks: Sum: 0 ml
52 391750 Gen. Name: Tetracycline 1% ointment - 4 tubes x 5g 20 g
Other: pcs x g g
pcs x g g
Remarks: Sum: 0 g
53 391751 Gen. Name: Vitamin K - 2 amp x 1ml=10mg 20 mg
Known as: Konakion ampoule x mg mg
Phytomenadione ampoule x mg mg
ampoule x mg mg
Remarks: Sum: 0 mg
54 390560 Gen. Name: Water for Injection - 20 amp x 5ml 100 ml
Known as: ND ampoule x ml ml
ampoule x ml ml
Remarks: Sum: 0 ml
55 391753 Gen. Name: Zidovudine plus Lamivudine - 56 tablets x 300mg+150mg 25200 mg
Known as: Combivir tablets x mg mg
tablets x mg mg
Remarks: Sum: 0 mg
56 390683 Gen. Name: Zinc oxide - 2 pcs of paste or ointment x 100g 200 g
Other: pcs x g g
pcs x g g
Remarks: Sum: 0 g
S-10
Date: 01/01/2020
Frequency: 6 Months
EQUIPMENT
W.H.O. / Drawer /
S/N Item R.O.D. A.O.B. Expiry
IMPA Closet
1. RESUSCITATION EQUIPMENT
Appliance for the administration of oxygen
1.1 391801 Portable oxygen set, complete containing: 1
1.1a 391802 Oxygen cylinder, 2l/200bar 1
1.1b 391803 Spare oxygen, 2l/200bar 1
Pressure regulating unit and flow meter with tubes such that ship's industrial
1.1c 391804 1
oxygen can also be used
Disposable face masks of choice: including simple face mask and non-
1.1d 391805 3
rebreathing mask
Opopharyngeal airway
1.2a 391806 Guedel airway (Mayo-tube): size medium 1
1.2b 391834 Guedel airway (Mayo-tube): size large 1
Mechanical aspirator
1.3a 391807 Manual aspirator to clear upper airways 1
1.3b 391835 Catheters for aspirator 2
Bag and mask resuscitator
1.4 391808 Ambubag (or equivalent); supplied with small, medium, and large masks 1
Cannula for mouth-to-mouth resuscitation
1.5 391809 Brook Airway, Lifeway, pocket face mask or equivalent 1
2. DRESSING MATERIALS AND SUTURING EQUIPMENT
Adhesive dressings
2.1 391810 Assorted wound-plaster or plaster strips, water resistant - slim 200
Sterile gauze compresses
2.2a 391811 5x5cm 100
2.2b 391812 10x10cm 100
Gauze roll
2.3 391813 5cm and 90cm or 60 cm x 100 m, non sterile 1
Gauze dressing with non-adherent surface
2.4 391814 Non-adherent gauze dressing, square 10cm 100
Vaseline gauze
2.5 391815 Paraffin gauze dressing, 10 x 10 cm, sterile 50
Bandage
2.6 391816 Elastic fixation bandage, 4 m x 6 cm 5
Sterile compression bandages
First-aid absorbent gauze-covered cotton pad sewn onto a cotton bandage
2.7a 391817 5
(ambulance dressing) small
2.7b 391836 5
(ambulance dressing) medium
2.7c 391843 5
(ambulance dressing) large
Tubular gauze for finger bandage
2.8 391818 Tubular gauze bandage for finger bandage, 5m 2
Adhesive elastic bandage
2.9 391819 4 m x 6 cm 10
Triangular sling
2.10 391820 Triangular sling 5
Sterile sheet for burn victims
2.11 391821 Sterile sheets for burn patients 1
Honey for dressing burns
2.12 391822 Honey for dressing burns 1kg, (only purified 1000 g) 1
Adhesive sutures or zinc oxide bandages
2.13 391823 Adhesive tape, waterproof, skin-friendly, 5 x 1.25 cm 10
Q-tips
2.14 391824 Q-tips (wooden) 100
S-10
Date: 01/01/2020
Frequency: 6 Months
W.H.O. / Drawer /
IMPA Closet
Safety pins
2.15 391351 Safety pins (stainless steel), pieces 50
Butterfly sutures
2.16 391826 Butterfly sutures, Steristrip® or Leukostrip®, sterile 20
Skin adhesive
2.17 391827 2-octyl cyanoacrylate liquid, 0.5ml 2
Suturing equipment
2.18a 391828 Sutures, absorbable with curved non-traumatic needles, 1-O 10
2.18b 391845 Sutures, absorbable with curved non-traumatic needles, 3-O 10
2.18c 391829 Sutures, absorbable with curved non-traumatic needles, 4-0 or 5-0 10
Gloves
2.19a 391830 Disposable examination gloves, size M 50
2.19b 391874 Disposable examination gloves, size L 50
2.19c 391831 Surgical gloves size 6.5, sterile in pairs 3
2.19d 391863 Surgical gloves size 7.5, sterile, in pairs 3
2.19e 391866 Surgical gloves size 8.5, sterile, in pairs 3
3. INSTRUMENTS
Disposable scalpels
3.1a 391832 Scalpel, sterile, disposable 20
Stainless-steel instrument box
3.2 391833 Instrument box (stainless steel) 1
Scissors
3.3 391361 Operating scissors, straight (stainless steel) 1
3.4 391362 Bandage scissors (stainless steel) 1
Forceps
3.5 391269 Splinter forceps, pointed (stainless steel) 3
3.6 391837 Teeth tissue forceps (stainless steel) 1
Needle holder
3.7 391838 Needle holder, Mayo-Hegar 180mm, straight 1
Haemostatic clamps
3.8 391839 Haemostatic clamp, Halstead mosquito, 125mm, stainless steel 3
Disposable razors
3.9 391840 Razor, disposable 50
4. EXAMINATION AND MONITORING EQUIPMENT
Disposable tongue depressors
4.1 391841 Tongue depressors, disposable 100
Reactive strips for urine analysis
Reactive strips for urine analysis: blood /glucose /protein /nitrite /leukocytes,
4.2 391842 100
50 paper strips
Microscope slides
4.3 391334 Microscope slides 100
Stethoscope
4.4 651331 Stethoscope 1
Aneroid sphygmomanometer
4.5 392036 Sphygmomanometer (blood pressure set), preferably automatic 1
Thermometer
4.6a 391846 Standard thermometer,digital if possible 1
4.6b 391847 Rectal thermometer,digital if possible 1
4.7 391848 Hypothermic thermometer 32˚-34˚C, digital if possible 1
Penlight
4.8 391849 Penlight + blue cover 1
S-10
Date: 01/01/2020
Frequency: 6 Months
W.H.O. / Drawer /
IMPA Closet
5. EQUIPMENT FOR INJECTION, INFUSION AND CATHETERIZATION
Equipment for injection
5.1 391850 Syringes, Luer connection, 2 ml, sterile, disposable 50
5.2 391851 Syringes, Luer connection, 5 ml, sterile, disposable 50
Hypodermic subcutaneous needle, Luer connection, 16 x 0.5 mm (23 G ot
5.3 391852 20
25 G), sterile, disposable
Hypodermic intramuscular needle (19 G or 21 G), Luer connection, 40 x 0.8
5.4 391853 20
mm, sterile, disposable
5.5 391854 Needles, 19G or 21G, blunt, "drawing up" type 20
Equipment for infusion
Intravenous infusion cannula 16G (1.7mm) or 19G, Luer-lock connection,
5.6a 391855 10
sterile, non-recap type + mandarin
Intravenous infusion cannula 22G (0.8mm) or 21G, Luer-lock connection,
5.6b 391894 10
sterile, non-recap type + mandarin
Intravenous giving set, Luer-lock connection, steril +3-way valve /
5.7 391856 3
connection
5.8 391857 Tourniquet, blood-taking type, to be used with intravenous infusion cannula 1
Bladder drainage equipment

5.9 391858 Penile sheath set with condom catheter, tube, and bag 2
Short-term urine catheter with soft-eye straight tip Thieman No. 12 , or
5.10a 391859 2
equivalent
Short-term urine catheter with soft-eye straight tip Thiemann No 16, or
5.10b 391896 2
equivalent
5.11 391860 Urine collecting bag and tube 2
6. GENERAL MEDICAL AND NURSING EQUIPMENT
Eye protection
6.1 391861 Plastic goggles or full-face mask 2
Plastic apron
6.2 391862 Disposable plastic apron 20
Kidney dish
6.3 392068 Kidney dish, stainless steel, 825ml 2
Plastic backed towels
6.4 391864 Towels, plastic backed, absorbent, 600x500mm 10
Safety box
6.5 391865 For sharps disposable, 5l 1
Mask
6.6 391283 Duckbill type, disposable 50
Tape measure
6.7 391867 Vinyl coated, 1.5m 1
Draw sheet
6.8 391868 Plastic 90x180cm 2
Bedpan
6.9 392048 Stainless steel 1
Hot-water bottle
6.10 392049 Hot-water bag 1
Urine bottle
6.11 391440 Urinal, male (plastic) 1
Ice bag
6.12 392051 ColdHotpack maxi 1
Aluminium foil blanket
6.13 391873 Aluminium foil blanket 1
Condoms
6.14 391226 Male condoms 100
Wash bottle
6.15 391875 Plastic wash bottle, 250ml 1
S-10
Date: 01/01/2020
Frequency: 6 Months
W.H.O. / Drawer /
IMPA Closet
Plastic bottle
6.16 391876 Bottle, 1l plastic with screw top 3
Dressing tray
6.17 391877 Stainless steel dressing tray 300x200x30mm 1
Bowl
6.18 391879 Stainless steal, 180ml 3
Specimen jars
6.19 391880 Jars, plastic, with lids and lables 100ml 10
Plaster-of-Paris bandages, may be omitted if splints are carried
6.20a 391881 Bandages, POP, 5cmx2.7m 12
6.20b 391888 Bandages, POP, 10cmx2.7m 12
Stockinet, may be omitted if splints are carried
6.21a 391882 Stockinet sizes for arm splints 10m roll 1
6.21b 391899 Stockinet sizes for leg splints 10m roll 1
Cotton wool
6.22 391883 Roll 500g 10
70% alcohol swabs for skin cleansing prior to injection
6.23 391884 Alcohol swabs 200
Nail brush
6.24 391885 Nail brush 1
7. IMMOBILIZATION AND TRANSPORTATION EQUIPMENT
Malleable Splints
7.1 391886 Malleable finger splint 2
7.2 391887 Malleable forearm/ hand splint 2
Notes: 1. This form prepared in accordance with "International Medical Guide for Ships 3rd edition" and "Quantification Addendum to
International Medical Guide for Ships 3rd edition".
2. Medicine inventory to be checked and recorded on a monthly basis in accordance with Fleet Instructions Manual, Section A - Paragraph
8.10.1
Medical Officer Master

(Signature / Name) (Signature / Name / Stamp)
S-10
Date: 01/01/2020
Frequency: 6 Months
Vessel: Annual Drills Planning Year:
January Done February Done March Done April Done May Done June Done
July Done August Done September Done October Done November Done December Done
S-11
Date: 01/01/2020
Frequency: Occasion
Investigation and Analysis Report
Vessel's Name:
Date of Deficiency Report/Port:
Deficiency No.:
Inspected by (Name of 3rd Party):
Detention (Yes/No):
PSC Code / ISM Code Ref.:
Description:
Master's Comments (if applicable):
Corrective Action (always attach documented evidence)
Root of Cause / Investigation and Analysis Report:
Preventive Action (always attach documented evidence):
Electronically Signed D.P.A.

(Signature / Name)
S-13
Date: 01/01/2020
Frequency: Occasion
Issue/Revision:2/1 File: M-1 Page 1 of 1
Training Form
Vessel: Date:
1st Trainer Name: Rank: Signature:
2nd Trainer Name: Rank: Signature:
Training Subject:
S/N Trainee Name Rank Signature
10
11
12
13
14
15
16
17
18
19
20
21
Master
(Signature / Name)
S-14
Date: 01/01/2020
Frequency: Occasion
Working Overside or Aloft Permit
In order to safeguard the validity and effectiveness of the "Working Overside or Aloft Permit", the completion of
this form should be made by hand. The issue of a permit does not, by itself, make a job safe.
Permit Valid From: Permit Valid From:

Vessel Name: Working
Date: Time: Date: Time:
Aloft Overside
A Risk Assessment (RA) has been carried out? (Please attach relevant form) Yes No
Are any risk mitigating measures derived from the RA implemented? Yes No
Have conflicting or simultaneous operations been considered in the RA? Yes No
Work Location:
Description of work:
Cross referencing with other permits: Enclosed Space Entry Permit

Relevant forms to be completed as appropriate Hot Work Permit
All above have been discussed during a meeting with all personnel participating to the work. Yes No
Name & Rank of persons carrying out the work:

1. 2. 3. 4.
5. 6. 7. 8.
SECTION 1 - Personal Protective Equipment (PPE)

1. Safety Helmet Yes N/A 4. Gloves Yes N/A
2. Safety Shoes Yes N/A 5. Safety Harness Yes N/A
3. Coveralls Yes N/A 6. Safety Glasses Yes N/A
SECTION 2 - Good Condition & Readiness of the Following Equipment

1. Lifelines Yes N/A 6. Bosun's Chair Yes N/A
2. Safety Net Yes N/A 7. Lizards Yes N/A
3. Stages Yes N/A 8. Portable Ladders Yes N/A
4. Cradles Yes N/A 9. Securing Points Yes N/A
5. Gantlines Yes N/A 10. Other, Specify: Yes N/A
SECTION 3 - Actions / Precautions to be taken Prior to Work Yes N/A

1. Has the Electric Power been cut Off, if necessary & the appropriate sign been posted?
2. Has the Whistle been Disarmed, if necessary?
3. Have the Aerials been placed Down, if necessary?
4. Are Life Jackets ready for use if working Overside?
5. Are Life Buoys ready for use if working Overside?
6. Respronsible person informed?
Special Requirements (if any)
S-16
Date: 01/09/2020
Frequency: Occasion
Working Overside or Aloft Permit
In order to safeguard the validity and effectiveness of the "Working Overside or Aloft Permit", the completion of
this form should be made by hand. The issue of a permit does not, by itself, make a job safe.
SECTION 4 - Appropriates Signs to be posted

1. "Working Overside" Yes N/A 4. "Work on the Radio Aerials" Yes N/A
2. "Working Aloft" Yes N/A 5. "Work on the Whistle" Yes N/A
3. "Personnel on the Mast" Yes N/A
Working Aloft Yes No

1. Is there sufficient illumination at the surrounding area?
2. Has the OOW been informed for additional attendance on this work?
3. Have all equipment, which will affect the safety of the worker aloft, been switched off and a
sign "DO NOT OPERATE" is attached near to the control?
4. Is the worker fully capaple to do the job?
5. Has an experienced person been placed nearby to attend and assist if it is urgently needed?
6. Does the worker wear suitable clothing, and PPE equipment?
7. Has a rope ladder safely placed in position?
8. Are all necessary working tools ready in a separate bucket?
9. Have a safety net been placed underneath the worker (if it is considered as necessary)?
Working Overside Yes No

1. Is the ship dead in the water?
2. Does the worker wear lifejacket with whistle / light?
3. Is lifebuoy ready for immediate use?
4. Is rescue boat ready for use?
SECTION 5 - Safety Declaration prior to commencement of work

Following persons by signing below confirm the above circumstances and that it is considered safe to proceed with this work
Name: Rank: Signature:
Chief Officer Chief Officer
Personnel carrying out the work
Person in charge of working team
Master Master
SECTION 6 - Completion of work

The work has been completed and all persons under my supervision, materials and equipment have been withdrawn.
Name of authorized person in charge: Signature:
Date (dd/mm/yy): Time:
Notes:
a. Work should not be commenced unless all APPLICABLE items are answered Yes.
b. Original to be kept in vessel's S-2 Folder
c. Permit is valid for 1 working day = 8 hours; for operation in extent of 8 hours a new permit should be issued.
S-16
Date: 01/09/2020
Frequency: Occasion
CONBULK SHIPMANAGEMENT CORP. OPS-01
LASHING SECURITY MATERIALS INSPECTION
M/V : Date :_______________________
Total ROB--GOOD CONDITION

Required
S/ Under D-02
DESCRIPTION TYPE Onboard REMARKS
N Exist Supplied TOTAL Repair DATE
as per
CSM
1 LOCKED BASE TWIST LOCK T-2.2
2 SINGLE STACKING CONE S-1.1
3
DUAL FUNCTION TWIST LOCK T-2.3C
4
MIDLOCK ML-2
5
TURNBUCKLE TB-3
6 LASHING ROD LR-1
7 EXTENSION FOR LASHING ROD R-7.92
8
9
10
11
CHIEF OFFICER MASTER

Sign Sign & Stamp
OPS-01
Date: 31/12/2018
Frequency: Monthly File: O-1
Issue/Revision: 2/0 Page 1 of 1
Vessel: Date:
Time:
REEFER CONTAINER
DAMAGE REPORT
Place : Voy No:
Container No :
Size of Container : Voltage :
Contents :
Loading Port :
Discharging Port :
Nature of Damage :
Work done :
Materials used ex Owner’s stock
(description,type,maker,details):
Materials used ex Charterers’ stock:

(description, type, maker, details):
Other miscellaneous expenses resulting to repairs if paid by Master :
MANHOURS USED FOR THIS JOB: hours
Remarks :
Monitoring Officer Chief Engineer

Signature:……………….. Signature:………………….
Name:…………………….. Name:……………………….
Rank:……………………….
Reviewed by Master
Signature:…………………….
Name/Seal:……………………
OPS-02
Date: 31/12/2018
Frequency: Occasion
Issue/Revision: 2/0 File: O-1 Page 1 of 1
LIST OF CERTIFICATES
M/V: Date:
Type of Vsl: DWT:
Year Built: Tonnage Int. Gross/Net
Owner: Trading Area
Class: Master
Flag: Ch. Engineer
IMO No:
Initial Survey or Date Expiry Next Survey (state Due Date

Ref Certificate Title Issued (as applicable) Date annual, intermediate, From To
renewal, other or n/a)
1.0 Registry/Tonnage
1.1 Permanent Cert of Registry

1.2 Provisional Cert of Registry
1.3 International Tonnage
1.4 Panama Canal
1.5 Suez Canal
1.6 Tonnage Tax Receipt
2.0 Safety Construction/Class
2.1 Special Hull Survey (SSH)

2.2 Hull Annual Survey
2.3 Hull Intermediate Survey
2.4 Continuous Survey Hull (CSH)
2.5 Class (Hull)
2.6 Class (Machinery)
2.7 Special Survey Machinery (SSM)
2.8 Annual Machinery Survey
2.9 Intermediate Machinery Survey
2.10 Continuous Survey Machinery (CSM)
2.11 Class Quarterly Status Report
2.12 Special Survey Automation (UMS/EO/ACCU/AUT)
2.13 International Sewage Pollution Prevention Certificate
2.14 Cargo Ship Safety Construction Certificate
2.15 International Oil Pollution Prevention Certificate
2.16 IOPP Supplement Certificate
2.17 Enhanced Survey Program (ESP)
2.18 Ultrasonic Readings
2.19 Docking Survey
2.20 Tail shaft Survey (Interval ………….. years)
2.21 Boiler Survey (Boiler 1)
OPS-03
Date: 31/12/2018
Frequency: Monthly

2.22 Boiler Survey (Boiler 2)
2.23 Exhaust Gas Boiler Survey
2.24 International Air Pollution Prevention Certificate
2.25 Safety Construction – Annual Survey
3.0 Load line
3.1 International Load line Certificate

3.2 Survey for Freeboard (Conditions of assignment)
3.3 Approved Books Loading Manual
3.4 Grain Loading Manual (Inc. in Loading Manual)
3.5 Load Line – Annual Survey
4.0 Safety & Navigation Equipment
4.1 Cargo Ship Safety Equipment Certificate

4.2 Record of Safety Equipment
4.3 Liferaft No.1 Annual Inspection
4.8 Davit Launched Liferaft
4.9 Lifeboat falls END TO END
4.10 Lifeboat falls RENEWAL
4.11 Fixed CO2 System (biennial)
4.12 Other Fixed Gas ( ) System (biennial)
4.13 Dry Powder Installation (biennial)
4.14 Fixed Foam Installation (biennial)
4.15 Foam Compound Sample Test
4.16 Portable Fire Extinguishers – pressure test
4.17 SCBA bottle pressure test
4.18 EEBD bottle pressure test
4.19 Resuscitator bottle pressure test
4.20 Magnetic Compass Calibration
4.21 Gyro Compass Service
4.22 Navigation Lights Certificates
4.23 Ships Whistle Certificate
4.24 Bell & Gong Certificate
4.25 Portable Fire Extinguishers – annual inspection
5.0 Radio & Communications
5.1 Cargo Ship Safety Radio Certificate

5.2 Record of Radio Equipment
OPS-03
Date: 31/12/2018
Frequency: Monthly

5.3 Ship Radio Station Licence
5.4 Declaration of Shore Based Maintenance
5.5 INMARSAT Access Authorisation
5.6 Safety Radio – Annual Survey
6.0 Crewing / Health
6.1 Minimum Safe Manning Certificate

6.2 ITF Blue Card
6.3 ILO Accommodation Declaration
6.4 De-ratting Exemption Certificate
6.5 Medical Chest Certificate
7.0 Cargo Installation & Equipment
7.1 Cargo Gear Survey (Quadrennial)

7.2 Cargo Gear Survey (Annual)
7.3 IMO Fitness Certificate
7.4 IMO Noxious Substances
7.5 IMO Noxious Liquids Certificate
7.6 Document of the compliance for the carriage of dangerous
goods
7.7 Certificate for the Carriage of Grain
7.8 Cargo Refrigeration Plant
7.9 Cargo securing Manual
7.10 Procedures and Arrangements Manual
7.11 Loading Computer Class Certificate
7.12 SBT Ballast Manual
7.13 Cargo Hose Pressure Test
7.14 Cargo Gear Register Book
7.15 Ship’s Passenger Elevator Inspection
8.0 Insurance
8.1 P&I Cover Note

8.2 Civil Liability Certificate (CLC)
8.3 Certificate of Financial Responsibility (COFR for USCG water
pollution)
8.4 US State Specific Pollution Certificate (e.g. Washington,
OPS-03
Date: 31/12/2018
Frequency: Monthly

California)
8.5 Hull & Machinery Cover Note (copy)
9.0 Ship Inspections
9.1 Flag Administration Inspection Report

9.2 USCG Inspection
9.3 P&I Inspection
9.4 Port State Control
10.0 ISM & ISPS Codes
10.1 ISM Safety Management Certificate

10.2 ISM Document of Compliance
10.3 International Ship Security Certificate
10.4 Declaration of Designated Persons
10.5 Declaration of CSO
10.6 Declaration of ISM Company
11.0 Mooring Lines and Equipment Certificates
11.1 Test Certificate of Mooring Ropes

11.2 Test Certificate of Anchors
11.3 Test Certificate of Anchor Chain
11.4 Certificate for Anchor Chain Cable and Fittings
11.5
12.0 Other Certificates
Continuous Synopsis Record Document
OPS-03
Date: 31/12/2018
Frequency: Monthly
PASSAGE PLAN
FROM PILOT: TO PILOT:
VOY No: DATE: DIST. BERTH TO BERTH
MAX DRAFT: LAST NOTICE TO MARINER: DIST. PILOT TO PILOT
FUELS REQUIRED: FO: D.O: L.O WATER: 13
1 2 3 4 5 6 7 8 9 10 11 12 FIXING METHOD
WP CROSS NO-GO UNDEKEEL ALTER DIST DIST TO FIX POSITION
AREAS CLEARANCE RADAR GPS VISUAL
OUT WHEN TIME REFERENCE - NAME CHARTS LAT LON COURSE WP GO EVERY BEARING
ON THIS (METERS)
PASSED PASSED NO TO TO (MINUTES)
CHART * IF IN
 SWALLOW ***
WP
WATERS**
OPS-04
Date: 06/05/2019
Frequency: Occasion
Issue/Revision: 2/1 File:O-1 Page 1 of 8
During Crossing the above waypoints / areas determine the following, mentioning the chart no also:
NAVIGATION HAZARDS: PARALLEL INDEXING:
EMERGENCY ANCHORAGE(S): CURRENTS EXPECTED:
HEAVY TRAFFIC AREAS: WEATHER FORECAST
SPEED RESTRICTION: ABORT POSITION:
* Note1: No Go Areas: Tick  in the relevant box if you have drawn on the relevant chart “No-Go Areas”.
** Note 2: Underkeel Clearance =Depth – Max Draft – Squat. (Squat=17% of Max Draft or Calculate from Ship’s Characteristics whichever is greater).
*** Note 3: Fix Position Every (Minutes): The Master must determine how often is going to fix position. Fixing Intervals depends on the area that the vessel is going to
cross. (Open Areas, Confined Waters, Traffic Separation, Heavy Traffic etc.). It is suggested that position intervals should not exceed 1 (one) hour.
OPS-04
Date: 06/05/2019
Frequency: Occasion
PASSAGE PLANNING (IN ACCORDANCE WITH IMO RES.A.893(21)

Factors to Consider when Developing a Passage Plan and Associated Route
APPRAISAL Tick
1.The condition and state of the vessel, its stability, and its equipment; any operational limitations; its permissible draught at sea in
fairways and in ports; its manoeuvring data, including any restrictions;
2. Any special characteristics of the cargo (especially if hazardous), and its distribution, stowage and securing on board the vessel;
3. The provision of a competent and well-rested crew to undertake the voyage or passage;
4. Requirements for up-to-date certificates and documents concerning the vessel, its equipment, crew, passengers or cargo;
5. Appropriate scale, accurate and up-to-date charts to be used for the intended voyage or passage, as well as any relevant permanent
or temporary notices to mariners and existing radio navigational warnings;
6. Accurate and up-to-date sailing directions, lists of lights and lists of radio aids to navigation; and
7. Any relevant up-to-date additional information, including:
.1 mariners' routeing guides and passage planning charts, published by competent authorities;
.2 current and tidal atlases and tide tables;
.3 climatological, hydrographical, and oceanographic data as well as other appropriate meteorological information;
.4 availability of services for weather routeing (such as that contained in Volume D of the World Meteorological Organization's
Publication No. 9);
.5 existing ships' routeing and reporting systems, vessel traffic services, and marine environmental protection measures;
.6 volume of traffic likely to be encountered throughout the voyage or passage;
.7 if a pilot is to be used, information relating to pilotage and embarkation and disembarkation including the exchange of information
between master and pilot;
.8 available port information, including information pertaining to the availability of shore-based emergency response arrangements
and equipment; and
.9 any additional items pertinent to the type of the vessel or its cargo, the particular areas the vessel will traverse, and the type of
voyage or passage to be undertaken.
8. Have environmental protection factors been considered for passage?
.1 Has the vessel to enter in Special areas as described into MARPOL?
.2 Has the vessel to enter in (S)ECAs areas?
.3 Exist other matters regarding environmental protection affecting the passage?
OPS-04
Date: 06/05/2019
Frequency: Occasion
.4 Is the vessel expected to transit Particular sensitive Areas (PSSA)?

.5 Are Overboard valves sealed and locked so as to prevent any Greywater overboard?
.6 Are all concerned crew members informed that No deck washing or Hatch cover testing to be carried out while at Anchorage /
berth?
.7 Does the vessel have sufficient low Sulphur (< 0.1%) bunkers for its entire duration of stay in the ECA areas?
.8 Does the vessel have sufficient low Sulphur (< 0.1%) bunkers to comply with EU Directive?
.9 Is Ballast Water exchange required to be carried out?
.10 Has the disposal of Cargo Residues been recorded in Garbage record book?
.11 Is the vessel calling any port with special sewage or Grey water regulations in force?
.12 Is the vessel expected to enter areas or call ports that follows local environmental rules (e.g. China)?
On the basis of the above information, an overall appraisal of the intended voyage or passage should be made. This appraisal should
provide a clear indication of all areas of danger; those areas where it will be possible to navigate safely, including any existing routeing or
reporting systems and vessel traffic services; and any areas where marine environmental protection considerations apply.
OPS-04
Date: 06/05/2019
Frequency: Occasion
PLANNING Tick
1. On the basis of the fullest possible appraisal, a detailed voyage or passage plan should be prepared which should cover the entire
voyage or passage from berth to berth, including those areas where the services of a pilot will be used.
2. The detailed voyage or passage plan should include the following factors
.1 the plotting of the intended route or track of the voyage or passage on appropriate scale charts: the true direction of the planned
route or track should be indicated, as well as all areas of danger, existing ships' routeing and reporting systems, vessel traffic
services, and any areas where marine environmental protection considerations apply;
.2 the main elements to ensure safety of life at sea, safety and efficiency of navigation, and protection of the marine environment
during the intended voyage or passage; such elements should include, but not be limited to:
.1 safe speed, having regard to the proximity of navigational hazards along the intended route or track, the manoeuvring
characteristics of the vessel and its draught in relation to the available water depth;
.2 necessary speed alterations en route, e.g., where there may be limitations because of night passage, tidal restrictions, or
allowance for the increase of draught due to squat and heel effect when turning;
.3 minimum clearance required under the keel in critical areas with restricted water depth;
.4 positions where a change in machinery status is required;
.5 course alteration points, taking into account the vessel's turning circle at the planned speed and any expected effect of tidal
streams and currents;
.6 the method and frequency of position fixing, including primary and secondary options, and the indication of areas where
accuracy of position fixing is critical and where maximum reliability must be obtained;
.7 use of ships' routeing and reporting systems and vessel traffic services;
.8 considerations relating to the protection of the marine environment; and
.9 contingency plans for alternative action to place the vessel in deep water or proceed to a port of refuge or safe anchorage in
the event of any emergency necessitating abandonment of the plan, taking into account existing shore-based emergency
response arrangements and equipment and the nature of the cargo and of the emergency itself.
3. The details of the voyage or passage plan should be clearly marked and recorded, as appropriate, on charts and in a voyage plan
notebook or computer disk.
4. Each voyage or passage plan as well as the details of the plan, should be approved by the ships' master prior to the commencement
of the voyage or passage.
OPS-04
Date: 06/05/2019
Frequency: Occasion
EXECUTION Tick
1. Having finalized the voyage or passage plan, as soon as time of departure and estimated time of arrival can be determined with
reasonable accuracy, the voyage or passage should be executed in accordance with the plan or any changes made thereto.
2. Factors which should be taken into account when executing the plan, or deciding on any departure therefrom include:
.1 the reliability and condition of the vessel's navigational equipment;
.2 estimated times of arrival at critical points for tide heights and flow;
.3 meteorological conditions, (particularly in areas known to be affected by frequent periods of low visibility) as well as weather
routeing information;
.4 daytime versus night-time passing of danger points, and any effect this may have on position fixing accuracy; and
.5 traffic conditions, especially at navigational focal points.
3. It is important for the master to consider whether any particular circumstance, such as the forecast of restricted visibility in an area
where position fixing by visual means at a critical point is an essential feature of the voyage or passage plan, introduces an
unacceptable hazard to the safe conduct of the passage; and thus whether that section of the passage should be attempted under the
conditions prevailing or likely to prevail. The master should also consider at which specific points of the voyage or passage there may
be a need to utilize additional deck or engine room personnel.
MONITORING Tick
1. The plan should be available at all times on the bridge to allow officers of the navigational watch immediate access and reference to
the details of the plan.
2. The progress of the vessel in accordance with the voyage and passage plan should be closely and continuously monitored. Any
changes made to the plan should be made consistent with these Guidelines and clearly marked and recorded.
OPS-04
Date: 06/05/2019
Frequency: Occasion
PILOTAGE
FROM BERTH: TO PILOT:

FROM PILOT: TO BERTH:
DATE: MAXIMUM DRAFT: LEAST DEPTH:
1 2 3 4 5 6
CROSS TIME DATE ALTER UNDERKEEL DISTANCE LAND MARK – REMARKS
WHEN
COURSE TO CLEARANCE
PASSED
PILOTAGE APPENDIX
DURING PILOTAGE CONSIDER THE FOLLOWING:
ABORT POSITIONS: BRIDGE WITH HEIGHT RESTRICTIONS:
CROSSING FERRIES: RESTRICTED ANCHORAGE:
SPEED RESTRICTION: LOW AERIAL CABLES:
TUG MEETING AREA: PILOT BOARDING AREA:
OTHER:
OPS-04
Date: 06/05/2019
Frequency: Occasion
APPENDIX
OTHER REMARKS
CHART POSITION / LAND MARK REMARKS
REPORT TO COASTAL TRAFFIC CONTROL STATIONS

PLACE: DATE TIME VHF STATION
ZONE TIMES NAUTICAL PUBLICATIONS

DEP: TIDE TABLE VOLUMES:
ARR: PILOT BOOKS VOLUMES:
DIFF: LIST OF LIGHTS VOLUMES:
NOTE LIST OF RADIO SIGNALS:
TIDE INFORMATION
TIME HEIGHT NOTE TIME HEIGHT NOTE VOYAGE STEAMING TIME Approved / Reviewed by:
KTS d h m
Master:_____________________________
KTS d h m
C/O:_______________________________
KTS d h m
2nd/ Off:____________________________
KTS d h m
3rd Off:_____________________________
OPS-04
Date: 06/05/2019
Frequency: Occasion
STEVEDORE DAMAGE REPORT
No.: _________________
M/V : Port :
Voy.No: Berth :
Date & Time
Name of Master :
of damage
THE FOLLOWING DAMAGE WAS CAUSED BY STEVEDORES :
Name & Address of Stevedores:
Kind of Cargo : Quantity:
Marks & numbers :
B / L No.:
Port of Loading : Port of Discharge:
If damage to Cargo, show stowage :
If damage to Vessel, location of damage :
Damage was surveyed by :
Cause of damage :
Extent of damage :
Disposition of damage :
Remarks :
Date of signing :
Occurrence of damage as described is acknowledged The above statement certified true
& correct
Signing is not an admission of liability
Signed Rank:
Deck Officer witnessing damage
Stevedore Representative Signature Master

Full Name
Capacity
In case of damage to cargo, four copies In case of damage to vessel, five copies to:
to :
1. Agent at the port 1. Agent at the port
2. Stevedore Co. 2. Stevedore Co.
3. Agent/Branch at the port of discharge 3. Owners
of cargo
4. Ship 4. Ship
5. Charterers
OPS-05
Date: 31/12/2018
Frequency: Occasion
NOTICES TO MARINERS TRAFFIC RECORD
Vessel: Year:
NTM Floppy Disk/CD Hard Copy NTM Floppy Disk/CD Hard Copy
Week Nr Date Received Port Date Received Port Week Nr Date Received Port Date Received Port
1 29
2 30
3 31
4 32
5 33
6 34
7 35
8 36
9 37
10 38
11 39
12 40
13 41
14 42
15 43
16 44
17 45
18 46
19 47
20 48
21 49
22 50
23 51
24 52
Cummulative
25 January
Cummulative
26 June
27 Annual
28
OPS-06
Date: 31/12/2018
Frequency: Occasion
Vessel: Date:
Port: Inbound/Outbound
MASTER / PILOT INFORMATION EXCHANGE

SHIP IDENTITY
Name: Call Sign: Flag:
Agent: Year Built: IMO Number:
Cargo: Ship Type: Last Port:
ADDITIONAL SHIP’S CONTACT INFORMATION

Telephone: Email: Other:
PILOT BOARDING INSTRUCTIONS

ETA at Pilot Station: Pilot ETA at Boarding Station: Approach Course and Speed:
Embarkation Side: Requested Boarding Arrangements:
SHIP PARTICULARS
Refer to the ship particulars in the Pilot card
ANCHORS (Length of Cable Available)
Refer to the ship particulars in the Pilot card
MANOEUVRING DETAILS AT CURRENT CONDITION
Refer to the steering information in the Pilot Card
MAIN ENGINE DETAILS
Refer to the main engine information in the Pilot card
BERTH AND TUG DETAILS
Intended Berth and Berthing Plan:
Side Alongside: Estimated Transit Time to Tug Rendezvous Position:
Berth:
Number of Tugs: Tug Arrangements: Total Bollard Pull:
WEATHER AND SEA CONDITIONS (At Boarding Station and at Berth)

Tidal information (Heights and Times):
Expected Currents:
Weather Forecast:
OPS-07
Date: 31/12/2018
Frequency: Occasion
File: O-1
Vessel: Date:
PILOTAGE PLAN
REGULATIONS (VTS Reporting, Anchor/Look-out Attendance, Maximum Allowable Draught)
OTHER IMPORTANT DETAILS (Including Navigation Hazards, Ship Movements,

Berthing Restrictions, Manoeuvring Peculiarities)
OPS-07
Date: 31/12/2018
Frequency: Occasion
File: O-1
Vessel: Date:
PILOT CARD
SHIP’S PARTICULARS
Call Sign Year Built
Length O.A m Port Shackles
Length P.P m Stbd Shackles

Anchor Chain
Breadth m Stern Shackles
Bulbous bow YES  NO  1 Shackle = 27.5 m
DRAUGHTS
Fore m/ft Amid m/ft Aft m/ft
Air
draught
m m
m
m m
Type of Engine Max Power kW/HP

Speed (Knots)
RPM Loaded Ballast
Full Ahead
Half Ahead
Slow Ahead
Dead Slow Ahead
Dead Slow Astern Time from Full Ahead to Full Astern sec
Slow Astern Minimum RPM Ahead RPM
Half Astern Minimum RPM Astern RPM
Full astern
STEERING PARTICULARS
Type of Rudder
Time required for Hard Over to Hard Over sec
ANCHORS STATUS
In Water No. of Shackles Stowed in Position
Port Yes  No  Yes  No 
Stbd Yes  No  Yes  No 
OPS-07
Date: 31/12/2018
Frequency: Occasion
File: O-1
Vessel: Date:
Checked and Ready for Use

Whistle Rudder Angle Indicator
Radar 3 cm Main Engine RPM Indicator
Radar 10 cm Magnetic Compass
ARPA Gyro Compass
Engine telegraph VHF No. 1
Steering Gear VHF No. 2
Bow thruster
Constant Gyro Error Degrees

OTHER INFORMATION
As a safety requirement vessel to stop idle 1 meter from the pier fenders prior final mooring.
Pilot Master
(Sign) (Sign)
Instructions for Users

1. This form must be filled before embarkation of any pilot (port, river, sea).
2. All information contained here in must be truthful and factual.
3. Delete or mark units accordingly in order to avoid confusion.
4. Copy of the present form must be made available to the pilot for use.
OPS-07
Date: 31/12/2018
Frequency: Occasion
File: O-1
IMDG CONTAINERS
Vessel: Date:
LOAD/ IMDG UN
S/N CONTAINER NO STOWAGE REMARKS
DISCH CLASS NO NO
OPS-08
Date: 31/12/2018
Frequency: Occasion
VESSEL: REEFER CONTAINER DAILY TEMP. MONITORING LOG - VOYAGE NO.: DATE:
TEMPERATURES
CONTAINER
S/N STOWAGE POD POL DD.MM.YY
No.
SET TEMP AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
Chief Officer: Master:

OPS-09
Date: 10/10/2019
Frequency: Monthly
Issue/Revision: 2/1 File:O-2 1 of 1
Document Transmittal Form ( D.T.F.)
Vessel :
To : REF NO. :
Date :
Port :
No DOCUMENT FORWARDED Department Signature
Please acknowledge receipt of above documents, which I trust you will receive in good
order.
___________________
MASTER
OPS-10
Date: 31/12/2018
Frequency: Occasion
ONBOARD PUBLICATIONS & MANUALS
VESSEL: UPDATED:
SAILING DIRECTIONS & LATEST SUPPLEMENT EDITION Supplem
NP N0 TITLE
1 Africa Pilot VOL I
2 Africa Pilot VOL II
3 Africa Pilot VOL III
4 South-East Alaska Pilot
5 South America Pilot VOL I
6 South America Pilot VOL II
7 South America Pilot VOL III
7A South America Pilot VOL IV
8 Pacific Coasts of Central America and U S Atl. Pilot
9 Antarctic Pilot
10 Arctic Pilot VOL I
11 Arctic Pilot VOL II
12 Arctic Pilot VOL III
13 Australia Pilot VOL I
14 Australia Pilot VOL II
15 Australia Pilot VOL III
16
17 Australia Pilot VOL V
18 Baltic Pilot VOL I
19 Baltic Pilot VOL II
20 Baltic Pilot VOL III
21 Bay of Bengal Pilot
22 Bay of Biscay Pilot
23 Bering Sea and Strait Pilot
24 Black Sea Pilot
25 British Columbia Pilot VOL I
26 British Columbia Pilot VOL II
27 Channel Pilot
28 Dover Strait Pilot
29
30 China Sea Pilot VOL I
31 China Sea Pilot VOL II
32 China Sea Pilot VOL III
33 Philippine Islands Pilot
34 Indonesia Pilot VOL II
OPS-11
Date: 31/12/2018
Frequency: 6 Months Page 1 of 9
File: O-2
Issue/Revision: 2/0

NP N0 TITLE
35 Indonesia Pilot VOL III
36 Indonesia Pilot VOL I
37 West Coasts of England and Wales Pilot
38 West Coast of India Pilot
39 South Indian Ocean Pilot
40 Irish Coast Pilot
41 Japan Pilot VOL I
42a Japan Pilot VOL II
42b Japan Pilot VOL III
43 South and East Coasts of Korea, Siberia,etc Pilot
44 Malacca Strait Pilot
45 Mediterranean Pilot VOL I
46 Mediterranean Pilot VOL II
47 Mediterranean Pilot VOL III
48 Mediterranean Pilot VOL IV
49 Mediterranean Pilot VOL V
50 Newfoundland Labrador Pilot
51 New Zealand Pilot
52 North Coast of Scotland Pilot
53
54 North Sea (West) Pilot
55 North Sea (East) Pilot
56 Norway Pilot VOL I
57A Norway Pilot VOL IIA
57B Norway Pilot VOL IIB
58A Norway Pilot VOL IIIA
58B Norway Pilot VOL IIIB
59 Nova Scotia, S.E Coast and Bay of Fundy pilot
60 Pacific Islands Pilot VOL I
61 Pacific Islands Pilot VOL II
62 Pacific Islands Pilot VOL III
63 Persian Gulf Pilot
64 Red Sea and Gulf of Aden Pilot
65 Saint Lawrence Pilot
OPS-11
Date: 31/12/2018
File: O-2
Issue/Revision: 2/0

NP N0 TITLE
66 West Coast of Scotland Pilot
67 West Coast of Spain & Portugal Pilot
68 East Coast of United States Pilot VOL I
69 East Coast of United States Pilot VOL II
69A East Coasts of Centr. America & Gulf of Mexico Pilot
70 West Indies Pilot VOL I
71 West Indies Pilot VOL II
72 Southern Barents Sea and Beloye More Pilot
100 Mariner’s Handbook

109 Home Waters Catalogue
131 Admiralty Charts Catalogue &Hydrografic Publ.
133A Chart correction log
136 Ocean Passage for the World
294 How to correct your charts the Admiralty Way
735 IALA Maritime Buoyage
5011 Admiralty Symbols and Abbreviations for Charts
ADMIRALTY LIST OF LIGHTS AND FOG SIGNALS EDITION Supplem

NP N0 TITLE
CB 074 List of Lights Volume A
CB 075 List of Lights Volume B
CB 076 List of Lights Volume C
CB 077 List of Lights Volume D
CB 078 List of Lights Volume E
CB 079 List of Lights Volume F
CB 080 List of Lights Volume G
CB 081 List of Lights Volume H
CB 082 List of Lights Volume J
CB 083 List of Lights Volume K
CB 084 List of Lights Volume L
OPS-11
Date: 31/12/2018
File: O-2
Issue/Revision: 2/0
ADMIRALTY LIST OF TIDE TABLES EDITION Supplem

NP N0 TITLE
164-01 Times of High Water Dover
201-01 Volume 1- U.K and Ireland (including Eur.cha.Ports)
202-01 Volume 2- Europe, Medit.Sea and Atlantic Ocean
203-01 Volume 3- Indian Ocean and South China Sea
204-01 Volume 4- Pacific Ocean
209 Orkney and Shetland Islands
214 Persian Gulf
215 South East Asia
217 Withdrawn
218 North Coast Ireland , West Coast Scotland
219 Portsmouth Harbor and approaches
220 Rosyth Harbor and approaches
221 Plymouth Harbor and approaches
222 Firth of Clyde and approaches
233 Dover Strait
249 Thames Estuary
250 English Channel
251 North Sea , Southern Part
252 North Sea, North-Western Part
253 North Sea, Eastern Part
256 Irish Sea and Bristol Channel
257 Approaches to Portland
264 Channel Islands, French Coast
265 France, West Coast
337 Solent and Adjacent Waters
TIDAL PREDICTION SOFTWARE

158 Tidecalc version 1.1
158A Tidecalc (area 1-13) version 2.0/3.0/4.0
159A Simpl. Harm.Method of Tidal prediction version 2.0
160 Tidal Harmonic Constants 3/00
OPS-11
Date: 31/12/2018
File: O-2
Issue/Revision: 2/0
ADMIRALTY LIST OF RADIO SIGNALS EDITION Supplem

NP N0 TITLE
281(1) Volume 1, Part 1-Europe,Africa and Asia
281(2) Volume 2, Part 2 – Philippines,Indonesia, etc
282 Volume 2, Radio Navig.Aids,El..Pos.Fix System,etc
283(1) Volume 3, Part 1 Europe,Africa and Asia
283(2) Volume 3, Part 2 Philippines,Indonesia, etc
284 Volume 4, Meteorological Observation Stations
285 Volume 5,G. M..Distress & Safety System (GMDSS)
286(1) Volume 6 Part 1, Pilot Services, Vessel Traffic and
Port Operations, UK and Ireland (incl.EU ch.ports)
286(2) Volume 6 Part 2, Europe
286(3) Volume 6 Part 3, Mediterranean and Africa
286(4) Volume 6 Part 4, Asia and Australia
286(5) Volume 6 Part 5, Americas and Antartica
288 Volume 8 , Satellite Navigation Systems
289 Admiralty Maritime Communications, UK & Mediter.
290 Admiralty Maritime Communications, Caribbean
IMO NO IMO - DOCUMENTS/PUBLICATIONS EDITION AMEND

110 E SOLAS ‘74 Latest Edition
SOLAS ‘74 Latest Amendments
BRIS001 SOLAS TRAINING MANUAL – I.C.BRINDLE 2003
116 E ISPS CODE – SECURITY CODE
117 E ISM CODE – SAFETY MANAGEM. CODE
155 E FSS CODE – FIRE SAFETY SYSTEMS
200 E IMDG CODE – DANGEROUS GOODS
IMDG VOL I , VOL II
240 E CARRIAGE OF GRAIN IN BULK-INT.GRAIN CODE
260 E SOLID BULK CARGOES CODE ( B C CODE )
266 E BLU CODE - LOADING/UNLOADING
290 E REC.ON SAFE TRANSPORT OF DANG. GOODS
292 E CODE FOR CARGO STOWAGE & SECURING
520 E MARPOL 73/78
636 E MARPOL – HOW TO DO IT
701 E INT. CONVENTION ON LOAD LINES,1966 +1988
713 E INT.CONV.ON TONNAGE MEASUR. OF SHIPS
OPS-11
Date: 31/12/2018
File: O-2
Issue/Revision: 2/0
904 E COLLISION REGULATIONS ,CONVENTION 1972

908 E INTERNATIONAL SAFETY NET MANUAL
927 E SHIP’S ROUTING MANUAL
938 E STCW 78/95 & AMENDMENTS
951 E NAVTEX MANUAL
955 E M.SHIP S AND RESCUE (MERSAR MANUAL)
960 E I.A.& M. SEARCH AND RESCUE VOL I (IAMSAR)
961 E INTERN. AERONAUTICAL& MARIT. S & R VOL II
962 E I.A & MARITIME SEARCH.& RESCUE VOL III
973 E SEAFARERS’ HOURS OF WORK AND OF REST
982 E INTERN. LIFE-SAVING APPLIANCE CODE
994 E INTERNATIONAL CODE OF SIGNALS
NO OTHER PUBLICATIONS EDITION AMEND
WA 001 A MASTER’S GUIDE TO HATCH COVER MAINT.
WB 001 BRIDGE PROCEDURES GUIDE
WS 059 SAFETY AND HEALTH (WITHERBY PUBLISHER)
MP 06 PIRATES AND ARMED ROBBERS
MCA CODE OF SAFE WORKING PRACTICES FOR MS
ILA 01 ACCIDENT PREVENTION AT SEA AND IN PORT
ITU 10 LIST OF COAST STATIONS & SUPPLEMENTS
ITU 30 NUMER. LIST OF CALL SIGNS & SUPPLEMENTS
ITU 50 LIST OF SHIP STATIONS & SUPPLEMENTS
ITU 60 LIST OF SHIP RADIODETERMINAT.& SUPP/NTS
ITU 70 MANUAL FOR MARITIME MOB.-SAT. SERVICES
ITU 80 RADIO REGULATIONS (ITU 80)
RADIO REGUL. VOL I , VOL II , VOL III , VOL IV
SG 002 GUIDE TO PORT ENTRY
SS 013 THE SHIP’S CAPTAIN’S MEDICAL GUIDE
BS 011 SURVIVAL AT SEA (THE L. BOAT & THE L.RAFT)
BN 002 BROWN’S NAUTICAL ALMANAC
BT 004 THOMAS STOWAGE
NORRIES TABLES
OPS-11
Date: 31/12/2018
File: O-2
Issue/Revision: 2/0
OPERATION & CAPTAINCY DEPT PUBLICATIONS

SN DESCRIPTION EDITION DEPT
1 Files of vessel’s particulars OPS

2 QSMS No 3 plus vessel’s files (manuals/drawings) OPS
3 Various brochures from Agents/Port Information OPS
4 Bimco circulars and Bimco booklets OPS
5 P+ I booklets OPS
FILES OF: OPS
6 Tug Contracts OPS
7 Cargo History OPS
8 Payment of Proforma OPS
9 Petroleum DNV Services OPS
10 Bunker Stem OPS
11 Charter Party Disputes OPS
12 Port Tarifs OPS
13 Interoffice Memo OPS
IMO BOOKLETS OPS
14 Ocean passage of the world OPS
Emergency procedures for ship’s carrying
15 dangerous goods OPS
16 I M D G Vol. I , II , III , IV.+ Supplements OPS

17 Code of safe practice for solid bulk cargoes BC OPS
Medical first aid guide (for use in accidents
18 involving dangerous goods (MFAG) OPS
I N F Code and Guidelines for developing

shipboard emergency plans for ships carrying
19 OPS
materials subject to INF code
IMO / ILO / UN ECE guidelines for packing of

20 cargo transport units(CTU) OPS
21 Recomm. of the safe use of pesticides on ships OPS

22 Reporting procedures OPS
OPS-11
Date: 31/12/2018
File: O-2
Issue/Revision: 2/0
OTHER OPERATION & CAPTAINCY DEPT PUBLICATIONS

1 Thomas Stowage OPS

2 Guide to Port Entry OPS
3 Stowage (the properties and stowage of cargoes) OPS
4 Time Charters OPS
5 Divry’s Modern Dictionary OPS
6 The Concise Oxford Dictionary OPS
7 C R F – 33 , Navigation Parts 200-END OPS
8 IMO/UNEP Guidelines on Oil Spill Dispersant application OPS
9 Pollution Prevention Equipment Required under MARPOL OPS
10 International Conference on Load Lines OPS
11 Supplement Relat. to Int. Convention on Load Lines 1996 OPS
12 Marine Pollution Prevention OPS
13 Ocean Passages for the World OPS
14 IMDG Code (Vol. 2) OPS
OPS-11
Date: 31/12/2018
File: O-2
Issue/Revision: 2/0
TECHNICAL & ISM DEPT PUBLICATIONS

1 All Technical Manuals of Vessel TECH

2 All Drawings for vessel TECH
3 Marine Stores Guide SUPPLY
4 ISM Code ISM
5 SOLAS Consolidated and Amendments ISM
6 MARPOL 73/78 ISM
7 S T C W 95 and Amendments ISM
8 International Medical Guide for Ships ISM
9 Fire Safety System Code – FSS CODE ISM
10 German Lashing, Container Lashing Systems ISM
11 ISPS Code ISM
12 SMS -MANUALS and FILES ISM
13 Policy and procedures Manual ISM
14 Forms Manual ISM
15 Fleet Instructions Manual ISM
This list must be kept in a PC and must be updated every time a change occurs.
OPS-11
Date: 31/12/2018
File: O-2
Issue/Revision: 2/0
SDR COMPLETION REPORT
M/V : Date:
SDR repair date : Referred to SDR No & Date :
1) If damage to vessel can be repaired by vessel’s crew : complete below columns except those with costs and a
copy to be forward to office immediately after repair:
General Type & Quantity / ISSA /SPARE CODE

Dimensions
Used material
(pipe, steel plate etc.)
Oxygen / acetylene
quantity (i.e ½ bottle)
Electrodes (i.e Kg)
Spares (state book & drw. No)
Officer Rank & Number & Working

hours
Crew Rank & Number & Working

hours
Other
TOTAL :…………
2) If vessel’s crew cannot repair damage and charterers refused to repair it or have to be repaired during dry-
docking: state below at “comments” a detail description and location of damage so the repair cost can be estimated.
A drawing should be useful for the estimation.
3) If spaces are not enough to describe stevedore damage repair, a 2nd page to be attached.
4) If charters repair SDR: state below at “comments” repaired date and name of company handles the repair. Also
attach company’s repair report.
5) If SDR contains more than one case required repair, state below at “comments” for, which case this report it is
(location etc.)
Comments:
Master (name &signature)
OPS-15
Date: 10/10/2019
Frequency: Occasion
CONBULK SHIPMANAGEMENT CORP.
D-01
PAINTS INVENTORY
VESSEL: MONTH:
Se No Previous
Manufacturer Colour ID number Paint’s type R.O.B. Supplied Consumed R.O.B.
Lt Lt Lt
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
MASTER
D-01
Date: 31/12/2018
Frequency: Monthly
Issue/Revision: 2/0 File: D-1 Page 1 of 1
CONBULK SHIPMANAGEMENT CORP. D-02
Weekly Planned Maintenance - Deck Department
Vessel: Calendar Week: From: To:
S/N Description (Planned works which were carried out) Item Form No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
S/N Description (Works which were carried out, other than those planned) Item Form No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Notes: 1. This form to be filled every week and it may contain items of form “D-12 Weekly Safety Inspection
Report” as well as items of form “D-07 Monthly Safety Inspection Records”
2. In case more space is needed in the above tables, please use one more form per week.

(Signature / Name) (Signature / Name / Stamp)
D-02
Date: 01/09/2020
Frequency: Weekly
Issue/Revision:2/2 File: D-1 Page 1 of 2
Weekly Planned Maintenance - Deck Department
Attached Photos
1. 2.
3. 4.
5. 6.
*If more pages are required to insert photos, tick the checkbox.
D-02
Date: 01/09/2020
Frequency: Weekly
D-03
TANKS INSPECTION FORM

Vessel: Date :
TANK NAME & LOCATION COATING STEEL PLATE UNDER STRIKING LADDERS & PIPE LINES PRESSURE LEGEND
STRUCTURE SUCTION HEAD PLATE FITTINGS TEST
G: GOOD
F: FAIR
P: POOR
B: Blistered
D: Breakdown
L:Partial break
T: Tar epoxyt
E: Epoxy
C: Chlorinated
N: NORMAL
CR : CRACK
H: HOLE
BU: BUCKLING
BE: BENDED
CO : CORRODED
S: SATISFACTORY
U:
UNSATISFACTORY
Inspector (name & signature) : Verified by Master (name & signature):
D-03
Date: 31/12/2018
Frequency: 6 Months
Issue/Revision: 2/0 File:D-1 Page 1 of 1
Hatch Cover Inspection Report
Vessel: Date:
Type
yp of Vessel: Container Bulk Carrier ((Tick relevant checkbox before using
g this form))
Hatch Cover No. Steel Resting

Lashing Coating Rubber Legend
& Position Structure Pads
G: Good
F: Fair
P Poor
P: P
RD: Resting Pad Defect

R: Rails, Ladders Defect
N: Normal
CR: Crack
H: Hole
BU: Buckling
BE: Bended
CO: Corroded
S: Satisfactory
U: Unsatisfactory
LD: Lashing Defect
R
Remarks
k (If any):

(Signature / Name) (Name / Signature / Stamp)
D-04
Date: 01/09/2020
Frequency: 2 Months
No.1 Hold No.2 Hold No.3 Hold No.4 Hold No.5 Hold
S/N Items to be checked* Structural / Operational Condition Yes No** Yes No** Yes No** Yes No** Yes No**
Are covers tops well painted?
Hatch Cover Top Are covers tops structurally sound / free of
1.
Plaiting. deformation?
Are covers tops free of corrosion?
Is plaiting well painted / structurally sound / free of
Hatch cover corrosion?
2.
underside.
Is plaiting free of corrosion?
Hatch Cover Panel
3
3. Are panel stiffeners free of corrosion?
Stiffeners (if visible)
Are coaming compressions bars structurally sound?
Are coaming compression bars free of corrosion?
Coaming Are coaming compression bars free of metal wastage
4.
Compression Bars. (not thinned down) level/even?
Are sealing / contact edges of coaming compression
bars smooth / free of cuts and indents?
Are cross joint
A j i t compression
i b bars structurally
t t ll sound, d
free of corrosion and metal wastage (not thinned down),
level / even?
Cross Joint
5. Are cross joint compression bars structurally free of
Compression Bars
corrosion?
Are sealing contact edges of cross joint compression
bars smooth / free of cuts and indents?
Are all packing rubbers in place and correctly fitted?
Is permanent imprint even and less than 25% of original
rubber thickness? (rule of thumb)
Are packing rubbers soft / pliable?
Hatch Cover Packing
6. Are packing rubbers free of local damage?
Rubber
Are packing rubbers free of evidence of improper /
makeshift repairs? (repairs with small lengths of rubber
/ inserts, presence of rubber / backing strips on the
sealing surface of rubbers,…)
Are coaming channels free of damage / deformations?
Coaming Channels
7. Is a drain pipe non-return system fitted & operational?
and Drains
Are fire caps fitted on ball type non-return valves?
Are cross joint drains structurally sound?
Cross Joint Drain
8. Are cross joint drains structurally free of corrosion /
Channels
scaling / debris?
Is inner hatch coaming plaiting free from leakage
traces?
Is coaming plaiting free from indents / cracks /
deformations / corrosion?
9. Hatch Coaming Are hatch coamings stays structurally sound?
Is coaming corners / weather deck area free of cracks /
deformations?
Are coaming stiffeners & brackets free of deformations,
cracks and extensive corrosion?
D-04
Date: 01/09/2020
Frequency: 2 Months
Is coaming track table structurally sound / free of
corrosion and deformation?
Are the coaming track tables cleat cut outs without
10. Coaming / Track table
waste / thinned down evidence?
Is the wheel track area free of deformation / set downs?
Are all perimeter cleats and cross joint cleats / wedges

Securing Devices for in place?
11.
Sea
Can hatch covers be battened down in the proper way?
Are rubber washers in place, soft and free of paint?

Are robs structurally sound, free of damage and
corrosion?
Are nuts free and well greased?
12. Perimeter Cleats
Are crutches structurally sound and free of
deformation?
Are hinged heads / hooks free /sound / undamaged?
Are cleats, when fastened, in vertical position?
Are cross joint wedges, saddles, saddle plates and
springs in good condition? (manual / hammering
system)
Are cross joint wedges properly fitting when hammered
in closed position (manual system)
13
13. C
Cross Cl t
Cleats A screw type
Are t l t free
cleats f off damage,
d wellll greased
d and
d
operational?
Can screw type cleats be properly tightened? Are they
structurally sound?
Are self – engaging / hook – type cross cleats free of
damage and operational?
Is tests documentation available onboard? (e.g.
Surveyor’s attestations or entries in the special survey
14
14. Watertight Integrity report))
When was the last water tighteness test carried out?
Are there sufficient spares onboard to carry out repairs
to hatch covers and closing appliances in accordance
15. Spare Material with patentee’s specifications?
Is hatch cover operation manual (from hatch
patentees) on board?
Secu g Devices
Securing e ces for
o Aree safety
sa e y pins,
p s, latches
a c es a
anddo e de
other ces p
devices o ded to
provided o
16.
16
Cargo Ops. secure the hatch panels in the open position?
OPENING / CLOSING MECHANISM INSPECTION REPORT
Are wires free of damage and well lubricated?
17. Wire Operated Are shackles and hauling eye plates in good condition?
Are hinged sheaves / rollers in good condition?
Are chain links free of deformation and wastage?
Are chain channels adequate and in place and
structurally sound?
Are chain wheels in good cond., free & well grased?
18. Chain Operated
Are drive motors operational and free of leaks
(hydraulic operation)?
Are drive motors free of dangerous electrical
connections, safe & operational (electrical operation)?
D-04
Date: 01/09/2020
Frequency: 2 Months
Are motor / pipelines free of leaks & operational
(hydraulic operation)?
Are motor / cables free of dangerous electrical
connections, safe and operational ?
Are rack and pinion arrangements structurally sound
and free of deformation?
19. Rack and Pinion drive
Are stowage rails structurally sound and free of
deformation?
Are wheels free and well greased and/or in good
condition?
Are anti-lift devices fitted & in good condition?
Is blocking / balance valve fitted & operational?
Is the hydraulic power pack unit (motor, tank, pressure
gauges) operational and in good condition?
20. Hydraulic Are hydraulic piping, cylinders, operating station free of
leaks?
Is blocking / balance valve fitted & operational?
Is the jack – up / lifting system operational free of
damage, free of leakage and safe?
Is the drive mechanism operational, free of damage and
safe?
21. Piggyback System
Are pontoon centering devices in place and in good
condition?
Are jack – up / lifting points structurally sound and free
of deformation?
Is the system operational and in good condition?
Emergency Opening
22.
and Closing System Can the emergency system be arranged / operated
within a reasonable time?
Is the crew familiar with the opening & closing system?
23. Operation Are instructions for the operation of the opening /

cclosing
os g mechanism
ec a s a available
a ab e in a
alanguage
a guage readily
ead y
understood by those concerned?
Operational?
The Jack – Up System
24. Free of damage?
(when fitted)
Free of leakages?
*: Check where applicable.
**: In case the answer is NO, please enter your comments in the below part, mentioning to which cargo hold the comments refers to:
Remarks:

(Signature / Name) (Name / Signature / Stamp)
D-04
Date: 01/09/2020
Frequency: 2 Months
CARGO HOLD INSPECTION REPORT

M/V Date :
Hold No & LASHING & COATING STEEL BILGE WELL PIPE LINES TANK TOPS LEGEND
POSITION CELL GUIDES STRUCTURE
G: GOOD
F: FAIR
P: POOR
HD: Hatch Coaming DEFECT
CD: Cell guide DEFECT
RD: rails, ladders defect
N: NORMAL
CR: CRACK
H: HOLE
BU: BUCKLING
BE: BENDED
CO : CORRODED
S: SATISFACTORY
U: UNSATISFACTORY
LD : LASHING DEFECT
Comments:
Master (name & signature)
D-05
Date: 31/12/2018
Frequency: 2 Months
Weekly Accommodation / Health / Safety Inspection
Vessel: Date (mmm-yy):
ILO MLC Item Yes No N/A Comments/Remarks

1. Accommodation, recrational facilities, food and catering
3.1 Accommodation and recreational facilities / General requirements
A3.1.6 (g) The drainage provided in all areas of the accommodation is in good working order.
Clean and habitable
Free of any infestation
All doors closing properly-Self closing devices where applicable to be properly adjusted
Condition of electric cables, no exposed wires, no heavy corrosion
Free from hazards (no damage flooring/tiling, no slippery, etc.)
Condition of securing furniture and recreation equipment
Excessive garbage not being retained onboard
No ship's stores or equipment stored in crew spaces
2. Ventilation and heating
The sleeping rooms and messrooms are adequately ventilated and the ventilation is
A3.1.7 (a)
functioning
The vessel is equipped with an air condition and is functioning (depending on vessel’s
A3.1.7 (b)
operation in area where an air conditioning is necessary)
A3.1.7 (d) An adequate system of heating through an appropriate system has been provided
3. Lighting
A3.1.6 (g) Proper lighting is provided for the accommodation and functioning
Mess rooms and sleeping rooms are lit by natural light and have been provided with artificial
A3.1.8
light
B3.1.4.1 Electric light has been provided in crew accommodations as well as emergency lighting
4. Mess rooms
The mess rooms are equipped with tables and seats sufficient to accommodate the greatest
B3.1.6.4
number of crew.
B3.1.6.5 There are available and in good condition:
a) a refrigerator
b) facilities for hot beverages
c) cool water facilities
5. Sleeping rooms
A3.1.9 (c) Sleeping rooms are clean and properly equipped
A3.1.9 (d) A separate berth is provided for each crew member
B3.1.5.14 Each sleeping room has been provided with curtains or equivalent for the sidelights
B3.1.5.15 Each sleeping room has been provided with the following furniture:
- mirror
- small cabinets for toilet requisites
- book rack
- sufficient coat hooks
6. Toilets / showers / washrooms / bathrooms
All elements of item 1 (as applicable) are satisfied
All toilets to be functioning normally
Supplied with hot water
No defective / broken / missing fittings
7. Sanitary accommodation
A3.1.11 (a) All seafarers have convenient access to sanitary facilities
Minimum standards of health and hygiene and reasonable standards of comfort are met
D-06
Date: 01/09/2020
Frequency: Weekly

A3.1.11 (f) Hot and cold running fresh water is available in all wash places
B3.1.7.2 Toilets are provided with an ample flush of water or with air, in good condition
Garbage/ waste bags provided
Garbage storage area clean
8. Laundry
Facilities (washing machines, drying machines or heated & ventilated drying rooms, irons &
A3.1.13
ironing boards or their equivalent)for washing, drying & ironing clothes, are in good condition
9. Access to open decks
A3.1.14 Have all seafarers access to an open deck?
10. Mosquito devices
If the ship trades to mosquito infested ports: Adequate provisions for protection are made
A3.1.16
(e.g. anti-mosquito to devices)
11. Recreational facilities, amenities and services
A3.1.17 The recreational facilities are in good condition
B3.1.11.4 Following recreational facilities are in good condition (available at no cost to the seafarer):
(a) a smoking room;
(b) television viewing and the reception of radio broadcasts;
(c) showing of films, the stock of which should be adequate for the duration of the voyage
and, where necessary, changed at reasonable intervals;
(d) sports equipment including exercise equipment, table games and deck games;
(e) a library containing vocational and other books, the stock of which should be adequate for
the duration of the voyage and changed at reasonable intervals;
(f) electronic equipment such as a radio, television, video recorders, DVD/CD player, personal
computer and software and cassette recorder/player;
(g) reasonable access to ship-to-shore telephone communications
B3.1.10.1 Are the following utensils in good condition (for each seafarer)?
(a) clean bedding and mess utensils;
(b) bedding of good quality;
(c) plates, cups and other mess utensils of material which can be easily cleaned;
(d) towels, soap and toilet paper
Are taken into account the different and distinctive religious and social practices without the
A3.1.19
discrimination of seafarers?
12. Hospital accommodation
A3.1.12 The hospital is exclusively used to accommodate sick persons
The hospital is designed so as to facilitate consultation and the giving of medical first aid and
B3.1.8.1
to help prevent the spread of infectious diseases
Arrangements are made in respect to the berths, lighting, ventilation, heating and water
B3.1.8.2
supply to ensure the comfort and facilitate the treatment of the occupants
Inventory of medicines and medicine chest certificate are available
13. Galley / Pantry / Food preparation areas
All elements of item 1 (as applicable) are satisfied
68 Art.5.2b Free of any infestation. Galley equipment clean. Floor tiles clean / unbroken
No blocked drains
Hot water supply
Equipment (Hoses and deck fittings) for receiving and producing portable water is in
acceptable condition
Stove operational
Stove protection bars provided and used
Thermostats of electrical equipment operational and safe (stove, deep fat fryers, etc.)
No signs of pest and vermin
D-06
Date: 01/09/2020
Frequency: Weekly

Potentially hazardous food refrigerated in a manner that promotes rapid cooling
Potentially hazardous food on buffet & other holding tables maintained at or below 45ºF(7ºC)
Inspect hygienic conditions of food preparation and processing
Inspect daily menus for wholesomeness and fitness as well as for being served in an
attractive way
Varieties of food (habits and religion) considered
Food properly cooked and reheated
Food not subject to overflow, back-flow, blocked drain or other potential non-sewage
contamination. No evidence for potential contamination for food with sewage
No stores / provisions or equipment stored in inappropriate places
Adequate food supplies and potable water for intended voyage
Personnel handling food and preparing meals wear clean clothing
All food preparation equipment, utensils and surfaces (e.g. pots, pans, cutting boards, slicers,
workable tops, etc) and food storage containers properly handed, sanitized & stored
Available inventory of all provisions and catering stores
All working and eating surfaces cleaned, galley floors and scuppers disinfected extraction
foods, filters, trunks and screens free from condensed grease and fats. Grease traps in place
and clean. Ventilation fans in good condition
14. Galley / Pantry / Food preparation areas
Hand sanitizers and a chemical hand sanitizing solution used as hand dip available in galley
area and disposable paper for hand drying
Pesticides and other toxic substances not available in galley (properly labeled and stored in
appropriate places)
Fire blanket and other relevant fire extinguishing means available
Domestic catering machinery in operable condition without defects
Linen and laundry equipment in operable condition without defects
Used cooking oil to be collected and burn at ship's incinerator
15. Refrigerator rooms / freezers
Clean, tidy with adequate shelving, accurate thermometers and defrosted
Test alarms frequently
Check closing, locking & releasing arrangem. (doors opening arrangements from the inside)
Check door release system
No leakages of freon
Cooked or ready to eat foods & raw food (seafood etc) stored in separate sections of refrig.
Bagged or carton packed meat and fish properly stowed to permit a free flow of cold air and to
prevent the risk of accidents to people
Ice produced, stored and handled in a sanitary manner
Temperature warning systems in refrigerators and freezers
All refrigeration, other than units used for food prepared in advance, maintained at or below
40ºF (4ºC)
All foods requiring refrigeration, other than those prepared in advance, refrigerated at or
below 40ºF (4ºC)
Temperatures suitably kept and monitored
Reefer chamber insulation/ lagging in good condition
Reefer chamber well lit
Reefer chamber floors covered with adequate non-slip material and wooden floors
3.2 16. Food and catering
3.2.2 Is food and drinking water supplied to all seafarers free of charge?
D-06
Date: 01/09/2020
Frequency: Weekly

Is food and drinking water supplied in a sufficient quantity and quality, i.e. with a suitable
A3.2.2 (a) amount of drinking water and food of good nutritional value, quality and variety for the number
of crew and the duration of voyage
The ship is equipped with appropriate staff and equipment for the preparation of adequate
A3.2.2 (b)
meals in hygienic conditions
A4.1.4 (d) Lists of stations and procedures for radio/satellite communication exist
The seafarer assigned to provide medical care / first aid is familiar with submitting and
B4.1.1.1 (a)
receiving medical information by radio/ satellite communication
The International Medical Guide for Ships, the Medical First Aid Guide for Use in Accidents
B4.1.1 Involving Dangerous Goods, the Document for Guidance, an International Maritime Training
Guide and the medical section of the International Code of Signals are available on board.
4.3 17. Health and safety protection and accident prevention
4.3.1 The working and living environment on ship is safe and hygienic
Are implemented all reasonable precautions to prevent occupational accidents, injuries and
A4.3.1 (b)
diseases?
Check:
- if relevant hazards are posted to the attention of the seafarers
- if publicity materials such as posters, audiovisual material are available on board
- if following subjects are considered:
• machinery
• extreme surface temperature (high or low)
• effects of noise and vibration
• effects of ambient factors (e.g. tobacco smoke)
• safety measures on and below deck
• cargo equipment
• mooring equipment
• dangerous cargo and ballast
Personal protective equipment (PPE) is available in sufficient number, and maintained in
A4.3.1 (c)
good condition.
18. Fresh water tanks and arrangements
Properly marked as "POTABLE WATER TANK" with date of last inspection
Clean / renew (where necessary) filters
Check sterilizing equipment working condition according to manufacturers’' instructions
Sample cocks fitted and operate
During dry-dock
Opened up, emptied, ventilated and inspected
Inspection is to be followed by thorough cleaning, re-coating where necessary with epoxy
coating or appropriate special paint, venting and refilling with clean fresh water chlorinated to
a concentration of 0.2 ppm
19. Nuisance levels
Noise in accommodation areas, work spaces, etc. in acceptable levels
20. All accessible parts of the ship
Storing, working and living environment is safe and hygienic
Lighting in all areas, work spaces, etc. in acceptable levels
COMPLIANCE AND ENFORCEMENT
5.1.1 21. General principles
A5.1.1.2 A copy of the MLC, 2006 is available to all seafarers on board
5.1.5 On-board complaint procedure
A5.1.5.1 Seafarers are provided with a copy of the on-board complaint procedure
D-06
Date: 01/09/2020
Frequency: Weekly
Remarks Description
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
Calendar Week:
Date:
Time:
NCs Issued: Yes No Yes No Yes No Yes No Yes No
Off. Rank:
Name:
Signature:
1st Seafarer Rank:

Name:
Signature:
2nd Seafarer Rank:

Name:
Signature:
D-06
Date: 01/09/2020
Frequency: Weekly
MONTHLY SAFETY INSPECTION RECORDS

DATE: (Original remains onboard and to be available to any 3rd Party Inspection’s request)
Condition to be assessed as follows: GOOD = Without problems FAIR = Local minor problems requiring attention
POOR = Major problems in specific areas below acceptable levels requiring urgent action.
Condition
A. Lifesaving Appliances
Y N Remarks
.1 LIFEBOATS Next annual Inspection due:
Lifeboats except free-fall lifeboats turned out from their stowed position to embarkation level, without
persons onboard to verify satisfactory operation of launching appliances weather & sea conditions
permitting (SOLAS Reg. 20.7).
Are Lifeboats with all parts in proper condition (inside / outside) without damage / wastage of shell or
equipment, blocks and release mechanisms properly maintained as necessary?
Propeller and shafting with clutch operating normally?
Grab lines on both side in order
Bridge keel rails on both side
Rudder stock, rudder and tiller and stern frame in order
Thwarts, side benches, clutch holes, pin, gunwales in good condition
Engine foundation, exhaust pipe
Reflective tape on hull
Marking (Ship’s name, No. of persons, Registry of port etc.) as required?
Bilge pump with hose tested?
Is Lifeboat inventory complete, verified and in good condition?
Watertight container
Canopy light and search light operating normally?
.2 RESCUE BOAT Next annual Inspection due:
Are Rescue boat(s) complete and in good condition?
Are Rescue boat(s) embarkation arrangements including limit switches in good condition and without

wastage?
Canopy light and search light operating normally?
.3 LAUNCHING / EMBARKATION ARRANGEMENTS OF LIFE BOAT, RESCUE BOAT & LIFERAFT
Next annual Inspection due:
Are the embarkation ladders, handholds, side ropes, steps and fitting shackles / pad eyes on deck in

good condition without wastages?
Are davits in good condition?
Is winch brake in good condition?
Is release gear in good condition?
Are skates and fenders in good condition?
No damaged lights or cables?
Boat lights by emergency power tested?
Are wire falls of all launching / recovery arrangements in good condition and turned / renewed as
required?
Have reversal / renewal of falls / crane wires been recorded?
No corrosion or wastage of sheaves or hooks?
No corrosion or wastage of Lifeboat davit?
Is the emergency illumination at all survival craft stations sufficiently working, also illuminating the
ship’s side and the instructions posted?
.4 STOWAGE OF LIFEBOAT AND / OR RESCUE BOAT Next annual Inspection due:
Visual condition of stowage
Operation of limit switch or air cut-off valves
Condition of lifting arrangement
D-07
Date: 10/10/2019
Frequency: Monthly
Condition
A. Lifesaving Appliances
Y N Remarks
.5 LIFE RAFTS Next annual Inspection due:

Are Life Rafts and launching arrangements in good working condition and properly marked with maker’s

name, serial No. last service date, No. of persons etc.?
Is the hydrostatic release validity not outdated?
Are Life rafts fitted with retro-reflective tapes?
Are launching arrangements for rescue boats and Life rafts including limit switches in good condition

and without wastage?
Are the embarkation arrangements for rescue boats and Life rafts including limit switches in good

condition and without wastage?
Are Liferafts properly stored with properly stowage?
Is embarkation ladder in good condition?
Is there an effective service report kept onboard?
.6 LIFEBUOYS Next annual Inspection due:
Are Life buoys (including reflective tape, correct ship’s name / home port, lights and ropes with non-

outdated batteries or smoke signals) available as per certificating and in good condition?
No wasted lifebuoys / expired smoke signal or light unit?
Are Man overboard (including reflective tape, correct ship’s name / home port, lights and ropes with

non-outdated batteries or smoke signals, available as per certificating and in good condition?
Is a “heavy” life buoy (4.5 Kg) attached to the smoke / light-buoy at bridge wing in a free-fall

arrangement?
.7 LIFEJACKETS Next annual Inspection due:
Are lifejackets (including whistles, retro-reflective tapes plus lights and non-outdated batteries) available

in sufficient amount as per certification and in good condition?
Are sufficient additional lifejackets provided for persons on watch and for use at survival craft stations

and on remote working stations?
.8 LINE THROWING APPLIANCES Next annual Inspection due:
Are line throwing appliances complete with expiration dates of the pyrotechnic units not outdated?
Are parachute distress signals available in sufficient amount and in good condition with expiration dates

not outdated, placed on the bridge in an appropriate containment which is marked?
.9 IMMERSION SUITS Next annual Inspection due:
Are immersion suits (including lights and special attachments) available for all persons onboard and

stored in good condition?
.10 THERMAL PROTECTIVE AIDS Next annual Inspection due:
Are thermal Protective aids available for all persons onboard not provided with immersion suits and

ready for immediate use?
.11 RADAR TRANSPONDERS Next annual Inspection due:
At least one radar transponder on each side of wheelhouse
.12 ON-BOARD COMMUNICATIONS Next annual Inspection due:
Operation of two-way communications between emergency control station, muster and embarkation

stations
.13 DISTRESS FLARES Next annual Inspection due:
At least 12 parachute rocket signals available onboard with validity not expired
.14 LINE-THROWING APPLIANCES Next annual Inspection due:
Four rockets capable of carrying line at least 230 m with proper instruction available
Rockets validity not expired
.15 LIFE SAVING SIGNALS Next annual Inspection due:
Table of Life Saving signals posted
.16 MUSTER LISTS – POSITION AND DUTIES CARD Next annual Inspection due:
Position and Duties Card for fire and abandon ship to be posted in every crew cabin.
Portable tube including fire plan, muster list and updated crew list available and in good condition?
.17 SOLAS TRAINING (SAFETY & FIREFIGHTING) MANUALS Next annual Inspection due:
To be placed in Master’s Office, Officers’ / Crew mess rooms and recreation rooms.
D-07
Date: 10/10/2019
Frequency: Monthly
Condition
B. Fire Fighting
Y N Remarks
.1 PREVENTION Next annual Inspection due:
Are all skylights / fire dampers, quick closing / remote-control devices and ventilation emergency
closing appliances including gaskets, handles, screws internal damper, other mechanical mechanisms
and emergency stop pumps and fans in proper working condition and without corrosion or wastage on
the casing of ventilator for engine room?
Clear marking of “Close-Open”
Have fire flaps been checked periodically inside trunks for closing 100%?
No damaged Fire door?
Is self-closing device of Fire doors operating properly and without illegal hold-backs?
No damaged fire protection for escape trunk or door?
No damaged / missing parts of fire protection material in Engine room?
No damaged explosive proof lamp?
Is fire detection system and fire alarm regularly checked?
Are all fuel oil tank shut-off valves remotely closed satisfactory from outside E/R?
Are emergency lights in E/R, Accommodation spaces, wheel house, control stations, outside passage

in satisfactory lighting condition with bulbs and glasses not damaged?
Are Means of escapes ready for immediate use with steps and handrails without damage and lighting

operating satisfactorily?
.2 FIXED FIRE EXTINGUISHING SYSTEM Next annual Inspection due:
Is the CO2 room properly locked and the key readily available?
No corrosion / wasted CO2 bottles?
Has the filling status of gas bottles or foam tanks (where applicable) been checked?
Is the fire extinguishing arrangement in paint locker as required in place and in good working

condition?
Is CO2 / Foam tested by air blow or water spray?
Are all fire stations with required equipment of hoses, nozzles, spanners in good condition?
Are all hydrants operating normally?
Are nozzle spray adjustments workable and hoses without deterioration?
Are the last test records of the systems kept onboard?
.3 FIRE FIGHTING EQUIPMENT Next annual Inspection due:
Are fixed firefighting systems for engine room and cargo spaces in proper working condition?
Are the fire detection arrangements properly working at all detection points?
No wasted / leakages Fire hose / nozzle?
Are Fire hoses number complete with nozzle and couplings?
Are portable fire extinguishers available as per fire & safety plan and in good condition?
Are stowage boxes of fire hoses and nozzles in good condition, easily usable and clearly painted boxes
in red color?
Are due dates for required servicing recorded and not outdated?
Are fireman’s outfits available according to the fire control plan, complete with helmet, boots, gloves

protective clothing, lifeline, electric safety lamp, axe, in good condition and ready for use?
Is Fireman’s outfit Breathing apparatus with a smoke helmet or smoke mask, whistle indicating low

pressure and air pump, with proper length of air hose, or a self-contained breathing apparatus?
Is fireman’s outfit provided with fireproof lifeline of sufficient length for each breathing apparatus with a

snap hook and storage in clearly marked position?
Are emergency Escape Breathing Devices (EEBDs) available in required amount (plus additional training
unit) and distributed, stowed as per fire plan within superstructure and engine room and under confirmed
full air-pressure?
Are the breathing apparatuses in good condition and ready for use with bottles including spare bottles

filled (200% spare air cylinders or 100% + Air compressor) and serviced properly?
Are emergency escape breathing devices suitable maintained as per Manufacturer’s instruction?
Is fire extinguishing arrangement in paint lockers in good order and as per fire control plan?
D-07
Date: 10/10/2019
Frequency: Monthly
Condition
B. Fire Fighting
Y N Remarks
.4 FIRE PUMPS Next annual Inspection due:
Are fire pumps including prime mover in engine room in proper working condition and with proper

delivery of water pressure?
Are fire main piping and all hydrants in good condition without signs of corrosion or wastage or leakage

in running condition and without doublers or soft patches?
Are hydrants valve handles not broken?
Are couplings and valves free of leakages?
Are pressure gauges in good order?
Is the emergency fire pump including prime mover in proper working condition with sufficient suction

and normal water delivery pressure maintained as required?
Are exhaust lines properly insulated?
Is exhaust gas piping in good order?
Is isolating valve operating normally?
Condition
C. Navigational Equipment / Safety of Navigation
Y N Remarks
.1 MAGNETIC COMPASS Next annual Inspection due:

Communication between the standard compass position and the main steering position
Bubbles are not in the compass
Table / curve of residual deviation (every 1 year) is available
Bearing device is provided
Spare Magnetic Compass (or Heading Gyro Repeater) is provided and stored upside down
.2 GYRO COMPASS Next annual Inspection due:
Condition of the master gyro and gyro repeaters for bearing with bearing device
Gyro compass repeater at emergency steering position is available
Communication system between the main steering position and emergency steering position
Auto Pilot working satisfactorily
Versatile change-over between manual and automatic
Track Control System working satisfactorily and versatile change-over between manual and automatic
.3 RADAR Next annual Inspection due:
Working satisfactorily
Plotting facilities are available
.4 VHF Installation Next annual Inspection due:
Function satisfactorily – DSC checked
.5 MF Installation Next annual Inspection due:
.6 MF / HF Installation Next annual Inspection due:
.7 INMARSAT-C Next annual Inspection due:
Function satisfactorily including EGC receiver
.8 NAVTEX receiver Next annual Inspection due:
Function satisfactorily
.9 SATELLITE EPIRB Next annual Inspection due:
Function satisfactorily
Validity of battery checked
Free float sensor date checked / not expired
.10 ANTENNA Next annual Inspection due:
Satisfactory condition, without damage or missing components
Antenna masts and brackets in good condition, without heavy corrosion or wastage
D-07
Date: 10/10/2019
Frequency: Monthly
Condition
C. Navigational Equipment / Safety of Navigation
Y N Remarks
.11 ARPA Next annual Inspection due:
.12 AUTOMATING TRACKING AID (ATA) Next annual Inspection due:
.13 ELECTRONIC TRACKING AID (ETA) Next annual Inspection due:
.14 ECHO SOUNDER Next annual Inspection due:
.15 SPEED AND DISTANCE LOG THROUGH THE WATER Next annual Inspection due:
.16 INDICATORS FOR RUDDER ANGLE, PROPELLER RPM Next annual Inspection due:
.17 ECDIS Next annual Inspection due:
Electronic Navigation Charts are available and up-dated
Back-up System (If provided instead of nautical charts)
Electronic Nautical publications
.18 GPS RECEIVER Next annual Inspection due:
.19 AUTOMATIC IDENTIFICATION SYSTEM (AIS) Next annual Inspection due:
.20 VOYAGE DATA RECORDER Next annual Inspection due:
.21 SIMPLIFIED VOYAGE DATA RECORDER Next annual Inspection due:
.22 LONG RANGE IDENTIFICATION & TRACKING (LRIT) Next annual Inspection due:
.23 DAYLIGHT SIGNAL LAMP Next annual Inspection due:
Check Lamps correctly operating.
Check the portable battery to be fully charged, covers and carrying strap to be secure.
Check availability of 3 spare bulbs.
.24 NAVIGATION LIGHTS Next annual Inspection due:
Fore & aft masthead lights
Side lights
Stern light
Anchor light
Not under command light
Distribution panel
Emergency lights (Accommodation/Main Deck & Engine Room) correctly operating
.25 SOURCES OF ENERGY Next annual Inspection due:
Main source in good order
Emergency source in good order
Reserve source in good order
Batteries in good condition as a result of measuring specific gravity of acid, liquid level and terminal

voltage
.26 SEXTANT Next annual Inspection due:
Check error of sextant, condition of mirrors, glass filter, index arm, frame, drum, telescope
D-07
Date: 10/10/2019
Frequency: Monthly
D. Marpol Condition
Y N Remarks
.1 OIL FILTERING EQUIPMENT (OILY WATER SEPARATING EQUIPMENT)

Next annual Inspection due:
Is Oil filtering equipment operating normally without visible oil in discharged water?
15 PPM alarm tested operating satisfactorily
Automatic stopping device functions properly
Oil Discharged Monitor (ODM) operation checked and found satisfactory
No corrosion, wastage holes on the outer casing of Oil filtering equipment?
No corrosion, wastage or holes in the discharge line from Oil filtering equipment?
Operation of valves and pressure gauges in good order
Is maintenance works for piping and Oil filtering equipment properly recorded in oil record book?
Sampling test for filtered water from test cock as required
Discharge piping without oil trace in piping
Sludge pump operates satisfactorily
No by-pass line fitted / installed to oil filtering equipment without Class approval?
.2 15 PPM ALARM ARRANGEMENT Next annual Inspection due:
Is the 15 ppm-alarm arrangement operated normally?
Is the automatic stopping device for 15 ppm-alarm arrangement operating normally?
.3 INTERNATIONAL SHORE CONNECTION Next annual Inspection due:
Exits at least one International shore connection with standard flange dimensions including reducer

piece with appropriate bolts and nuts (four sets each of 16 mm in diameter, 50 mm in length) and one
gasket packing available on board as per safety plan?
Remarks:
Master Chief Officer (Safety Officer) Chief Engineer

(Name & signature) (Name & signature) (Name & signature)
D-07
Date: 10/10/2019
Frequency: Monthly
Vessel:
Date:
CALIBRATION OF INSTRUMENT
LAST EXPIRY
A/A DESCRIPTION INSPECTION DATE REMARKS
DATE
1. O2 analyzer inspection
ashore
2. O2 analyzer inspection
by Chief Officer
3. Calibration of
Thermometer for
Temperature gauge
tester calibration
4. Calibration ashore of
Pressure gauges
5. Temperature gauge
tester inspection by
Chief Engineer
6. Pressure gauge tester
inspection by Chief
Engineer
7. Oily bilge separator 15
ppm check calibration
by Chief Engineer
8. Aux. boiler pressure
gauge calibration
check by Chief
Engineer
9. EGE pressure gauge
calibration check by
Chief Engineer
Instructions:
a) O2 analyzer to be checked/ calibrated by ashore company every year. Every 2-months Chief
Officer to check its normal working conditions. In all cases this form to be updated accordingly.
b) A certified thermometer must be onboard in order Chief Engineer to check the calibration of
temperature gauge tester.
c) Certified pressure gauges (3pcs) to be calibrated ashore every year.
d) Chief Engineer to check every 4-months the calibration of oily bilge 15 PPM indicator at 0 PPM by
flushing the system with clean fresh water.
e) Chief Engineer to check the calibration of aux boiler and EGE local and control press gauges with
above pressure gauge tester onboard, every 6-months.
Chief Engineer (name & signature) Chief Officer (name & signature)
D-09
Date: 31/12/2018
Frequency: 2 Months
Issue/Revision: 2/0 File:D-2 Page 1 of 1
DECK EQUIPMENT INSPECTION REPORT

Vessel: Date:
S/N DESCRIPTION CONDITION D-02 DATE

The following inspections / checks to be carried out every month
1 Inspect Windlass No.1
Winch, Clutch, Break lining, brake control
Foundation and casing
Motor + Pump No 1
2 Inspect Windlass No.2
Motor + Pump No 2
3 Port Anchor, inspect chain and chain security system
4 Stbd Anchor, inspect chain and chain security system
5 Inspect Mooring winches on main deck
6 Inspect Mooring winches aft
Motor + Pump No 1
Motor + Pump No 2
7 Inspect Fairleaders, Bitts, Mooring Rollers
8 Inspect Deck Bunker Line, Valves and gauges
9 Inspect Deck Hydraulic Lines, Jacks and Valves
10 Inspect Deck Ballast Line and Valves
11 Inspect Deck Compressed Air Lines and Valves
12 Inspect Deck CO2 Lines and Valves
13 Inspect Deck Hydraulic Pumps (on Deck)
14 Inspect Deck Lighting System, Deck Lights, Plugs, etc
15 Inspect Port Accomm. Ladder, general condition
16 Inspect Port Accomm. Ladder Winch, Wires, Blocks
17 Inspect Stbd Accomm. Ladder, general condition
18 Inspect Stbd Accomm. Ladder, Winch, Wires, Blocks
19 Inspect Combination Ladder Port, Winch, Wires,etc
20 Inspect Combination Ladder Stbd, Winch, Wires, etc
21 Inspect Drainage Arrangements
22 Inspect Electric boxes, cabling
23 Inspect Bulwark, Ship Side Rails
24

(Sign) (Sign & Stamp)
D-10
Date: 31/12/2018
Frequency: Monthly
MASTER’S 3-MONTHLY INSPECTION REPORT
M/V DATE
CHECK POINTS CONDITION DATE IN D-02 REMARKS

A. HULL STRUCTURE/ EXTERNAL SHELL PLATING
1. TOP SIDES
 Surface of pitting, corrosion and Rust
 Paint Condition Damages
2. AIR PIPES
1. The condition to be checked, corrosion, wastage.
2. The air pipe heads, wire nets, operation of closing floats
to be checked.
3. BOOTOPPING/ VERTICAL
 Surface of plating pitting,corrosion and rust.
 Paint condition. / Damage.
4. FREEBOARD/ DRAFTS, MARKS, NAMES
 To be clearly marked.
5. SEAMS & BUTTS
 The condition to be checked.
B. DECKS & DECK FITTINGS
6. FORECASTLE DECK PLATING
 Surface for corrosion, wastage, pitting, cracks.
 Paint Condition Damages.
7. MAIN DECK & CROSS DECK PLATING
 Surface for corrosion,wastage, pitting, cracks.
 Paint Condition. / Damage.
8. UPPER/POOP, BOAT, ETC. DECKS
 Surface for corrosion, wastage, pitting, cracks.
 Paint Condition. / Damage
9. HATCH COVERS & COAMINGS
 Check for corrosion, wastage,leakages, condition of
channels,packing & cleats.
 Top plate, stays & corners to be checked for wastage &
cracks. Paint condition
10. DECK MACHINERY
 Foundation & casings for corrosion, wastage, cracks.
 Check brake bands, linkages & lining for wastage.
11. ALL PIPING ON DECK WITH VALVES
 To be checked for corrosion, wastage, leakages.
 Check that are properly supported no cracked supports,
no loose wasted “U” bolts.
C. SUPERSTRUCTURE
12. ACCOMMODATION FRONT BULKHEAD
 Weldings ,joints on deck for corrosion, cracks.
 Surface plating for paint condition, local corrosion,
wastage, cracks.
13. ACCOMMODATION SIDE BULKHEAD
 Surface plating for paint condition, local corrosion,
wastage, cracks
14. FUNNEL
 Foundation , surface & top plate for corrosion, wastage,
cracks
MAST HOUSES
 Surface plating for local corrosion, wastage, cracks
D-11
Date: 31/12/2018
Frequency: 3 Months
CHECK POINTS CONDITION DATE IN D-02 REMARKS

15. FORE MAST & RADAR MAST
 Foundation for corrosion, wastage, cracks.
 Plating, access ladders, platforms, protection rails for
corrosion, wastage, cracks.
 Condition of supporting wires.
D. CHAIN LOCKERS (Every year)
16. BULKHEADS
 Condition for wastage, heavy corrosion, cracks.
17. BOTTOM
 Condition for leakages, amount of mud, bleaching plate.
18. LASHING SECURITY MATERIALS
 Bitter end condition to be checked
GENERAL REMARKS
Name of person inspected tank Chief Officer Master
1. CONDITION : Give assessment of condition of the specific section / area in the following (3) condition categories
Notes
2. REMARK : Specify any additional explanatory comments related to the mentioned item (if Grade is Poor).
3. D-02 DATE :Specify the date that works on the items mentioned have been scheduled to be carried out.
4. Complete an ENCLOSED SPACE ENTRY CHECKLIST as may be necessary and keep in file
CONDITION: This column shall indicate an assessment of condition as follows:

GOOD = Condition with only minor problems
FAIR = Condition with local problems or general condition worst than good but better than poor
POOR = Condition with major problems in specific areas or general condition below acceptable levels
D-11
Date: 31/12/2018
Frequency: 3 Months
VESSEL’S WIRE ROPES

SN Certificate
Description Diam x Length Pcs Replace Date Grease date
Yes No
1 Port Boat /Fall Wire FWD
2 Port Boat /Fall Wire AFT
3 Stbd Boat/Fall FWD
4 Stbd Boat/Fall AFT
5 Port Acc. Ladder Hoisting
6 Stowing Davit
7 Davit/platform
8 Stbd Acc.Ladder Hoisting
9 Stowing Davit
10 Davit/platform
11 Mooring Winch Wire FWD
12 Mooring Winch Wire AFT
13 Towing Wire
14 Port Pilot Ladder Hoisting
15 Stowing
16 Stbd Pilot Ladder Hoisting
17 Stowing
18 Port Provision Crane Hoisting
19 Luffing/Topping
20 Stbd Provision Crane Hoisting
21 Luffing/Topping
22 ENGINE R/M Overhead Hoist
23 CRANE NO 1 – Hoisting
24 Luffing/Topping
26 Luffing/Topping
28 Luffing/Topping
30 Luffing/Topping
32 Luffing/Topping
33 SPARE WIRE
34 SPARE WIRE
35 SPARE WIRE
36 SPARE WIRE
37 SPARE WIRE
38 SPARE WIRE
Master:____________________________
D-11
Date: 31/12/2018
Frequency: 3 Months
VESSEL’S SAFETY RECORD

LIFE BOAT PORT QTY Expiry Date LIFE BOAT STBD QTY Expiry Date
Food ration Food ration
First aid kit First aid kit
Seasickness tablets Seasickness tablets
Hand flares Hand flares
Parachute signals Parachute signals
Smoke signals Smoke signals
Davits Test Davits Test
Wire Falls Reversed Wire Falls Reversed
Portable Fire Exting Portable Fire Exting.
Equipment + Fittings Last inspection date: Equipment + Fittings Last inspection date:
LIFE RAFT No1 No 2 No3 No4 No5
Position
Persons Capacity
Maker
Annual Insp. Due
Hydrost. Release
Due
BREATH.APPAR SET No1 SET No 2 SET No3 SET No4 SPARE SET
Location / Position
MAKER
Capacity (LT)
Annual Inspect. DUE
Bottles Hydro-test
Emergency Escape Breathing Devices (EEBDs)-Inspection DUE date
Emergency Escape Breathing Devices-Cylinders Inspection DUE date
FIRE EXTINGUISH. WATER FOAM CO2 HALON DRY POWDER
Quantity
Capacity (Kg)
Inspection DUE
BTLS Hydro-test Due
Fixed Fire Exting. For Spaces No of BTLS BTLS Location Syst. Insp. DUE BTLS Hydro Test
System DUE
CO2
Foam
Halon
OTHER SAFETY ITEMS
SAFETY ITEMS QTY Exp. DATE SAFETY ITEMS Exp. DATE
Line Throwing Apparatus EPIRB Data
Bridge Parachute signals EPIRB Battery
Bridge Smoke Signals EPIRB hydrostatic release
Bridge Hand Flares SART No 1 Batteries
Life Buoys without Lights SART No 2 Batteries
Life Buoys with Lights Man Overboard PORT
Wing
Life Jackets Man Overboard STBD
Wing
Life Jackets Lights VHF 1 (battery)
Immersion Suits (Lights) VHF 2 (battery)
Oxygen Meter VHF 3 (battery)
Master:____________________________
D-11
Date: 31/12/2018
Frequency: 3 Months
Weekly Safety Inspection Report
Vessel: Date (mmm-yy):
Vessel is eqquipped with: 2 Lifeboats which one of them is used as Rescue Boat.
1 Free-fall Lifeboat and 1 Rescue Boat
Notes: 1. Before starting use this form check on of the above checkboxes.
2. Following tests and inspections shall be carried out weekly and a report of the inspection shall be entered in the logbook.
3. Condition to assessed as follows:
GOOD = Without problems
FAIR = Local minor problems requiring attention
POOR = Major problems in specific areas below acceptable levels requiring urgent action
Week: Week: Week: Week: Week:

A. Lifeboat / Davits / Winches Date: Date: Date: Date: Date:
G F P G F P G F P G F P G F P
All Life boats and launching appliances visually
i.
inspected for readiness.
Condition of ropes, hooks, their attachment to the
ii. lifeboat and the on-load release gear being
properly and completely reset.
All engines in lifeboats run tested for at least 3
minutes with gearbox & gearbox train engaged
iii.
satisfactorily. A suitable water supply to be
provided if required.
Moved from their stowed position without any
iv
iv. persons on board and lowered to embarkation
deck
v. Instructions are posted
vi. General Emergency Alarm tested
vii. Launching area illuminated as required

B. Rescue Boat / Davits / Winches Date: Date: Date: Date: Date:
(Lifeboat which is used as Rescue Boat)
All Life boats and launching appliances visually
i.
inspected for readiness.
Condition of ropes, hooks, their attachment to the
ii. lifeboat and the on-load release gear being
p p y and completely
properly p y reset.
All engines in lifeboats run tested for at least 3
minutes with gearbox & gearbox train engaged
iii.
Moved from their stowed position without any
iv. persons on board and lowered to embarkation
deck
v. Instructions are posted
vi. General Emergency Alarm tested
vii. Launching area illuminated as required
D-12
Date: 01/09/2020
Frequency: Weekly

A. Free Fall Lifeboat and its launching
Date: Date: Date: Date: Date:
appliance G F P G F P G F P G F P G F P
Visual inspection of the davit / boat to ensure that
i
i.
the system is ready for use.
Ensure embarkation area is free of obstructions.
Inspect davit / launching ramp to ensure that the
ii.
lifeboat will achieve an unrestricted path down
the skid way.
Ensure that aft door and all hatches are closed
iii.
and boat is ready to be used in an emergency.
Check electrical supply plug is connected to boat
iv.
and
d supply
l iis tturned
d “ON”
“ON”.
Check the free fall release system for leakage of
v. hydraulic fluid and that the steering system has
no leaks.
Inspect all hydraulic connections for leakage
vi.
wear and tear.
Davit limit switches to be checked for correct
vii.
operation during re-stowing.
All engines
i in
i lif
lifeboats
b t running
i ttested
t d ffor att lleastt
3 minutes with gearbox & gearbox train engaged
viii.
ix. Illumination in launching area.

B. Rescue Boat and its launching
Date: Date: Date: Date: Date:
appliance G F P G F P G F P G F P G F P
Visual inspection of the boat structure and the
i. davit system for any damage and ensure that
they are ready for immediate use.
Check the boat interior, the loose equipment is
ii. correctly stored in serviceable conditions. Inspect
lifting sling
Check fuel tank is full, check oil is full. See
iii. operation and maintenance manual for engine
details.
Davit Accumulator bottle, working pressure to be
iv. about 210 bar, for more information refer to
Maker’s Manual.
Engine(s) in rescue boat(s) running tested for at
v. least 3 minutes. A suitable water supply to be
vi. Illumination in launching area
DO NOT RUN LIFE / RESCUE BOAT ENGINE FOR MORE THAN ONE MINUTE WITHOUT SEA WATER COOLING
D-12
Date: 01/09/2020
Frequency: Weekly

C. Liferafts and its launching appliance Date: Date: Date: Date: Date:
i. Visual inspection
ii. Check Hydrostatic release
iii. Check stowage arrangements
iv. Illumination in launching area
D. General / Fire Alarms

D Alarms, Bells
Bells, Sirens
Sirens, Week: Week: Week: Week: Week:
Emergency / Fire Alarms Switches & Date: Date: Date: Date: Date:
Public address system G F P G F P G F P G F P G F P
Alarm switches to be operated and Bells, Horns,
i. Sirens and Rotating Lights, if fitted to be checked
for correct operation.
Public address system to be checked for proper
ii.
function.
*Remarks / Suggestions (if any): *Company to be informed by email when remarks / suggestions issued.
#.
#.
#.
#.
#.
#.
#.
#.
#.
#.
#.
#.
#.
#.
#.
#.
Master Chief Officer (Safety Officer) Chief Engineer

(Name, signature & stamp) (Name & signature) (Name & signature)
D-12
Date: 01/09/2020
Frequency: Weekly
NAVIGATION – RADIO EQUIPMENT INSPECTION REPORT

Vessel: Date:
Description / Requirements CONDITION D-02 DATE

1 Compass - Check the operating condition of Master Gyro
Check the operating condition of Gyro Repeaters
Check that the deviation record is maintained
Check the operating condition of Compass at Emerg. Steering Position
2 Radar No.1, No 2, ARPA – Check the operating condition
3 Voyage Data Recorder VDR – Simplified Voyage Data Recorder SVDR
4 Echo Sounder - Check the operating condition
5 Log meter - Check the operating condition
6 Rudder angle indicators–Check the operating condition
7 M/E RPM indicators-Check the operating condition
8 GPS 1 - Check the operating condition
9 GPS 2 - Check the operating condition
10 Navigation Lights
Check the fore and aft Mast head lights
Check the anchor, side and stern lights
Check the not under – command lights
Check the distribution panel - Alarms
11 Black ball shapes – (existence of 3 sets at least)
12 Forecastle bell, gong – Check the condition / test
13 Whistle – Horn Check the condition / test
14 Autopilot – Check the operating condition
15 Telegraphs – Check the operating condition
16 Nautical Publications & Charts – Availability / Updated
GMDSS Installation
1 Check the validity of the contract with Maintenance Co.
2 Check the supply from the Main Source of Power
3 Check the supply from the reserve source of power
4 Check Call Sign, Station ID, Codes (clearly marked)
VHF – Check the operation by using routine test calls to
5
a Coastal Station or another vessel
MF/HF – Check the operating condition by sending acknowledge
6
message to a Coastal Station
INMARSAT Ship Earth Station – Check the operating condition
7
by using in / out messages
8 Hand handle GMDSS VHF – Check the batteries
9 NAVTEX Receiver–Check the operation by incoming MSG
EPIRB – Check the position and mounting for float free ability
10
and the condition of batteries and hydrostatic release
11 SART – Check the position of mounting and batteries
12 Check that Radio Log Book is always updated
CONDITION= GOOD , FAIR, POOR
Second Officer Master

(Signature) (Signature & Stamp)
D-13
Date: 31/12/2018
Frequency: Monthly
CARGO GEAR EQUIPMENT INSPECTION REPORT
Vessel: Date:
DESCRIPTION / REQUIREMENTS CONDITION D-02 DATE

Check the overall operating condition of all the cranes
Check the condition and the settings of the limit switches
Check the overall condition of crane(s) , structure , painting, etc
Check the condition of crane(s) foundation structure, bolts,etc
Check the condition of all markings
Check the operating condition of the hydraulic pumps
Check the condition of the hydraulic pumps for leakages
Check the operating condition of the hydraulic motors
Check the condition of the hydraulic motors for leakages
Check the condition of the hydraulic oil piping, connections, valves, etc
Check the condition of the brakes and the brake linings
Check the condition of the oil coolers and filters
Check the condition of insulation of motors (megger test)
Check the condition and grease hinges, bearings, gears, rollers, wires, etc.
Check the condition of door, lighting, fan, heater, etc. of the operator’s cabs.
Check the condition of crane(s) operator’s cab/cabins internally
Check the condition of conductors’ conducts
Check the condition of hoisting wires
Check the condition of topping wires
Check the condition of the runner swivels
Check the condition of the chain rings
Check the condition of the shackles
Check the condition of the cargo hooks
Check the condition of the heaves
Check the condition of the blocks
CONDITION = GOOD OR FAIR OR POOR

(Sign) (Sign & stamp)
D-14
Date: 31/12/2018
Frequency: Monthly
File: D-2
Issue/Revision:2/0 Page 1 of 1
MEANS OF EMBARKATION AND DISEMBARKATION INSPECTION REPORT

Vessel: Date: …/…./….
The following accommodation ladder items have been inspected as per

the requirements of SOLAS Chapter III Reg. 20.7.2
CONDITION
S/N DESCRIPTION GOOD FAIR POOR
P S P S P S
1 Steps
2 Platforms
3 All support points such as pivots, rollers

etc.
4 All suspensions points such as lugs,

brackets etc.
5 Stanchions, rigid handrails, hand ropes

and turntables
6 Davit structure
7 Wire rope
8 Sheaves and Bearings
9 Limit Switch
10 Treads
12 Wheels, rollers etc.
13 Other relevant provisions stated in the

guidelines.
Upon completion please mention in the Bridge logbook that “Monthly Inspection to the Vessel’s
embarkation means carried out as per the requirements of SOLAS Chapter III Reg. 20.7.2.”
Chief Officer’s Name: Master’s Signature:
D-15
Date: 31/12/2018
Frequency: Monthly

POTABLE WATER TEST LOG BOOK
VESSEL:
DATE:
TEST CARRIED BY:
SAMPLING FROM:
TEST TYPE Desired Results Pass Fail
Values
Bacteria Test None
Lead <15 ppb
Pesticide Test <3 ppb
Pesticide Test <4 ppb
Total Nitrate/Nitrate <10.0 ppm
Nitrite Test <1.0 ppm
Chlorine Test <4 ppm
PH 6.5-8.5
Hardness <=100 ppm
Copper Test 1.3 ppm
Iron Test 0.3 ppm
Legionella None
Remarks
Name and signature:
D-16
Date: 31/12/2018
Frequency: Occasion
REFRIGERATOR TEMPERATURE LOG
Month:_____________________ 20___
Refrigerator-Name location:____________________
Day Time Recorded Temp IN Temp OUT REMARKS

by
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
D-17
Date: 31/12/2018
Frequency: Occasion
CONBULK SHIPMANAGEMENT CORP. CREW-01
Crew Appraisal Report
CONFIDENTIAL REPORT
Vessel: Date:
Name: Rank: Date Signed On:
3 months after embarkation

Upon disembarkation
* Please tick us appropriate
Grading A B C D E
Codes Unacceptable Poor Good Very Good Excellent
Evaluation on A B C D E Remarks
Performance On Duty
Communication Skills
Administrative Skills
Pollution & Safety Awareness
Diligence
Discipline
Conduct / Attitude
Teamwork
Comments Yes No
Do you consider that the accessed crew member is able to work without supervision?
Is assessed crew member ready for promotion?
Do you consider the assessed crew member suitable for future employment?
Master Chief Engineer

(Name, Signature & Stamp) (Name, Signature & Stamp)

1. Each crew member must be appraised 3 months after embarkation and immediately upon disembarkation by
the Master or the Chief Engineer as applicable.
2. The appraisal report must be truthful, factual and objective.
3. The appraisal report is not retained on board.
CREW-01
Date: 01/09/2020
Frequency: Occasion
Issue/Revision:2/1 File: C-1 Page 1 of 1
CREW CERTIFICATES LIST

Date:
M/V: Flag:
No NAME NAT RANK PASSPORT SEAMAN BOOK NATIONAL CERTIFICATE OF COMPETENCY SHIP'S FLAG REQUIRMENTS
NATIONALITY OF
CERTIFICATE No
ENDORSEMENT
ENDORSEMENT
DISPENSATI
CERTIF EXPIRY
EXPIRY DATE
EXPIRY DATE
CERTIFICATE
CERTIF No
ON OR
CAPACITY
CAPACITY
PROOF OF GMDSS SEAMAN
EXCEPTION
DATE
date APPLICATIO G.O. BOOK
No No ISSUED ON EXP. DATE IF ANY
sign on N EXPIRY EXPIRY EXPIRY ………………
DATE DATE DATE ………...EXPI
RY DATE
A.-DECK OFFICERS
1 MASTER
2 CH OFF
3 2ND OFF
4 3RD OFF
B.-ENGINE OFFICERS
5 CH. ENG.
6 2ND ENG.
7 3RD ENG.
8 4TH ENG.
9 ELECTR
C.-DECK RATINGS
10 BOSUN
11 A/B
12 A/B
13 A/B
14 O/S
15 D. CADET
16 D. CADET
D. CADET
D.-ENGINE RATINGS
17 WIPER
18 WIPER
19 WIPER
20 FITTER
21 FITTER
EN.CADET
EL.CADET
E.-CATERING PERSONNEL
22 COOK
23 A/COOK
24 MESSBOY
ADD COMMENTS EACH CELL SEPARETELY (RIGHT CLICK,THEN INSERT COMMENT FOR RESPECTIVE CELL, WRITE... AND THEN SAVE) THE MASTER
FILL COLOUR EACH CELL AS REQUIRED
UNL CERTIFICATE WITH OUT EXPIRATION DATE
IF YOU HAVE ONLY COPY OF APPLICATION
WARNING FOR ONE MONTH BEFORE EXPIRATION
WARNING IF CERTIFICATE ALREADY EXPIRED DUE TO INADVERTENCE
CREW-02
Date: 31/12/2018
Frequency: Monthly
Issue/Revision: 2/0 File: C-1 Page 1 of 2
CREW CERTIFICATES INVENTORY

M/V: Flag: Date:
LIFE
RANK MEDICAL
No NAME NAT CSO or MEDICAL SAVING & YELLOW
FITNESS PROF. IN FAST
U.S. VISA SSO CERT CARE F.FIGHTING FEVER
CARD R/BOATS
EXPIRY DATE ISSUED EXPIRY APPLIANCE ISSUED ON VACCINATI
date sign EXPIRY ON DATE
DATE DATE S ISSUED
on DATE
ON
A.-DECK OFFICERS
1 MASTER
2 CH OFF
3 2ND OFF
4 3RD OFF
B.-ENGINE OFFICERS
5 CH. ENG.
6 2ND ENG.
7 3RD ENG.
8 4TH ENG.
9 ELECTR
C.-DECK RATINGS
10 BOSUN
11 A/B
12 A/B
13 A/B
14 O/S
15 D. CADET
16 D. CADET
D. CADET
D.-ENGINE RATINGS
17 WIPER
18 WIPER
19 WIPER
20 FITTER
21 FITTER
EN.CADET
EL.CADET
E.-CATERING PERSONNEL
22 COOK
23 A/COOK
24 MESSBOY
THE MASTER
ADD COMMENTS EACH CELL SEPARETELY (RIGHR CLICK,THEN INSERT COMMENT FOR RESPECTIVE CELL, WRITE... AND THEN SAVE) capt
FILL COLOUR EACH CELL AS REQUIRED
UNL CERTIFICATE WITH OUT EXPIRATION DATE
IF YOU HAVE ONLY COPY OF APPLICATION
WARNING FOR ONE MONTH BEFORE EXPIRATION
WARNING IF CERTIFICATE ALREADY EXPIRED DUE TO INADVERTENCE
CREW-02
Date: 31/12/2018
Frequency: Monthly
Issue/Revision: 2/0 File: C-1 Page 2 of 2
MASTER’S HAND OVER REPORT
I the undersigned Captain ……………………………………………………………. of M/V
………………………………… under ………………………………… flag, hereby declare that today
………………………… on ……………….……… hours, at the port of
………………………………………………delivered the command of this vessel to Captain
………………………………………………… who took over this command, as follows:
S/
Description Tick
N
1 Stores with Bunkers, Lubricants and Fresh Water as per attached protocol “A”.
2 Points of Particular Interest regarding the vessel notified as per attached protocol “B”.
3 Remaining Cash to Master on board delivered as per attached protocol “C”.
4 Bonded stores delivered as per attached protocol “D”.
5 Other Files & Books delivered as per attached protocol “E”.
6 On board wires as per attached protocol “F”.
7 OPS-03 Form
8 Sup-04 Form
9 Crew list
10 Crew-02 Form
11 MGA
12 OPS-11 Form
13 Vessels filling system as per Policy and Procedures Manual Appendix “C”
This is a true and correct statement
The Outgoing Master The Incoming Master
Name & Signature Name & Signature
CREW-03
Date: 31/12/2018
Frequency: Occasion
File: C-1
PROTOCOL “ A ”
BUNKERS, LUBRICANTS & FRESH WATER R.O.B
BUNKERS
cSt Total Quantity on Board
H.F.O
mt
M.D.O mt
Gas Oil mt
LUBRICANTS
TOTAL QUANTITIES ON BOARD
PURPOSE TYPE In Bulk In Drums In Pails
(Ltrs) (208 Ltrs) (25 Ltrs)
M/E Cylinder Oil
M/E System Oil
D/G System Oil
Steering Gear Oil
Deck hydraulic
Winches oil
FRESH WATER
USE R.O.B
Drinking mt
Wash mt
Distilled mt
Evaporator daily production mt
F.W Daily Consumption mt
CREW-03
Date: 31/12/2018
Frequency: Occasion
File: C-1
PROTOCOL “ B ”
POINTS OF PARTICULAR INTEREST

S/ ITEM REMARKS
N
CREW-03
Date: 31/12/2018
Frequency: Occasion
File: C-1
PROTOCOL “ C ”
MASTER’S CASH ACCOUNT
I, the undersigned Captain , incoming

Master of M/V ,received today from
Captain ,outgoing Master, the
amount of United States Dollars ($, )
as Cash To Master.
CREW-03
Date: 31/12/2018
Frequency: Occasion
File: C-1
PROTOCOL “D”
BONDED INVENTORY LIST
CIGARETTES
COST PER
S/N BRAND CARTONS TOTAL
CARTON USD
01
02
03
04
05
06
TOTAL (USD)
SPIRITS
COST PER
S/N BRAND BOTTLES TOTAL
BOTTLE USD
01
02
03
04
TOTAL (USD)
PHONE CARDS
COST PER
S/N CARDS QUANTITY TOTAL
CARD USD
01 OTESAT PHONE CARDS
GRAND
TOTAL
CREW-03
Date: 31/12/2018
Frequency: Occasion
File: C-1
PROTOCOL “ E ”
OTHER FILES & BOOKS

TITTLE REMARKS
01 Deck Log Book
02 Engine Log Book
03 GMDSS Book
04 Noon Position Report Book
05 Garbage Log Book
06 Oil Record Book
07 Ship’s Article
08 Crew Seaman’s Books and/or Passports
09 Crew Vaccination/Health Books
10 Crew Certificates (original)
11 Crew Contracts
12 Trim & Stability Book (original - approved)
Grain Loading Manual for Untrimmed Ends
13
(original - approved)
Grain Loading Manual for Trimmed Ends
14
(original - approved)
15 P/I Address Book
16 Compass Deviation Book
17 Master’s Night Order Book
18 Standing Orders
19 Tank Sounding Book
20 Ballasting / Deballasting Records
21 G.P.S Fixes Book
22 Chronometer Rate Book
23 Radar Log Book
24 Maintenance Radar Log Book
25 Bell Book
26 Cargo Ventilation Book
27 Battery Log Book
28 Defects Book for Dry Docking
29 Loading Computer Manual
30 Loading Program – Test Conditions

CREW-03
Date: 31/12/2018
Frequency: Occasion
File: C-1
PROTOCOL “ F ”
VESSEL’S WIRE ROPES

Replace Grease Certificate
SN Description Diam x Length Pcs
Date date Yes No
1 Port Boat /Fall Wire FWD
2 Port Boat /Fall Wire AFT
3 Stbd Boat/Fall FWD
4 Stbd Boat/Fall AFT
5 Port Acc. Ladder Hoisting
6 Stowing Davit
7 Davit/platform
8 Stbd Acc.Ladder Hoisting
9 Stowing Davit
10 Davit/platform
11 Mooring Winch Wire FWD
12 Mooring Winch Wire AFT
13 Towing Wire
14 Port Pilot Ladder Hoisting
15 Stowing
16 Stbd Pilot Ladder Hoisting
17 Stowing
18 Port Provision Crane Hoisting
19 Luffing/Topping
20 Stbd Provision Crane Hoisting
21 Luffing/Topping
22 ENGINE R/M Overhead Hoist
24 Luffing/Topping
26 Luffing/Topping
28 Luffing/Topping
30 Luffing/Topping
32 Luffing/Topping
33 SPARE WIRE
34 SPARE WIRE
35 SPARE WIRE
36 SPARE WIRE
37 SPARE WIRE
38 SPARE WIRE
CREW-03
Date: 31/12/2018
Frequency: Occasion
File: C-1
Deck / Engine Watches
Vessel: Date:
At Sea
a. Officers
Watch (From - To) Rank Name
b. Ratings
At Port
a. Officers
b. Ratings
Verified by Master / Chief Engineer

(Name, Signature & Stamp)
CREW-04
Date: 01/09/2020
Frequency: Occasion
Alcohol Random Test Results
Vessel: Date:
S/N Name Rank Time of Test Result (MG%) Tester Sign. Witness Sign.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
Master
(Name, Stamp & Signature)
CREW-05
Date: 01/09/2020
Frequency: Occasion
Table of Shipboard Working Arrangements and Resting Hours
Vessel: Flag: IMO No.: Last Updated:
The minimum hours of rest are applicable in accordance with the MLC, 2006 Ratification Law of 2011 and the ILO Maritime Labour Convention, 2006 (MLC 2006) and with any applicable collective
agreement registered or authorized in accordance with that convention and the STCW 1978, Convention, as amended.
Minimum Hours of Rest: Minimum Hours of Rest shall not be less than: (i) 10 hours in any 24-hour period; and (ii) 77 hours in any 7-day period.
Other Requirements:
Schedule Daily Work Hours at Sea Schedule Daily Work Hours in Port Total Daily Rest Hours
1
Position* / Rank Watch keeping Non - Watching Duties Watch keeping Non - Watching Duties Comments
At Sea At Port
(from - to) (from - to)2 (from - to) (from - to)2
1
Terminology used should be the same as listed in other documents such as the Minimum Safe Manning Certificate or the Station Bill
2
For watchkeeping personnel, the comments section may be used to indicate anticipated hours that may be devoted to unscheduled work, and any such hours should be included when
recording the total daily rest hours column.
* Use Number as per Current Crew List (e.g. 1 / Master, 2 / Ch.Off., etc)
Master
(Name / Signature / Vessel's Stamp)
CREW-06
Date: 01/01/2020
Frequency: Monthly
Issue/Revision:2/1 File: C-1 / E-2 Page 1 of 2
Table of Shipboard Working Arrangements and Resting Hours
Vessel: IMO No.: Flag: Year: Month:

Seafarer Full Name: No. as per Crew List: Rank: Watchkeeper: Not to be completed by Seafarer
Work Period of Rest
24 HoursTime Scale (Indicate Periods of Work) Hours of Work in Hours of Rest in
Total Total Continue Min. Rest. Weekly
any 7 Day Period any 7 Day Period
Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 00 Hours Hours 6 Hours 10 Hours 77 Hours
1 0 24 TRUE TRUE
2 0 24 TRUE TRUE
3 0 24 TRUE TRUE
4 0 24 TRUE TRUE
5 0 24 TRUE TRUE
6 0 24 TRUE TRUE
7 0 24 TRUE TRUE TRUE 0 168
8 0 24 TRUE TRUE
9 0 24 TRUE TRUE
10 0 24 TRUE TRUE
11 0 24 TRUE TRUE
12 0 24 TRUE TRUE
13 0 24 TRUE TRUE
15 0 24 TRUE TRUE
16 0 24 TRUE TRUE
17 0 24 TRUE TRUE
18 0 24 TRUE TRUE
19 0 24 TRUE TRUE
20 0 24 TRUE TRUE
22 0 24 TRUE TRUE
23 0 24 TRUE TRUE
24 0 24 TRUE TRUE
25 0 24 TRUE TRUE
26 0 24 TRUE TRUE
27 0 24 TRUE TRUE
29 0 24 TRUE TRUE
30 0 24 TRUE TRUE
Period of rest: Minimum 10 hrs in any 24 hour period, with one rest period to be at least 6 consecutive hours. 77 hours / rest (off-period) for each 7 day period / A copy of this record to be given to the seafarer.
SEAMAN MASTER
Signature (Name / Signature / Vessel's Stamp)
CREW-06
Date: 01/01/2020
Frequency: Monthly
Issue/Revision:2/1 File: C-1 / E-2 Page 2 of 2
New Crew Familiarization
Seaman Name: Rank:

Vessel's Name: Familiarization Completed Date:
A. Safety Familiarization (All new Joining Crew prior to Vessels sailing) Check
1. Lifeboat Assigned - Position - Launching arrangements.
2. Lifebuoys onboard (Position).
3. Liferafts (Position - Capacity - Launching arrangements).
4. Personnal Card location.
5. Muster Stations - Muster List - Escape routes.
6. Fire fighting equipment for Accomodation (Types-Colours) - use of fire extinguishers.
7. Fire Fighting equipment for Machinery and Cargo spaces.
8. Main and Emergency Fire Pumps location and activation points.
9. Handling of fire, weathertight and watertight doors other than those for hull openings.
10. Firemans outfit and Breathing apparatus (Number - Location).
11. Communication with other persons o/b on elementary safety matters and understanding of safety symbols,
signs and alarm signals.
12. Actions in case of MOB.
13. Action when fire or smoke is detected.
14. Lifejackets location and donning.
15. Emergency Alarms (Fire - Emergency - Abandon Ship) - actions when alarms are sounded.
16. Actions in case of accident or other medical emergency.
B. Safety Familiarisation (All new Joining Crew within 48 hours of joining) Check
1. Safe Working Practices followed onboard (Helmets-Safety Shoes - Gloves - Goggles - Ear muffs).
2. Lifeboat engine operation.
3. Battery connection to lifeboat.
4. Lifeboat plugs
5. Fire dampers - quick closing valves.
6. Explanation of CO2 (Location - Evacuation requirements).
7. Firemans outfit demonstration.
8. Breathing Apparatus demonstration.
9. Emergency Air Compressor location and demonstration.
10. Emergency Escape Breathing Apparatus (location & demostration).
C. Safety Familiarisation (All new Joining Crew within 7 days of joining) Check
1. Emergency Fire Pump demonstration.
2. Emergency Steering demonstration.
3. Emergency Generator demonstration.
4. Hot Work permits.
5. Enclosed space entry permits.
6. Smoke Detection System.
7. Hazmat training and Hazmat protective equipment.
8. EPIRB and SART location - use.
9. Communication with other persons o/b.
D. Conbulk Safety Management System S.M.S. (All new Joining Crew within 7 days of joining) Check
1. How many S.M.S. Manuals existing onboard.
2. Where can you find Manuals?
3. In which manual can you find the responsibilities of each crewmember?
4. Who is Designated Person Ashore (D.P.A.)
5. Explain Safety and Environmental Protection Policy.
6. Explain Drug and Alcohol Policy.
7. Safety Drills (frequency).
8. Safety Meetings (frequency).
9. Ship Energy Efficiency Management Plan (SEEMP).
Seaman Safety Officer Chief Officer Verified by Master

(Signature) (Name & Signature) (Name & Signature) (Name & Signature)
CREW-07
Date: 01/09/2020
Frequency: Occasion
Visitor's Familiarization Basic Emergency Information
Workshop Personnel - Foreign Superintendents - Passengers for staying overnight only

(Handed-over upon Embarkation)
Name: Rank:
Port: Date:
Vessel:
S/N Items / Details Explanation Position Duties
a. Safety Tour Carried out - -
Continuous ringing of ships Immediately report to the

b. Emergency / Fire Signal Stand By
Alarm Bells Muster Station
7 short blasts followed by 1 Immediately report to the

c. General Alarm Stand By
long Muster Station
Master Verbal Order or Under instructions of Boat

d. Abandon Ship Signal Already to the Muster Station
Master Authorised Deputy Leader
Vital Instructions
Life Jackets: Located in the Cabin Closet
Life Boat No.:
Safety Officer Passenger

(Name & Signature) (Name & Signature)
CREW-08
Date: 01/09/2020
Frequency: Occasion
Chief Officer's Handover Report
Vessel: Date: Port:
Upon taking over Chief Officer's position of the captioned vessel, the undersigned Chief
Officer received from Chief Officer today, on at
the documents and items stated in detail below:
S/N Documents Location Checked

1 Loading Manual Ship's Office
2 Loading Software Ship's Office
3 Test Conditions Ship's Office
4 Copy of the " Carriage of Dangerous Goods Certificate" Ship's Office
5 Cargo Securing Manual Ship's Office
6 Stowage Plan updated Ship's Office
7 Dangerous Goods Plan updated Ship's Office
8 Dangerous Goods manifests Ship's Office
9 Reefer's Plan updated Ship's Office
10 Reefer's Manifests updated Ship's Office
11 Previous Voyages library documents Store
12 Ballast Management plan and Records Ship's Office
13 Measurement Equipment Ship's Office
14 Anti-pollution kit as per SOPEP SOPEP Store
15 Charterers operation manual or instructions Ship's Office
16 Charterers Reefer Manual Ship's Office
17 SSO Files Confidential
18 Bridge Checklist No.1 & No.5 Ship's Office
19 Bridge Checklist No.2, No.3, No.4, No.6 & No.7 Bridge
20 Bilges’ soundings report updated Ship's Office
21 Ballast soundings report updated Ship's Office
22 Fresh Water Report updated Ship's Office
23 Fresh Water receipts Ship's Office
24 Medical Inventory Ship's Office
25 PMS Documents updated Ship's Office
26 Safety Items Inspection updated Ship's Office
27 Protocols of Materials delivery receipts updated Ship's Office
28 Material execution updated Ship's Office
29 Welcome aboard booklets Ship's Office
30 Last Deck Inventory Ship's Office
31 Garbage Log Book updated Ship's Office
32 Garbage Management Plan Manual Ship's Office
33 Fleet Instructions Manual Ship's Office
34 Policy Manual and Procedures Ship's Office
35 SOLAS Training Manuals (2 sets) Messrooms
36 Paint Inventory Ship's Office
37 Lashing Materials Inventory Ship's Office
38 Reefer Spares Inventory Ship's Office
CREW-09
Date: 01/09/2020
Frequency: Occasion
Chief Officer's Handover Report
PENDING ITEMS or ITEMS of OPERATIONAL and SAFETY INTEREST

the taking over Chief Officer must be informed at the beginning of his duties
S/N Description
The Handing Over Ch. Officer The Taking Over Ch. Officer
Notes: 1. Both Ch. Officers initialize all pages and sign this one.
2. One copy to be kept filed in C-1 Folder.
3. One copy to Handing Over Ch. Officer
CREW-09
Date: 01/09/2020
Frequency: Occasion
Officer's / Engineer's Handover Report
Vessel: Date: Port:
Upon taking over enter Rank here position of the captioned vessel, I enter Name here the undersigned
received from enter Name here today, on at
the documents and items stated in detail below:
PENDING ITEMS or ITEMS of OPERATIONAL and SAFETY INTEREST

the taking over must be informed at the beginning of his duties
S/N Description
The Handing Over The Taking Over

Notes: 1. Both Officers/Engineers initialize all pages and sign this one.
2. One copy to be kept filed in C-1 Folder.
3. One copy to Handing Over Officer/Engineer
CREW-10
Date: 01/09/2020
Frequency: Occasion
Onboard Complaint Form
Vessel: Date:
Complaint:
Name and Signature of Originator: Name and Signature of Originator:
Name and Signature of Originator:
Name and Signature of Originator:
Onboard Investigation:
Investigation Ashore (only if required):
Verification and Close Out:
Verification Date: Originator Acceptance Signature:
CREW-11
Date: 01/09/2020
Frequency: Occasion
Familiarization with Bridge Equipment
Vessel: Date:
General Guidance:
To be completed by Watch Officer upon sign - on and handed over to the Master with Signatures of Officer taking over
and Officer in charge of Familiarization.
S/N Check the Operation capabilities and verify familiarization of the following Bridge Equipment Check
1. Bridge lighting, including controls for deck and overside illumination.
2. Communications facilities-internal, external and portable.
3. Echo sounder.
4. Electronic navigational position fixing aids emergency arrangements in the event of main power failure.
5. Familiarization with the Electronic Chart (ECDIS) equipment fitted, back-up arrangement, sensors and
periferical (STCW Reg.I/14 para 1.5)
6. Vessels maneuvering characteristics.
7. Gyro compass/repeaters - Required frequency of bearing errors.
8. Magnetic compass.
9. Navigation lights, including emergency navigation, not under command and other signal lights.
10. Radar - ARPA and associated plotting aids. Verify Speed over water input.
11. Safety equipment (e.g pyrotechnics - BA - spares location on bridge).
12. Speed / distance recorder.
13. Steering gear, including manual, auto-pilot and emergency change over arrangements.
14. Telegraph, including control of main engines.
15. Be aware of the location and operation of ancillary bridge equipment (e.g binoculars, signaling flags).
16. Familiarise yourself with the stowage of chart and hydrographic pubs and correction system in place.
17. Fire Detection System (Bridge Panel) (Smoke Detection System).
18. Emergency stop ventilation system.
19. Alarm Systems.
20. Watertight doors (if applicable).
21. Reefer monitoring panel if existing on bridge.
22. SVDR location and procedure form saving data in case of an accident.
Remarks:
1. Mark with tick when satisfied
2. Date and time should be mentioned in upper section.
3. File in C-1 and mention in the Bridge logbook that familiarization was carried out and duties were assigned by the Master.
4. Be careful to follow above since failure will result to Non Conformity.
Signing on Deck Officer Signing on Deck Officer Signing on Deck Officer

(Name & Signature) (Name & Signature) (Name & Signature)
CREW-12
Date: 01/09/2020
Frequency: Occasion
Familiarization with Engine Equipment
Vessel: Date:
General Guidance:
To be completed by ALL Engineers (Officer and Ratings) upon sign-on and handed over to the Chief Engineer with
both Signatures.
S/N Check the operation of the following equipment Officers Rating

1. Diesel Generators, including Em.Generator (starting, loading procedure).
2. Auxiliary machineries in general.
3. Boiler/ Exhaust Gas Boiler and Emergency devices.
4. Main Engine and M/E Auxiliary devices and their positioning (local electrical starter).
5. Operation and indications of M/E Remote Control.
6. Transferring of Telegraph control from Bridge to M/E and Local Emerg. operation.
7. Main and Emergency fire pumps, Emergency Compressor.
8. Emergency shut down valves.
9. Emergency Steering Gear.
10. Fire Monitoring and Extinguishing System.
11. Fire dampers.
12. Emergency escapes/exits.
13. Incinerator, Sewage, Oil Water Separator-Training on all operational and maintenance aspects:
a. capacity.
b. operation.
c. performance.
d. maintenance.
e. restrictions in use.
f. log book entries.
g. Marpol Annexes I, IV requirements.
14. Internal Communications.
15. Bow Thruster/Lifeboat engines.
16. Alarms, Indicators and Monitoring System.
17. Acknowledgement of Ch.Engineer's Standing Orders.
18. Emergency lighting systems.
19. Ballast and Stripping lines, valves on deck.
20. Engine room Bilge system (normal & emergency).
21. Operation of emergency electrical shutdowns.
Remarks:
1. Mark with tick when satisfied
2. Date and time should be mentioned in upper section.
3. File in C-1 and mention in the Engine Log Book that familiarization was carried out and duties were assigned by the Ch.Eng.
4. Be careful to follow above since failure will result to Non Conformity. Inspector will require to see date and time with appropriate
entry in the logbook
Signing on Eng. Off. / Rating Trainer Verified by Ch. Engineer

(Name & Signature) (Name & Signature) (Name & Signature)
CREW-13
Date: 01/09/2020
Frequency: Occasion
CONBULK SHIPMANAGEMENT CORP. SUP-01
Stores Requisition Form
Vessel: Stores for:

Date of Requisition: Requisition No.:
Port of Call: E.T.A.:
S.L. Description IMPA Code Qty Units
Note: Please file as appropriate using capital letters
Master
(Signature/ Stamp / Name)
SUP-01
Date: 01/01/2020
Frequency: Occasion
Issue/Revision:2/1 File: P-1 / STORES Page 1 of 1
Landing Note for Ship's Parts
Vessel: Date: Port:

Delivered C/O Agents:
Receiver / Final Destination:
Dispatching Instructions:
Quantity Kind of Packing Dimension of each Packing Weight Total

Description
(Pieces) (Case / Bulk) (L x W x H) (cm) (Kgs)
Master / Chief Engineer Received From

Signature / Name / Stamp Name / Signature
On Behalf Of
SUP-02
Date: 01/01/2020
Frequency: Occasion
Issue/Revision:2/1 File: P-1 / HANDLING CHARGERS Page 1 of 1
Proforma Invoice - Packing List
Vessel: Date:
To Messrs:
No commercial value (damaged), cost for custom purpose only USD
Master
SUP-03
Date: 01/01/2020
Frequency: Occasion
Issue/Revision:2/1 File: P-1 / HANDLING CHARGERS Page 1 of 1
Provisions - Cabin Requisition Form
Vessel:
S/N Description Units Stock Required

FRESH VEGETABLES
1 POTATOES FRESH KGS
2 TOMATOES FOR STUFFING KGS
3 TOMATOES FOR SALAD HALF RIPE KGS
4 CUCUMBERS FRESH KGS
5 ICEBERG LETTUCE KGS
6 CHICORY KGS
7 ENDIVES KGS
8 BEET ROOTS WITH LEAVES KGS
9 ONIONS FRESH SPRING KGS
10 PARSLEY GREEN (FRESH) KGS
11 DILL FRESH KGS
12 CELERY GREEN KGS
13 CARROTS KGS
14 CABBAGES WHITE KGS
15 GREEN BEANS STRING KGS
16 EGGPLANTS KGS
17 BABY MARROWS KGS
18 CAULIFLOWERS KGS
19 PEPPERS GREEN BELL KGS
20 PEPPERS RED KGS
21 PEPPERS RED CHILLI KGS
22 GINGER KGS
23 ONIONS DRY (LARGE) KGS
24 GARLIC (HEADS) KGS
25 FRESH MINT KGS
26 RED RADISHES KGS
FRESH FRUITS
27 FRESH LEMONS KGS
28 BANANAS HALF RIPE KGS
29 WATER MELLONS KGS
30 SWEET MELLONS KGS
31 PEACHES KGS
32 PLUMS RED KGS
33 GRAPES WHITE SEEDLESS KGS
34 GRAPES RED KGS
35 STRAWBERRY FRESH KGS
36 PEARS KGS
37 ORANGES KGS
38 TANGERINES KGS
39 RED APPLES KGS
40 PINEAPPLE KGS
41 APPLES GOLDEN KGS
SUP-04
Date: 01/01/2020
Frequency: Occasion

FATS - OILS
42 YOGURT PLAIN 24'S - C/S CUP
43 YOGURT FRUIT ASSORTED 24'S ‐ C/S CUP
44 COOKING BUTTER KGS
45 COOKING OIL / CORN OIL 15 LTS/TIN LTR
46 WIPPING CREAM DAIRY LESS SUGAR LTS
47 EVAPORATED MILK C/S 48TIN 410GRM TIN
48 CONDENSED MILK C/S 48TIN 397 GRM TIN
49 FRESH EGGS (360 EA) C/S
50 ICE CREAM ASSORTED LTS
51 MILK LONG LIFE LTS
52 MARGARINE SOFT KGS
53 OLIVE OIL LTS
54 TABLE BUTTER FRESH (250GRM) KGS
CHEESES
55 EDAM CHEESE KGS
56 EMENTAL CHEESE KGS
57 GOUDA CHEESE KGS
58 PARMEZANA CHEESE GRATED KGS
FROZEN VEGETABLES
59 FROZEN ARTICHOKES KGS
60 FROZEN BROAD BEANS KGS
61 FROZEN BROCCOLI KGS
62 FROZEN CARROTS KGS
63 FROZEN CAULIFLOWER KGS
64 FROZEN CORN CUT KGS
65 FROZEN GREEN BEANS KGS
66 FROZEN GREEN PEAS KGS
67 FROZEN MIXED VEGETABLES KGS
68 FROZEN OKRA KGS
69 FROZEN SPINACH KGS
70 POTATOES FRENCH FRIED REGULAR STRAIGHT CUT KGS
MEATS
71 BEEF BONES KGS
72 BEEF TOP SIDE BONELESS KGS
73 PORK SPARERIBS KGS
74 PORK LOINS BONEIN KGS
75 PORK BELLY KGS
76 PORK HEAD KGS
77 PORK FEET KGS
78 PORK MINCED KGS
79 OX LIVER KGS
80 OX TONGUES KGS
81 OX BRAINS KGR
82 OX TAILS KGS
83 OX TRIPE KGS
84 OX TROTTERS KGS
85 LAMB BABY CARCASS KGS
SUP-04
Date: 01/01/2020
Frequency: Occasion

86 CHICKEN KGS
87 CHICKEN LIVER KGS
88 CHICKEN WINGS KGS
89 TURKEY KGS
90 SALAMI KGS
91 MORTADELA KGS
92 BOILED HAM KGS
93 SMOKED HAM KGS
94 FRANKFURTERS SAUSAGES CHICKEN KGS
95 SAUSAGES PORK KGS
96 SLICED BACON KGS
FISHES FROZEN
97 SQUIDS ‐ KALAMARI FROZEN KGS
98 SHRIMPS LARGE / BIG KGS
99 OCTAPUS LARGE SIZE KGS
100 INK FISH ‐ SEPIA FROZEN KGS
101 FISH FOR FRYING / RED SNAPPER KGS
102 FISH FOR BOILING / RED SNAPPER KGS
TINS - JARS
103 APRICOTS TABLE IN TINS, 450GRM/TIN TIN
104 ARTICHOKES IN TINS, 450GRM/TIN TIN
105 BEETROOTS IN TINS , 450GRM/TIN TIN
106 MIXED FRUITS , 450GRM/TIN TIN
107 COCOA IN TINS, 350GRM/TIN TIN
108 COFEE GROUND MAXWELL HOUSE ,200GRM/TIN TIN
109 COFFEE MATE IN JARS, 200GRM/TIN TIN
110 CORNED BEEF , 340GRM/TIN TIN
111 CRAB MEAT IN TINS , 200GRM/TIN TIN
112 HONEY IN JARS , 500GRM/JAR JAR
113 INSTANT COFFEE NESCAFE 200GRM/TIN TIN
114 JAMS ASSORTED IN JARS , 450GRM/JAR JAR
115 MACKERELS IN TINS , 150GRM/TIN TIN
116 MAYONNAISE IN JARS , 450ML/JAR JAR
117 MUSHROOMS SLICE IN TINS , 450GRM/TIN TIN
118 MUSSELS IN TINS , 450GRM/TIN TIN
119 MUSTARD , 250GRM/TIN TIN
120 PEACHES TABLES IN TINS , 450GRM/TIN TIN
121 PEARS TABLE IN TINS , 450GRM/TIN TIN
122 PEAS IN TINS , 450GRM/TIN TIN
123 PINEAPPLES TABLES IN TINS , 450GRM/TIN TIN
124 PINK SALMON IN TINS , 15OZ/TIN TIN
125 PORK LUNCHEON MEAT ,340GRM/TIN TIN
126 QUAKER OATS IN TINS, 500GRM/TIN TIN
127 SALAD FRUIT IN TINS, 450GRM/TIN TIN
128 SARDINES IN OIL IN TINS , 120GRM/TIN TIN
129 SARDINES IN TOMATO , 120GRM/TIN TIN
130 SHRIMPS IN TINS , 150GRM/TIN TIN
131 SPRING BEANS IN TINS , 450GRM/TIN TIN
SUP-04
Date: 01/01/2020
Frequency: Occasion

132 TOMATOES WHOLE IN TINS , 800GRM/TIN TIN
133 TUNA IN OIL IN TINS , 180GRM/TIN TIN
134 TOMATOES PASTE IN TINS , 800GRM/TIN TIN
DRY PROVISIONS
135 AJINOMOTO KGS
136 ALMONDS UNSHELLED KGS
137 AMMONIA POWDER KGS
138 ASSORTED BISCUITS KGS
139 BAKING POWDER KGS
140 BLACK EYED BEANS KGS
141 CHICK PEAS DRY KGS
142 CHOCOLATE COUVERTOURA KGS
143 CINNAMON POWDER KGS
144 CITRIC ACID KGS
145 COCONUT MILK LTS
146 COCONUT TREIMMED KGS
147 COD FISH SALTED IN KGS KGS
148 COOKING SALT KGS
149 CORN FLAKES IN PKTS PKT
150 CORN FLOUR PKT
151 CURRY POWDER PKT
152 CHILLY SAUCE , 12OZ/BTL BTL
153 MONGO DRY KGS
154 YEAST DRY KGS
155 ELBOW MACARONI KGS
156 GIANT BEANS / LIMA BEANS KGS
157 HAZEL NUTS KGS
158 JELLO ASSORTED PKT
159 LENTILS BROWN KGS
160 LIPTON TEA 100's/PKT PKT
161 LONG GRAIN RICE BARBOILED ASIAN CREW KGS
162 MAGGI BEEF CUBES PKT
163 MAGGI CHICKEN CUBES PKT
164 MAKARONI STAR KGS
165 MAKARONI THICK / LONG KGS
166 NAVY WHITE BEANS DRY KGS
167 NOODLESS SOUP BEEF C/S 30PKT X 85GRM C/S
168 NOODLESS SOUP CHICKEN C/S 30PKT x 85GRM C/S
169 NOODLESS SOUP VEGETABLES C/S 30PKT x 85GRM C/S
170 NUTS MIXED KGS
171 PEPPER BLACK KGS
172 PEPPER WHITE KGS
173 PICKLES BTL
174 POP CORN PKT
175 PUFF PASTRY LEAVES PKT
176 RAISING KGS
177 RED VINEGAR LTS
178 WHITE VINEGAR LTS
SUP-04
Date: 01/01/2020
Frequency: Occasion

179 SEMOLINA KGS
180 SESAME SEEDS KGS
181 HEERING SMOKED KGS
182 SODA POWDER KGS
183 FISH SAUCE , 400GRM/BTL BTL
184 SOYA SAUCE , 12OZ/BTL BTL
185 SPAGHETTI KGS
186 SUGAR KGS
187 SUGAR ICING KGS
188 TABASCO , 12OZ/BTL BTL
189 TABLE SALT KGS
190 TOMATO KETCHUP , 340GRM/BTL BTL
191 VANILIA POWDER KGS
192 GARLIC POWDER KGS
193 WHITE FLOUR ALL PURPOSE KGS
JUICES
194 ORANGE JUICE (12LTR EA) LTS
195 APPLE JUICE (12LTR EA) LTS
196 PEACH JUICE (12LTR EA) LTS
197 MANGO JUICE (12LTR EA) LTS
198 PINEAPPLE JUICE (12LTR EA) LTS
SOFT DRINKS
199 MINERAL WATER C/S12BTL 1.5LTR C/S
200 SODA WATER C/S24TIN12OZ C/S
201 COCA COLA C/S24TIN12OZ C/S
202 SEVEN UP C/S24TIN12OZ C/S
203 ORANGE FANTA C/S24TIN12OZ C/S
BONDED STORES
204 CIGARETTES MARLBORO, 50CARTON/CASE C/S
205 CIGARETTES L&M , 50CARTON/CASE C/S
ADDITIONAL PROVISIONS (Not mentioned in above list)
204
205
206
207
208
209
210
SUP-04
Date: 01/01/2020
Frequency: Occasion

CABIN STORES
1 SOAP POWDER IN PKTS 200 GRMS PKT
2 TOILET SOAP LUX 100GRM PCS
3 PLASTIC CARBAGE BAG LARGE 520 X 600 PCS
4 PAPER NAPKINS 100'S / PKT PKT
5 BLEACHING WATER 1 LTR LTS
6 LIQUID SOAP FOR PLATE 1 LTR BTL
7 TOILET PAPER 2 PLY 10'S RLS/PKT PKT
8 SOAP POWDER FOR LAUNDRY KGS
9 SOFTENER 1x1 LTR BTL
10 WAX PAPER CATERING TYPE 300MM X 20 MTR RLS
11 FLEXIBLE DRINKING STRAWS 1x500 PKT
12 KITCHEN PAPER TOWEL PCS
13 ELECTRIC COFFEE MAKER FOR 12CUP 220V PCS
14 ELECTRIC COFFEE MAKER FOR 12CUP 110V PCS
15 PLASTIC CUTTING BOARDS WHITE 900 X 330 X 60 PCS
16 BUTCHER'S STEEL MAGNETIZED 290mm PCS
17 FRENCH KNIVES CARBON STEEL PCS
18 TABLE KNIVES PCS
19 SPOONS FOR SOUP PCS
20 SPOONS FOR TEA PCS
21 DINNER FORKS PCS
22 DESERT FORKS PCS
23 SALAD PLATE PCS
24 GREEK COFFEE CUPS PCS
25 TEFLON COATED FRYING PANS PCS
26 WATER HARD STRONG GLASS 12 OZ PCS
27 FILTER FOR COFFEE No.1x4 PCS
28 WRAPPING FOIL CELLOPHANE F 450mm X 600 Mtrs RLS
29 WOOL SPONGE TYPE STAINLESS STEEL PCS
30 ALUMINIUM FOIL CATERING TYPE 450mm X 150 Mtrs RLS
31 COCKROACK KILLER AEROSOL BAYGON GREEN BTL
32 MOP WITH HANDLE PCS
33 PLASTIC BUCKETS 10 LTR PCS
34 SCOTCH BRITE SPONGES PCS
35 CHEESE GRATERS 4 SID CUT PCS
36 DISH DRAINER RACKS PLASTIC PCS
37 ASH TRAYS PLASTIC PLAIN PCS
38 BED SHEET WHITE 1.370x2.300 SHT
39 PILLOW CASE WHITE PCS
40 GLASS BOWLS DESERT PCS
41 TOOTH PICKS ROUND 150'S /PKT PKT
42 ZIP‐LOCK FOOD PLASTIC BAG MEDIUM SIZE PCS
43 AJAX ALL PURPOSE CLEAN BTL
44 GLASSWAX CLEANER SPRAY BTL
45 FLOOR FINISH POLISH JOHNSON BTL
46 ASH TRAY GLASS BTL
47 SCOTH BRITE CLEANERS 150 X 90 X 33 PCS
SUP-04
Date: 01/01/2020
Frequency: Occasion

48 BROOMS LONG WITH HANDLE PCS
49 APRONS FOR COOK PCS
50 BED SHEET BLUE DUBLE SIZE 1.500X2.400 SHT
51 PILLOW CASE BLUE PCS
52 PLASTIC GARBAGE CANS ROUND 40 LTR PCS
53 PLASTIC GLOVES MEDIUM SIZE PRS
54 WHITE COLOR COOK JACKET SIZE… PCS
55 BED BLANKETS ACRYLIC 1.500X2.000 SHT
ADDITIONAL CABIN (Not mentioned in above list)
56
57
58
59
60
Master
SUP-04
Date: 01/01/2020
Frequency: Occasion
Gases & Chemicals Requisition
Vessel:
Product Qty R.O.B. Qty R.O.B. Qty R.O.B.

S.L. Description Qty Req. Units
Code (Sealed) (In Use) (Empty)
1 Acetylene A-40
2 Oxygen O-40
3 Nitrogen N-50
4 Refrigerant R-407C
5 Refrigerant R-134A
6 Refrigerant R-404A
7 Refrigerant R-22
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Chief Engineer
SUP-05
Date: 01/01/2020
Frequency: Occasion
Issue/Revision:2/1 File: P-1 / GAS-CHEM REQUISITION Page 1 of 1
Paints Requisition Form
Vessel:
Product Qty R.O.B.

Qty Required
S.L. Description Code (Sealed) -in
-in Ltrs-
(Shade) Ltrs-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Master
SUP-06
Date: 01/01/2020
Frequency: Occasion
Issue/Revision:2/1 File: P-1 / PAINT REQUISITION Page 1 of 1
Marine Valves Requisition Form
Vessel: Stores for:

IMPA Code JIS F-Nr

S.L. Description Material Work. Press Face to Face Flange Diam. Holes Pcs
Where Applicable Where Applicable
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Chief Engineer MASTER

Signature / Name Signature / Name / Stamp
SUP-07
Date: 01/01/2020
Frequency: Occasion
Pipes - Elbows Requisition Form
Vessel: Stores for:

S.L. Descrisption O.D. Thick. SCH Mtrs

Steel Pipes
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Steel Welding Elbows
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Master
SUP-08
Date: 01/01/2020
Frequency: Occasion
Lubricants Requisition Form
Vessel:
Qty R.O.B.
S.L. Description Qty R.O.B. Units
(In Use)
Chief Engineer
SUP-09
Date: 01/01/2020
Frequency: Occasion
Issue/Revision:2/0 File: P-1 / LUB. REQUISITION INVOICES Page 1 of 1
CONBULK SHIPMANAGEMENT CORP. O-01
Master's Familiarization on SMS
Name: Vessel to Join: Date:
Have the following been introduced, read and understood: Yes No
1. ISM Code
2. Company's Policies and Procedures Manual
3. Forms' Manual
4. Safety and Health part in the Fleet Instruction Manual
5. Environmental Protection part in the Fleet Instruction Manual
6. Garbage Management Plan of the Company
Name
Familiarization
Department
carried out by
Signature
Master's Declaration
This is to certify that I, Captain , have been

introduced and familiarized on the content and requirement of all above listed items.
Signature

1. Masters must be fully conversant with the Company’s Safety Management System before their embarkation. As
such Masters thorough familiarization on SMS must be carried out prior leaving this office.
If in the space provided on the right hand size of any of the question listed, a “NO” appears the Master cannot be
employed.
2. In case of recruitment through this office familiarization may be carried out by the DPA or any other person trained
as an auditor.
In case of recruitment through any Manning Agent, the Manning Agent is responsible to familiarise the Masters on
the SMS of the Company.
3. In case of familiarization being carried out through a Manning Agent, the Manning Agent is responsible to send a
copy of this form duly signed to this office as soon as possible.
4. A copy of the form, originally signed by the person who carried out the familiarization and the Captain, is taken by
the Master on board.
O-01
Date: 01/09/2020
Frequency: Occasion
Master's Career Evaluation Report
Vessel: Date:
Name: Onboard From:
Nationality: Onboard To:
Grading Codes A: Very Good B: Good C: Satisfactory D: Below Average
Assessment Crewing Marine Technical Operation Supply ISM

Organisation of Work
Administrative Paperwork
Judgement and Temperament
Performance under Stress
Management of Ship Personnel
Conductivity with Senior Officers
Conductivity with Shore Officials
Safety Awareness
Pollution Awareness
Ship Board Security
Cost Consciousness
Cargo Operation
Vessel Maintenance
Ability to use English
Department Comments Name / Signature
Crewing
Marine
Technical
Operation
Supply
ISM

1. Masters are appraised by the Office Personnel only for 3 Months after their embarkation and upon their
disembarkation.
2. The Crewing Manager is responsible for completing the present form.
O-02
Date: 01/09/2020
Frequency: 3 Months after embark. and upon disembark.
Chief Engineer's Career Evaluation Report
Vessel: Date:
Name: Onboard From:
Nationality: Onboard To:
Grading Codes A: Very Good B: Good C: Satisfactory D: Below Average
Assessment Crewing Marine Technical Operation Supply ISM

Organisation of Work
Administrative Paperwork
Judgement and Temperament
Performance under Stress
Management of Ship Personnel
Conductivity with Senior Officers
Conductivity with Shore Officials
Safety Awareness
Pollution Awareness
Ship Board Security
Cost Consciousness
Cargo Operation
Vessel Maintenance
Ability to use English
Department Comments Name / Signature
Crewing
Marine
Technical
Operation
Supply
ISM

1. Chief Engineers are appraised by the Office Personnel only for 3 Months after their embarkation and upon their
disembarkation.
2. The Crewing Manager is responsible for completing the present form.
O-03
Date: 01/09/2020
Frequency: 3 Months after embark. and upon disembark.
Office Personnel Familiarization
Name: Position:
Date: Department:
Familiarization
Departments Date Dept. Head (Name / Signature)
Remarks
Employee DPA
(Signature) (Name / Signature)
O-04
Date: 01/09/2020
Frequency: Occasion
Third Party Inspection Register
Vessel: Year:
Organization Date of
Date of Number
who carried Port of Report Number Number Number Number Investigation
Inspection Detention of C.o.C.
out the Inspection to Flag of Defic. of Obs. of Rec. of N.C. & Analysis
Report / C.o.M
inspection Report
O-05
Date: 01/09/2020
Frequency: Occasion
Internal Audit (Office/Vessel) / MRM Schedule
Year: Date of Issue: Date of Re-Issue/schedule:
Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sep. Oct. Nov. Dec.
A. Vessels S C S C S C S C S C S C S C S C S C S C S C S C
B. Office S C S C S C S C S C S C S C S C S C S C S C S C
Operation
Marine
technical
Supply
Crew
ISM
MRM
S: Scheduled
C: Carried Out
DPA
(Name / Signature)
O-06
Date: 01/09/2020
Frequency: Occasion
Schedule of Office-Vessels Drills
Year: Date of Issue: Date of Re-Issue/schedule:
Vessels S C S C S C S C S C S C S C S C S C S C S C S C
S: Scheduled
C: Carried Out
DPA
(Name / Signature)
O-07
Date: 01/09/2020
Frequency: Occasion
Office Internal Audit Report
Date: Time from: Time to:
Remarks
ISM system implementation within acceptable levels: Yes No

Immediate Follow up is required: Yes No
Overall Picture
ISM Implementation Records: Good Fair Bad
Improvement of ISM System effected: Yes No
Total No. of Non-Conformities Issued:
Audit Result
Total No. of Observations Issued:
Department: Auditor: Auditee: Signature:
ISM
OPERATION
TECHNICAL
MARINE
PERSONNEL - CREW
SUPPLY
O-08 DPA
Date: 01/09/2020 (Name / Signature)
Frequency: Occasion
S/N Item Yes No Remarks

01 Initial Check
- Is the Office “Document of Compliance” available and valid?
- Is the “Safety Management Certificate” of each vessel available and valid?
- Has the vessels’ Owners notified the corresponding Administration Authorities the
responsible managers/operators of each vessel?
02 Shore Based Personnel
- Has any person employed since last Internal Audit?
- Has he/she been given familiarization training by the Dept. Head?
- Have any training needs of Shore Based employees identified?
- Have any identified training needs fulfilled?
03 Contract and Contract Review
- Are next employment instructions to the vessels available?
- Check instructions to the Master, charter party, follow up communication during the
performance of the charter party.
- Are there any complaints occurred during vessels’ operation?
- Has these complaints dealt with and settled timely?
04 Issuance, Amending & Control of a Controlled Document
- Check if the Register of Controlled Copies is available and updated.
- Are superseded documents removed and destroyed?
05 Management Review
- Has any Management Review Meeting carried out?
- Check the Management Review Meeting Report.
- Any action decided during the meeting? If yes, is action carried out?
06 Internal Audits
- Is there a schedule for Internal Audits of the office and the vessels?
- Has the Internal Audits carried out as per schedule?
- Are records of the Internal Audits of the office and vessels available?
- Are any Non-Conformities still open beyond the agreed date?
- Are closed Non-Conformities supported by objective evidence(s)?
- Have Non-Conformities, initiate Corrective and/or Preventive action?
- Are records of such Corrective and/or Preventive action available?
07 Accident & Hazardous Occurrence Report and Analysis
-
Have any accident and/or Hazardous Occurrence reported/occurred since the last audit?
- Have they been analysed and route cause identified?

08 Vessel's Inspection & Maintenance
- Are required inspection records available?
- Have these records drawn at the specified intervals?
- Are these records filed as specified?
09 Third Party Inspections
- Are vessels’ certificates (copies) available? Are all in order?
- Are any class inspection and/or any imposed condition overdue?
- When was the last inspection carried out by Port State Control?
- Were any deficiencies noted? Was any vessel detained?
- Had these deficiencies (if any) dealt with in time? Has investigation and analysis been
carried out?
O-08
Date: 01/09/2020
Frequency: Occasion

- When was the last inspection carried out by the Administration/ P+I?
- Were any deficiencies noted? Have these (if any) dealt with in time? Has investigation
and analysis been carried out?
10 Purchasing
- Is any comparison list of the quotes received compiled?
- Is the comparison list approved by the Managing Director?
- Is Master, Chief Engineer and / or vessel’s agents notified?
11 Manning
- Are the employed seafarers certificated as required?
- Check the validity of the certificates of the employed seafarers.
12 Familiarization of Seagoing Personnel
- Is Masters’ Familiarisation on Company’s SMS available?
- Is Onboard Familiarisation records of seafarers available?
- Is Master’s Hand Over records available?
- Are Chief Engineer’s Hand Over records available?
13 Appraisal of Personnel (Seagoing)
- Check for Appraisal of seagoing personnel.
- Check for appraisal of Masters and Chief Engineers.
14 Drills & Exercises
- Is there a schedule of Drills & Exercises?
- Is this schedule followed and implemented?
- When was the last Drill during which the office was engaged?
- How much time elapsed since the one before last?
O-08
Date: 01/09/2020
Frequency: Occasion
Vessel Internal Audit Report
Vessel: Flag: Date:
Port: Time (From-To): Auditor(s):
Remarks
ISM system implementation within acceptable levels: Yes No

Immediate Follow up is required: Yes No
Overall Picture
ISM Implementation Records: Good Fair Bad
Improvement of ISM System effected: Yes No
Total No. of Non-Conformities Issued:
Audit Result
Total No. of Observations Issued:
Auditee(s) Master Chief Engineer
Name
Signature
Auditor(s) DPA
(Signature) (Name / Signature)
O-09
Date: 01/09/2020
Frequency: Occasion

A General
1 Are the following Documents available Onboard?
- Owners’ Declaration to the Administration for vessel’s Managers.
- Document of Compliance with endorsed annual verification.
- Vessel’s Safety Management Certificate.
2 Are the following controlled documents available onboard, of the latest revision
and duly approved?
- Policy and Procedures Manual
- Fleet Instructions Manual
- Forms Manual
- Company’s Circulars
3 Are vessel’s International, National & Trading Certificates including CMS
available onboard and valid?
4 Are any overdue Class Recommendations?
5 Are the following documents / booklets available onboard and maintained as
required?
- SOPEP- Oil Record Book- Bridge Log Book- E/Room Log Book, etc
6 Are the following readily accessible to all Officers & Ratings?
- Master’s Overriding Authority.
- Safety & Environmental Protection Policy.
- Drug & Alcohol Abuse Policy.
- Duties and Responsibilities of each one onboard.
7 Can the crew effectively communicate in the Official Working Language of the
Company?
8 Can the Master and senior Officers identify the appointed by the company
Designated Person Ashore?
9 In case of an emergency can the Master and senior Officers communicate with
the company employees ashore?
10 In case of an emergency can the Master and senior Officers trace Office
personnel contact numbers outside working hours?
B Issuance, Amending & Control of a Controlled Document
1 Is the Controlled Documentation List available onboard?
2 Are the Controlled Documents onboard as per the above named List?
C Control of Safety Records
1 Are the required records as per Chapter 8 available onboard?
D Safety Meeting Report
1 Are records of the Safety Meeting carried out available?
2 Any action decided?
3 Decided action (if any) carried out?
E Risk Assessment
1 Are there records of risk assessment carried out any of the following?
- Enclosed Space Entry Permit
- Hot Work Permit
- In any other dangerous situation
F Internal Audits
1 When the last internal audit onboard was carried out?
2 Is the present Internal Audit as per schedule?
3 How much time elapsed since the last Internal Audit?
4 Is the Internal Audit Report available onboard?
O-09
Date: 01/09/2020
Frequency: Occasion

G Non-Conformities
1 How many Non-Conformities raised during last internal audit?
2 Are any of the Non-Conformities raised still open and overdue?
3 Are objective evidences for the closed Non-Conformities available?
4 Are any Non-Conformities raised during the last External Audit still open and
overdue?
5 Is objective evidence for the closed Non-Conformities during the External Audit
available onboard?
H Corrective & Preventive Action
1 Has the raised Non-Conformities raised or initiate any corrective and/or
preventive action?
2 Is objective evidence of such action available onboard?
I Manning
1 Is the vessel properly manned as per “Minimum Safe Manning”?
2 Are crew national certificates available onboard?
3 Are crew Flag endorsements available onboard?
4 Are medical certificates for service at sea available and valid for all crew?
5 Is Form “Crew Certificates List” completed and available onboard?
6 Are the Crew resting hours compliant with the requirements of STCW and MLC?
7 Are there relevant resting hours records available and posted?
J Familiarization of Seagoing Personnel
1 Is the Master familiarised with the Company’s SMS?
2 Are the records of such familiarisation available onboard?
3 Has onboard familiarisation carried out to all crew upon embarkation?
4 Are the records of such familiarisation available onboard?
5 Is Master’s Hand Over Report available onboard?
6 Is Chief Engineer’s Hand Over Report available onboard?
K Training of Seagoing Personnel
1 Is training of the crew carried out as per schedule?
2 Are records of such training available onboard?
L Vessel's Inspection & Maintenance
1 Are all the required records available onboard?
2 Have all required inspections carried out timely?
3 Are any arrangements for immediate inspections (including working hours) if
any is overdue?
4 If not is there any plan to carry out such inspections?
5 Has the Flag been notified of such overdue inspections?
6 Check oil record book.
7 Is there any evidence of poor hygiene practices? (If Yes, Cook's refresher
hygiene training to be provided).
M Third Party Inspections
1 Are any due inspections by the class?
2 When was the last inspection carried out by Port State Control?
3 Were any deficiencies noted?
4 Was the vessel detained?
5 Had these deficiencies (if any) dealt with in time?
O-09
Date: 01/09/2020
Frequency: Occasion

6 When was the last inspection carried out by the Administration / P+I?
7 Were any deficiencies noted?
8 Had these deficiencies (if any) dealt with in time?
N Communications
1 Check the relevant files for records availability and easiness to trace various
communication records.
O Vessel's Performance Reporting & Monitoring
1 Check availability of required records.
P Accident & Hazardous Occurrence Reporting and Analysis
1 Has any accident happened since the last internal audit?
2 If yes, has the route cause of the accident identified.
3 Has this analysis initiate any corrective and / or preventive action.
4 Are records available onboard?
Q Bunkering
1 When was the last bunkering of the vessel?
2 Has the Bunkering Plan prepared?
3 Has the Bunkering Training Session carried out?
4 Are records available onboard?
R Navigation
1 Are charts used for the last voyage corrected and updated?
2 Are charts for the forthcoming voyage corrected and updated?
3 Are latest Notices to Mariners available onboard?
4 Is the voyage planned prepared as per the requirements of IMO Res. A.893(21)
5 Check Bridge Log Book.
6 Check Engine Room Log Book.
7 Check if required records are properly completed and available.
8 Check if Duplicate and Stand By equipment are working/tested at the required
periodicity.
S Drills & Exercises
1 Is the Schedule of Drills & Exercises available onboard?
2 Has the schedule been followed?
3 Are there records of Drills and Exercises carried out available onboard?
T MLC
1 Accommodation:
- Check condition and cleanliness
2 Crew Cabins:
- Check that are kept in clean and habitable condition
3 Toilets:
- Check that are clean
- Check that flushers are working and not leaking
- Check that floor drainage is in operating condition
- Check that cabins are not used as store rooms
4 Shower Rooms:
- Check the space condition
- Check that sinks are in good operating condition
- Check that cold and hot water are available
5 Heating / Air Conditioning and Ventilation Systems:
- Check that are in satisfactory operating order
O-09
Date: 01/09/2020
Frequency: Occasion

6 Lighting System:
- Check that is in good operating condition in all spaces
- Check that electrical cables and cable connectors are maintained duly isolated
7 Mess Rooms:
- Check that are kept in clean condition
- Check that the vessel is not having excess noise and vibration.
8 Sanitary facilities:
- Check the condition and operation of the sanitary facilities
9 Laundries:
- Check their sufficiency and operating condition
10 Linen products:
- Check availability, sufficiency & condition
11 Changing Rooms:
- Check that are clean and neat
12 Store Rooms:
13 Lockers:
14 Bridge, Chart Room, Radio Room:
15 Welfare area:
- Check that is clean and neat and the equipment condition
- Check that the recreational facilities of the vessel are sufficient as per the requirements
and in good condition.
16 Hospital:
- Check that is clean and neat
- Check that is not used as an extra accomm. room and that door can close properly
- Check the condition of bathroom, toilet, tab
17 Medical Chest:
- Check that is stored in the medical locker
- Check that adequate medicines and instructions for use them are available
18 Galley - Check that:
- Food storage and preparation areas are clean
- Floor drainage is in operating condition
- Grease traps are clean
- Fridges are clean and regularly defrosted
- Dry provision rooms & reefer champers are clean and free of any infestation
- Food supplies are sufficient for the intended voyage.
- Drinking water is of good quality.
- The equipment used for the food preparation is clean & in good condition.
Please attach current Crew List.
O-09
Date: 01/09/2020
Frequency: Occasion
Non-Conformity Form
Type of NC (Check one) Major NC NC Observation

Source of NC (Check one) Internal Audit Hazardous Occurrences Other
No.: of Issue Date: Due Date: (Max. 90 days)
Reporte Auditor Mr.: DPA: Master of M/V: Head of Dept. Mr.:

d by:
Description:
ISM Code Ref: SMS Man. Ref: Department / Vessel: Auditee's Name / Position:
Agreed Corrective Action Agreed Completion Date
Agreed Preventive Action
Root Cause Analysis

Substandard procedures or instr. Lack of training or familiarization Lack of skills
Substandard equipment Lack of proper use of equipment Lack of motovation
Substandard record keeping Lack of spares/tools/supplies
Beyond company's control Lack of proper system monitoring
Other:
Review & Acceptance

Auditee Signature: Auditor Signature: DPA Signature:
Verification of Corrective Action Implementation Date: Verified by:
Department: Signature:
Further Actions to be Considered: DPA:

Actions required to avoid recurrence Yes No N/A
Instructions to be forwarded to Vessel / Fleet Yes No N/A
Other (Specify):
Date of Close Out: DPA Signature:
O-10
Date: 01/09/2020
Frequency: Occasion
Non-Conformity Register
Company Vessel: Year:
Date of Audit Rectification Date of

S/N Department No. of N.C. No. of Obs. Expiry Date
Report Date Close Out
O-11
Date: 01/09/2020
Frequency: Occasion
Office-Vessel Drill Evaluation Report
Date: Vessel(s): Kind of Drill:
Drill's Description
Time of drill commencement/finish GMT
Time of vessel's reaction / response-Time Office Informed GMT
Time that Emergency Response Team (ERT) informed GMT
Time that office has given instructions to vessel GMT
Time that the vessel sent the follow up report GMT
Time that any interested third parties have been notified GMT
Time that office has given final instructions to vessel GMT
Time that vessel concluded all necessary actions GMT
Office Participants
S/N Name / Position Signature
1.
2.
3.
4.
5.
Evaluation
S/N Comments Yes No
1. Was the reaction of the vessel satisfactory timewise?
2. Was the given information by the vessel typically correct?
3. Were the proposed / undertaken by the vessel actions correct?
4. Were the undertaken by the vessel actions fast?
5. Has the office personnel reacted fast and correctly?
6. Has the office personnel been properly trained?
Mention the reason for Low Performance (If any "No" appears above)
Action taken for improvement
Remarks
DPA
(Name / Signature)
O-12
Date: 01/09/2020
Frequency: Occasion
Superintendents Inspection Report

DATE:
VESSEL :
LOCATION :
DATE :
MASTER :
CHIEF ENGINEER :
SUPERINTENDENT :
SURVEYS PASSED :
GENERAL CONDITION : BAD FAIR GOOD
VERY GOOD
PHOTOS TAKEN : YES NO
LOG BOOKS REVIEWED : YES NO
MOVEMENTS
DATE TIME
O-13 *(Office Use Only)

Date: 31/12/2018
Frequency: 6 Months
Issue/Revision: 2/0 File: M-1 Page 1 of 10
A. DECK DEPARTMENT
HULL
1. FLAT BOTTOM
2. VERTICAL BOTTOM
3. BOOTTOPPING
4. TOP SIDE
5. GENERAL COMMENTS

Date: 31/12/2018
Frequency: 6 Months

DECK
4. FORECASTLE
5. MAIN DECK/POOP DECK
6. WINDLASS, ANCHORS AND CHAINS/BRAKES
7. MOORING WINCHES
8. PIPES & VALVES (INCLUDING SUPPORTS)
9. MACHINERIES ON DECK
10. DERRICKS / POSTS / MASTS / RIGGING
11. STORE ROOMS

Date: 31/12/2018
Frequency: 6 Months

TANKS INSPECTED
12. A. BALLAST TANKS
I) PIPE TRUNKS / Under deck pass
II) SIDE & DOUBLE BOTTOM TANKS
III) PEAK TANKS
12.B. GAUGING (IF TAKEN)
13.A. CARGO HOLDS
13.B. COFFERDAMS / VOID SPACES/ PIPE SPACES
14. BUNKER TANKS AND HEATING COILS
HATCH COVERS / COAMINGS
15. CONDITION OF HATCH COAMINGS

Date: 31/12/2018
Frequency: 6 Months
16. CONDITION OF HATCH COVERS
17. CONDITION OF SEALING RUBBER / CHANNEL
18. CONDITION OF CROSS DECKS
19. CONDITION OF REEFER RECEPTACLE
20. CONDITION OF QUICK ACTING CLEATS
21. CONDITION OF CHAINS / TURNBUCKLES ETC.
22. HYDRAULIC SYSTEM FOR HATCH COVERS
ACCOMMODATION
23. DECKS (BRIDGE, BOAT, POOP, ETC.)
24. LIFEBOATS / DAVITS / WIRES. ETC.
25. BRIDGE (REPORT DEFICIENT EQUIPMENT(S) IF ANY AND

SYMPTOMS)

Date: 31/12/2018
Frequency: 6 Months

26. RADIO STATION (REPORT DEFICIENT EQUIPMENT(S) IF ANY
AND SYMPTOMS)
27. PROVISION ROOM, GALLEY STORE ROOMS, ETC.
28. SAFETY EQUIPMENT (EMERGENCY FIRE PUMP, EMERGENCY

GENERATOR/BATTERIES, FIRE EXTINGUISHERS - FOAM SYSTEM):
29. MAINTENANCE & REPAIRS TO BE DONE ON DECK (ITEMS THAT

SHOULD BE ATTENDED TO IMMEDIATELY STATING PROCEDURE
AND MATERIAL REQUIREMENTS, IF ANY):
DECK - ADDITIONAL COMMENTS

Date: 31/12/2018
Frequency: 6 Months
B. ENGINE DEPARTMENT
30. ENGINE ROOM CONDITION
31. CONTROL ROOM / AUTOMATION
32. MAIN ENGINE
33. SHAFTING / TAIL SHAFT (OIL LEAKAGES, IF ANY, STATE

QUANTITY PER DAY)
34. BOILERS (Feed pumps, Automation, etc.)
35. BOILER WATER TREATMENT
36. EXHAUST GAS BOILER
37. D/G ENGINES (OPERATION, CLEANLINESS, ETC.)
38. TURBO GENERATOR
39. COMPRESSORS
40. EVAPORATORS

Date: 31/12/2018
Frequency: 6 Months
41. SEWAGE PLANT
42. SEA WATER PUMPS
43. PURIFIERS
44. CONDENSERS
45. HEAT EXCHANGERS
46. OILY WATER SEPARATOR (15 PPM alarm)
47. REFRIGERATOR AND AIR CONDITION COMPRESSORS, ETC.
48. VARIOUS PUMPS
49. VENTILATION - FDF
50. PIPES / VALVES
51. EXHAUST GAS MANIFOLDS
52. SPARES / STORE ROOMS

Date: 31/12/2018
Frequency: 6 Months
53. ENGINE ROOM BILGES (OIL-FREE)
54. SPARE TAIL SHAFT / PROPELLER (IS WELL PRESERVED /

SECURED)
55. STEERING GEAR (LEAKAGES IF ANY)
56. RUDDER
57. IMMEDIATE SPARES REQUIREMENTS (IF ANY)
58. MAINTENANCE AND REPAIRS TO BE DONE IN E/R (ITEMS THAT

SHOULD BE ATTENDED TO IMMEDIATELY STATING PROCEDURE
AND MATERIAL REQUIREMENTS, IF ANY)
ENGINE - ADDITIONAL COMMENTS

Date: 31/12/2018
Frequency: 6 Months
C. ELECTRIC
59. MAIN SWITCHBOARD
60. STARTERS
61. CABLES
62. LIGHTS IN ENGINE ROOM
63. LIGHTS IN ACCOMMODATION
64. LAST MEGGER TEST (DATE)
ELECTRIC- ADDITIONAL COMMENTS
ATTACHMENTS

Date: 31/12/2018
Frequency: 6 Months
SUPERINTENDENTS RECOMMENDATION FOLLOW - UP
Date : VESSEL: M / V
A/A Description Date Action Deadline Actual Verified by Request for Remarks
Set Workshop/ Close Owner’s Postponement (Letter, photos etc.)
Crew Date Representative (Date)
Master Chief Engineer Owner’s Representative

Date: 31/12/2018
Frequency: Occasion
CHIEFENGINEERS'HANDOVER
REPORT
Vessel:
Port: Date:
Today,ontheabovedateat HRS,localtime,theundersigneddisembarkingChiefEngineer
,ChiefEngineer
withGrossTonnage deliveredthecommandoftheEngineroom&MachineryEquipment
inaccordancewithinstructionsfromOwners,torelievingChiefEngineer
DISEMBARKINGCHIEFENGINEER RELIEVINGCHIEFENGINEER
MASTER
1.LUBRICANTS&BUNKERSSTATEMENT
(asperE/RLOGBOOK)
Lubricants Maker Type MeasuredQ'ty(ltrs)

1 EngineOil
2 CylinderOil
3 GeneratorsOil
4 HydraulicOil
5 "HYDROX"Oil
6 ContaminatedOil
7 TurbineOil
8 Date&portoflastM/Esumptankoilrenewal:
9 Quantity&typeofoilrenewed:
10 ReasonsofM/Eoilrenewal(sourceofcontamination):
11 DateoflastM/Eluboilanalysis:
12 Isluboilpurifierrunningingoodorder?
No Bunkers Quantityinmetrictons
1 FuelOil
2 DieselOil
3 GasOil
Date:01Sept2020 Form:TEͲ01
Frequency:Occasionally
IssuetoallVessels File:T 13
File:TͲ13
Authorizedby:TechDept.
Issue/Revision:2/0 Page:1of14
Vessel:
Date :
2. PLANNED MAINTENANCE OVERVIEW
DATE & HOURS OF LAST MAIN ENGINE OVERHAULING

CYL # Cylinders/Pistons Fuel Valves Exhaust Valves Fuel Pumps
1 Date Hours Date Hours Date Hours Date Hours
2
3
4
5
6
7
8
9
LAST MEASUREMENTS LAST M/E T/C (s) LAST M/E

Liners Piston Grooves ROTOR DEFLECTION
CYL #
Date Wear Date Wear Date Hours Date
1 Hours
2 Maximum
3
4
5
6
7
8
9
DATE & HOURS OF LAST GENERATORS OVERHAULING

General Inspection Deflection
Date Hours Date Hours
D/G #1
D/G #2
D/G #3
D/G #4
F.W.GENERATOR(S)
Production Consumption
1
2
* DATE OF LAST MAIN ENGINE PERFORMANCE:

* CONDITION OF M/E LUB OIL ACCORDING TO LAST ANALYSIS:
* DATE OF LAST BOILER & COOL WATER TEST PERFORMED BY SUPPORTING CHEMICAL CO.:
Other Information:
Date:01Sept2020 FormTEͲ01
IssuetoallVessels File:TͲ13
Issue/Revision:2/0 Page2of14
Vessel:
Date :
3.LISTOFOUTSTANDINGS&INSPECTIONSDUEINTHENEARFUTURE
TOBEDONEBY
No Machinery ShortDescription
Crew Contractor
Frequency: Occasionally
Vessel:
Date:
4.MACHINERIESCONDITIONCHECKLIST
No AͲENGINEROOM 1 2 3 4 COMMENTS
4A.1 GeneralCondition
4A.2 ControlRoomCondition
4A.3 AirConditioninginE.C.R.
4A.4 Piping
No BͲMAINENGINE 1 2 3 4 COMMENTS
4B.1 GeneralCondition
4B.2 Instruments
4B.3 Alarms
4B.4 AutomationControl
4B.5 Turbocharger(s)
4B.6 AirCooler(s)
4B.7 LineShaft
4B.8 StuffingorSIMPLEXSeals
4B.9 FuelPumpsCondition
4B.10 Dateoflastfuelpumptiming:
4B.11 RemainingchemicalsforCoolingWaterTreatment:
4B.12 RemainingchemicalsforAirCooler(s)cleaning:
4B.13 RemainingchemicalsforT/Cdrycleaning:
g / y g
4B.14 LastdateofT/C(s)drycleaning:
4B.15 LastdateofAirCooler(s)cleaning:
4B.16 ConditionofT/Ccleaningfittings
4B.17 Cond.ofA/Coolercleaningfittings
4B.18 LastanalysisofCoolingWater:
4B.19 AretheE/RdoorsfirmlyclosedduringM/Eoperation?
No CͲDIESELGENERATOR#1 1 2 3 4 COMMENTS
4C.1 GeneralCondition
4C.2 Turbocharger
4C.3 AirCooler
4C.4 Instruments/Alarms
4C.5 Governor
4C.6 Alternator
4C.7 InsulationofAlternator
4C.8 GeneralParallelism
4C.9 ControlBoard
4C.10 PresentCondition,maxload(kW):
4C.11 PresentCondition,maxexhaustgastemps(percyl):
4C.12 Itemspendingforoverhaul:
4C.13 Sparesonboard(pleasestateYESorNO):
4C.14 Dateoflastluboilanalysis&indicatedoilcondition:
1. GOOD CONDITION - 2. NEEDS ATTENTION - 3. NEEDS SPARES - 4. DUE FOR OVERHAUL IN NEAR FUTURE
Vessel:
Date:
No DͲDIESELGENERATOR#2 1 2 3 4 COMMENTS
4D.1 GeneralCondition
4D.2 Turbocharger
4D.3 AirCooler
4D.4 Instruments/Alarms
4D.5 Governor
4D.6 Alternator
4D.7 InsulationofAlternator
4D.8 GeneralParallelism
4D.9 ControlBoard
4D.10 PresentCondition,maxload(kW):
4D.11 PresentCondition,maxexhaustgastemps(percyl):
4D.12 Itemspendingforoverhaul:
4D.13 Sparesonboard(pleasestateYESorNO):
4D.14 Dateoflastluboilanalysis&indicatedoilcondition:
No EͲDIESELGENERATOR#3 1 2 3 4 COMMENTS
4E.1 GeneralCondition
4E.2 Turbocharger
4E.3 AirCooler
4E.4 Instruments/Alarms
4E.5 Governor
4E.6 Alternator
4E.7 InsulationofAlternator
4E.8 GeneralParallelism
4E.9 ControlBoard
4E.10 PresentCondition,maxload(kW):
4E.11 PresentCondition,maxexhaustgastemps(percyl):
4E.12 Itemspendingforoverhaul:
4E.13 Sparesonboard(pleasestateYESorNO):
4E.14 Dateoflastluboilanalysis&&indicatedoilcondition:
No FͲDIESELGENERATOR#4 1 2 3 4 COMMENTS
4F.1 GeneralCondition
4F.2 Turbocharger
4F.3 AirCooler
4F.4 Instruments/Alarms
4E.5 Governor
4F.6 Alternator
4F.7 InsulationofAlternator
4F.8 GeneralParallelism
4F.9 ControlBoard
4F.10 PresentCondition,maxload(kW):
4F.11 PresentCondition,maxexhaustgastemps(percyl):
4F.12 Itemspendingforoverhaul:
4F.13 Sparesonboard(pleasestateYESorNO):
4F.14 Dateoflastluboilanalysis&&indicatedoilcondition:
Vessel:
Date:
No GͲEM'CYDIESELGENERATOR 1 2 3 4 COMMENTS
4G.1 GeneralCondition
4G.2 Dateoflastgeneraloverhaul:
No HͲBOILER 1 2 3 4 COMMENTS
4H.1 GeneralCondition
4H.2 AirBlowers
4H.3 AirRegisters
4H.4 BurningControlSystem
4H.5 Dearator
4H.6 FurnaceCondition
4H.7 TubesCondition
4H.8 AirHeaterCondition
4H.9 Sootblowers&fittings
4H.10 SteamPiping
4H.11 FeedWaterPumps
4H.12 FuelPumps
4H.13 Control/AutomaticDevices
4H.14 ExternalCasing
FeedWaterTreatment:
Last measurement on:
Lastmeasurementon:
4H.15
Partialalkalinity:
Chlorides:
4H.16 RemainingchemicalsforBoilerWaterTreatment:
4H.17 Dateoflastinspection:
4H.18 Dateoflastcleaning/washingofcombustionchamber:
Date: 01 Sept 2020 FormTEͲ01

Issue to all Vessels File:TͲ13
Authorized by: Tech Dept.
Issue/Revision: 2/0 Page6of14
Vessel:
Date:
No IͲCOMPOSITEBOILER 1 2 3 4 COMMENTS
4I.1 GeneralCondition
4I.2 AirBlowers
4I.3 AirRegisters
4I.4 BurningControlSystem
4I.5 Dearator
4I.6 FurnaceCondition
4I.7 TubesCondition
4I.8 AirHeaterCondition
4I.9 Sootblowers&&fittings
4I.10 SteamPiping
4I.11 FeedWaterPumps
4I.12 FuelPumps
4I.13 Control/AutomaticDevices
4I.14 EconomizerCondition
4I.15 Dateoflastinspection:
4I.16 Dateoflastcleaning/washingofcombustionchamber:
No IIͲEXHAUSTGASBOILER 1 2 3 4 COMMENTS
4II.1 GeneralCondition
4II.2 TubesCondition
4II.3 Sootblowers&&fittings
4II.4 Pressure/Temperaturegauges
4II 5
4II.5 Date of last cleaning/washing:
Dateoflastcleaning/washing:
No KͲSTEERINGGEAR 1 2 3 4 COMMENTS
4K.1 ConditionofSteeringGearRoom
4K.2 ConditionofSteerGearMachinery
4K.3 ElectroͲhydraulicSystem
4K.4 HeaderTank
4K.5 Em'cySteeringGearChangeͲover
4K.6 TelemotorReceivers/Transmitters

Vessel:
Date:
No MͲENGINEROOMMACHINERY 1 2 3 4 COMMENTS
4M.1 BallastPumpsTurbines/Motors
4M.2 FreshWaterGenerator(s)
4M.3 SewageTreatmentUnit
4M.4 FireFightingUnit
4M.5 EmergencyFirePump
4M.6 FireAlarms
4M.7 CO2System
4M.8 PortableFireExtinguishers
4M.9 QuickClosingValves
4M.10 Ventilators
4M.11 F.O.PumpsStoppingDevices
4M.12 ProvisionRefrigeratingPlant
4M.13 Incinerator
OilyWaterSeparator:
4M.14 GeneralCondition:
EfficiencyinPPM:
4M.15 O.D.M.vsI.O.P.P.Regulations:
4M.16 EngineRoomCrane:
No MAͲPURIFIERS 1 2 3 4 COMMENTS
4MA.1 LubOilPurifier#1
4MA.2 LubOilPurifier#1AutoͲControl
4MA 3
4MA.3 Lub Oil Purifier Heater #1
LubOilPurifierHeater#1
4MA.4 LubOilPurifier#2
4MA.5 LubOilPurifier#2AutoͲControl
4MA.6 LubOilPurifierHeater#2
4MA.7 FuelOilPurifier#1
4MA.8 FuelOilPurifier#2
4MA.9 DieselOilPurifier
a)Fueloilpurifiers:
4MA.10 Typeofbowlplatesusedat: b)Luboilpurifiers:
c)Dieseloilpurifiers:
No BALLASTPUMP(S) 1 2 3 4 COMMENTS
4N.1 GeneralCondition
4N.2 BallastPump(s)
4N.3 Eductor

Vessel:
Date:
No PͲDECKEQUIPMENT 1 2 3 4 COMMENTS
4P.1 AirConditioningSystem
4P.2 ProvisionRefrigeratingSystem
4P.3 AccommodationHeatingSystem
4P.4 AnchorWindlassPort
GeneralCondition:
WindlassMotor:
WindlassWildcat:
BrakeLining&Pins:
4P.5 AnchorWindlassStbd
GeneralCondition:
WindlassMotor:
WindlassWildcat:
BrakeLining&Pins:
4P.6 MooringWinchNo:
WinchMotor:
Drums:
SecurityDevices:
WinchMotor:
Drums:
SecurityDevices:
WinchMotor:
Drums:
SecurityDevices:
WinchMotor:
Drums:
SecurityDevices:
WinchMotor:
Drums:
SecurityDevices:
WinchMotor:
Drums:
SecurityDevices:
4P.12 Crane/DerrickNo
ElectricSystem:
HydraulicSystem:
LimitSwitches:
OilCooler:
Brakes:
ControlDevices:
1.GOODCONDITIONͲ2.NEEDSATTENTIONͲ3.NEEDSSPARESͲ4.DUEFOROVERHAULINNEARFUTURE

Vessel:
Date:
No P - DECK EQUIPMENT 1 2 3 4 COMMENTS

4P.13 Crane/Derrick No
Electric System:
Hydraulic System:
Limit Switches:
Oil Cooler:
Brakes:
Control Devices:
Electric System:
Hydraulic System:
Limit Switches:
Oil Cooler:
Brakes:
Control Devices:
Electric System:
Hydraulic System:
Limit Switches:
Oil Cooler:
Brakes:
Control Devices:
4P 16
4P.16 Port Life Boat
Winch:
Davit:
Engine:
4P.17 Stbd Life Boat
Winch:
Davit:
Engine:
4P.18 Stbd Life Boat
Winch:
Davit:
Engine:
4P.19 Vacuum System

Steam Line & Valves on Main Deck &
4P.20 Tanks
Hydraulic Line & Valves on Main Deck &

4P.21 Tanks
4P.22 Condition of Tanks Coamings
4P.23 Rollers & Runways
4P.24 Hydraulic Jacks
Last date of reporting the coating & structural condition of Cargo & Ballast
4P.25 Tanks, according to the guidelines of Technical Circular Letter:

F
Frequency: O i ll
Occasionally
Vessel:
Date:
No QͲOTHERS (commonforallvessels) 1 2 3 4 COMMENTS

4Q.1 ControlValves
4Q.2 StrippingPump(s)
4Q.3 BallastPipingSystem
4Q.4 DeballastingSystem
No RͲSWITCHBOARD/CONSOLES 1 2 3 4 COMMENTS
4R.1 MainSwitchboard
4R.2 EmergencySwitchboard
4R.3 PowerDistributionBoards
4R.4 LightingDistributionBoards
4R.5 GroupStarterPanel
4R.6 LocalGroupStarter&Ind/Panels
4R.7 ControlBoards
4R.8 Batteries&BatteriesChargers
4R.9 EngineControlConsole
4R.10 CargoControlConsole
4R.11 NavigationConsole
No SͲNAVIGATIONEQUIPMENT 1 2 3 4 COMMENTS
4S.1 RadarSystem
4S.2 GyroCompass&&AutoPilot
4S 3
4S.3 Speed Log
SpeedLog
4S.4 EchoSounder
4S.5 G.P.S.
4S.6 RudderAngleIndicator
4S.7 WhistleSystem
4S.8 WeatherFascimile
4S.9 NAVTEX
4S.10 ECDIS
No TͲCOMMUNICATIONSYSTEM 1 2 3 4 COMMENTS
4T.1 InmarsatͲC
4T.2 InmarsatͲB(orInmarsatͲA)
4T.3 G.M.D.S.S.
4T.4 AutomaticTelephoneSystem
4T.5 MagneticTelephoneSystem
4T.6 TalkͲBack&PublicAddresser
Date: 01 Sept 2020 Form TE-01

Issue to all Vessels File: T-13
Vessel:
Date:
No UͲMONITORING/CONTROL 1 2 3 4 COMMENTS
4U.1 M/ERemoteControlSystem
4U.2 E/RAlarm&MonitoringSystem
4U.3 BallastTankLevelGauging
4U.4 HFOStorageTankHighLevel
4U.5 DraftSystem
4U.6 ValveRemoteControlSystem
BallastTank&VoidSpacesGas
4U.7
SamplingSystem
4U.8 KYMAPerformanceMonitoring
4U.9 I.C.C.P.System
4U.10 AntifoulingSystem(M.G.P.S.)
5.MEASUREMENTINSTRUMENTS&&TOOLS
No Description PCS Maker/Type Condition/Remarks
5.1 PowerIndicator
5.2 Planimeter/SigmaMeter
5.3 CombustionPressureMeter
5.4 M/EF.O.PumpsAdjustmentTools
5.5 M/EHydraulicTools
5.6 M/ELinerMicrometer
5.7 M/EDeflectionGauges
5.8 M/ESpecialGauges
5.9 M/EPistonRodMicrometer
5.10 M/EExhaustValvesTemplates
5.11 D/GConnectingRodInsideMicrometer
5.12 D/GConnectingRodBoltsMarkingGauge
5.13 D/GCrankpinMicrometer
5.14 D/GTorqueWrenchwithSocket
5.15 D/GDeflectionGauge
5.16 D/GLinerMicrometer
5.17 TelescopicFeelerGauge
5.18 SternTubeGauge
5.19 HandTachometer
5.20 O.D.Micrometer0Ͳ25mm
5.30 VernierCalipers
5.31 DepthMicrometer
5.32 MeggerTest
5.33 Avometer
5.34 Ammeter
5.35 DigitalThermometers
5.36 FuelOilTestKit
5.37 LubOilTestKit
Date: 01 Sept 2020 Form TE-01

Vessel:
Date:
6.ENGINEDEPARTMENTFILESLIST
UPDATED
No DESCRIPTION COMMENTS
YES NO
6.1 ClassificationCertificates/Reports
6.2 MachineryCertificates
6.3 CircularLetters
6.4 GeneralLetters
6.5 TechnicalInformation(ServiceBulletins)
6.6 RunningHoursReport
6.7 M/E&D/GInspection/MeasuringReports:
M/EIndicatorCards/M/EDeflection&
BearingsClearances,Cylinders'Overhauls
D/GOverhauls,D/GDeflection,Connecting
Rod&BigͲEndBoreMeasurement
TurbochargerOverhaulingReports
AirCoolerOverhaulingReports
6.8 OtherInspectionReports:
EvaporatorPerformanceReport
MeggerTestReport
AlarmPointsChecklist
6.9 EngineLogAbstracts
6.10 P.M.S.Correspondence(In/Out)(EngineDept)
6.11 Bunkers & Lubricants:
Bunkers&Lubricants:
BunkerDeliveryReceipts/FuelTestAnalysis
DieselOilReceipts
FuelOilAnalysisReports
BunkerSurveyReports
LubricantsReceipts
LubricantsAnalysisReports
6.12 BunkeringProcedure:
BunkeringChecklists
BunkeringPlan
6.13 BoilerWater&CoolingWaterTreatmentLogs
(receipts/analysisreports)
6.14 Dry/DockingRepairsRecords
6.15 DailyWorks/OvertimeRecords/ExtraWorks
6.16 EngineSpareParts:
PrioritySpareParts/Quality&ConditionReports
SparePartsRequisition
SparePartsDeliveryReceipts
PendingSparePartsDeliveryReceipts
PackningListsforReceivedSpares
SparePartsTransportationForms
SparePartsStockList
SparePartsInventory
Date:01Sept2020 Form TE-01

q y y
IssuetoallVessels File: T-13
Vessel:
Date:
6.ENGINEDEPARTMENTFILESLIST(continued…)
UPDATED
No DESCRIPTION COMMENTS
YES NO
6.17 EngineStores:
StoresRequisitions
StoresDeliveryReceipts
UpdatedEngineStoresInventoryList
6.18 ChiefEngineers'Delivery/AcceptanceDocument
6.19 ChiefEngineer'sStandingOrders
6.20 InstructionstoChiefEngineerbySuperintendent
6.21 U.M.S.Checklists
6.22 InstructionBooks&Drawings
6.23 OutstandingRecords
6.24 E/RNavigationChecklists:
NavigatinginHeavyWeather
NavigatinginRestrictedWatersorUnderReduced
Visibility
OtherRemarks:
Date:01Sept2020 Form TE-01

IssuetoallVessels File: T-13
MonthlyReportOfOperatingHr
(ME/DG/BOILER)
Vessel:
MAINENGINE Date:
MainEngineType: NewTOTALRUNNINGHours:
CYLINDERS RECOMMENDED
INTERVALS
1 2 3 4 5 6 7 8 9 10 11 12
CYLINDERCOVER DATE
OVERHAUL
&PISTONASS'Y HOURS
DATE
CYLINDERLINER INSPECTION
HOURS
DATE
STUFFINGBOX OVERHAUL
HOURS
DATE
CYLINDERLUBRICATORS CHECK/CLEANING
HOURS
SCAVENGESPACES DATE
NONRETURNVALVESINSP INSP/CLEANING
THROUGHPORTS HOURS
DATE
STARTINGAIRVALVES OVERHAUL
HOURS
DATE
PRESSURERELIEFVALVES OVERHAUL
HOURS
DATE
EXHAUSTVALVES OVERHAUL
HOURS
DATE
OVERHAUL
FUELVALVES HOURS
PRESSURETEST DATE
DATE
OVERHAUL
FUELPUMPS HOURS
TIMINGADJUST DATE
DATE
CROSSHEADBEARINGS,
INSPECTION
GUIDES&SHOES HOURS
DATE
CRANKPINBEARINGS INSPECTION
HOURS
DATE
MAINBEARINGS OVERHAUL
HOURS
DATE
OVERHAUL
HOURS
GOVERNOR
OILRENEWAL DATE
(whereapplicable) HOURS
CRANKSHAFTDEFLECTION&
DATE
BEARINGSCLEARANCESMEASURMENT
DATE
CRANKCASE INSPECTION
HOURS
TURBOCHARGES(S) No1 No2 RECOMMINTERVAL CHANGEAIRCOOLER(S) No1 No2 RECOMMINTERVAL

TURBOCHARGER DATE AIRSIDE
DATE
OVERHAUL HOURS CLEANING
CLEANINGOFAIR DATE WATERSIDE
DATE
FILTER(S) HOURS CLEANING
LASTCLEANINGOF INSPECTIONOF
DATE DRAINVALVES
DATE
TURBINE SIDE
LASTCLEANINGOF DATE
INSPECTIONOF
DATE
INTRUMENTETION
BLOWER SIDE
DATE AIRCOOLER
RENEWALOFBEARINGS DATE
HOURS REMOVAL
OILRENEWAL DATE
(ifapplicable) HOURS
INSPECTIONOF
DATE
INTRUMENTETION

ChiefEngineer
Date:01Sep2020 Form:TEͲ02
Frequency:Monthly
Issue/Revision: 2/0
Issue/Revision:2/0 Page: 1 of 6
Page:1of6
(ME/DG/BOILER)
Vessel:
AUXENGINENo.1 Date:
LastRun NewTOTAL
Eng.Type: Fuel:
Hours: RUNNING
RECOMMENDED
CYLINDERCOVERS Cyls 1 2 3 4 5 6 7 8 INTERVALS
DATE
OVERHAUL
INLET/EXH HOURS
VALVES FEELERGAUGE DATE
CLEARANCE
ADJUSTMENT HOURS
DATE
STARTINGAIRVALVE OVERHAUL
HOURS
DISSASSEMPLY DATE
FUELINJECTIONV/V CLEANING
ADJUSTMENT HOURS
DATE
FUELINJECTORS LASTREPLACEMENT
HOURS
LINER&PISTONASS'LY
DATE
CYLINDERLINER INSPECTON
HOURS
DATE
PISTON OVERHAUL
HOURS
DATE
CONNECTINGROD LASTRECONDITIONING
HOURS
INSPECTION& DATE
CONNECTINGROD'SBIG
CLEARANCES
ENDBEARINGS MEASUREMENT HOURS
FUELSYSTEM
DATE
OVERHAUL
STARTINGAIRVALVES HOURS
INJECTIONTIMING DATE
DATE
FUELCARTRIDGES CLEANING
HOURS
CRANKSHAFT
INSPECTION& DATE
MAINBEARING CLEARANCES
MEASUREMENT HOURS
DEFLECTION
CRANKSHAFT MEASUREMENT
DATE
LASTCLEANING&OIL DATE
SUMPTANK RENEWAL
HOURS
TURBOCHARGER
DATE OILRENEWAL DATE
OVERHAUL
HOURS (ifapplicable) HOURS
BEARINGSRENEWAL DATE
CHARGERCOOLER
DISASSEMPLY/CLEANING DATE
/HYDRAULICTEST
HOURS
MISCELLANEUS
DATE GENERATORBEARINGS DATE
SINCELASTOVERHAUL
HOURS (OILRENEWAL) HOURS
GOVERNOR
OILRENEWAL DATE ROCKERARM DATE
(ifapplicable) HOURS (OILRENEWAL) HOURS
PROTECTIVEDEVICESCHECK
INSPECTIONOFPRESS&TEMPGAUGES DATE DATE
(RELAYSͲOVERSPEED)
ChiefEngineer
Frequency:Monthly
Issue/Revision: 2/0
Page:2of6
(ME/DG/BOILER)
Vessel:
AUXENGINENo.2 Date:
LastRun NewTOTAL
Eng.Type: Fuel:
Hours: RUNNING
RECOMMENDED
DATE
OVERHAUL
INLET/EXH HOURS
CLEARANCE
ADJUSTMENT HOURS
DATE
HOURS
DISSASSEMPLY DATE
ADJUSTMENT HOURS
DATE
HOURS
LINER&PISTONASS'LY
DATE
HOURS
DATE
PISTON OVERHAUL
HOURS
DATE
HOURS
INSPECTION& DATE
CONNECTINGROD'SBIG
CLEARANCES
FUELSYSTEM
DATE
OVERHAUL
DATE
HOURS
CRANKSHAFT
INSPECTION& DATE
MEASUREMENT HOURS
DEFLECTION
DATE
SUMPTANK RENEWAL
HOURS
TURBOCHARGER
OVERHAUL
CHARGERCOOLER
/HYDRAULICTEST HOURS
MISCELLANEUS
SINCELASTOVERHAUL
GOVERNOR
(RELAYSͲOVERSPEED)
ChiefEngineer
Frequency:Monthly
Issue/Revision: 2/0
Page:3of6
(ME/DG/BOILER)
Vessel:
AUXENGINENo.3 Date:
LastRun NewTOTAL
Eng.Type: Fuel:
Hours: RUNNING
RECOMMENDED
DATE
OVERHAUL
INLET/EXH HOURS
CLEARANCE
ADJUSTMENT HOURS
DATE
HOURS
DISSASSEMPLY DATE
ADJUSTMENT HOURS
DATE
HOURS
LINER&PISTONASS'LY
DATE
HOURS
DATE
PISTON OVERHAUL
HOURS
DATE
HOURS
INSPECTION& DATE
CONNECTINGROD'SBIG
CLEARANCES
FUELSYSTEM
DATE
OVERHAUL
DATE
HOURS
CRANKSHAFT
INSPECTION& DATE
MEASUREMENT HOURS
DEFLECTION
DATE
SUMPTANK RENEWAL
HOURS
TURBOCHARGER
OVERHAUL
CHARGERCOOLER
MISCELLANEUS
SINCELASTOVERHAUL
GOVERNOR
(RELAYSͲOVERSPEED)
ChiefEngineer
Frequency:Monthly
Issue/Revision: 2/0
Page:4of6
(ME/DG/BOILER)
Vessel:
AUXENGINENo.4 Date:
LastRun NewTOTAL
Eng.Type: Fuel:
Hours: RUNNING
RECOMMENDED
DATE
OVERHAUL
INLET/EXH HOURS
CLEARANCE
ADJUSTMENT HOURS
DATE
HOURS
DISSASSEMPLY DATE
ADJUSTMENT HOURS
DATE
HOURS
LINER&PISTONASS'LY
DATE
HOURS
DATE
PISTON OVERHAUL
HOURS
DATE
HOURS
INSPECTION& DATE
CONNECTINGROD'SBIG
CLEARANCES
FUELSYSTEM
DATE
OVERHAUL
DATE
HOURS
CRANKSHAFT
INSPECTION& DATE
MEASUREMENT HOURS
DEFLECTION
DATE
SUMPTANK RENEWAL
HOURS
TURBOCHARGER
OVERHAUL
CHARGERCOOLER
MISCELLANEUS
SINCELASTOVERHAUL
GOVERNOR
(RELAYSͲOVERSPEED)
ChiefEngineer
Frequency:Monthly
Issue/Revision: 2/0
Page:5of6
(ME/DG/BOILER)
Vessel:
AUX&COMPOSITEBOILER(S) Date:
AuxBoilerNo1TotalHours: AuxBoiler(s)Type:
AuxBoilerNo2TotalHours: CompositeBoilerType:
CompositeBoilerTotalHours: FuelUsed: cat
AUXBOILER COMPOSITEBOILER RECOMMENDENDINTERVALS
INPECTIONOFCOMBUSTIONCHAMBER DATE DATE

(tubes,condition,refactoryetc) HOURS HOURS
INSPECTIONOFWATER DATE DATE
ͲSteamDrum HOURS HOURS
HOTͲWATERWASHING DATE DATE
OFSURNACETUBE HOURS HOURS
CHECKINGOFOILBURNER DATE DATE
&BURNER'SFLAMEEYE HOURS HOURS
CHECKINGOFAUTOMATIC DATE DATE
FEEDWATERREGULATOR HOURS HOURS
DATE DATE
INSPECTIONOFSOOTBLOWERS
HOURS HOURS
INSPECTIONOFFORCED DATE DATE
DRAFTFUNS HOURS HOURS
CHECKINGOF DATE DATE
WATERLEVELALARMS HOURS HOURS
INSPECTIONOFBOILERFITTINGS DATE DATE
(e.g.safetyv/vs,stopv/vs,checkv/vs,blowͲ
down v/vs etc)
downv/vsetc) HOURS HOURS
COMPOSITEBOILER
RECOMMENDEND
EXCAUSTGASSIDE INTERVALS
INTERNALINSPECTIONOF DATE
EXCAUSTGASSIDE HOURS
HOTͲWATERWASHINGOFTUBE DATE
ELEMENTS HOURS
DATE
INSPECTIONOFSOOTBLOWERS
HOURS
DATE
INSPECTIONOFSAFETYVALVES
HOURS
CHECKINGOF DATE
INSTRUMENTATION
(press/tempgauges) HOURS
ChiefEngineer
Frequency:Monthly
:
VESSEL
ENGINE :
TYPE
SERIAL :
MAIN ENGINE PERFORMANCE REPORT NO.
DATE :
ENGINE DATA
BALLAST LADEN DRAUGHTS MAX
BHP @ rpm
OUTPUT
BALLAST : mt Fore M FIRING ORDER:
CARGO : mt Mid M TURBO(S) NOS. OF TYPE
DISPLACEMENT : mt Aft M IMPULSE TYPE CONSTANT PRESSURE _
BLOWER(S) NOS. OF: TYPE:
WIND
o o
AIR TEMP. : C SEA TEMP : C DIRECTION FORCE
(place arrow)
SEA
o
BAROMETER : mbar E/R TEMP : C DIRECTION STATE
(place arrow)
RECORD DATA
FUEL IFO CONSUMPTION
LOAD C/P VESSEL’S ENGINE
RPM HANDLE C/P SLIP %
INDIC ACTUAL C/P LADEN SPEED SPEED SPEED
POSTN BALLAST
mt/day mt/day mt/day Knts Knts Knts
TEMP
PRESSURE TEMP IN
o OUT NO. 1 NO. 2
BAR C o
C
CYLINDER COOLING TURBO RPM rpm rpm
o o
PISTON COOLING EXHAUST TEMP. IN C C
o o
FUEL EXHAUST TEMP. OUT C C
o o
LUBRICATING OIL AIR TEMP BEFORE COOLER C C
o o o
FUEL VISCOSITY (cst/REDWOOD) DENSITY@15 C AIR TEMP AFTER COOLER C C
OIL SW TEMP BEFORE COOLER
o
C o
C
AUX. BLOWERS RUNNING: YES NO SW TEMP AFTER COOLER

o
C o
C
SCAVENGE AIR TEMP. SCAVENGE AIR PRESSURE COOLER AIR PRESS. DROP mmH2O mmH2O
2
Kg/cm
2
Kg/cm
2 CONVERSION FACTORS : 1Kw = 1.36 HP, 1 Bar =1.02 Kg/cm
CYLINDER NO. 1 2 3 4 5 6 7 8 9 10 AVERAGE
VIT RACK POSITION
FUEL RACK POSITION

EXHAUST TEMPERATURE (oC)
MAX PRESSURE (Kg/cm2)
COMPRESSION PRESSURE (Kg/cm2 )
PRESSURE RISE AT FIRING (Kg/cm2 )
REMARKS:
Date: 01 Sept 2020 Form: TE-03

Frequency: BI Monthly
Issue/Revision: 2/0 Page: 1 of 1
MAINENGINEINSPECTIONREPORT
Vessel: GHMELTEMI
Port:
Date:
EngineType: Wartsila8RTͲFLEX68D
FormName: WARTSILA
Frequency:6Monthsand/orOverhauling
Issue/Revision: 2/0
Page:1of2
MAINENGINEINSPECTIONREPORT
Vessel: GHMELTEMI Port: Date:
EngineType: Wartsila8RTͲFLEX68D Stroke: 2720 mm Bore: 680 mm

LOADINGCONDITION: DRAFTSFORE: m CRANKCASETEMP: °C
AFT: m CRANKSHAFTDEFL.LIMIT: 0.86 mm
CRANKSHAFTDEFLECTION
CYLINDER'SNUMBER
POSITION
1 2 3 4 5 6 7 8 9 10 11 12
PORTBOTTOM(B1)
PORT(P)
TOP(T)
STBD(S)
STBBOTTOM(B2)
B=(B1+B2)/2
Vertical
DeflectionV=(TͲB)
Horizontal
DeflectionH=(PͲS)
Checkongauge T+B
readings
P+S
NOTE: PLEASEUSE1/100mmSCALE
A B
Thefollowingadjustmentstobechecked,dependingonenginetypeandaspermaker'sprocedures:
8. CRANKSHAFTMARKINGSbetweenpinandwebs: Yes No (SULZEREngines)

9. EXHAUSTV/VSandFUELPUMPSCAMS(bygauge): Yes No (SULZEREngines)
ChiefEngineer
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MAINENGINECylNo
EXHAUSTVALVECONDITIONREPORT
Vessel: GHMELTEMI
Port:
Date:
MainEnginetype: Wartsila8RTͲFLEX68D
FormName: WARTSILA
MAINENGINECylNo EXHAUSTVALVECONDITIONREPORT
EngineType: Wartsila8RTͲFLEX68D ValveHours(total)priorO/H: HousingMarking:

EngineHours(total): SpindleMarking: BottomPlaceMarking:
SpindleHours: BottomPlaceHours:
GENERALDATA
Valveoverhauled/Inspectedby: Reconditionedasset(Yes/No): YES NO
ValvedismountedfromCylNo: Reconditionedspare(spindledisc/stem/bottompc)
ValveKeptasSpare(Yes/No): YES NO Extentofreconditioning(1st/2nd/3rd):
ValveremountedonCylNo: Dateoflastreconditioningcarriedoutashore:
ValveSpindleserialNo. ValveSeat
Valvespindle Cylinder
VALVESPINDLE
Seatcontact(inner/outer/parallel):
BlowͲby(Yes/No): YES NO
Cracks(Yes/No): YES NO
Noofdentmarkslargerthandia.7mm:
M=0 Fwd=90 Exh=180 Aft=270
TotalGrinding,G1(mm)*=
(ClockwiseRotation)
DiscburningͲoffF1(mm)*= A
B
C
D
E
ImportantNote: IncasethegapG1and/ortheburnͲoffF1exceed
*GrindingAllowance:3mm themaxallowablevalues,thespindlemustnotbeground.
TechnicalDepartmenttobecontacted.
ifGRINDINGofSPINDLESEATINGwascarriedout,thefollowingdatatobefilledͲin:
Grindingcarriedoutby:
Extendofgrinding(1st/2nd/3rd):
g g( / / ) M=0 Fwd=90 Exh=180 Aft=270
Totalgrinding(mm): Aftergrinding,G1(mm)*=
Stemdiadmin(mm)*atsealing:
Stemdiado(mm)atsealing:
Stemsurfacecondition(cracked/peeledoff):
Remarks:
BOTTOMPIECE
SeatContact(Inner/Outer/Parallel):
BlowͲby(Yes/No): YES NO
Cracks(Yes/No): YES NO
Noofdentmarkslargerthandia.7mm:
M=0 Fwd=90 Exh=180 Aft=270
G2(mm)*=
G3(mm)*=
ImportantNote: Ifthetemplaterestsonthelowersurfaceinthegroove,henceG2=0,
thebottompiecemustnotbegroundbutcondemnedforfurtheruse.TechnicalDeptto
ifGRINDINGofBOTTOMPIECEwascarriedout,thefollowingdatatobefilledͲin:
Grindingcarriedoutby:
Extendofgrinding(1st/2nd/3rd): Remarks:
TotalGrinding(mm):
M=0 Fwd=90 Exh=180 Aft=270
G2(mm)*=
G3(mm)*=
ChiefEngineer
Frequency: Occasionally File: T-3
Issue/Revision: 2/0
Issue to all Vessels Page: 2 of 3
EngineType: Wartsila8RTͲFLEX68D ValveHours(total)priorO/H: HouseMarking:

Enginehours(total): SpindleMarking: BottomPlaceMarking:
SpindleHours: BottomPlaceHours:
VALVEHOUSING
6o'clock 9o'clock 12o'clock
AREA"A"
Maxcarbondepositthickness(mm)=
Corrosion(mm)=
AREA"B"
Corrosion(mm)=
AREA"C"
Corrosion(mm)=
SpindleGuideBushdiameter,TOP(mm)*=
SpindleGuideBushdiameter,BOTTOM(mm)*=
MEAN(mm)=
Remarks:
OILCYLINDER//AIRCYLINDER
a)OilPistonRingswear(mm),1stRING=
OilPistonRingswear(mm),2ndRING=
b)DamperPistonMesh
Distancefromupperedgeofthecrossbarto
thetopofthedamperpiston= (a)OilPistonRings
c)AirCylinderSafetyValve,PressureTest
OpeningPressure=
(b)DamperPistonMesh
Remarks: (c)AirCylinderSafetyValve
ChiefEngineer

Frequency: Occasionally File: T-3
Issue/Revision: 2/0
MAINENGINEBEARINGCLEARENCE
Vessel: GHMELTEMI
Port:
Date:
EngineType: Wartsila8RTͲFLEX68D
FormName: WARTSILA
Frequency:6Monthsor/andOverhauling
MAINENGINEBEARINGCLEARENCE
Eng.Type: Wartsila8RTͲFLEX68D Stroke: 2720 mm Bore: 680 mm

LOADINGCON(BALLAST/LOADED DRAFTSFORE: m CRANKCASETEMP: °C
AFT: m
BEARINGCLEARANCESMeasurementunit1/100mm
ConnectingRodTopEnd ConnectingRodBottomEnd h1+h2(or'4') MainbearingNo.1 MainbearingsNo.2&up
new[mm] max[mm] new[mm] max[mm] new[mm] max[mm] new[mm] max[mm] new[mm] max[mm]
0.5~0.7 0.90 0.5~0.75 0.90 0.4~0.8 1.20 0.4~0.8 1.00 0.3~0.7 0.90
CYLINDER'SNUMBER
BEARINGS POSITION
1 2 3 4 5 6 7 8 9 10 11 12
ConnectingRod FORE
'b1'or'1'FWD TopEndBearing
(Crosshead)FWD AFT
ConnectingRod FORE
'b1'or'1'AFT TopEndBearing
(Crosshead)AFT AFT
ConnectingRod FORE
'a1'or'5' BottomEnd
Bearing(Crankpin) AFT
Crosshead&
h1+h2(or'4')
ConnectingRodtotal
FORE
'1' MainBearings
AFT
GuideShoes&GuideWay(Column)clearance('b1 ')
normal,new[mm] Top
Exhaust
0.2~1 Bottom
max.duetowear FWD
'b1' Top
[mm] F.P.
1.30 Bottom
Top
Exhaust
Bottom
AFT
0 Top
F.P.
Bottom
CLEARANCEBETWEENGUIDESTRIPS&GUIDES(lateralclearance'd1 'ofcrossheadbetweenthecolumns)
normal,new[mm] Top
FWD
0.6~1.8 Bottom
max.duetowear[mm] Top
d1total 2.2
AFT
Bottom
Top 0 0 0 0 0 0 0 0 0 0 0 0
totalFWD/AFT
Bottom 0 0 0 0 0 0 0 0 0 0 0 0
Lateralclearance'e 'betweenmiddlepart&crossheadpin
normal,new[mm] Top
FWD
0.2~0.4 Bottom
Top
e AFT
Bottom
Top 0 0 0 0 0 0 0 0 0 0 0 0
totalFWD/AFT
Bottom 0 0 0 0 0 0 0 0 0 0 0 0
NOTE: PLEASEUSE1/100mmSCALE
Remarks:
ChiefEngineer
Date:01Sept2020 Form: TE-07

Authorized by: Tech Dept
Frequency:6Monthsor/andOverhauling File: T-3
Issue/Revision:2/0
IssuetoallVessels Page: 2 of 2
MAINENGINE
FUELVALVE(S)PRESSURETESTRECORD
Mainenginetype: Wartsila8RTͲFLEX68D
FormName: Wartsila
THEATOMIZERTESTINSLIDETYPE
FUELINJECTORISNOTAPPLICABLEAS
PERMAKER.
ATOMIZER TEST WILL DAMAGE THE
ATOMIZERTESTWILLDAMAGETHE
NEEDLEOFTHEATOMIZER.
Frequency:Every2000RunningHours
Issue/Revision:2/0 Page: 1of3
MAINENGINEFUELVALVE(S)PRESSURETESTRECORD
Cyl FuelValve RunnHours

FuelValveConditionAtomizationTest Opening SpindleGuideSealingTest SpindleGuideSlidingFunction OͲRingSealingTest
Lastpress
Positionon sincelast (ifapplicable)**
No test(date)
CylHead replacement Original Recond Satisfactory Incorrect Pressure(bar) Satisfactory Defficient Satisfactory Defficient Satisfactory Defficient
FWD
1 MID
AFT
FWD
2 MID
AFT
FWD
3 MID
AFT
FWD
4 MID
AFT
FWD
5 MID
AFT
FWD
6 MID
AFT
FWD
7 MID
AFT
FWD
8 MID
AFT
FWD
9 MID
AFT
FWD
10 MID
AFT
Date:01Sept2020
p Form:TEͲ08
Authorizedby:
Authorized by: TechDept.
Tech Dept
Issue/Revision:2/0
IssuetoallVessels Page:2of3
MAINENGINEFUELVALVE(S)PRESSURETESTRECORD
FWD
11 MID
AFT
FWD
12 MID
AFT
**CAUTION :DoNOTattempttocarryoutanATOMIZATIONTESTonSLIDETYPEFUELVALVES,asthismaydamagethecutͲoffslide&nozzle.
BRIEFREPORTONDEFFICIENCIESNOTED:
CylNo1: CylNo2: CylNo3: CylNo4: CylNo5: CylNo6: CylNo7: CylNo8: CylNo9: CylNo10: CylNo11: CylNo12:
CORRECTIVEACTIONSTAKENFORRESTORINGNORMALFUNCTION:
CylNo1: CylNo2: CylNo3: CylNo4: CylNo5: CylNo6: CylNo7: CylNo8: CylNo9: CylNo10: CylNo11: CylNo12:
ChiefEngineer:
Authorizedby:
Authorized by: TechDept.
Tech Dept
Issue/Revision:2/0
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WƌĞƐƵƌĞ WƌĞƐƵƌĞ
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Ϯ Ϯ
ϯ ϯ
ϰ ϰ
ϱ ϱ
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ŚŝĞĨŶŐŝŶĞĞƌ
Date: 01 Sept 2020 &Žƌŵ͗dͲϬϵ

Frequency: Annually
Issue to all Vessels &ŝůĞ͗dͲϯ
Issue/Revision: 2/0 WĂŐĞ͗ϭŽĨϭ
RecordofM/EInspection
throughScavengePorts
Vessel: GHMELTEMI
Port:
Date:
MainEnginetype: Wartsila8RTͲFLEX68D
FormName: WARTSILA
Frequency:BiMonthly
Issue/Revision: 2/0
Page:1of4
RecordofM/EInspectionthroughScavengePorts
Vessel: GHMELTEMI EngineType: Wartsila8RTͲFLEX68D Checkedby:
Totalrunninghours: Hourssincelastinspection Date:
LubricatorType: ACCfactor: SulphurS%:
Cyl.OilType: Cyl.OilCons.(lt/24hrs): Feedrateat100%MCR:
Conditionandsymbol EnginePart CylinderNo.
1 2 3 4 5 6 7 8 9 10 11 12
IntactͲ*
Crown
Piston
BurningͲBU
LeakingOilͲLO
LeakingfuelͲLF
Water on crownͲWC
NodepositͲ* Ringland1
PistonDeposits
LightDepositͲLC Ringland2
MediumDepositͲMC
ExcessiveDepositͲEC Ringland3
PolishedDepositͲPC Ringland4
CarbonͲ% Topland
Ring
IntactͲ* Ring1
reakage
CollapsedͲC
BrokenoppositeringgapͲBO Ring2
BrokenneargapͲBN Ring3
movement bre
SeveralpiecesͲSP
EntirelymissingͲM Ring4
Ring
Ring1
LooseͲ*
Ring2
SluggishͲSL
StickngͲST Ring3
Ring4
Clean,smoothͲ*
Ring1
Runningsurface,Black,overallͲBL
Surfacecondition
Runningsurface,Black,partlyͲ(B) Ring2
Blackringends>100mmͲBR
Scratches(vertical)ͲS Ring3
MicroͲseizuresͲMZ
HoningmarksstillvisibleͲ** Ring4
WearͲridgesnearscav.portsͲWR
ScuffingͲSC Pistonskirt
RingsharpedgedTop/Bot.ͲT/B Pistonrod
Pistonringrunninghourssincelastoverhaul
Linerrunninghours
Maxlinerdiameter,lastmeasurement
Frequency:BiMonthly File:TͲ3
Issue/Revision:2/0
Totalrunninghours: Hourssincelastinspection Date:
CylinderNo.
Conditionandsymbol EnginePart
1 2 3 4 5 6 7 8 9 10 11 12
Lubrication Surfacecondition
HoningmarksstillvisibleͲ**
WearridgesnearscavengeportsͲWR Pistonrod
Liner/Rod
ScuffingͲSC
CloverleafingͲCL
Cylinder
ScratchmarksͲSC
Liner
CorrosionmarksͲY/N
Ring1
Ring2
OptimalͲ*
Ring3
condition
ToomuchoilͲO
Ring4
SlightlydryͲD
Pistonskirt
VerydryͲDO
Pistonrod
BlackOilͲBO
Cylinderliner
Nosludge
No sludgeͲ*
Depositss
SScavengebox
b
SludgeͲS
MuchsludgeͲMS Scav.
BuilduponscavengeportsͲBU Receiver
IntactͲ* Flapsand
Other
BrokenͲBR nonͲreturn
OpenͲO Piston
BlockedͲBL undersided
Linerrunninghours
REMARKS
Issue/Revision:2/0
IssuetoallVessels
Issue to all Vessels Page:3of4
Page: 3 of 4
Totalrunninghours: Hourssincelastinspection: Date:
CR(CHROMIUMPLATING):0.50~0.55mm
CylinderNo. 1 2 3 4 5 6 7 8 9 10 11 12
RingNo./
Hours
RingVerticalClearance[mm]
Ring1
Ring2
Ring3
Ring4
NOTE:graphicalpresentationofverticalclerancedisplayedmayvaryfromvesseltovessel
Remaining
round,Y/N
RingGap[t]
1 2 3 4 5 6 7 8 9 10 11 12
mm
Ring1
Ring2
Ri 2
Ring3
Ring4
REMARKS
Linerrunninghours
Issue/Revision:2/0
D/GENGINEOVERHAULING
No
REPORT
Vessel: GHMELTEMI
Port:
Date:
D/GENGINETYPE: MANB&W4x8L28/32H
FORMNAME: MANB&W
Frequency:AfterInspection
Issue/Revision: 2/0
Page:1of4
No: D/GENGINEOVERHAULINGREPORT
D/GRunningHoursfromLastInspecion: D/GType: MANB&W4x8L28/32H

T/CRunningHoursfromLastOverhauling: Bore(mm): 280
AirCoolerRunnHoursfromLastCleaning: Stroke(mm): 320
FuelPumpsRunnHoursfromTiming: DateoflastD/GOverhaul:
LINER 1 2 3 4 5 6 7 8
POSITION FͲA PͲS FͲA PͲS FͲA PͲS FͲA PͲS FͲA PͲS FͲA PͲS FͲA PͲS FͲA PͲS
A
B
C
PISTONRINGS
(mustbereplacedwhen15%wearismeasured )
PISTONS
PISTONGROOVES
1 2 3 4 5 6 7 8
a
b
1
c
d
a
b
2
c
d
a
b
3
c
d
a
b
4
c
d
a
b
5
c
d
a
b
6
c
d
Frequency:AfterInspection File:TͲ4
/
Issue/Revision: 2/0
/
I
IssuetoallVessels
ll V l P
Page:2of4
2 f4
No: D/GENGINEOVERHAULINGREPORT
PISTONPINANDBUSH
StandardClearance(mm): 0.15~0.25 Max.allowclearance(mm): Ͳ
No 1 2 3 4 5 6 7 8
CLEARANCE Fwd
Aft
CRANKPINJORNALS
NO 1 2 3 4 5 6 7 8
V
I
H
V
II
H
BEARING F
CLEARANCE A
MAINJOURNALS
NO 1 2 3 4 5 6 7 8 9 10
V
I
H
V
II
H
BEARING F
CLEARANCE A
LINERS Replace: NO YES Nos: T/C Overhauled NO YES

PISTONS Replace: NO YES Nos: AIRCOOLER Cleaning NO YES
CONNROD Replace: NO YES Nos: COOLERS Cleaning NO YES
MAIN ReͲtimed NO YES

Replace: NO YES Nos: FUELPUMPS
BEARINGS Overhauled NO YES
CYLINDER S/TANKOIL Replaced NO YES

Replace: NO YES Nos:
COVERS GENERATOR Cleaning NO YES
REMARKS:
Issue/Revision: 2/0
No: D/GCONNͲRODINSPECTIONREPORT
StandardConn/Rodenddiam(Di): 242 (mm)
Cyl.No. 1 2 3 4 5 6 7 8
ConnRod
SerialNo:
Connecting
RodTOTAL
Hours:
BOLTS
Elongation:
BOLTS
TOTAL
HoursinͲuse
:
POSITION F A F A F A F A F A F A F A F A
A
B
C
D
E
(C+B)/2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
(DͲDi) Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00
(C+B)/2ͲDi Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00
(AͲDi) Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00 Ͳ242.00
(DͲA) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
EͲ(B+C)/2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Serration Serration Serration Serration Serration Serration Serration Serration
Cracks Cracks Cracks Cracks Cracks Cracks Cracks Cracks
Corrosion Pitting Corrosion Pitting Corrosion Pitting Corrosion Pitting Corrosion Pitting Corrosion Pitting Corrosion Pitting Corrosion Pitting
Bolts Reniew Bolts Reniew Bolts Reniew Bolts Reniew Bolts Reniew Bolts Reniew Bolts Reniew Bolts Reniew
MAX.OVALITY 0.1
CALC.OVALITY
DmaxͲDmin(mm)
Remarks
ChiefEngineer
Issue/Revision:2/0
Issue to all Vessels
IssuetoallVessels Page: 4 of 4
Page:4of4
No: D/GCRANKSHAFTDEFLECTION
D/GEngineType: MANB&W4x8L28/32H
FormName: MainForm
A th i d b T h D t
Issue/Revision:2/0 Page: 1of3
LOADINGCONDITION: DRAFTS: FORE: AFT: E/RTEMP: oC
COUNTERWEIGHTBOLTS NO YES RENEWNOS:

TIGHNESSSAMPLINGANDDYE
CHECK CRACKFOUND NO YES NOS:
MAINBEARINGBOLTS NO YES
ELONGATIONSAMPLINGAND
DYECHECK
CRACKFOUND NO YES NOS:
CRANKPINBOLTSELONGATION NO YES RENEWNOS:

SAMPLINGANDDYECHECK CRACKFOUND NO YES NOS:
CAMSHAFTW/BEARING NO YES
EXAMINATION
TIMINGGEARSEXAMINATION NO YES
ENGINECHOCKSEXAMINATION NO YES ANYBOLTSRETIGHTENNING:
DECARBONISINGOFEXHGAS NO YES
MANIFOLD
T/CBEARINGSREPLACEMENT NO YES
PYROMETERS&
NO YES
THERMOMETERSEXAMINATION
DEFLECTIONTAKEN NO YES COLD HOT CRANKCASETEMP °C
NO 1 2 3 4 5 6 7 8 9 10
MAINBEARINGCLEARANCES Fwd
Aft
CRANKSHAFTDEFLECTION
Pleaseindicatewhichotherauxengineswereworkingwhentakingthis
Pl i di t hi h th i ki h t ki thi
measurement:
Cylinder'sNumber
POSITION
1 2 3 4 5 6 7 8 9
PORTBOTTOM(B1)
PORT(P)
TOP(T)
STBD(S)
STBBOTTOM(B2)
1/1000'' 1/100 mm PLEASEINDICATETHEUNITUSED

NOTE:itisimperativetousetheprefix(+)or(Ͳ)forthedeflectionmeasurementstaken.
AlsofirstmeasurementtobestartedwithZERO.
B=(B1+B2)/2
VerticalDeflection(TͲB)
HorizontalDeflection(PͲS)
ChiefEngineer

Frequency: 6 Months and/or Overhauling File: T-4
Issue/Revision: 2/0

Frequency: 6 Months and/or Overhauling File: T-4
Issue/Revision: 2/0
Vessel: GHMELTEMI
Port:
Date:
No. D/GTURBOCHARGERINSPECTION/OVERHAULINGREPORT
D/GMaker: MANB&W D/GType: 8L28/32H
D/GEnginerunninghourssincelastinspection/overhaul:
T/CMaker: MANB&W T/CType: NR24 R102
Inspection/Overhaulingdate:
Inspection/Overhaulingcarriedoutby:
T/Crunninghourssincelastinspection/overhaul:
Search
No. D/GTURBOCHARGERINSPECTION/OVERHAULINGREPORT
D/GMaker: MANB&W D/GType: 8L28/32H
D/GEnginerunninghourssincelastinspection/overhaul:
T/CMaker: MANB&W T/CType: NR24 R102
Inspection/Overhaulingdate:
Inspection/Overhaulingcarriedoutby:
T/Crunninghourssincelastinspection/overhaul:
PARTI:ASSESSMENTOFTURBOCHARGERCONDITION
Subcomponent FOULE CLEAN DAMAGED INTACT

AIRINTAKECASING:
COMPRESSORCASING:
CONTACT YES NO
MARKS
INSERT(Compressorside):
INSERT(Turbineside):
VANES ERODED CRACKED SAT/CT
CONDITIO ORY
DIFFUSER:
TURBINENOZZLERING:
YES NO
GASADMISSIONCASING: EROSION
CRACKS
YES NO
GASOUTLETCASING: EROSION
CRACKS
REMARKS

Frequency: After Inspection File: T-4
Issue/Revision: 2/0
Subcomponent BLADES BENT CRACKED SAT/CTOR

FOULED CLEAN DAMAGED INTACT
(tickboxasappropriate)
(tick box as appropriate) CONDITION Y
COMPRESSORWHEEL
TURBINEROTOR
CONTACT
YES NO
MARKS
`
unilateralat overentire
circumference circumference
FRETTING
YES NO
FOULED CLEAN DAMAGED INTACT MARKS
LABYRINTHRING
THRUSTRING
BEARINGBUSH(TurbineSide)
BEARINGBUSH(CompressorSide)
FOULED CLEAN DAMAGED INTACT CLOGGED CLEANED

SEALINGAIR
BEARINGCASING
BORES
OILBORES
REMARKS
Date: 01 Sept 2020 Form: TE

TE-13
13
Issue/Revision: 2/0
PART II: MEASUREMENT/RECORDING OF CLEARANCES
ITEMNo. Measurement'sdescription Measuredvalue Allowablelimit
1 Radialgapbetweencompressor MM
MIN 0.50 MM
wheelandinsert: MAX 0.90 MM

WHENNEW: MIN 0.60 MM
MAX 0.70 MM
Note: Radialgaptobetakenasthemeanvalueof4pointsmeasurementinwayofcircumferencebymeans
ofusingafeelergauge.
3 Radialgapbetweenturbinerotor MM
MIN 0.50 MM
and insert:
andinsert: MAX 00.90
90 MM
MAX 0.70 MM
Note: Radialgaptobetakenasthemeanvalueof4pointsmeasurementinwayofcircumferencebymeans
ofusingafeelergauge.
5 AxialclearanceoflocatingbearingͲ MIN 0.00 MM

MM
labyrinthring: MAX 0.42 MM
MAX 0.35 MM
Note: Measurementtobetakenbyapplyingadialgaugetoasuitableaxialsurfacefollowedbyavigorous
movementoftherotorinbothdirectionsAandB.
Abberationfromtheplaneofrotation MM Transverseplayofrotorinbearing: MM
(facerunout):
Note: Maximumadmissible 0.06 MM

Issue/Revision: 2/0
PARTIII:CHECKING/RENEWALCRITERIAOFSPECIFICPARTS
1.TURBINENOZZLERING
Calculatethemeanreductionvalueofguidevanes: ‫݉ܮ‬ൌሺሺ‫ͳܮ‬൅‫ʹܮ‬൅ǥ൅‫݊ܮ‬ሻሻȀ݊ = MM
wheren =numbersoftheguidevanes
Replacementcriterion: Lm ш 12.00 MM
REMARKS

Issue/Revision: 2/0
PARTIII:CHECKING/RENEWALCRITERIAOFSPECIFICPARTS
1.BEARINGCASING
Measurementofinnerdiameter: MM REMARKS
Replacementcriterion: dш 63.03 MM
2.BEARINGBUSHES
2.1CompressorSide 2.2TurbineSide
Measurementofinnerdiameter: MM Measurementofinner MM
Replacementcriterion: dш 37.04 MM diameter:
Replacementcriterion: dш 37.04 MM
Measurementofouterdiameter: MM Measurementofouter
MM
Replacementcriterion: Dч 62.80 MM diameter:
Replacementcriterion: Dч 62.80 MM
Measurementofwidth: MM Measurementof
MM
Replacementcriterion: bч 36.95 MM width:
Replacementcriterion: bч 36.95 MM
REMARKS REMARKS

Issue/Revision: 2/0
3.TURBINEROTOR
Measurementofouterdiameteriwo
MM
labyrinthtips:
Replacementcriterion: dч 69.85 MM
REMARKS
4.LABYRINTHRING
Measurementoflabyrinthtipsouterdiameter: MM
Replacementcriterion: dч 69.85 MM
REMARKS
ChiefEngineer

Issue/Revision: 2/0
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Date: 01 Sept 2020 &Žƌŵ͗dͲϭϰ

Frequency: Monthly
Issue to all Vessels &ŝůĞ͗dͲϳ
Authorized by: Tech
Dept. Issue/Revision: 2/0 WĂŐĞ͗ϭŽĨϭ
MEGGERTESTREPORT
Vessel: GHMELTEMI
Date:
MEGOHMS
DESCRIPTION kW HOT COLD
Stator Rotor Starter Stator Rotor Starter
IͲAC440VCONSUMERS
A.ENGINEROOM
1 MainGeneratorNo.1 1600
5 No.1D/GPrimingPump 0.9
9 F.O.D/GBoosterNo.1 1.3
10 F.O.D/GBoosterNo.2 1.3
11 F.O.D/GCirc.No.1 1.75
12 F.O.D/GCirc.No.2 1.75
13 F.O.M/EBoosterNo.1 3.95
14 F.O.M/EBoosterNo.2 3.95
15 F.O.M/ECirc.No.1 3.03
16 F.O.M/ECirc.No.2 3.03
17 M/EAuxiliaryBlower1 90
18 M/EAuxiliaryBlower2 90
19 M/ELubOilPumpNo.1 128
20 M/ELubOilPumpNo.2 128
21 CamshaftLubPumpNo.1 25.6
22 CamshaftLubPumpNo.2 25.6
23 M/EControlOilPump 6.3
24 M/ES.W.CoolingPump1 64
Frequency:BiMonthly
MEGGERTESTREPORT
Vessel: GHMELTEMI
Date:
MEGOHMS
IͲAC440VCONSUMERS
A.ENGINEROOM
27 M/EL.T.FW.CoolingPump1 49
30 M/EH.T.PumpNo.1 43.1
31 M/EH.T.PumpNo.2 43.1
32 M/ETurningGear 5.5
33 M.E.L.O.Autofilter 0.9
34 M.E.ServoOilAutofilter 0.9
35 SteeringGearNo.1 65
36 SteeringGearNo.2 65
37 BowThruster 1200
38 MainAirCompressorNo.1 66
39 MainAirCompressorNo.2 66
40 EmergencyAirCompressor 18
41 ServiceAirCompressor 26
42 ControlAirDehydratorζ1 0.8
43 ControlAirDehydratorζ2 0.8
44 HFOTransferPumpζ1 34.9
48 MDOTransferPumpζ1 3.5
49 MDOTransferPumpζ2 3.5
50 DirtyOilPump 2.55
Frequency:BiMonthly
MEGGERTESTREPORT
Vessel: GHMELTEMI
Date:
MEGOHMS
IͲAC440VCONSUMERS
A.ENGINEROOM
51 SludgeOilPump 3.45
52 M/EL.O.TransferPump 2.5
53 CylinderOilTransferPump 1.3
54 A/EL.O.TransferPump 1.3
55 H.F.OPurifierNo.1 26
56 FeedPumpH.F.O.PurifierNo.1 3.6
57 H.F.OPurifierNo.2 26
58 FeedPumpH.F.O.PurifierNo2 3.6
59 M.D.OPurifier 4.6
60 FeedPumpM.D.OPurifier 1.32
61 M.E.L.OPurifier 8.6
62 FeedPumpM.E.L.OPurifier 0.9
63 D/GL.O.Purifierζ1 4.6
64 FeedPumpD/GL.O.Purifierζ1 0.66
71 BallastPump/Heelingζ1 52
72 BallastPump/Heelingζ2 52
73 Fire&G.SPump 43.1
74 Bilge&G.SPump 64
75 EvaporatorEjector 15
Frequency:BiMonthly
MEGGERTESTREPORT
Vessel: GHMELTEMI
Date:
MEGOHMS
IͲAC440VCONSUMERS
A.ENGINEROOM
76 EvaporatorDistillate 0.75
77 FreshWaterPumpζ1 4.7
78 FreshWaterPumpζ2 4.7
79 TechnicalWaterPump 4.7
80 HotwaterCirc.Pump 1.3
81 BoilerBurnerMotor 2.6
82 BoilerForcedDraughtFan 4.8
83 Aux.BoilerF.O.Pumpζ1 0.8
84 Aux.BoilerF.O.Pumpζ2 0.8
85 Aux.BoilerFeedPumpζ1 4
86 Aux.BoilerFeedPump2 4
87 Ex.GasBoil.FeedPumpζ1 3
88 Ex.GasBoil.FeedPumpζ2 3
89 ProvisionCompressor1 13.8
90 ProvisionCompressor2 13.8
91 AirConditionCompressor1 55
92 AirConditionCompressor2 55
93 EmergencyGenerator 340
94 EmergencyFirePump 43.1
95 SeaWaterSprinklingPumpForCargoHoldζ 87.3
96 SewagePump 4.4
97 FreshWaterCoolingFillingPump 0.6
98 FreshWaterCoolingPreheatingCirculatingPump 2.5
99 WindlassMotorSTB 72
100 WindlassMotorPORT 72
Frequency:BiMonthly
MEGGERTESTREPORT
Vessel: GHMELTEMI
Date:
MEGOHMS
IͲAC440VCONSUMERS
A.ENGINEROOM
101 SmokingRoomFan 0.15
102 Tally&CargoOfficeFan 0.15
103 ChangingRoomFan 0.15
104 EͲDeckStoreFan 0.15
105 WheelhouseW.C.Fan 0.07
106 SanitaryFanDeckE,D 0.3
107 SanitaryFanDeckC 0.15
108 SanitaryFanDeckB 0.15
109 SanitaryFanDeckAOfficerRec.Rm 0.15
110 AͲDeckGalleyFan 0.15
111 AͲDeckOfficerMessRm&Pantry 0.15
112 AͲDeckMessRoom&DutyFan 0.15
113 CrewRecreationsRoomFan 0.15
114 VoidSpaceExhaustFanSTB 0.75
115 VoidSpaceExhaustFanPort 0.75
116 SteeringGearRoomFan 1.3
117 GalleyFan 0.75
118 O2RoomFan 0.5
119 FuelValveTestingRmFan 0.75
120 C2H2RoomFan 0.5
121 ServingPumpRoomFanEEͲ9 0.5
124 EmergencyGeneratorRoomFan 8.6
125 IncineratorRm.Supply/ExhaustFan 1.73
Frequency:BiMonthly
MEGGERTESTREPORT
Vessel: GHMELTEMI
Date:
MEGOHMS
IͲAC440VCONSUMERS
A.ENGINEROOM
126 C.H.ζ1ExhaustFanECͲ1 2.53
127 C.H.ζ1ExhaustFanECͲ2 2.53
128 C.H.ζ2Exhaust/SupplyFanSCͲ4 15
130 C.H.ζ2SupplyFanSCͲ3 17.3
138 C.H.ζ4Exhaust/SupplyFanSCͲ14 17.3
139 C.H.ζ4Exhaust/SupplyFanSCͲ17 17.3
149
150
Frequency:BiMonthly
MEGGERTESTREPORT
Vessel: GHMELTEMI
Date:
MEGOHMS
IͲAC440VCONSUMERS
B.DECKMACHINERY
1 MooringWinchMotorFWD 64
2 MooringWinchMotorAFTSTB 64
3 MooringWinchMotorAFTCent 64
4 MooringWinchMotorAFTPS 64
5 No.1CraneMainMotor 184
6 No.1CraneFeedPumpMotor 26
7 No.1CraneCoolingMotor 1.6
17 Accomm.LadderWinchζ1 2.5
18 Accomm.LadderWinchζ2 2.5
19 PilotLadderWinchζ1 2.5
20 PilotLadderWinchζ2 2.5
21 LifeboatWinchAFT 13
22 RescueboatWinchPS 5.5
23 EngineRoomCraneHoist 4.2
24 E/RCraneTravel 1.1
25 E/RCraneTrolley 1.1
Frequency:BiMonthly
MEGGERTESTREPORT
Vessel: GHMELTEMI
Date:
MEGOHMS
IͲAC440VCONSUMERS
B.DECKMACHINERY
26 Prov.CraneHoistSTB. 3.7
27 PackageAirCond.ECR. 5.48
28 PackageAirCond.ECR. 5.3
29 PackageAirCond.Galley 3.55
30 Lathe 4.2
31 DrillingMachine 0.8
32 Grinder 0.8
33 PackageAirCond.UnitWorkshop 8.24
34 ProvisionLift 1.5
35 E/R.FanNo.1 34.5
36 E/R.FanNo.2 34.5
37 E/R.FanNo.3 34.5
38 E/R.FanNo.4 34.5
39 PurifierRoomExhaustFan 6.33
40 BowThrustersRoomFan 1.75
41 PaintStoreFan 0.55
42 SwitchBoardRoomFan 0.5
43 CO2RoomFan 1.3
44 ACRoomFan 1.3
45 WasteStoreFan 0.12
46 EngineOfficeFan 0.15
47 Dispensary&TreatmentFan 0.15
48 SuezCrewW.C.Fan 0.15
49 DryProvision&Laundry&Linen 0.15
50 Deck’sofficeFan 0.3
Frequency:BiMonthly
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Date: 01 Sept 2020 &Žƌŵ͗dͲϭϲ

Frequency: (Bi Monthly)
Issue to all Vessels &ŝůĞ͗dͲϭϬ
Issue/Revision: 2/0 WĂŐĞ͗ϭŽĨϮ
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Date: 01 Sept 2020 &Žƌŵ͗dͲϭϲ

Frequency: (Bi Monthly)
Issue to all Vessels &ŝůĞ͗dͲϭϬ
Issue/Revision: 2/0 WĂŐĞ͗ϮŽĨϮ
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/ƐƐƵĞƚŽĂůůsĞƐƐĞůƐ &ŝůĞ͗dͲϭϬ
/ƐƐƵĞͬZĞǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϭŽĨϭ
PRE-BUNKER TRAINING
VESSEL:
DATE:
Deck OOW
Chief Eng.
Chief Off.
2nd Eng.
3rd Eng.
4th Eng.
Master
Check
Responsibility of:
Initial Preparation
Ensure that all personnel are aware of the intention of bunkering. x

Prepare the Bunkering Pre – Loading Plan. x
Agree the Bunkering Pre – Loading Plan x
Notification of the Bunkering Pre – Loading Plan to: x x x x
Close and blank off all unnecessary manifold valves & connections.
Plug all deck scuppers and make them oil/water tight. x
Clean and plug save-all receptacles. x
Place oil absorbent materials in key locations. x
Provide means of draining off any accumulation of water on deck. x
Check that all F.O tank air vents are open, free and unblocked. x
Check that all sounding pipe caps are properly fitted / closed. x
Ensure that all fire precautions are observed. x
Ensure that anti – pollution kit is open and access to it free. x
Establish communication between bunkering station, duty officer and E/R x
Reconfirm remaining space in tanks, which intended to bunker. x
Before Bunkering
Check hose if of sufficient length. x

Inspect hose and couplings for damages. x
Ensure that hose weight does not exceed SWL of vessel’s lifting gear. x
Place drip trays under hose couplings and flanges. x
Agree bunkering plan with physical supplier. x
Discuss vessel’s / supplier’s emergency plans with physical supplier. x
Agree for the maximum pumping rate and pressure of the bunkering. x
Establish communication link between vessel and physical supplier. x
Commence Pumping x
Reduce Pumping Rate x
Agree signalling system with physical supplier:
Cease Pumping x
Emergency Stop x
Sight, agree and record shore / barge meter readings. x
Open the hydraulic door at vessel’s port/stbd side (if applicable) x
Appoint a seaman to attend mooring lines during bunkering. x

PRE-BUNKER TRAINING
VESSEL:
DATE:
Deck OOW
Chief Eng.
Chief Off.
2nd Eng.
3rd Eng.
4th Eng.
Master
Check
Responsibility of:
Ensure that designated overflow tank is prepared. x

Prepare filling line and open all relevant valves. x
During Bunkering
Commence bunkering at minimum pumping rate. Check for any leakage. x

Allow supplier to increase pumping rate to that agreed. x
Continuous monitor lines for any leakage. x
Continuous sound F.O tanks. Verify with supplier intake quantity of oil. x
Reduce pumping rate and/or open valves of next tank to be filled. x
Close filling valves as each tank is completed. x
Ensure sufficient ullage in final tank for hose draining and line blowing. x
Notify supplier when final tank is reached. x
Give supplier timely warning to reduce pumping rate. x
Give supplier timely warning to stop pumping. x
Drain hoses on completion and blow off filling line. x
Witness, date, jointly countersign & retain sealed samples. x
On Completion of Bunkering
Ensure all hoses are fully drained. x

Disconnect hoses and blank off hose flanges. x
Close and blank off manifold connections. x
Reconfirm that all bunker line and tank filling valves are closed / secured. x
Close/Secure well the hydraulic door at vessel’s port/stbd side (if applicable)
Reconfirm all bunker tanks soundings. x
Sight, agree and record shore / barge meter readings. x
Verify all details on bunker receipt are as agreed. x
Complete entries in Oil Record Book. x

PRE-BUNKER TRAINING
VESSEL:
DATE:
Record of Training M/V: Date:

Participants
Name Rank Signature Name Rank Signature
ChiefEngineer Master

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Issue/RevŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϭŽĨϮ
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Issue/RevŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϮŽĨϮ
ELECTRICALMOTORSRUNNING
HOURSREPORT
Vessel:
Port: Date:
BEARINGS DATEOF RUNNHOURSAT RUNNHOURSTHIS TOTALRUNN

DESCRIPTION kW
D.E. N.D.E. LASTO/H LASTO/H MONTH HOURS
1 No1GENERATOR
2 No2GENERATOR
3 No3GENERATOR
4 No4GENERATOR
5 M/ENo1MAINL.O.PUMP
6 M/ENo2MAINL.O.PUMP
7 M/ENo1AUXILIARYBLOWER
8 M/ENo2AUXILIARYBLOWER
9 M/ENo1JACKETC.F.W.PUMP
12 No1CONDENSERCOOLS.W.PUMP
15 No1CENTRALCOOLF.W.PUMP
16 No2CENTRALCOOLF.W.PUMP
17 PORTUSECOOLF.W.PUMP
18 AUXCOOLINGS.W.PUMP
19 M/ETURNINGGEAR
20 M/EAIRCOOLERCHEMCLEANP/P
21 M/ENo1F.O.SUPPLYPUMP
22 M/ENo2F.O.SUPPLYPUMP
23 M/ENo1F.O.CIRCULATINGPUMP
24 M/ENo2F.O.CIRCULATINGPUMP
25 G/ENo1F.O.SUPPLYPUMP
26 G/ENo2F.O.SUPPLYPUMP
27 G/ENo1F.O.BOOSTERPUMP
28 G/ENo2F.O.BOOSTERPUMP
29 M/ET/CL.O.FILTERPUMP
30 M/ENo1F.O.PURIFIER
31 M/ENo2F.O.PURIFIER
32 M/ENo1F.O.PURIFFEEDPUMP
33 M/ENo2F.O.PURIFFEEDPUMP
34 M/EL.O.PURIFIER
35 M/EL.O.PURIFIERFEEDPUMP
36 G/EL.O.PURIFIER
37 G/EL.O.PURIFIERFEEDPUMP
38 M/ESTUFFBOXL.O.DRAINPUMP
39 M/ET/CL.O.PUMPNo1
40 M/ET/CL.O.PUMPNo2
41 M/ECYLOILBOOSTERPUMPNo1
42 M/ECYLOILBOOSTERPUMPNo2
Frequency:Monthly
HOURSREPORT
Vessel:
Port: Date:

DESCRIPTION kW
43 No1G/EPRIMEL.O.PUMP
47 F.O.TRANSFERPUMP
48 D.O.TRANSFERPUMP
49 L.O.TRANSFERPUMP
50 STERNTUBEL.O.FEEDPUMPNo1
51 STERNTUBEL.O.FEEDPUMPNo2
52 No1BILGE/FIRE/G.S.PUMP
53 No2BILGE/FIRE/G.S.PUMP
54 No1MAINAIRCOMPRESSOR
55 No1MAINCOMPRC.S.W.CIRCP/P
56 No2MAINAIRCOMPRESSOR
57 SERVICEAIRCOMPRESSOR
58 CONTROLAIRCOMPRESSOR
59 EMERGENCYAIRCOMPRESSOR
60 I.G.S.No1BLOWER
61 I.G.S. No 2 BLOWER
I.G.S.No2BLOWER
62 No1FRESHWATERPUMP
65 FIXEDLOCALFIREFIGHTF.W.P/P
66 HOTWATERCIRCULATINGPUMP
67 F.W.G.EJECTORPUMP
68 F.W.G.DISTILLATEPUMP
69 OILYBILGEPUMP
70 SLUDGEPUMP
71 O.D.M.SAMPLINGPUMP
72 BOILERWATERNo1FEEDPUMP
73 BOILERWATERNo2FEEDPUMP
74 BOILERWATERNo1CIRCULPUMP
75 BOILERWATERNo2CIRCULPUMP
76 E.G.B.FEEDWATERPUMPNo1
77 E.G.B.FEEDWATERPUMPNo2
78 No1F.O.BURNINGPUMP
79 No2F.O.BURNINGPUMP
80 AUXBOILERD.O.IGNITIONP/PNo1
81 AUXBOILERD.O.IGNITIONP/PNo2
82 No1AUXBOILERF.D.FAN
83 No2AUXBOILERF.D.FAN
84 No1A/BCHEMICALDOSINGP/P
Frequency:Monthly
Issue/Revision: 2/0
Page:2of4
HOURSREPORT
Vessel:
Port: Date:

DESCRIPTION kW
85 No2A/BCHEMICALDOSINGP/P
86 No1E/RSUPPLYFAN
87 No2E/REXHAUSTFAN
88 No3E/RSUPPLYFAN
89 No4E/REXHAUSTFAN
90 PURIFIERROOMEXHAUSTFAN
91 No1PUMPROOMEXHFAN
92 No2PUMPROOMEXHFAN
93 WELDINGSPACEEXHAUSTFAN
94 No1C.O.P.PRIMEL.O.PUMP
97 No1BALLASTP/PTURBL.O.PRIMEP/P
98 No2BALLASTP/P(ELECTRIC)
99 No1CONDENSATEWATERPUMP
100 No2CONDENSATEWATERPUMP
101 No1A.U.S.VACUUMPUMP
102 No2A.U.S.VACUUMPUMP
103 No 1 VACUUM TOILET VACUUM P/P
No1VACUUMTOILETVACUUMP/P
104 No2VACUUMTOILETVACUUMP/P
105 VACUUMTOILETDISCHARGEP/P
106 SEWAGEAIRBLOWER
107 SEWAGEDISCHARGEPUMP
108 W.O.INCINERATORDOSINGPUMP
109 INCINERATORBLOWER
110 INCINERATORMILLPUMP
111 DRILLINGMACHINE
112 LATHE
113 GRINDINGMACHINE
114 EXHAUSTV/VGRINGINGMACHINE
115 E/RCRANETRAVERSINGMOTOR
116 E/RCRANETRAVELLINGMOTOR
117 E/RCRANEHOISTINGMOTORNo1
118 E/RCRANEHOISTINGMOTORNo2
119 EMERGENCYGENERATOR
120 EMERGENCYFIREPUMP
121 No1STEERINGGEARPUMP
122 No2STEERINGGEARPUMP
123 STEERGEARROOMSUPPLYFAN
124 REMOTEV/VSSYSTEM,No1PUMP
125 REMOTEV/VSSYSTEM,No2PUMP
126 FWDNo1HYDRPOWERPACKP/P
127 FWDNo2HYDRPOWERPACKP/P
Frequency:Monthly
y p
HOURSREPORT
Vessel:
Port: Date:

DESCRIPTION kW
128 AFTNo1HYDRPOWERPACKP/P
129 AFTNo2HYDRPOWERPACKP/P
130 HOSEHANDLINGCRANEPUMP(P)
131 HOSEHANDLINGCRANEPUMP(S)
132 FOAMLIQUIDPUMPNo1
133 FOAMLIQUIDPUMPNo2
134 BOSUNSTOREEXHAUSTFAN
135 PORTLIFEBOATDAVIT
136 STBDLIFEBOATDAVIT
137 PROVISIONCRANE(S)
138 PROVISIONCRANE(P)
139 BREATHINGAIRCOMPRESSOR
140 PUMPROOMDAVIT
141 SUEZLIGHTHANDLINGDAVIT
142 No1AIRCONDCOMPRESSOR
143 No2AIRCONDCOMPRESSOR
144 No1AIRCONDUNITFAN
145 No2AIRCONDUNITFAN
146 GALLEY EXHAUST FAN
GALLEYEXHAUSTFAN
147 GALLEYSUPPLYFAN
148 PAINTSTOREEXHAUSTFAN
149 CO2ROOMEXHAUSTFAN
150 GARBAGELOCKEREXHAUSTFAN
151 SANITARYSPACEEXHAUSTFAN
152 E/RTOILETFAN
153 No1PROVISIONREFRCOMPRESSOR
155 MEATROOMFAN
156 FISHROOMFAN
157 VEGETABLEROOMFAN
158 GARBAGELOCKEREXHAUSTFAN
159 SANITARYSPACEEXHAUSTFAN
160 E/RTOILETFAN
163 MEATROOMFAN
164 FISHROOMFAN
165 VEGETABLEROOMFAN
Electrician Chief Engineer
Frequency:Monthly
Issue/Revision: 2/0
Page:4of4
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Issue/ZĞǀŝƐŝŽŶ͗2/Ϭ WĂŐĞ͗ϭŽĨϭϱ
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ϱϵϬϭϬϱ WEhD/DWdtZE,ϭϵ͘ϬDD
ϱϵϬϭϬϲ WEhD/DWdtZE,Ϯϱ͘ϰDD
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Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϮŽĨϭϱ
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ϲϭϬϳϲϯ KWEΘΘϭϮͲWK/EdKytZE,ϴDD
ϲϭϬϳϲϰ KWEΘΘϭϮͲWK/EdKytZE,ϵDD
ϲϭϬϳϲϱ KWEΘΘϭϮͲWK/EdKytZE,ϭϬDD
ϲϭϬϳϲϲ KWEΘΘϭϮͲWK/EdKytZE,ϭϭDD
ϲϭϬϳϲϳ KWEΘΘϭϮͲWK/EdKytZE,ϭϮDD
ϲϭϬϳϲϵ KWEΘΘϭϮͲWK/EdKytZE,ϭϰDD
ϲϭϬϳϳϭ KWEΘΘϭϮͲWK/EdKytZE,ϭϳDD
ϲϭϬϳϳϮ KWEΘΘϭϮͲWK/EdKytZE,ϭϵDD
ϲϭϬϳϳϯ KWEΘΘϭϮͲWK/EdKytZE,ϮϭDD
ϲϭϬϳϳϰ KWEΘΘϭϮͲWK/EdKytZE,ϮϮDD
ϲϭϬϳϳϱ KWEΘΘϭϮͲWK/EdKytZE,ϮϯDD
ϲϭϬϳϳϲ KWEΘΘϭϮͲWK/EdKytZE,ϮϰDD
ϲϭϬϳϳϳ KWEΘΘϭϮͲWK/EdKytZE,ϮϲDD
͘͘͘ KWEΘΘϭϮͲWK/EdKytZE,^dϲͲϯϲDD
ϲϭϭϮϬϭ :,KK<^WEEZtZE,>сϮϳϬDD
ϲϭϭϮϬϮ :,KK<^WEEZtZE,>сϯϳϬDD
ϲϭϭϮϯϭ sͬst,>tZE,>сϰϲϬDD
ϲϭϭϮϯϮ sͬst,>tZE,>сϱϲϬDD
ϲϭϭϮϴϭ >E,y͘tZE,^dϮ͘ϱDDͲϭϮDD
ϲϭϭϯϬϭ W/WtZE,^dZ/',dϭϱϬDD
ϲϭϭϯϬϮ W/WtZE,^dZ/',dϮϬϬDD
ϲϭϭϯϬϯ W/WtZE,^dZ/',dϮϱϬDD
ϲϭϭϯϬϰ W/WtZE,^dZ/',dϯϬϬDD
ϲϭϭϯϬϱ W/WtZE,^dZ/',dϯϱϬDD
ϲϭϭϯϬϲ W/WtZE,^dZ/',dϰϱϬDD
ϲϭϭϯϬϳ W/WtZE,^dZ/',dϲϬϬDD
ϲϭϭϯϯϭ :h^d>tZE,ϭϬϬDD
ϲϭϭϯϯϮ :h^d>tZE,ϭϱϬDD
ϲϭϭϯϯϯ :h^d>tZE,ϮϬϬDD
ϲϭϭϯϯϰ :h^d>tZE,ϮϱϬDD
ϲϭϭϯϯϱ :h^d>tZE,ϯϬϬDD
ϲϭϱϬϵϬ ,zZZ/E'Wh>>Z͕ϯͲZD͕W͗ϭϬdKE^
ϲϭϱϬϵϭ ,zZZ/E'Wh>>Z͕ϯͲZD͕W͗ϮϬdKE^
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϯŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
,EdKK>^
ϲϭϭϵϲϬ Dd>E,^,Z^;/ZKE^,d͗ϯ͘ϮDDͿ
ϲϭϭϵϲϭ Dd>E,^,Z^;/ZKE^,d͗ϰ͘ϬDDͿ
ϲϭϮϬϬϭ '^<dΘΘt^,ZhddZ
ϲϭϮϬϬϰ W</E',KK<^d͕KDW>d
ϲϭϭϲϯϬ WhDWW>/Z^ϮϱϬDD
ϲϭϭϲϯϭ WhDWW>/Z^ϯϬϬDD
ϲϭϭϲϯϮ WhDWW>/Z^ϰϬϬDD
ϲϭϮϬϮϬ ^/E'>t,>W/WhddZϭͬϴͲϭϭͬϰ
ϲϭϮϬϮϭ ^/E'>t,>W/WhddZϭͬϴͲϮ
ϲϭϮϬϯϱ KWWZΘΘZ^^dhhddZ;ϯͲϯϬDDͿ
ϲϭϮϬϯϲ KWWZΘΘZ^^dhhddZ;ϱͲϰϱDDͿ
ϲϭϮϰϭϭ ^ZtZ/sZ^d͕td,D<Z^^>Kdd
ϲϭϮϰϭϮ ^ZtZ/sZ^d͕td,D<Z^>ͲW,/>
ϲϭϮϰϭϳ ^ZtZ/sZ^WZ<d^d/E',/',sK>d'
͘͘͘ >tE,/^>EZ^
ϲϭϯϬϱϲ WhE,/E'dKK>^d͕ϲDDͲϯϴDD͕tͬd>
ϲϭϯϬϲϱ EdZWhE,^d
ϲϭϯϬϴϬ WhE,^d
ϲϭϯϬϴϲ ,/^>^d
ϲϭϯϰϮϳ ,<^t&ZD^,KZ/KEd>
ϲϭϯϰϮϴ ,<^t&ZD^&/y
ϲϭϯϳϬϭ W/WEZϭϬ
ϲϭϯϳϬϮ W/WEZϭϱ
ϲϭϯϳϬϯ W/WEZϮϬ
ϲϭϯϳϬϰ W/WEZϮϱ
ϲϭϯϳϬϳ W/WEZϱϬ
ϲϭϯϳϭϭ ,zZW/WEZdKE^͗ϭϬ;sD<ZͿ
ϲϭϯϳϭϮ ,zZW/WEZdKE^͗ϮϬ;sD<ZͿ
ϲϭϯϳϲϱ >DW^s/^tсϰϬDD
ϲϭϯϳϲϲ >DW^s/^tсϱϬDD
ϲϭϯϳϲϳ >DW^s/^tсϲϯDD
ϲϭϯϳϲϴ >DW^s/^tсϳϱDD
ϲϭϯϳϳϬ WZ>>>E,s/^tсϱϳDD;^Y͘z>/EͿ
ϲϭϯϳϳϭ WZ>>>E,s/^tсϲϱDD
ϲϭϯϳϳϯ WZ>>>E,s/^tсϵϬDD
ϲϭϯϳϳϰ WZ>>>E,s/^tсϭϬϯDD
ϲϭϯϳϳϱ WZ>>>E,s/^tсϭϭϲDD
ϲϭϯϳϳϲ WZ>>>E,s/^tсϭϮϴDD
ϲϭϯϳϳϳ WZ>>>E,s/^tсϭϱϮDD
ϲϭϯϳϳϴ WZ>>>E,s/^tсϮϬϲDD
ϲϭϰϬϮϱ ZhD,KK<
ϲϭϱϬϬϳ ^WhZ'Z,K/^d,/EϭdKE^
ϲϭϱϬϬϴ ^WhZ'Z,K/^d,/EϭϭͬϮdKE^
ϲϭϱϬϬϵ ^WhZ'Z,K/^d,/EϮdKE^
ϲϭϱϬϭϬ ^WhZ'Z,K/^d,/EϯdKE^
ϲϭϱϬϭϭ ^WhZ'Z,K/^d,/EϱdKE^
ϲϭϱϬϭϮ ^WhZ'Z,K/^d,/EϭϬdKE^
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϰŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
,EdKK>^
ϲϭϱϬϱϬ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'͕tсϬ͘ϰ<'
ϲϭϱϬϱϭ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'͕tсϬ͘ϴ<'
ϲϭϱϬϱϮ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'͕tсϭ͘ϴ<'
ϲϭϱϬϱϯ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'͕tсϯ͘ϴ<'
ϲϭϱϬϱϰ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'͕tсϲ͘Ϭ<'
ϲϭϱϬϱϱ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'͕tсϵ͘Ϭ<'
ϲϭϱϬϱϲ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'͕tсϭϭ<'
ϲϭϱϬϱϳ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'͕tсϭϱ<'
ϲϭϱϬϲϭ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'>͕tсϭ<'
ϲϭϱϬϲϮ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'>͕tсϮ<'
ϲϭϱϬϲϯ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'>͕tсϰ<'
ϲϭϱϬϲϰ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'>͕tсϳ<'
ϲϭϱϬϲϱ Wh>>Z͕'ZΘΘt,>͕ϮͲZD͕dzW'>͕tсϭϬ<'
ϲϭϱϬϳϬ Wh>>Z͕'ZΘΘt,>͕ϯͲZD͕t/',dсϯ<'^
ϲϭϱϬϳϭ Wh>>Z͕'ZΘΘt,>͕ϯͲZD͕t/',dсϲ<'^
ϲϭϱϬϳϮ Wh>>Z͕'ZΘΘt,>͕ϯͲZD͕t/',dсϭϳ<'^
ϲϭϱϬϳϯ Wh>>Z͕'ZΘΘt,>͕ϯͲZD͕t/',dсϯϬ<'^
ϲϭϱϭϴϰ &>E':<EŽϮϬ
ϲϭϱϭϴϱ &>E':<EŽϯϬ
ϲϭϱϮϯϬ ,EZ/sdZdzW͗W>/Z
ϲϭϲϲϬϭ yWK^Zd,dZKW,d,Z͘EŽ͗ϬϬZ
ϲϭϲϲϬϮ yWK^Zd,dZKW,d,Z͘EŽ͗ϭϭZ
ϲϭϲϲϬϯ yWK^Zd,dZKW,d,Z͘EŽ͗ϭϮZ
ϲϭϳϬϭϬ ,EzWZKWE'^dKZ,^d
ϲϭϳϬϭϰ Z&Z/'ZEd><ddKZ
ϲϭϳϭϮϲ >hD/E/hD^dW>Z,/',d͗Ϭ͘ϵDdZ^
ϲϭϳϭϮϴ >hD/E/hD^dW>Z,/',d͗ϭ͘ϱDdZ^
͘͘͘ W>d&KZDdZ<tͬKE,E>
͘͘͘ W>d&KZDdZ<tͬdtK,E>^
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϱŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
D^hZ/E'dKK>^
ϲϱϬϭϬϯ Khd^/>/WZϭϱϬDD
ϲϱϬϭϬϰ Khd^/>/WZϮϬϬDD
ϲϱϬϭϬϲ Khd^/>/WZϯϬϬDD
ϲϱϬϭϬϳ Khd^/>/WZϰϬϬDD
ϲϱϬϭϭϬ Khd^/>/WZϲϬϬDD
ϲϱϬϭϱϯ /E^/>/WZϭϱϬDD
ϲϱϬϭϱϰ /E^/>/WZϮϬϬDD
ϲϱϬϭϱϲ /E^/>/WZϯϬϬDD
ϲϱϬϭϱϴ /E^/>/WZϰϬϬDD
ϲϱϬϭϲϬ /E^/>/WZϲϬϬDD
ϲϱϬϯϬϭ Khd^/D/ZKDdZϬͲϮϱDD
ϲϱϬϯϬϮ Khd^/D/ZKDdZϮϱͲϱϬDD
ϲϱϬϯϬϯ Khd^/D/ZKDdZϱϬͲϳϱDD
ϲϱϬϯϬϰ Khd^/D/ZKDdZϳϱͲϭϬϬDD
ϲϱϬϯϬϱ Khd^/D/ZKDdZϭϬϬͲϭϮϱDD
ϲϱϬϯϬϲ Khd^/D/ZKDdZϭϮϱͲϭϱϬDD
ϲϱϬϯϬϳ Khd^/D/ZKDdZϭϱϬͲϭϳϱDD
ϲϱϬϯϬϴ Khd^/D/ZKDdZϭϳϱͲϮϬϬDD
ϲϱϬϯϬϵ Khd^/D/ZKDdZϮϬϬͲϮϮϱDD
ϲϱϬϯϭϬ Khd^/D/ZKDdZϮϮϱͲϮϱϬDD
ϲϱϬϯϭϭ Khd^/D/ZKDdZϮϱϬͲϯϬϬDD
ϲϱϬϯϭϮ Khd^/D/ZKDdZϯϬϬͲϯϱϬDD
ϲϱϬϯϭϯ Khd^/D/ZKDdZϯϱϬͲϯϳϱDD
ϲϱϬϯϭϰ Khd^/D/ZKDdZϯϳϱͲϰϬϬDD
Khd^/D/ZKDdZt/d,/EdZ,Z'Es/>^
ϲϱϬϯϴϭ
ϬͲϭϬϬDD
ϲϱϬϯϴϯ
ϮϬϬͲϯϬϬDD
ϲϱϬϯϴϰ
ϯϬϬͲϰϬϬDD
ϲϱϬϯϴϱ
ϰϬϬͲϱϬϬDD
ϲϱϬϯϴϲ
ϱϬϬͲϲϬϬDD
ϲϱϬϯϴϳ
ϲϬϬͲϳϬϬDD
ϲϱϬϯϴϴ
ϳϬϬͲϴϬϬDD
ϲϱϬϯϴϵ
ϴϬϬͲϵϬϬDD
ϲϱϬϯϵϬ
ϵϬϬͲϭϬϬϬDD
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϲŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
D^hZ/E'dKK>^
ϲϱϬϰϬϭ /E^/D/ZKDdZ^ϱϬͲϲϯDD
ϲϱϬϰϬϯ /E^/D/ZKDdZ^ϳϱͲϭϬϬDD
ϲϱϬϰϬϰ /E^/D/ZKDdZ^ϭϬϬͲϭϮϱDD
ϲϱϬϰϬϲ /E^/D/ZKDdZ^ϭϱϬͲϭϳϱDD
ϲϱϬϰϬϳ /E^/D/ZKDdZ^ϭϳϱͲϮϬϬDD
ϲϱϬϰϬϴ /E^/D/ZKDdZ^ϮϬϬͲϮϮϱDD
ϲϱϬϰϬϵ /E^/D/ZKDdZ^ϮϮϱͲϮϱϬDD
ϲϱϬϰϭϬ /E^/D/ZKDdZ^ϮϱϬͲϮϳϱDD
ϲϱϬϰϭϭ /E^/D/ZKDdZ^ϮϳϱͲϯϬϬDD
ϲϱϬϰϭϮ /E^/D/ZKDdZ^ϯϬϬͲϯϮϱDD
ϲϱϬϰϭϯ /E^/D/ZKDdZ^ϯϮϱͲϯϱϬDD
ϲϱϬϰϭϰ /E^/D/ZKDdZ^ϯϱϬͲϯϳϱDD
ϲϱϬϰϭϱ /E^/D/ZKDdZ^ϯϳϱͲϰϬϬDD
ϲϱϬϰϭϲ /E^/D/ZKDdZ^ϰϬϬͲϰϮϱDD
ϲϱϬϰϭϳ /E^/D/ZKDdZ^ϰϮϱͲϰϱϬDD
ϲϱϬϰϰϭ :K/Ed/E^/D/ZKDdZ^ϱϬͲϭϱϬDD
ϲϱϬϰϰϮ :K/Ed/E^/D/ZKDdZ^ϱϬͲϯϬϬDD
ϲϱϬϰϰϯ :K/Ed/E^/D/ZKDdZ^ϱϬͲϱϬϬDD
ϲϱϬϰϰϰ :K/Ed/E^/D/ZKDdZ^ϱϬͲϭϬϬϬDD
ϲϱϬϱϬϭ sZE/Z>/WZDdZ/>сϭϬϬDD
ϲϱϬϱϬϮ sZE/Z>/WZDdZ/>сϭϱϬDD
ϲϱϬϱϬϯ sZE/Z>/WZDdZ/>сϮϬϬDD
ϲϱϬϱϬϰ sZE/Z>/WZDdZ/>сϯϬϬDD
ϲϱϬϱϬϱ sZE/Z>/WZDdZ/>сϰϱϬDD
ϲϱϬϱϭϭ sZE/Z>/WZDdZ/ΘΘ/E,ϭϱϬͲϲ
ϲϱϬϱϭϮ sZE/Z>/WZDdZ/ΘΘ/E,ϮϬϬͲϴ
ϲϱϬϱ͘͘ &>Z'h'^ZE'͗Ϭ͘ϬϯͲϬ͘ϯDD
ϲϱϬϱ͘͘ &>Z'h'^ZE'͗Ϭ͘ϬϯͲϯ͘ϬDD
ϲϱϬϱ͘͘ &>Z'h'^ZE'͗Ϭ͘ϬϯͲϭ͘ϬDD
ϲϱϬϲ͘͘ ^ZtW/d,'h'^
ϲϱϬϴϮϭ KEsyZh>^DdZ/ϮDdZ
ϲϱϬϴϮϮ KEsyZh>^DdZ/ϯ͘ϱDdZ
ϲϱϬϴϮϯ KEsyZh>^DdZ/ϱDdZ
ϲϱϮϲϱϭ ^/'DDdZ
/E&ZZͲdDWD^hZDEds/
ϲϱϭϴϬϮ
,EͲ,>dzW͕ZE'͗ϯϮͲϰϬϬ'Z
ZE<^,&d/^dKZd/KE/>'h'͕
ϲϱϮϲϳϬ
ϭϬϬͲϱϬϬDD
/EdZE>'ZKKsD/ZKDdZt/d,
ϲϱϬϰϱϭ
KhEdZ͕ϱͲϯϬDD
ϲϱϭϰϭϭ z>'h'^;KZ'h'^Ϳ͕ϭϴͲϯϱDD
ϲϱϭϰϭϮ z>'h'^;KZ'h'^Ϳ͕ϯϱͲϲϬDD
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϳŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
>dZ/>Yh/WDEd
ϳϵϮϭϱϭ tdZd/',d>DW^ͲϮϲ
ϳϵϮϭϱϮ tdZd/',d>DW^ͲϮϮ
ϳϵϮϭϳϭ WKZd>,EͲ>DWyW>WZKK&ϲϬtͲϭϭϬs
ϳϵϮϭϳϯ WKZd>,EͲ>DWyW>WZKK&ϭϬϬtͲϭϭϬs
ϳϵϮϮϭϲ &>^,>/',d^ϮϮϭϳ
ϳϵϮϮϭϳ &>^,>/',d^ϮϮϮϰ
ϳϵϮϮϰϬ Z/',d^dZϮϮϬϲ
ϳϵϮϴϯϭ t͘d͘ZWd>͕t/d,Khd^t/d,;ϯͲW/E͕dt/EͿ
ϳϵϮϴϯϮ t͘d͘ZWd>͕t/d,^t/d,;ϯͲW/E͕dt/EͿ
ϳϵϰϴϯϭ :K/EdKytd^d/ZKEϮͲ>>EϮϬ
ϳϵϰϴϯϮ :K/EdKytd^d/ZKEϰͲ>>EϮϬ
ϳϵϱϱϯϭ ZhZ'>Ks^ϲϬϬs
ϳϵϱϱϯϮ ZhZ'>Ks^ϭϬϬϬs
ϳϵϱϳϯϬ >DWDdZDK>DͲϯϭϬtͬ^
ϳϵϱϳϰϭ sKDdZDK>^WͲϭϱϭϰϬǆϵϱǆϰϰDD
ϳϵϱϳϱϲ /'/d>Dh>d/d^dZDK>DͲϮϬϬ
ϳϵϱϳϳϭ /E^h>d/KEd^dZϱϬϬsͬϭϬϬDK,DWDͲϱϬϬ
ϳϵϬϮϯ͘͘ ^dEZ>DW>ZͲϯϵϯϬϬt
ϳϵϬϮϯ͘͘ ^dEZ>DW>ZͲϯϵϱϬϬt
ϳϵϬϭϬ͘͘ &ZK^d>DWͲϮϲϰϬt
ϳϵϬϭϬ͘͘ &ZK^d>DWͲϮϲϲϬt
ϳϵϬϭϬ͘͘ &ZK^d>DWͲϮϲϭϬϬt
ϳϵϬϭϬ͘͘ &ZK^d>DWͲϮϲϭϱϬt
ϳϵϬϭϬ͘͘ &ZK^d>DWͲϮϮϰϬt
ϳϵϬϭϬ͘͘ &ZK^d>DWͲϮϮϲϬt
ϳϵϬϭϬ͘͘ &ZK^d>DWͲϮϮϭϬϬt
ϳϵϬϭϬ͘͘ &ZK^d>DWͲϮϮϭϱϬt
ϳϵϬϵϬ͘͘ &>dZ&>dKZ>DWͲϮϲϭϬϬt
ϳϵϬϵϬ͘͘ &>dZ&>dKZ>DWͲϮϲϭϱϬt
ϳϵϬϵϬ͘͘ &>dZ&>dKZ>DWͲϮϲϮϬϬt
ϳϵϬϵϬ͘͘ &>dZ&>dKZ>DWͲϮϲϯϬϬt
ϳϵϬϵϬ͘͘ ^WKdZ&>dKZ>DWZ^ϭϬϬt
ϳϵϬϵϬ͘͘ ^WKdZ&>dKZ>DWZ^ϭϱϬt
ϳϵϬϵϬ͘͘ ^WKdZ&>dKZ>DWZ^ϮϬϬt
ϳϵϬϵϬ͘͘ ^WKdZ&>dKZ>DWZ&Ͳ,ϭϬϬt
ϳϵϬϵϬ͘͘ ^WKdZ&>dKZ>DWZ&Ͳ,ϭϱϬt
ϳϵϬϵϬ͘͘ ^WKdZ&>dKZ>DWZ&Ͳ,ϮϬϬt
ϳϵϭϰϬϲ &>hKZÊd>DWϮϬtdzW͗&>ͲϮϬ
ϳϵϭϰϬϵ &>hKZÊd>DWϮϬtdzW͗&>ͲϮϬ^^ͬϭϴ
ϳϵϭϰϭϰ &>hKZÊd>DWϯϬtdzW͗&>ͲϯϬ^
ϳϵϮϬϮϭ Kd<>/',dϭϬϬtͲϮϲ
ϳϵϮϬϮϯ Kd<>/',dϭϬϬtͲϮϮ
ϳϵϮϬϮϱ Kd<>/',dϯϬϬtͲϯϵ
ϳϵϮϬϯϭ &>KK>/',dWZK:dKZdzW͗EŽϭͲϮϲ
ϳϵϮϬϯϮ &>KK>/',dWZK:dKZdzW͗EŽϮͲϯϵ
ϳϵϱϬ͘͘ ^K>Z/E'/ZKE>dZ/
ϳϵϮϱ͘͘ tdd>>ddZ/^;s/^dzWͿ
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϴŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
sZ/Kh^
ϳϵϰϭϬϯ >t>/E'ZhZ^,d,ϱϬDD
ϳϵϰϳϲϮ ^&dzKEEdKZt>>ϱϬDD
ϳϵϱϳϮϭ d^dZ/Zh/d͕dt/E>dzW
ϳϵϱϳϮϮ d^dZ/Zh/d͕WE/>dzW
ϴϭϮϮϱϭ sKE
ϴϭϮϮϱϲ sKE
ϴϭϮϮϲϭ sKE^&
ϴϭϮϯϱϭ >KE
ϴϭϯϬϳϬ KͲZ/E'^W>//E'</d͘>Kd/d
ϴϭϯϬϳϮ KͲZ/E'</d
ϴϭϯϬϴϬ KWWZZ/E'</d
ϴϭϯϭϬϭ /Z&/>dZdсϭϬDDtсϭϲϬϬDD
ϴϭϯϭϯϬ &/>dZKWWZtKK>
ϴϱϭϭϮϭ ,E^,/>͕,E>/E^/
ϴϱϭϭϮϮ ,E^,/>͕,E>Khd^/
ϴϲϭϭϲϯ t>ZΖ^'>Ks^&/s&/E'hZ^
ϴϱϬϲϬϭ >dZK^&KZD/>^d>Ϯ͘ϲDD
ϴϱϬϲϬϮ >dZK^&KZD/>^d>ϯ͘ϮDD
ϴϱϬϲϬϯ >dZK^&KZD/>^d>ϰ͘ϬDD
ϴϱϬϳϯϬ ^d/ZKE>dZK^Ϯ͘ϲDD
ϴϱϬϳϯϭ ^d/ZKE>dZK^ϯ͘ϮDD
ϴϱϬϳϯϮ ^d/ZKE>dZK^ϰ͘ϬDD
ϴϱϬϳϱϭ >dZK^ϯϬϵDͲZ&KZ^d͘^d>Ϯ͘ϲDD
ϴϱϭϬϯϮ ,K>Z>dZK͕'Z/WdzW͕ϯϬϬ
ϴϱϭϬϯϱ ,K>Z>dZK͕E'>͕ϯϬϬ
ϴϱϬϰϱϯ KdZ^^Z/E'&/>>ZDd>
ϴϱϬϲϰϭ ZKt>/E''^^/>sZ&>hyͲKd
ϴϱϭϭϭϲ t>/E',>Dd^
ϴϱϭϭϲϳ t>ZΖ^WZKE
ϰϱϬϭϬϴ <ZKÊϮϬϬ>dZͬZhD
ϮϯϮϵϮϭ ZK>>WWZZ'͕ͲdKZ<͕ϮϲϬǆϯϮϬDD͕ϮͲW>z
ϮϯϮϵϮϮ ZK>>WWZZ'͕ͲdKZ<͕ϮϲϬǆϯϬϬDD͕ϮͲW>z
ϮϯϮϵϮϯ ZK>>WWZZ'͕ͲdKZ<͕ϮϲϬǆϯϱϬDD͕ϮͲW>z
ϮϯϮϵϯϭ ZK>>WWZ͕ϰϯϬǆϱϭϬǆϴϭϬDD͕&>KKZ^dE
ϮϯϮϵϯϮ ZK>>WWZ͕ϰϲϬǆϮϱϬǆϱϯϬDD͕t>>^dE
ϮϯϮϵϯϰ ZK>>WWZ͕ϮϰϴǆϮϳϯǆϯϮϰDD͕DͲKy
ϯϯϭϭϮϰ Z^W/ZdKZ͕KD&K//͕KDW>t/d,ZdZ/'
ϯϯϭϭϮϱ 'D,D/>ZdZ/'&KZKD&K//Z^W
ϯϯϭϭϱϭ ZDh&&^DZ</s
ϯϯϭϭϱϮ EK/^&KDZ<sZDh&^^ΖzKDW>d
ϯϯϭϭϱϯ />^KDKD&KZdZDh&&KDW>d
ϯϯϭϭϱϰ ZDh&&^/>^KDKD&KZd
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϵŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
sZ/Kh^
ϯϯϭϭϱϳ ZW>h'^,/ͲEK/^
ϯϯϭϭϲϮ ^&dz,>Dd^
ϯϯEϬϬϰ ^&dz;Z^hͿ,ZE^^&KZWͬZ
ϯϱϬϭϭ͘͘ KyͲ,K^^ϭͬϰ
ϯϱϬϭϭ͘͘ KyͲ,K^^ϯͬϴ
ϰϳϭϵ͘͘ dzWtZ/dZ'Z<
ϰϳϭϵ͘͘ dzWtZ/dZE'>/^,
ϰϱϬϭϮϭ WEdZd/E'K/>ϰ>dZ^ͬE
ϰϱϬϱϬϭ DK>zKd;WKtZͿϭ<'ͬE
ϰϱϬϱϭϭ DK>zKd'ϭ>ͬE
ϰϱϬϱϭϴ DK>zKdDͲϳϳϬ͕ϱ<'
ϰϱϬϱϮϬ DK>zKdϭϬϬϬ͕ZK^K>͕ϯϬϬD>
ϰϱϬϱϲϲ KW^>/W͕Ed/Ͳ^/KDWKhEϭ>^
ϰϱϬϱϵϲ E'/E/'E/dKZZK^K>͕ϯϬϬ
ϰϱϬϳϬϮ >hZ/EdtͲϰϬ͕ϯϲϬD>͕^WZzdzW
ϱϭϭϬϴϰ Ddd/E'ZhZKZZ'ZEϲǆϭϬϬϬDDǆϭ
ϱϱϬϭϰϯ ^KW>/Yh/dWK>ϭϴ<'^ͬE
ϱϱϬϮϲϲ ,E>EZZW/ϭ<'ͬd/E
ϱϱϬϮϲϳ ,E>EZZW/ϭ<'ͬϲd/E^ͬ^
ϱϱϬϮϳϭ ,E>EZtdZ>^^ϭ<'W^d
ϲϭϬϳ͘͘ tZE,ϭϮͲWK/EdKh>K&&^dϴͲϯϲ
ϲϭϭϵϲϬ >sZdzW,E^,Z͕>^/ϭϴϬDD
ϲϭϭϵϲϭ >sZdzW,E^,Z͕>^/ϮϬϬDD
ϲϭϮϬ͘͘ dhyWEZ^
ϲϭϮϬϬϭ hddZ͕'^<dΘΘt^,Z;^dͿ
ϲϭϮϬϬϰ W</E',KK<^dKDW>d
ϲϭϯϲϵϭ >d,Z>d&KZ>dZ//E
ϲϭϰϬ͘͘ ZKdZz,EWhDWϯͬϰ
ϲϭϰϬ͘͘ ZKdZz,EWhDWϭ/E,
ϲϭϰϬϭϵ t/E'WhDWϱϬDD
ϲϭϱϭϯϴ ,zZ:<͕WсϮϬdKE^͕ůŽƐĞĚ,ĞŝŐŚƚсϭϰϬDD
ϲϭϱϭϰϬ ,zZ:<͕WсϯϬdKE^͕ůŽƐĞĚ,ĞŝŐŚƚсϯϭϮDD
ϲϭϱϭϰϭ ,zZ:<͕WсϱϬdKE^͕ůŽƐĞĚ,ĞŝŐŚƚсϭϬϬDD
ϲϭϲϳϱϰ dh/E'hddZEŽϭϮϱϯͲϮϴDD
ϲϭϲϳϳϯ &>Z/E'dKK>EŽϰϱϳ&ZKDϭͬϴdKϱͬϴ/E
ϲϭϲϳϳϰ &>Z/E'dKK>EŽϰϱϵϭͬϴdKϯͬϰ
ϲϭϳϬϮϲ ><ddKZ͕^hWZK>KZ,<͕ϯϬϬ
ϲϭϳϳϬϮ >sZdzW,E'Z^'hE
ϲϯϬϮϱϰ Z/>>^d͕,͘^͘^͘^dZ/',d^,E<͕ϭͲϭϬDD
ϲϯϬϮϱϱ Z/>>^d͕,͘^͘^͘^dZ/',d^,E<͕ϭͲϭϯDD
ϲϯϮϮϬϰ ^dK<ΘΘ/^dDdZ/KDW>;DͲϲƚŽDͲϯϬͿ
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϭϬŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
sZ/Kh^
ϲϯϮϮϬϲ ^ZtW>d^d͕DdZ/d,Z;DϮͲDϲͿ
ϲϯϯϮϬϭ ,K>ZdKK>/dEŽϭ
ϲϯϯϮϬϮ ,K>ZdKK>/dEŽϮ
ϲϯϯϮϮϮ ,K>ZdKK>KZ/E'ͲdzWEŽϮ
ϲϯϯϮϮϯ ,K>ZdKK>KZ/E'ͲdzWEŽϯ
ϲϯϯϰϱϭ sͬs^dhddZ
ϲϱϭϬϮϰ ^hZ&W>d͕^d/ZKE͕ϮϱϬǆϯϬϬDD
ϲϱϭϯϮϭ ,Ed,KDdZ
ϲϱϮϳϬϰ /E^Wd/KED/ZZKZ&>y/>
͘͘͘͘͘͘͘ dZK>>z&KZKyE
ϲϱϬϴϱϬ ^KhE/E'dW;s/^DdZ^Ϳ
͘͘͘͘͘͘͘ >dZK^ZKE
͘͘͘͘͘͘͘ Z/E^dZhDEd^;ůĞĐƚƌŽĚĞ,ŽůĚĞƌͿdǇƉĞ^ͬϰϬϬϬ
ϲϯϮϮϭϯ ^ZtW>d^d͕DdZ/d,Z;DϲͲDϭϲ
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϭϭŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
hE/dKZ;'^/^dZ/hd/KE^z^dDͿ
^Z/Wd/KE tKZ</E' ZDZ<^
,/',WZ^^hZ,K^
,/',WZ^^hZ,K^Ky
yWE^/KEW/W͕,/',WZ^^hZ
yWE^/KEW/WKy͕,/',WZ^^hZ
yWE^/KEW/W͕>KtWZ^^hZ
yWE^/KEW/WKy͕>KtWZ^^hZ
hE/dKZ;'^t>/E'Ϳ
Z'h>dKZZͲϱϬϬ&KZ
Z'h>dKZZͲϱϬϬ&KZKy
KEdEd'h'&KZ
KEdEd'h'&KZKy
tKZ</E''h'&KZ
tKZ</E''h'&KZKy
&>^,<ZZ^dKZdzW͗tͲϲϲ^&KZ
&>^,<ZZ^dKZdzW͗tͲϲϲ^&KZKy
&>^,<ZZ^dKZdzW͗ϰϯ^&KZ
&>^,<ZZ^dKZdzW͗ϰϯ^&KZKy
hdd/E'dd,DEdϵϬ,E'>
^,E<KDW>dtͬ^K<d^
hE/dKZ;Zt>/E'Ϳ
t>/E'D,/E;s/^dzW
hE/dKZ;>E/E'Yh/WDEdͿ
>E/E'D,/EKDW>d
dzW͗<tϱϮϬϯ
hE/dKZ;Z&Z/'Zd/KEͿ
ϰtzͲ>hyDE/&K>^d
ϮtzͲ>hyDE/&K>^d
,Z'/E',K^ϭͬϰ
,Z'/E',K^ϯͬϴ
&/y/E:dKZ&KZ^KKdZDKsZ
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϭϮŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
Zt;'^t>/E'Ϳ
Kyz'EZ'h>dKZ
dz>EZ'h>dKZ
Kyz'EKEdEd'h'
dz>EKEdEd'h'
Kyz'EtKZ</E''h'
dz>EtKZ</E''h'
Kyz'E<&/Zsͬs
dz>E<&/Zsͬs
t>/E'dKZ,,E>
hdd/E'dd,DEdϵϬ
Yh/<KhW>/E'&KZKydKZ,,E>
Yh/<KhW>/E'&KZdKZ,,E>
hE/dKZ;Zt>/E'Ϳ
DE/&K>^^z^dDtͬ^
,Z'/E',K^ϭͬϰ
,Z'/E',K^ϯͬϴ
Z&Z/'ZEdz>/EZWdZ^
>d^KKdZ>^K^/E'hE/d
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϭϯŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
W/W^
/^^K ^Z/Wd/KE ^dK< ZDZ<^
ϳϭϬϮϱϲ ZKE^d>W/W^^,ϰϬϭ/E
ϳϭϬϮϱϴ ZKE^d>W/W^^,ϰϬϭϭͬϮ/E
ϳϭϬϮϱϵ ZKE^d>W/W^^,ϰϬϮ/E
ϳϭϬϮϲϬ ZKE^d>W/W^^,ϰϬϮϭͬϮ/E
ϳϭϬϮϲϭ ZKE^d>W/W^^,ϰϬϯ/E
ϳϭϬϮϲϮ ZKE^d>W/W^^,ϰϬϯϭͬϮ/E
ϳϭϬϮϲϯ ZKE^d>W/W^^,ϰϬϰ/E
ϳϭϬϮϲϰ ZKE^d>W/W^^,ϰϬϱ/E
ϳϭϬϮϲϱ ZKE^d>W/W^^,ϰϬϲ/E
ϳϭϬϮϲϲ ZKE^d>W/W^^,ϰϬϴ/E
ϳϭϬϮϲϳ ZKE^d>W/W^^,ϰϬϭϬ/E
ϳϭϬϮϴϭ ZKE^d>W/W^^,ϴϬϭ/E
ϳϭϬϮϴϯ ZKE^d>W/W^^,ϴϬϭϭͬϮ/E
ϳϭϬϮϴϰ ZKE^d>W/W^^,ϴϬϮ/E
ϳϭϬϮϴϱ ZKE^d>W/W^^,ϴϬϮϭͬϮ/E
ϳϭϬϮϴϲ ZKE^d>W/W^^,ϴϬϯ/E
ϳϭϬϮϴϳ ZKE^d>W/W^^,ϴϬϯϭͬϮ/E
ϳϭϬϮϴϴ ZKE^d>W/W^^,ϴϬϰ/E
ϳϭϬϮϴϵ ZKE^d>W/W^^,ϴϬϱ/E
ϳϭϬϮϵϬ ZKE^d>W/W^^,ϴϬϲ/E
ϳϭϬϮϵϭ ZKE^d>W/W^^,ϴϬϴ/E
ϳϭϬϮϵϮ ZKE^d>W/W^^,ϴϬϭϬ/E
ϳϭϬϳϬϭ ,/',WZ^^hZW/WK^dͲϮK͘͘сϰDD
ϳϭϬϳϬϮ ,/',WZ^^hZW/WK^dͲϮK͘͘сϲDD
ϳϭϬϳϬϲ ,/',WZ^^hZW/WK^dͲϮK͘͘сϴDD
ϳϭϬϳϭϬ ,/',WZ^^hZW/WK^dͲϮK͘͘сϭϬDD
ϳϭϬϳϭϭ ,/',WZ^^hZW/WK^dͲϮK͘͘сϭϮDD
ϳϭϬϳϭϱ ,/',WZ^^hZW/WK^dͲϮK͘͘сϭϱDD
ϳϭϬϳϭϵ ,/',WZ^^hZW/WK^dͲϮK͘͘сϭϲDD
ϳϭϬϳϮϭ ,/',WZ^^hZW/WK^dͲϮK͘͘сϭϴDD
ϳϭϭϮϬϭ ^dͬ^d>W/W;^h^ϯϬϰͿK͘͘сϲDD;sd,/<Ϳ
ϳϭϭϮϬϯ ^dͬ^d>W/W;^h^ϯϬϰͿK͘͘сϴDD;sd,/<Ϳ
ϳϭϭϮϬϲ ^dͬ^d>W/W;^h^ϯϬϰͿK͘͘сϭϬDD;sd,/<Ϳ
ϳϭϭϮϬϴ ^dͬ^d>W/W;^h^ϯϬϰͿK͘͘сϭϮDD;sd,/<Ϳ
ϳϭϭϮϬϵ ^dͬ^d>W/W;^h^ϯϬϰͿK͘͘сϭϱDD;sd,/<Ϳ
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϭϰŽĨϭϱ
E'/E^dKZ^
/EsEdKZz>/^d
sĞƐƐĞů͗
ĂƚĞ͗
'EZ>ZDZ<^
ŚŝĞĨŶŐŝŶĞĞƌ ϮŶĚŶŐŝŶĞĞƌ
Issue/ReǀŝƐŝŽŶ͗ϮͬϬ WĂŐĞ͗ϭϱŽĨϭϱ
AUTOMATION
Vessel:
Port: Date:
A.No1DIESELENGINE YES NO N/A

01.LOCALCONTROLBOARD&&CONNECTIONBOXONENGINECLEANING,CABLETIGHTNESS
02.STARTVALVE&&LIMITSWITCHESCLEANING,CABLETIGHTNESS
03.D/ESHUTDOWNL.O.PRESS&&C.F.W.TEMP.SWITCHES,CLEANING,CABLETIGHTNESS,TEST
04.D/EALARMSENSORS,CLEANING,CABLETIGHTNESS,TEST
05.REMOTESTART/STOPFROME/R&&E.C.R.ͲENGINERUNUNLOADED
06.OVERSPEED,L.O.LOWPRESS&&C.F.W.HIGHTEMP.SHUTDOWNTRIPTEST
07.MAINSWBD/GPANELCLEANING,CABLETIGHTNESS
08.AUTOST/BYSTART,CONNECTING,SYNCHRONIZING,LOADSHARING,ENGINERUNLOADED
09.REVERSEPOWERRELAYADJUSTMENT,ACBTRIPTEST
10.OVERCURRENTRELAYADJUSTMENT,ACBTRIP&&PREFFERENTIALTRIPTEST
11.PREL.O.PUMPAUTOSTART/STOP&&D/EAUTOSTART/STOPDEPENDINGONLOAD
12.LOCALANDREMOTEINSTRUMENTS,TEST,CALIBRATION
B.No2DIESELENGINE
C.No3DIESELENGINE
01 LOCAL CONTROL BOARD && CONNECTION BOX ON ENGINE CLEANING CABLE TIGHTNESS
D.No4DIESELENGINE
E.EMERGENCYDIESELENGINE
02.BATTERY&&BATTERYCHARGERCLEANING,MEASURING,CABLETIGHTNESS
03.D/EMANUALSTARTFROMBATTERY&&SECONDARYMEANSYSTEMS
04.D/EAUTOSTART,CONNECTINGTESTBYMSBTOESBTRANSFERLINEACBDISCONNECTION
05.D/EAUTODISCONNECTING&&STOPPINGAFTERRESTOREOFMAINPOWERSOURCE
06.D/EOVERSPEEDTRIP&&L.O.LOWPRESSALARMTEST

Frequency: Chief Engineer Hand Over - Incorporated with TE-01 Authorized by: Tech Dept. File: T-5
Issue to all Vessels Issue/Revision: 2/0 Page: 1 of 12
AUTOMATION
Vessel:
Port: Date:
A.MAINENGINE YES NO N/A

01.CONNECTIONBOXESONENGINECLEANING,CABLETIGHTNESS
02.MAINSTARTINGVALVEBLOCK&&SERVICEMODELIMITSWITCHESCLEAN&&TEST
03.AHEADANDASTERNPOSITIONLIMITSWITCHESCLEAN&&TEST
04.START,ASTERN,AHEAD,STOPMINIVALVESCLEAN&&TEST
05.CYL.LUBRICATORCONNECTIONBOXESCLEAN&&CABLETIGHTNESS
06.SAFETY&&CONTROLAIRINLETF.W.EPRESS.SWITCHESCLEAN&&TEST
07.STARTING&&CONTROLAIRPRESS.TRANSMITTERSCLEAN&&TEST
08.EMERGENCYSTOPSOLENOIDVALVECLEAN&&TEST
09.F.O.LEAKAGE&&SCAV.AIRWATERHIGHLEVELSENSORSCLEAN&&TEST
10.TURNINGGEAR,EMERG.STOPRESET&&CHANGEͲOVERLIMITSWITCHESCLEAN&&TEST
11.CYL.LUBRICATOR&&SEALINGAIRSOLENOIDVALVECLEAN&&TEST
12.EMERG.CONTROLRESET&&POSITIONPRESS.SWITCHESCLEAN&&TEST
13.SOL.VALVEFORV.I.T.CANCELCLEAN&&TEST
14.TACHOFAILALARMCANCELPRESS.SWITCHCLEAN&&TEST
15.LOCALPRESSURE&&TEMPERATUREGAUGESCLEAN&&CHECK
16.E.C.R.PRESSURE&&TEMPERATUREINDICATORSCLEAN,CABLETIGHTNESS,ADJUSTMENT
B.OILMISTDETECTOR
01.OILMISTDETECTORUNITCLEAN,CABLETIGHTNESS
02.OILMISTDETECTORPIPINGCLEAN&&SECURE
03.FAILSAFEALARMTEST
04.OILMISTHIGHINENGINECRANKCASESIMULATIONTEST
C.M/ESAFETYSYSTEM
01.SAFETYSYSTEMUNITCLEAN,CABLETIGHNESS
02.ENGINEMANUALTRIPFROMBRIDGE,E.C.R.&&E/R
03.ENGINESHUTDOWNMAINL.O.&&CAMSHAFTL.O.LOWPRESS.SWITCHESCLEAN&&TEST
04.ENGINESHUTDOWNTHRUSTBEARINGHIGHTEMP.SWITCHCLEAN&&TEST
05.ENGINESLOWDOWNMAINL.O.&&CAMSHAFTL.O.LOWPRESSTRANSMITTERSCLEAN&&TEST
06.ENGINESLOWDOWNMAINL.O.&&CAMSHAFTL.O.HIGHTEMP.SENSORSCLEAN&&TEST
07.ENGINESLOWDOWNC.F.W/INLETLOWPRESSTRANSMITTERCLEAN&&TEST
08.ENGINESLOWDOWNCYL.EXH.GASHIGHTEMP.SENSORSCLEAN&&TEST
09.ENGINESLOWDOWNPISTONCOOL.OILFLOWSWITCHESCLEAN&&TEST
10.ENGINESLOWDOWNPISTONCOOL.OILHIGHTEMP.SENSORSCLEAN&&TEST
11.ENGINESLOWDOWNSCAVENGEAIRHIGHTEMP.SENSORSCLEAN&&TEST
12.ENGINEOVERSPEEDSIMULATIONTEST
D.M/EREMOTECONTROL&&TELEGRAPHSYSTEM
01.ENGINEREMOTECONTROLBRIDGE&&E.C.R.UNITSCLEAN,CABLETIGHTNESS
02.E/REMERGENCYCONTROLBOXCLEAN,CABLETIGHTNESS
03.TELEGRAPHBRIDGE,E.C.R.&&E/RUNITSCLEAN,CABLETIGHTNESS
04.BRIDGETELEGRAPHLOGGERUNITCLEAN,CABLETIGHTNESS
05.RPMDETECTORS&&INDICATORSCLEAN,CABLETIGHTNESS&&ADJUSTMENT
06.E.C.R.INDICATIONPANEL&&MANOEUVRINGHANDLECLEAN,CABLETIGHTNESS,TEST
07.GOVERNORSYSTEMCLEAN,CABLE&&PIPETIGHTNESS
08.EMERGENCYCONSOLELIMIT&&CONTROLSWITCHESCLEAN,CABLETIGHTNESS
09.ENGINEREMOTECONTROLPOWERSUPPLYPANELCLEAN,CABLETIGHTNESS,TEST
10.ENGINEREMOTECONTROLFROMBRIDGE,E.C.R.&&E/RTEST
11.ENGINETELEGRAPHFROMBRIDGE,E.C.R.&&E/RTEST
12.HOUR&&REVOLUTIONCOUNTERSVERIFICATION
E.M/ETURBOCHARGER
01.No1T/CTURBINESIDE&&BLOWERSIDETEMP.SENSORSCLEAN,CABLETIGHTNESS
02.No1T/CMAGNETICPICKUP&&T/CRPMINDICATORCABLETIGHTNESS,ADJUSTMENT
03.No2T/CTURBINESIDE&&BLOWERSIDETEMP.SENSORSCLEAN,CABLETIGHTNESS
04.No2T/CMAGNETICPICKUP&&T/CRPMINDICATORCABLETIGHTNESS,ADJUSTMENT
05.No1/No2T/CEXH.GASINLET&&OUTLETTEMP.SENSORSCLEAN,CABLETIGHTNESS
F.M/EAUXILIARYBLOWERS
01.No1&&No2AUX.BLOWERSSTART/STOPPRESS,SWITCHESCLEAN,CABLETIGHTNESS
02.AUX.BLOWERSCONTROLBOARD,CLEAN,CABLETIGHTNESS,TESTINMANUAL&&AUTOMODE
Date:
D t 01 SSeptt 2020 Form: TE
F TE-22
22
AUTOMATION
Vessel:
Port: Date:
A.No1BALLASTPUMP YES NO N/A

01.LOCALCONTROLPANELCLEAN,CABLETIGHTNESS&&TEST
02.OVERSPEED&&MANUALTRIPSYST.FROMC.C.R.,P/R,TURBINESIDE,MANIFOLDS,CLEAN&&TEST
03.L.O.LOWPRESS.SWITCHESFORL.O.PUMPAUTOSTART,ALARM&&TRIPCLEAN&&TEST
04.HIGHBACKUPPRESSSWITCHCLEAN&&TEST
05.L.O.HIGHTEMP.SWITCH&&MECH,SEALTKHIGHLEVELSWITCHCLEAN&&CHECK
06.SPEEDGOVERNORMOTOR,TACHOGENERATOR&&LIMITSWITCHESFORTRIPIND.CLEAN&&TEST
07.SPEEDCONTROLSYST.&&RPMIND.ATTURBINESIDE,C.C.R.&&E.C.R.CLEAN,.TEST&&CALIBRATION
08.PUMPCASING&&BEARINGSHIGHTEMPINDICATIONSYSTEM,CABLETIGHTNESS&&TESTING
09.PUMPSUCT.&&DISCH.PRESSGAUGESINP/R&&C.C.R.,TRANSMITTER&&AIRSYSTEMCLEAN&&TEST
10.TURBINESIDEPRESS.&&TEMP.GAUGESCHECK
11.PUMPRUN,MASTERTRIP&&MASTERALARMIND.LAMPSCHECK&&TEST
12.PUMPSTARTER&&AMMETERINDICATION,CLEAN,CABLETIGHTNESS,TEST
B.No2BALLASTPUMP
01.LOCALCONTROLPANELCLEAN,CABLETIGHTNESS&&TEST
02.OVERSPEED&&MANUALTRIPSYST.FROMC.C.R.,P/R,TURBINESIDE,MANIFOLDS,CLEAN&&TEST
03.L.O.LOWPRESS.SWITCHESFORL.O.PUMPAUTOSTART,ALARM&&TRIPCLEAN&&TEST
04.HIGHBACKUPPRESSSWITCHCLEAN&&TEST
05.L.O.HIGHTEMP.SWITCH&&MECH,SEALTKHIGHLEVELSWITCHCLEAN&&CHECK
06.SPEEDGOVERNORMOTOR,TACHOGENERATOR&&LIMITSWITCHESFORTRIPIND.CLEAN&&TEST
07.SPEEDCONTROLSYST.&&RPMIND.ATTURBINESIDE,C.C.R.&&E.C.R.CLEAN,TEST&&CALIBRATION
08.PUMPCASING&&BEARINGSHIGHTEMPINDICATIONSYSTEM,CABLETIGHTNESS&&TESTING
09.PUMPSUCT.&&DISCH.PRESSGAUGESINP/R&&C.C.R.,TRANSMITTER&&AIRSYSTEMCLEAN&&TEST
10.TURBINESIDEPRESS.&&TEMP.GAUGESCHECK
11.PUMPRUN,MASTERTRIP&&MASTERALARMIND.LAMPSCHECK&&TEST
12.PUMPSTARTER&&AMMETERINDICATION,CLEAN,CABLETIGHTNESS,TEST
C.VARIOUS
01.TANKCLEANINGLINESUCTIONPRESSGAUGEINP/R&&CCR,TRANSM.&&AIRSYST.CLEAN&&TEST
02.TANKCLEANINGLINEDISCH.PRESSGAUGEINP/R&&CCR,TRANSM.&&AIRSYST.CLEAN&&TEST
03.TANKCLEANINGHEATERLOCALPRESS&&TEMP.GAUGESCHECK.
04.BALLASTSYST.EDUCTORSUCT.PRESSGAUGESINP/R&&CCR,TRANSM.&&AIRSYST.CLEAN&&TEST
05.BALLASTSYST.EDUCTORDISCH.PRESSGAUGEINP/R&&CCR,TRANSM&&AIRSYST.CLEAN&&TEST
06.BALLASTSYST.EDUCTORDRIV.PRESSGAUGEINP/R&&CCR,TRANSM.&&AIRSYST.CLEAN&&TEST
D.PUMPROOMFANSYSTEM
01.No1P/RFANSTARTERCLEAN,CABLETIGHTNESS,LOCAL&&REMOTESTART/STOPTEST
02.No2P/RFANSTARTERCLEAN,CABLETIGHTNESS,LOCAL&&REMOTESTART/STOPTEST
03.PUMPROOMFANS&&LIGHTINGINTERLOCKINGSYSTEMTEST

AUTOMATION
Vessel:
Port: Date:
A.FIREDBOILER YES NO N/A

01.BOILERLOCALCONTROLBOARD,BURNER&&BOILERBODYJ.B.CLEAN,CABLETIGHTNESS
02.F.O.,PURGEAIR,ATMOSPHERESTEAM,F.O.REGUL.VALVES&&LIMITSWITCHESCLEAN,TEST
03.F.W.REGUL.V/V,F.O.CONTROLV/V,F.D.FANINLETV/VANDI/PTRANMITTERSCLEAN,TEST
04.MASTER,F.O.,WINDBOX,FURNACEPRESSTRANSMITTERS&&INDICATORSCLEAN,TEST
05.DRUMLEVEL&&REMOTEDRUMLEVELTRANSMITTERSANDLEVELINDICATORSCLEAN,TEST
06.F.O.LOW&&LOWͲLOWPRESSSWITCHES,F.O.TEMP,SENSOR&&INDICATORCLEAN,TEST
07.SMOKEPHOTOCELL,LIGHTSOURCEANDSMOKEINDICATORCLEAN,TEST
08.No1&&No2FLAMEDETECTORS,RELAYSANDAMPLIFIERSCLEAN,TEST
09.AIRFLOWANDSTEAMFLOWTRANSMITTERSCLEAN,TEST
10.WINDBOXHIGHTEMP,SWITCHCLEAN,TEST
11.IGNITERSOURCEUNIT,CLEAN,CABLETIGHTNESS,TEST
12.PILOTBURNERPUMPMOTOR&&PILOTBURNERVALVE,CLEAN,TEST
13.BOILERTRIPFROMDRUMLVL,F.O.PRESS,ATOM.STEAMPRESS,CONTROLAIRPRESSLOWͲLOWTEST
14.BOILERTRIPFROMEMERG.STOP,F.D.FANABNORMALTRIP,VOLTAGEFAILURETEST
15.BOILERTRIPFROMFLAMEFAIL,NOFLAME,F.O.TEMP.LOW(150SEC),TEST
16.BOILERTESTINMANUAL&&AUTOMODEASMASTERANDSLAVE
B.COMPOSITEBOILER
01.HIGH&&LOWSTEAMPRESS,LOWF.O.PRESS,BOILERSTART/STOP,PRESSSWITCHES,CLEAN&&TEST
02.WATERLEVEL&&STEAMPRESSTRANSMITTERSANDINDICATORSCLEAN,TEST,CALIBRATION
03.WATERTOOLOWLEVELSWITCHANDF.O./D.O.CHANGEOVERSWITCH,CLEAN&&TEST
04.No1/No2SAFETYVALVESANDNo1/No2OILVALVESONBURNER,CLEAN&&TEST
05.No1/No2F.O.PUMPSSTART/STOPBOXES,ST/BYSTARTPRESSSWITCH,CLEAN&&PUMPSTEST
06.IGNITIONTRAFO,PHOTOCELL,F.O.HIGHPRESSSWITCH&&BURNERLIMITSWITCH,CLEAN&&TEST
07.No1/No2FEEDWATERPUMPSSTART/STOPTESTINMANUAL/AUTOMODE
08.HEATINGELEMENT&&TEMP.SENSORONBURNERNOZZLEHEAD,CHECK&&TEST
09.HEATINGELEMENTSONBURNER,FILTER&&FLEXIBLEHOSES,CHECK&&TEST
10 BOILER CONTROL BOARD CLEAN CABLE TIGHTNESS TEST
10.BOILERCONTROLBOARD,CLEAN,CABLETIGHTNESS,TEST
11.BOILERTRIPTESTFROMHIGHSTEAMPRESS,WATERLOWLEVEL,F.O.HIGH/LOWPRESS&&TEMP
12.BOILERTRIPTESTFROMBURNEROVERLOAD,FLAMEFAILUREANDBURNERSWINGOUT
C.EXHAUSTGASBOILER
01.WATERLEVELTRANSMITTER&&INDICATORANDLEVELSWITCH,CLEAN,TEST,CALIBRATION
02.No1/No2FEEDWATERPUMPSSTART/STOPTESTINMANUAL/AUTOMODE

AUTOMATION
Vessel:
Port: Date:
A.No1/No2BLOWERS YES NO N/A

01.No1&&No2BLOWERSTARTERSCLEAN,CABLETIGHTNESS,TEST
02.No1&&No2BLOWERSLOCAL/REMOTESTART/STOPTEST
03.No1BLOWERINLET/OUTLETVALVELIMITSWITCHES,CLEAN&&TEST
04.No2BLOWERINLET/OUTLETVALVELIMITSWITCHES,CLEAN&&TEST
05.No1&&No2BLOWERVIBRATIONCONTROLS,CHECK&&TEST
06.No1&&No2BLOWEROUTLETTEMP.SWITCHES,CLEAN&&TEST
07.No1&&No2BLOWEROUTLETPRESSSWITCHES,CLEAN&&TEST
08.FRESHINLETINTAKEVAVLELIMITSWITCH,CLEAN&&TEST
09.No1BLOWERCAPACITYPRESSTRANSMITTER&&I/PCONVERTER,CLEAN&&TEST
10.No2BLOWERCAPACITYPRESSTRANSMITTER&&I/PCONVERTER,CLEAN&&TEST
B.UPTAKEVALVES
01.No1BOILERUPTAKEVALVE,SOLENOIDVALVE&&LIMITSWITCH,CLEAN&&TEST
02.No2BOILERUPTAKEVALVE,SOLENOIDVALVE&&LIMITSWITCH,CLEAN&&TEST
03.DIESELENGINEUPTAKEVALVE,SOLENOIDVALVE&&LIMITSWITCH,CLEAN&&TEST
04.COMMONUPTAKEVALVE,SOLENOIDVALVE&&LIMITSWITCH,CLEAN&&TEST
05.SEALINGAIRVALVE,SOLENOIDVALVE&&LIMITSWITCHES,CLEAN&&TEST
06.STEAMCLEANINGVALVEFORUPTAKEVALVES,SOLENOIDVALVE,CLEAN&&TEST
C.DECKWATERSEAL
01.No1/No2D.W.S.PUMPSCONTROL&&D.W.S.PRESSSWITCH,CLEAN,TEST
02.WATERLEVELHIGH/LOWLEVELSWITCHES,CLEAN,TEST

AUTOMATION
Vessel:
Port: Date:
A.D/GF.O.SUPPLYMODULE YES NO N/A

01.No1/No2F.O.SUPPLYPUMPS
ͲPRESSSWITCHFORST/BYMODE,CLEAN,TEST
ͲPUMPMOTORSTARTERS,CLEAN,CABLETIGHTNESS,TESTINMANUAL/AUTOMODE
02.No1/No2F.O.BOOSTERPUMPS
03.No1/No2NOZZLECOOLPUMPS
04.M.D.O.BOOSTERPUMP
05.CONTROLCABINETCLEAN,CABLETIGHTNESS,TEST
ͲVISCOMETERMOTOR&&VISCOSITYPRESS&TEMP.SWITCHESCLEAN,TEST
ͲHIGH&&CONTROLTEMP.SWITCHES,CLEAN,TEST
ͲNOZZLECOOL.OILLOWTEMP.SWITCH&&OUTLETLOWPRESSSWITCH,CLEAN,TEST
ͲLOWLEVELSWITCH&DEARATIONVALVE,CLEAN,TEST
ͲEMERG.M.D.O.PUMP&&M.D.O.LOWPRESSSWITCH,CLEAN,TEST
ͲFLOWMETERCHECK,TEST
06.F.O.VISCOSITYINDICATION&&CONTROLUNITINE.C.R.,CLEAN,CHECK,TEST
B.M/ESUPPLYMODULE
01.No1/No2F.O.SUPPLYPUMPS
02.No1/No2F.O.BOOSTERPUMPS
03.CONTROLCABINET
ͲVISCOMETERMOTORPRESSSWITCH,CLEAN,TEST
ͲF.O.OUTLETLOWPRESSSWITCH,CLEAN,TEST
ͲFLOWMETERCHECK,TEST
ͲCONTROLCABINETCLEAN,CABLETIGHTNESS,TEST
04.F.O.VISCOSITYINDICATION&&CONTROLUNITINE.C.R.CONSOLE,CLEAN,CHECK,TEST
C.STAND/BYPUMPS
01.M/ENo1/No2MAINL.O.PUMPS
02.No1/No2L/TC.F.W.PUMPS
03.M/ENo1/No2JACKETC.F.W.PUMPS
04.No1/No2MAINC.S.W.PUMPS
05.M/ENo1/No2CAMSHAFTL.O.PUMPS
06.No1/No2MAINL.O.PUMPS
07.No1/No2CONDENSATEWATERPUMPS
D.AUTOSTART/STOPPUMPS
01.H.F.O.TRANSFERPUMP
ͲHIGHANDLOWLEVELSWITCHESINH.F.O.SETTLINGTANK,CLEAN,TEST
02.D.O.TRANSFERPUMP
ͲHIGHLEVELSWITCHIND.O.SERVICETANK,CLEAN,TEST
03.BILGEPUMP:HIGHLEVELSWITCHESINE/RBILGEWELLS,CLEAN,TEST
BILGE PUMP: MOTOR STARTERS, CLEAN, CABLE TIGHTNESS, TEST IN MANUAL / AUTO MODE
BILGEPUMP:MOTORSTARTERS,CLEAN,CABLETIGHTNESS,TESTINMANUAL/AUTOMODE

AUTOMATION
Vessel:
Port: Date:
A.No1F.O.OILSEPARATOR YES NO N/A

ͲSEPARATORMOTOR&&FEEDPUMPMOTORSTARTERS,CLEAN,CABLETIGHTNESS,TEST
ͲOILFEEDWATEROUTLET,DISPLACEMENTWATER,OPENING&&CLOSEWATERV/V,CLEAN,TEST
ͲHIGH/LOWPRESSSWITCHESANDWATERTRASDUCERPRESSSWITCH,CLEAN,TEST
ͲHIGHTEMPSWITCHFORALARMANDINLETTEMP.SENSORFORIND.&&ALARM,CLEAN,TEST
ͲPURIFIERCONTROLPANEL,CLEAN,CABLETIGHTNESS,TEST
B.No2F.O.SEPARATOR
C.No1L.O.SEPARATOR
D.No2L.O.SEPARATOR
E.G/EL.O.SEPARATOR
HIGH/LOWPRESSSWITCHESANDWATERTRASDUCERPRESSSWITCH,CLEAN,TEST
F.EMERGENCYSTOPPUSHBUTTONBOX:SIMULATIONTEST
01.EMERGENCY(FIRE)STOPFORE/RFANSINE/RENTRANCE,FIRECONTROLSTATION
02.EMERGENCY(FIRE)STOPFORF.O.PUMPS&&UNITSINE/RENTRANCE,FIRECONTROLSTATION
03.EMERGENCY(FIRE)STOPFORACCOMMFANS&I.G.S.FANSINFIRECONTROLSTATION,BRIDGE
04.E/RFANSAUTOTRIPFROMCO2RELEASE
05.P/RFANSAUTOTRIPFROMCO2RELEASE
06.EMERGENCYSTOPP&&SFOROILYBILGE,SLUDGE,GREYWATERPUMPS&&SEWAGE,VACUUMTOILET
07.EMERGENCY(FIRE)STOPFORGALLEYFANS,AC440V&&AC220VDISTRIBUTIONSINGALLEYEXIT
G.FIREPUMPSREMOTESTART/STOPRUNTEST
01.No1FIREPUMPREMOTESTART/STOPFROMLOCAL,FIRECONTROLSTATION,BRIDGE
02.No2FIREPUMPREMOTESTART/STOPFROMLOCAL,FIRECONTROLSTATION,BRIDGE
03.EMERGENCYFIREPUMPREMOTESTART/STOPFROMLOCAL,FIRECONTROLSTATION,BRIDGE
H.No1MAINAIRCOMPRESSOR
01.AUTOSTART/STOPPRESSSWITCHES,CLEAN,TEST
02.OILLOWPRESSSWITCH&&AIRHIGHTEMPSWITCH,CLEAN,TEST
03.1ST,2ND&&3RDSTAGESOLENOIDV/V,CLEAN,TEST
04.COMPRESSORSTARTER&&J.B.ONCOMPRESSOR,CLEAN,CABLETIGHTNESS,TEST
I.No2MAINAIRCOMPRESSOR
J.No3MAINAIRCOMPRESSOR
K.EMERGENCYAIRCOMPRESSOR
02.COMPRESSORSTARTER,CLEAN,CABLETIGHTNESS,TEST

AUTOMATION
Vessel:
Port: Date:
A.OILWATERSEPARATOR YES NO N/A

01.AFTBILGEWELLLEVELSWITCHFORAUTOSTART/STOP,CLEAN,TEST
02.OILYWATERPUMPMOTORSTARTER,CLEAN,TEST
03.OILCONTENTSENSOR,CLEAN,TEST
04..BILGEALARMBOX,CLEAN,CHECK,TEST
B.SALINITYMETER
01.F.W.GENERATORSALINITYCELL&&SALINOMETERPANEL,CHECK,TEST
02.VACUUMCONDENSERSALINITYCELL&&SALINOMETER,CHECK,TEST
C.INCINERATOR&WASTEOILTANKUNIT
01.F.O.PRESSSWITCH&&F.O.HEATERTEMPSWITCHES,CLEAN,TEST
02.FLAMEDETECTOR&&IGNITIONTRANSFORMER,CLEAN,CHECK
03.F.O.COMMONV/V,No1/No2F.O.NOZZLEV/V&&DOORLOCKV/V,CHECK,TEST
04.STEAM/AIRPRESSSWITCH&&SOLENOIDV/VANDSLUDGEPRESSSWITCH,CLEAN,TEST
05.FLUEGAS,COMBUSTIONCHAMBER&&SLUDGEDOSAGEP/PTEMPSWITCHES,CHECK,TEST
06.BURNERMAIN&&SECONDARYAIRDAMPER,CLEAN,TEST
07.FLUEGASFAN&&DAMPERMOTORS,BURNERMOTOR,SLUDGEDOSAGEPUMPMOTOR,CHECK,TEST
08.CONTROLBOARD,CLEAN,CABLETIGHTNESS,TEST
D.SEWAGETREATMENT&&VACUUMTOILETSYSTEMS
01.SEWAGEHIGH/LOWALARMLEVELSWITCHES,CHECK,TEST
02.SEWAGEAIRCOMPRESSOR&&DISCHARGEPUMP,CHECK,TEST
03.SEWAGECONTROLPANEL,CLEAN,CABLETIGHTNESS,TEST
04.VACUUMHIGH/LOWLEVELSWITCHESFORSTART/STOPDISCH.PUMP,CHECK,TEST
05.VACUUMALARMLOWPRESSSWITCH&&VACUUMPUMPPRESSSWITCH,CLEAN,TEST
06.VACUUMPUMP&&DISCHARGEPUMP,CHECK,TEST
07.VACUUMCONTROLPANEL,CLEAN,CABLETIGHTNESS,TEST
E.I.C.C.P.,ANTIFOULINGANDSHAFTGROUNDINGSYSTEMS
01.AFTELECTRODESANDREFERENCECELLS,CHECK,MEASURING
02 AFT I C C P CONTROL BOARD CLEAN CABLE TIGHTNESS TEST
02.AFTI.C.C.P.CONTROLBOARD,CLEAN,CABLETIGHTNESS,TEST
03.I.C.C.P.REMOTEMONITORINGPANELINE.C.R.,CLEAN,TEST
04.FWDELECTRODESANDREFERENCECELLS,CHECK,MEASURING
05.FWDI.C.C.P.CONTROLBOARD,CLEAN,CABLETIGHTNESS,TEST
06.ANTIFOULINGSYSTEMPORT&&STBDSTRAINERS,CHECK,MEASURING
07.ANTIFOULINGSYSTEMCONTROLBOARD,CLEAN,CABLETIGHTNESS,TEST
08.PROPELLERSHAFTRINGANDCARBONBRUSHES,CHECK,ALIGNMENT
09.SHAFTGROUNDINGMULTIVOLTMETERPANEL&&GROUNDCABLES,CHECK,TEST
F.PROVISIONREFRIGERATINGPLANT
01.No1COMPRESSOR
ͲLOW/HIGHPRESS,LOWCOOL.WATERPRESS&&LOWL.O.PRESSSWITCHES,CLEAN,TEST
ͲCRANKCASEHEATINGELEMENT,MEASURING
02.No2COMPRESSOR
ͲLOW/HIGHPRESS,LOWCOOL.WATERPRESS&&LOWL.O.PRESSSWITCHES,CLEAN,TEST
ͲCRANKCASEHEATINGELEMENT,MEASURING
03.MEAT,FISH,VEGETABLE&&DAIRYROOMTEMP.SENSORS&&INDICATORS,CHECK
04.MEAT,FISH,VEGETABLE&&DAIRYROOMSOLENOIDV/V,CHECK,TEST
05.MEATROOMTHERMOSTAT&&DEFROSTINGTHERMOSTAT,DRAINPIPEHEATER,CHECK,TEST
06.FISHROOMTHERMOSTAT&&DEFROSTINGTHERMOSTAT,DRAINPIPEHEATER,CHECK,TEST
07.VEGETABLEROOMTHERMOSTAT&&OZONEGENERATOR,CHECK,TEST
08.DAIRYROOMTHERMOSTAT&&OZONEGENERATOR,CHECK,TEST
09.MEATROOMFAN&&DEFROSTINGHEATER,CHECK,TEST
10.FISHROOMFAN&&DEFROSTINGHEATER,CHECK,TEST
11.VEGETABLE&&DAIRYROOMFANS,CHECK,TEST
12.COMPRESSOR&&UNITCOOLERCONTROLBOARDS,CLEAN,CABLETIGHTNESS,TEST
G.No1/No2STERILIZERS
01.No1UVSTERILIZER(DRINKINGWATER)
ͲCHEMICALLAMP,UVSENSOR&&SOLENOIDV/V,CHECK,TEST
ͲCONTROLBOARD,CLEAN,CABLETIGHTNESS,TEST
02.No2UVSTERILIZER(POTABLEWATER)
ͲCHEMICALLAMP,UVSENSOR&&SOLENOIDV/V,CHECK,TEST
ͲCONTROLBOARD,CLEAN,CABLETIGHTNESS,TEST

AUTOMATION
Vessel:
Port: Date:
A.THERMOSTATICCONTROLVALVES YES NO N/A

01.No1F.O.SEPARATORPREHEATERV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
02.No2F.O.SEPARATORPREHEATERV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
03.No1L.O.SEPARATORPREHEATERV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
04..No2L.O.SEPARATORPREHEATERV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
05.D/GL.O.SEPARATORPREHEATERV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
06.LOWTEMP.FRESHWATERV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
07.HIGHTEMP.FRESHWATERV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
08..D/GHIGH/LOWFRESHWATERV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
09.AUX.BOILERF.O.HEATERV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
10.M/EL.O.SERVICESYSTEMV/V,ACTUATORANDSENSITIVEELEMENT,CHECK,TEST
B.STEERINGGEARSYSTEM
01.No1STEERINGGEARPUMP
ͲPUMPMOTOR&&MOTORHEATER,CHECK,TEST
ͲHYDRAULICOILTKLOW&&LOWͲLOWLEVELSWITCHES,CLEAN,TEST
ͲMAINOILCOOLERMOTOR,CHECK,TEST
ͲPUMPMOTORSTARTER,CLEAN,CABLETIGHTNESS,TEST
ͲREMOTESTART/STOP,RUNIND.ANDSTANDͲBYSTARTFROMBRIDGE,CHECK,TEST
ͲOVERLOAD,PHASEFAIL,NOVOLTAGE,OILLOW&&LOWͲLOWLEVELALARMS,CHECK,TEST
ͲPUMPSTROKETRANSMITTER,SERVOOILPRESSSWITCH,CHECK,TEST
ͲAUTOPILOTCONTROLBOX,CLEAN,CABLETIGHTNESS,TEST
02.No2STEERINGGEARPUMP
ͲPUMPMOTOR&&MOTORHEATER,CHECK,TEST
ͲHYDRAULICOILTKLOW&&LOWͲLOWLEVELSWITCHES,CLEAN,TEST
ͲMAINOILCOOLERMOTOR,CHECK,TEST
ͲPUMPMOTORSTARTER,CLEAN,CABLETIGHTNESS,TEST
ͲREMOTESTART/STOP,RUNIND.ANDSTANDͲBYSTARTFROMBRIDGE,CHECK,TEST
ͲOVERLOAD,PHASEFAIL,NOVOLTAGE,OILLOW&&LOWͲLOWLEVELALARMS,CHECK,TEST
ͲPUMPSTROKETRANSMITTER,SERVOOILPRESSSWITCH,CHECK,TEST
ͲAUTOPILOTCONTROLBOX,CLEAN,CABLETIGHTNESS,TEST
03.GREASEPUMPSYSTEM
ͲPUMPMOTOR,CHECK,TEST
ͲLOWLEVELANDPRESSSWITCHES,CHECK,TEST
ͲMOTORSTARTER,CLEAN,CABLETIGHTNESS,TEST
04.HYDRAULICSUPERVISIONSYSTEM
ͲSOLENOIDVALVES,CLEAN,TEST
ͲNo1/No2LOWLEVELSWITCHES,CHECK,TEST
ͲLOCALANDBRIDGEPANELS,CLEAN,CABLETIGHTNESS,TEST
C.E/RBILGESYSTEM
01.AFTBILGEWELL,LOW/HIGHLEVELSWITCHES,BILGEVALVE,CHECK,TEST
02.FWDPORTBILGEWELL,LOW/HIGHLEVELSWITCHES,BILGEVALVE,CHECK,TEST
03.FWDSTBDBILGEWELL,LOW/HIGHLEVELSWITCHES,BILGEVALVE,CHECK,TEST
04..BILGEPUMPMOTOR&&STARTER,CHECKANDTESTINMANUAL/AUTOMODE
D.H.F.O.STORAGETANKLEVELALARM
ͲNo1H.F.O.STORAGETANKPORTLEVELTRANSMITTER,CHECK,TEST
ͲNo1H.F.O.STORAGETANKSTBDLEVELTRANSMITTER,CHECK,TEST
ͲNo2H.F.O.STORAGETANKPORTLEVELTRANSMITTER,CHECK,TEST
ͲNo2H.F.O.STORAGETANKSTBDLEVELTRANSMITTER,CHECK,TEST
E.E/RDEADMANALARMSYSTEM
01.E/RANDBRIDGEUNIT,CHECK,TEST
02.START/STOPPUSHBUTTONS,CHECK,TEST
03.RESETPUSHBUTTONS,CHECK,TEST
F.ALARM&MONITORINGSYSTEM
01.No1MONITOR,PROCESSORUNIT,KEYBOARD,CLEAN,CABLESECURE,TEST
02.No2MONITOR,PROCESSORUNIT,KEYBOARD,CLEAN,CABLESECURE,TEST
03.POWERSUPPLYBOARD,CLEAN,CABLESECURE,BATTERYCHECK,TEST
G.SHIPPERFORMANCESYSTEM
01.SHAFTRING,PICKUPUNIT,TRAFO,JUNCTIONBOX,CHECK
02.M/EF.O.FLOWMETER,G/EF.O.METER&&AUX.BOILERFLOWMETER,CHECK,TEST
03.M/EF.O.TEMP,G/EF.O.TEMP&&AUXBOILERF.O.TEMPSENSORS,CHECK,TEST
04.E.C.R.ANDBRIDGEUNIT,TERMINALSTRIPSANDDISPLAYUNITS,CHECK,CABLESECURE,TEST

AUTOMATION
Vessel:
Port: Date:
A.No1/No2HYDROPHOREUNITS YES NO N/A

01.No1HYDROPHOREUNIT(POTABLEWATER)
ͲPRESSSWITCHFORAUTO/STARTSTOP,CLEAN,TEST
ͲNo1/No2HYDROPHOREPUMPMOTORSTARTERS,CLEAN,CABLETIGHTNESS,TEST
02.No2HYDROPHOREUNIT(DRINKINGWATER)
ͲPRESSSWITCHFORAUTO/STARTSTOP,CLEAN,TEST
ͲNo1/No2HYDROPHOREPUMPMOTORSTARTERS,CLEAN,CABLETIGHTNESS,TEST
B.M/EF.O.&&L.O.AUTOMATICFILTERS
01.M/EF.O.AUTOMATICFILTERS
ͲDIFFERENTIALPRESSSWITCHES,CLEAN,TEST
ͲSOLENOIDV/V,CLEAN,TEST
ͲLEVELSWITCH,CHECK,TEST
ͲMANUALFILTERDIFFERENTIALPRESSSWITCH,CLEAN,TEST
ͲFILTERCONTROLPANEL&&J.B.,CLEAN,CABLETIGHTNESS,TEST
02.M/EL.O.AUTOMATICFILTERS
ͲDIFFERENTIALPRESSSWITCHES,CLEAN,TEST
ͲSOLENOIDV/V,CLEAN,TEST
ͲLEVELSWITCH,CHECK,TEST
ͲMANUALFILTERDIFFERENTIALPRESSSWITCH,CLEAN,TEST
ͲFILTERCONTROLPANEL&&J.B.,CLEAN,CABLETIGHTNESS,TEST
C.WINDLASS/MOORINGWINCHHYDRAULICPOWERPACKS
01.AFTNo1HYDRAULICPOWERPACK
ͲHIGHTEMP.SWITCHANDLOWLEVELSWITCH,CHECK,TEST
ͲMOTOR&&MOTORHEATER,CHECK,TEST
ͲREMOTECONTROLBOX,CLEAN,TEST
02.AFTNo2HYDRAULICPOWERPACK
MOTOR && MOTOR HEATER CHECK TEST
03.FWDNo1HYDRAULICPOWERPACK
ͲCHAINMEASURINGINDUCTIVESENSORSP&&SANDSLAVECONTROLCABINET,CHECK,TEST
04.FWDNo2HYDRAULICPOWERPACK
ͲCHAINMEASURINGINDUCTIVESENSORSP&&SANDSLAVECONTROLCABINET,CHECK,TEST
D.AIRCONDITIONINGPLANT
01.No1COMPRESSOR
ͲMOTOR&&CRANKCASEHEATINGELEMENT,CHECK,MEASURING
ͲCAPACITYSOLENOIDVALVES&&SUBCOOLERSOLENOIDV/V,CLEAN,TEST
ͲFREONHIGH/LOWPRESSSWITCH,CLEAN,TEST
ͲNo1/No2OPERATIONPRESS&&L.O.LOWPRESSSHUTDOWNSWITCHES,CLEAN,TEST
ͲJ.B.ONCOMPRESSOR,CLEAN,CABLETIGHTNESS,TEST
02.No2COMPRESSOR
ͲMOTOR&&CRANKCASEHEATINGELEMENT,CHECK,MEASURING
ͲCAPACITYSOLENOIDVALVES&&SUBCOOLERSOLENOIDV/V,CLEAN,TEST
ͲFREONHIGH/LOWPRESSSWITCH,CLEAN,TEST
ͲNo1/No2OPERATIONPRESS&&L.O.LOWPRESSSHUTDOWNSWITCHES,CLEAN,TEST
ͲJ.B.ONCOMPRESSOR,CLEAN,CABLETIGHTNESS,TEST
03.AIRCONDITIONINGPLANTBOARD,CLEAN,CABLETIGHTNESS,TEST
04.No1/No2THERMOSTATS&&REGULATINGVALVES,CHECK,TEST
05.No1/No2FANMOTORS,CHECK,MEASURING
06.No1/No2FANMOTORSTARTERS,CLEAN,CABLETIGHTNESS,TEST
07.No1FANUNITHUMIDITYSOLENOIDV/V&&HUMIDISTAT,CHECK,TEST
08. No 2 FAN UNIT HUMIDITY SOLENOID V/V && HUMIDISTAT, CHECK, TEST
08.No2FANUNITHUMIDITYSOLENOIDV/V&&HUMIDISTAT,CHECK,TEST

AUTOMATION
Vessel:
Port: Date:
A.BALLASTTANKLEVELGAUGINGSYSTEM YES NO N/A

01.BALLASTTANKLEVELGAUGINGBOARD,CLEAN,CHECK,TEST
02.No1BALLASTTANKPORT&&STBDLEVELSENSORS,CHECK,TEST
08.FOREPEAK&&AFTPEAKTANKLEVELSENSORS,CHECK,TEST
09.DRAFTFORE&&DRAFTAFTLEVELSENSORS,CHECK,TEST
10.DRAFTMIDDLEPORT&&STBDLEVELSENSORS,CHECK,TEST
11.No1LOWERSTOOLTANKLEVELSENSORS,CHECK,TEST
B.PUMPROOMBILGELEVEL
01.PUMPROOMBILGEHIGHLEVELSENSOR,CHECK,TEST
02.PUMPROOMBILGEHIGHLEVELALARMINC.C.R.&&BRIDGE,CHECK,TEST
C.OILDISCHARGEMONITORINGSYSTEM
01.SAMPLINGPUMPMOTOR&&STARTER,CLEAN,CABLETIGHTNESSTEST
02.OLEOMETERCABINETANDGASPROOFPENETRATION,CLEAN,CHECK
03.P/RHYDRAULICPANELVALVES&&FILTERS,CLEAN,CABLETIGHTNESSCHECK
04.P/RPUMPPRESSSWITCH,FLOWMETERPROBE7TRANSMITTER,CLEAN,CHECK
05.P/RSAMPLINGPROBE,CLEAN,CHECK
06.DISCHARGE&&RECIRCULATIONVALVES,SOLENOIDV/V&&ACTUATORS,CLEAN,CHECK
07.C.C.R.O.D.M.E.CONTROLPANEL&&PRINTER,CLEAN,CABLETIGHTNESSTEST
D.VALVEREMOTECONTROLSYSTEM
01.HYDR.POWERPACKHIGHOILPRESS&&TEMP.SWITCHES,CLEAN,CHECK
02.HYDR.POWERPACKLOWOILPRESS&&LOWOILLEVELSWITCHES,CLEAN,CHECK
03.No1P/PAUTOSTART,STOP,ST/BYPRESSSWITCHES&&STOPLEVELSWITCH,CLEAN,CHECK
04.No2P/PAUTOSTART,STOP,ST/BYPRESSSWITCHES&&STOPLEVELSWITCH,CLEAN,CHECK
05.MOTORSTARTERBOX,CLEAN,CABLETIGHTNESS,TEST
06.REMOTEINDICATION&&OPERATIONPANEL,CLEAN,CABLETIGHTNESS,TEST
07.AFTSOLENOIDVALVECABINET
ͲVALVEOPEN/CLOSESOLENOIDV/V,CLEAN,CHECK
ͲVALVEPOSITIONIND.OPEN/CLOSEIND.LIMITSWITCHES,CLEAN,CHECK
ͲVALVEPOSITIONIND.CONTINUOUSVALVEPOSITIONPOTENTIOMETER,CHECK
ͲVALVEPOSITIONBLOCKWITHTEMP.&&PRESSCOMP.BLOCKSANDMANUALV/V,LEAKTEST
ͲTERMINALBOARDCLEAN,CHECKANDCABLETIGHTNESS
08.FWDSOLENOIDVALVECABINET
ͲVALVEOPEN/CLOSESOLENOIDV/V,CLEAN,CHECK
ͲVALVEPOSITIONIND.OPEN/CLOSEIND.LIMITSWITCHES,CLEAN,CHECK
ͲVALVEPOSITIONIND.CONTINUOUSVALVEPOSITIONPOTENTIOMETER,CHECK
ͲVALVEPOSITIONBLOCKWITHTEMP.&&PRESSCOMP.BLOCKSANDMANUALV/V,LEAKTEST
ͲTERMINALBOARDCLEAN,CHECKANDCABLETIGHTNESS
09.C.C.R.MIMICFORCARGO&&BALLASTVALVESPOSITIONIND.,CHECK,TEST

AUTOMATION
Vessel:
Port: Date:
A.FIREDETECTIONSYSTEM YES NO N/A

01.FIREMAINPANELINWHEELHOUSE,CLEAN,CABLETIGHTNESS,TEST
02.BRIDGEDECKDETECTORS,MANUALCALLPOINTS&&BELLS,CHECK,TEST
03.ACCOMMODATIONCDECKDETECTORS,MANUALCALLPOINTS&&BELLS,CHECK,TEST
04.ACCOMMODATIONBDECKDETECTORS,MANUALCALLPOINTS&&BELLS,CHECK,TEST
05.ACCOMMODATIONADECKDETECTORS,MANUALCALLPOINTS&&BELLS,CHECK,TEST
06.ACCOMMODATIONUPPERDECKDETECTORS,MANUALCALLPOINTS&&BELLS,CHECK,TEST
07.PUMPROOMEXͲPROOFDETECTORS,MANUALCALLPOINTS,HORN&&SIL.V/V,CHECK,TEST
08.E.D.G.,I.G.S.,E/RFAN,CO2ROOMS,HOSPITAL,AIRCONDROOM,DRYPROVROOMBELLS,CHECK
09.BOSUNSTOREDETECTOR,MANUALCALLPOINT&&BELL,CHECK,TEST
10.DECKSTOREDETECTORS,CHECK,TEST
11.STEERINGGEARROOMDETECTORS,MANUALCALLPOINT&&BELL,CHECK,TEST
12.ENGINEROOMDETECTORS,MANUALCALLPOINT&&HORNS,CHECK,TEST
13.E.C.R.FIREREPEATERPANEL,CHECK,TEST
14.FIRESTATIONFIREREPEATERPANEL,CHECK,TEST
B.GENERALALARMSYSTEM
01.MANUALTESTFROMBRIDGE
02.AUTOTESTWITHSEVENSHORT&&ONELONGPULSESFROMBRIDGE,CHECK,TEST
03.SHIPWHISTLEOPERATIONINCASEOFGENERALALARMACTIVATION,TEST
C.CO2ALARMSYSTEM
01.E/RHORNS,CHECKANDSIMULATIONTEST
02.P/RHORNS,CHECKANDSIMULATIONTEST
03.E/RFANSSTOPFROMCO2RELEASE,SIMULATIONTEST
D.HOSPITALALARM
01.HOSPITALBUTTONS,BRIDGEBUZZER&&ALARMLAMP,CHIEFOFFICERBUZZER,CHECK,TEST
E.COLDCHAMBERALARM
01.FISH,MEAT,VEGETABLE,DAIRY&&LOBBYROOMPUSHBUTTONS,CHECK,TEST
02.GALLEYBELL,CHECK,TEST
03.BRIDGEBUZZER&&ALARMLAMP,CHECK,TEST
F.PROVISIONCRANE
01.HOISTING&&TRAVELLINGMOTORS,HEATERS,BRAKES&&LIMITSWITCHES,CHECK
02.LUFFINGPORT&&STBDMOTORS,HEATERS,BRAKES&&LIMITSWITCHES,CHECK
03.CRANECONTROLBOARDANDJUNCTIONBOXES,CLEAN,CABLETIGHTNESS,TEST
G.LIFEBOATSDAVITS
01.LIFEBOATDAVITPORT&&STBDMOTORSANDLIMITSWITCHES,CHECK
02.LIFEBOATDAVITCONTROLBOARD,CLEAN,CABLETIGHTNESS,TEST
03.LIFEBOATD/EBATTERYCHARGERS&&BATTERIES,CHECK,TEST
H.GENERALUSEBATTERYSYSTEM
01.GENERALUSEBATTERY,CHECK,CLEAN,MEASURE
02.BATTERYCHARGER&&DC24VDISTRIBUTION,CLEAN,CABLE,TIGHTNESSCHECK,TEST
I.F.W.GENERATORSYSTEM
01.F.W.GENERATORDISTILLATEPUMPMOTOR&&STARTER,CHECK
02.F.W.GENERATORCONTROLBOARDWITHSALINITYCELL&&PANEL,CLEAN,CHECK,TEST
IA.E/RCRANE
01.TRAVELLING,HOISTING&&LUFFINGMOTORS,BRAKES&&LIMITSWITCHES,CHECK,TEST
02.CRANEJ.B.&&CONTROLBOARD,CLEAN,CABLETIGHTNESS,TEST
IB.E/RALARM&&MONITORINGSYSTEMADDITIONALITEMS
01.M/ESAFETY,CONTROL&&ALARMPOINTSJ.B.,CLEAN,CHECK,CABLETIGHTNESS
02.CE/RALARM&&MONITORINGJ.B.,CLEAN,CHECK,CABLETIGHTNESS
03.WATCHBRIDGEANDCABINUNITS,CLEAN,CHECK&&TEST
04.LIGHTSINGALCOLUMNSINE/R&&RESTMACHINERYSPACES,CLEAN,CHECK,TEST
IC.NAVIGATION&SIGNALLIGHTS
01.NAVIGATIONLIGHTCONTROLPANEL,CLEAN,CHECK,TEST
02.SIGNALLIGHTCONTROLPANEL,CLEAN,CHECK,TEST
ID.MAGNETIC&&AUTOMATICTELEPHONE,TALKBACK&&PUBLICADDRESSSYSTEMS
01.AUTOMATICTELEPHONEEXCHANGER&&SYSTEMJ.B.,CLEAN,CHECK,TEST
02.MAGNETICTELEPHONES&&SYSTEMJ.B.,CLEAN,CHECK,TEST
03.SYSTEMMAINAMPLIFIERANDBRIDGECONSOLEREMOTECONTROL,CLEAN,CHECK,TEST
04.TALKBACKCONNECTIONBOXES&&MICROPHONESATBRIDGEWINGS,FORE&&AFT,CHECK,TEST
05.PUBLICADDRESSSPEAKERS,CHECK,TEST
Disembarking Chief Engineer Relieving Chief Engineer Master

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ProvisionsCranes
SlewBearingsRockingTest
Vessel: GHMELTEMI
Port:
Date:
Frequency:Every4Months File:TͲ5
Issue/Revision:2/0
IssuetoallVessels Page1of3
ProvisionsCranesSlewBearingsRockingTest
CraneSide PortSide
InitialMeasurement(accuracy0.1mm)
Allowedwear:1.8
Date Jibdirection A1(frontofcrane) B1(Backofcrane)
Fore
Stbd
Aft
Port
CraneSide StarboardSide
InitialMeasurement(accuracy0.1mm)
Allowedwear:1.8
Date Jibdirection A1(frontofcrane) B1(Backofcrane)
Fore
Stbd
Aft
Port
CraneSide PortSide
ActualMeasurement(accuracy0.1mm) Measurewear
Date Jibdirection A(frontofcrane) B(Backofcrane) AͲA1 BͲB1
Fore
Stbd
Aft
Port
CraneSide StarboardSide
ActualMeasurement(accuracy0.1mm) Measurewear
Date Jibdirection A(frontofcrane) B(Backofcrane) AͲA1 BͲB1
Fore
Stbd
Aft
Port
ChiefEngineer:
Issue/Revision: 2/0
IIssuetoallVessels
t ll V l Page2of3
ProvisionsCranesSlewBearingsRockingTest
Note:
ͲIfBͲC=0ornegativethe
measurementiswrong
ͲIfBͲAisgreaterthan7mm
thecranemustnotbeused
CraneNo.:1
Measurement(accuracy0.1mm) Play Deviation
Jibatmax.outreach Jibatmin.outreach Jibdirection
BͲC BͲA
A(frontofcrane) B(backofcrane) C (backofcrane)
Fore
Stb
Aft
Ps
CraneNo.:2
BͲC BͲA
Fore
Stb
Aft
Ps
CraneNo.:3
BͲC BͲA
Fore
Stb
Aft
Ps
CraneNo.:4
BͲC BͲA
Fore
Stb
Aft
Ps
ChiefEngineer:
Issue/Revision:2/0
IssuetoallVessels Page3of3
g
ConbulkShipmanagementCorp. TechnicalDepartment
OPENREQUISITIONSSUMMARYM/V''VESSEL''
Req'sNo. ShortDescription Equipment Sentdate Receiveddate Remarks
Frequency:Monthly
BUNKERINGPRELOADINGPLAN
Vessel:
Date:
Fore Aft Trim M/V:

Prior Bunkering (m) (m) (m) Place:
Draughts & Trim
After bunkering (estimate) (m) (m) (m) Date:
BUNKERING PRE – LOADING PLAN IFO MDO
TOTAL
TOTAL
UNITS
No.
No.
No.
No.
No.
No.
No.
No.
Fr.
Fr.
Fr.
Fr.
Fr.
Fr.
Fr.
Fr.
Tank No. and / or any other tank designated name & location
Capacity of the tank when full up to 96%. m3

Free Volume of each Tank up to 96% m3
R.O.B in each tank. m3
Sounding of each tank prior bunkering. m
or
Ullage of each tank prior bunkering. m
Mark tanks, which you intend to replenish.
State in which sequence tanks are to be filled. A,B,C

Quantity each tank can receive up to 96% - ROB m/t
State quantity of oil to be received in the tank. m/t
Expected quantity of oil in the tank after bunkering. m/t
Expected sounding of the tank after bunkering m
or
Expected ullage of the tank after bunkering. m
Percentage of oil in the tank after bunkering. %
Nominate a stand by tank in case of accident
Master Chief Eng. Present Plan Notified Chief Officer 2nd Engineer
Present Plan agreed with:
to:
Date: 01 Sept 2020 Form:TEͲ27

Issue/Revision: 2/0 Page:1of1
Aux.MachineriesRunningHoursand
ChangeOver
Vessel:
Date:
ITEMS
DESCRIPTION NO. DATEOFCHANGEOVER RUNNINGHOURS WORKINGCONDITION/REMARKS
NO.
1 Maincoolingseawater
4 Centralcoolingfreshwater(LT)
7 Bilgefire&generalservice
8 Bilgefire&generalservice
9 AuxBoilerfeedwater
10 AuxBoilerfeedwater
11 EGBCirculating
12 EGBCirculating
13 M/EJacketfreshwater(HT)
14 M/EJacketfreshwater(HT)
15 M/EMainlubeoil
16 M/EMainlubeoil
17 M/ECamshaftlubeoil
18 M/ECamshaftlubeoil
19 M/ECrossheadlubeoil
20 M/ECrossheadlubeoil
21 M/EFueloilsupply/booster/feed
22 M/EFueloilsupply/booster/feed
23 M/EFueloilcirculating
24 M/EFueloilcirculating
25 G/EFueloilsupply/booster/feed
26 G/EFueloilsupply/booster/feed
27 G/EFueloilcirculating
28 G/EFueloilcirculating
29 Mainaircompressor
30 Mainaircompressor
31 Fueloilpurifier
32 Fueloilpurifier
33 Lubeoilpurifier
34 Lubeoilpurifier
35 Sterntubelubeoil
36 Sterntubelubeoil
37 Refrigeratorcompressor
38 Refrigeratorcompressor
39 Accomodationaircondition
40 Accomodationaircondition
41 Steeringgear
42 Steeringgear
43 BallastPump
44 BallastPump
Frequency:Monthly

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Issue/Revision: 2/Ϭ WĂŐĞ͗ϭŽĨϭ
ERALARM&MONITORINGSYSTEMS
Vessel:
Date:
NORMAL SET TEST
DESCRIPTION CODE TESTDATE REMARK
VALUE VALUE VALUE
MAINENGINESYSTEMS
M/EFUELOILINLETPRESSURE PIAL
M/EFUELOILINLETTEMPERATURE TIAH/L
M/EF.O.HIGHPRESSUREPIPELEAKAGE LAH
M/EF.O.CIRCULATINGPUMPFAIL/STͲBYSTART XA
M/EF.O.SUPPLYPUMPFAIL/STͲBYSTART XA
M/EF.O.VISCOSITYHIGH/LOW VAH/L
M/EF.O.FILTERDIFF.PRESSHIGH OPAH
F.O.SETTLINGTANKTEMP. TIAH
F.O.SERVICETANKTEMP. TIAH
F.O.SETTLINGTANKLEVELHIGH/LOW LAH/L
F.O.SERVICETANKLEVELHIGH/LOW LAH/L
D.O.SERVICETANKLEVELHIGH/LOW LAH/L
F.O.OVERFLOWTANKLEVELHIGH LAH
F.O.DRAINTANKLEVELHIGH FAH
F.O.SLUDGETANKLEVELHIGH LAH
M/ELUBOILINLETPRESS PIALL
M/ELUBOILINLETTEMP. TIAHH
M/ECAMSHAFTLUBOILINLETPRESS PIAL
M/ECAMSHAFTLUBOILTEMP. TIAH
M/ECRANKCASEOILMISTDENSITYHIGH DAH
M/EOILMISTDETECTORFAIL XA
M/ECYL.(No1ͲNo7)LUBOILLEVELLOW LAL
/ ( )
M/ECYL.(No1ͲNo7)LUBOILNONͲFLOW FA
FAL
M/EMAINLUBOILPUMPFAIL XA
M/ECASMSHAFTLUBOILPUMPFAIL. XA
M/ELUBOILSUMPTANKLEVELLOW LAL
M/EL.O.SLUDGETANKLEVELHIGH LAH
M/ECYL.OILMEASURINGTANKLEVELLOW LAL
M/ECYL.OILSTORAGETKNo1LEVELLOW LAL
M/ECYL.OILSTORAGETKNo2LEVELLOW LAL
M/ET/CL.O.INLETPRESSLOW PAL
M/ET/CL.O.BLOWERSIDETEMP. TIAH
M/ET/CL.O.TURBINESIDETEMP. TIAH
M/EPISTONCOOL.OILINLETPRESS PIALL
M/EPISTON(No1ͲNo7)COOLOILOUTLETTEMP. TIAHH
M/EPISTON(No1ͲNo7)COOLOILNONͲFLOW FAH
M/ETHRUSTBEARINGTEMP. TIAHH
INTERMEDIATESHAFTBEARINGTEMP. TIAH
STERNTUBEFWDBEARINGTEMP. TIAH
STERNTUBEAFTBEARINGTEMP. TIAH
STERNTUBEAFTSEALL.O.TANKLEVELLOW LAL
STERNTUBEFWDSEALL.O.TANKLEVELLOW LAL
STERNTUBEL.O.DRAINTANKLEVELHIGH LAH
STERNTUBEL.O.GRAVITYTANKLEVELLOW LAL
STERNTUBEL.O.SUMPTANKLEVELLOW LAL
STERNTUBEL.O.PUMPFAIL/STͲBYSTART XA
NOTE1 :IncolumnSETVALUEinserttheappropriatevaluefromMaker'shandbook.Ifnotexisting,Mark:N/A
NOTE2 :IfcolumnTESTVALUEinsertactualvalueatwhichAlarm/Tripopeated
NOTE3 :Pleasementionanyrepairsoradjustmentmade
OTHERREMARKS:
Chief Engineer
ChiefEngineer Electrician
Date:01Sept2020 IssuetoallVessels Form:TEͲ32

Authorizedby:TechDept. File:TͲ5
Frequency:3Months Issue/Revision:2/0 Page:1of14
Vessel:
Date:
NORMAL TEST
DESCRIPTION CODE
SETVALUE TESTDATE REMARK
VALUE VALUE
MAINENGINESYSTEMS
MAINCOOL.SEAWATERDIFF.PRESSLOW DPAH
MAINCOOL.SEAWATERPRESS PIAL
MAINCOOL.SEAWATERINLETTEMP. TIAH
MAINCOOL.SEAWATERFAIL/STͲBYSTART XA
M/EJ.C.F.W.INLETPRESS PIAL
M/EJ.C.F.W.INLETTEMP. TIAL
M/E(No1ͲNo7)CYL.C.F.W.OUTLETTEMP. TIAH
M/EJACKETC.F.W.PUMPFAIL/STͲBYSTART XA
M/EH/TC.F.W.EXPANSIONTANKLEVELLOW LAL
M/EL/TC.F.W.EXPANSIONTANKLEVELLOW LAL
M/EH/TC.F.W.AIRDETECTION FAH
L/TC.F.W.TEMP TIAH
M/EJ.C.F.W.ACROSSENGINEDIFFPRESS DPIAL
M/EJ.C.F.W.OILDETECTION FAH
M/EAIRCOOLERAIROUTLETTEMP. TAH
M/EAIRCOOLERC.F.W.INLETPRESS PIAL
M/EAIRCOOLERWATERLEVELHIGH LAH
M/ECYL.(No1ͲNo7)EXH.GASOUTLETTEMP. TIAH
M/ECYLNo1ͲNo7EXHGASDEVIATIONFROMAVER TIAH
M/ET/CEXH.GASINLETTEMP. TIAH
M/ET/CEXH.GASOUTLETTEMP. TIAH
M/ECYLNo1ͲNo7SCAVENGEAIRTEMP. TIAH
M/ESCAVENGEAIRMANIFOLDTEMP. TIAH
M/ESCAVENGEAIRBOXPRESS
M/E SCAVENGE AIR BOX PRESS PIAL
M/ESCAVENGEAIRBOXDRAINTKLEVELHIGH LAH
M/ESTARTINGAIRPRESS PIAL
M/ECONTROLAIRPRESS PIAL
M/ESAFETYAIRPRESS PAL
M/EEXHAUSTVALVESPRINGAIRPRESS PAL
M/EEMERGENCYSTOPALARM XA
M/EAUTOSHUTͲDOWN XA
M/EAUTOSLOWͲDOWN XA
M/EREMOTECONTROLFAIL. XA
M/ESAFETYSYSTEMFAIL. XA
M/ETELEGRAPHSYSTEMFAIL. XA
M/EGOVERNORSYSTEMFAIL. XA
M/ESTARTINGFAILURE XA
M/EWRONGWAYALARM XA
M/ECRITICALSPEEDALARM XA
M/ERPMSYSTEMFAIL. XA
M/EAUX.BLOWERFAIL. XA
No1H.F.O.PURIFIERFAIL XA
No1H.F.O.PURIFIERINLETTEMP(LOW) TIAH/L
No2H.F.O.PURIFIERFAIL XA
No2H.F.O.PURIFIERINLETTEMP(LOW) TIAH/L
No1LUBOILPURIFIERFAIL XA
No1LUBOILPURIFIERINLETTEMP TIAH
OTHERREMARKS:
Date: 01 Sept 2020

Date:01Sept2020 Issue to all Vessels
IssuetoallVessels Form:TEͲ32
Form: TEͲ32
Vessel:
Date:
NORMAL TEST
DESCRIPTION CODE
SETVALUE TESTDATE REMARK
VALUE VALUE
GENERATORENGINESYSTEMS
No2LUBOILPURIFIERFAIL XA
No2LUBOILPURIFIERINLETTEMP TIAH
F.O.PURIFIERSLUDGETANKLEVELHIGH LAH
F.O.PURIFIEROPERATINGWATERTKLEVELLOW LAL
L.O.PURIFIERSLUDGETANKLEVELHIGH LAH
L.O.PURIFIEROPERATINGWATERTKLEVELLOW LAL
D.O.PURIFIERFAIL. XA
G/EFUELOILINLETPRESS PIAL
G/EFUELOILINLETTEMP. TIAH
G/EF.O.VISCOSITYHIGH/LOW VAH/L
G/EF.O.FILTERDIFF.PRESS DPAH
G/EF.O.CIRC.PUMPFAIL/STͲBYSTART XA
G/EF.O.SUPPLYPUMPFAIL/STͲBYSTART XA
G/ECYL.OILTANKLEVELLOW LAL
G/EC.F.W.EXPANSIONTANKLEVELLOW LAL
G/ESTARTAIRPRESSURE PIAL
G/EL.O.PURIFIERFAIL. XA
G/EL.O.PURIFIERINLETTEMP TIAH
EMERGENCYGENERATORABNORMAL XA
EMERGENCYGENERATORD.O.TANKLEVELLOW LAL
No1G/EL.O.INLETPRESS PIAL
No1G/EL.O.INLETTEMP. TIAH
No1G/EL.O.FILTERDIFF.PRESS DPAH
No1G/EC.F.W.OUTLETTEMP. TIAH
No1G/EC.F.W.INLETPRESS PIAL
No1G/EHIGHPRESSF.O.PIPESLEAKAGE LAH
No1G/ET/CEXH.GASOUTLETTEMP. TIAH
No1G/ECYL1Ͳ2Ͳ3EXH.GASTEMP. TIAH
No1G/ESHUTDOWN XA
No1G/EOVERSPEED XA
No1G/ELOCALCONTROLPANELPOWERFAIL XA
No1G/ECOMMONABNORMAL XA
No1G/ESTARTINGFAIL XA
No1G/EL.O.SUMPTANKLEVELLOW LAL
No1G/EPRIMINGL.O.LOWPRESS PAL
No2G/ESHUTDOWN XA
No2G/EOVERSPEED XA
OTHERREMARKS:
Date:01Sept2020 ll l
Vessel:
Date:
NORMAL SET TEST TEST
DESCRIPTION CODE REMARK
VALUE VALUE VALUE DATE
GENERATORENGINESYSTEMS/STEAMSYSTEMS
No3G/ESHUTDOWN XA
No3G/EOVERSPEED XA
AUX.BOILERF.O.INLETPRESS PIAL
AUX.BOILERF.O.INLETTEMP.
AUX BOILER F O INLET TEMP TIAH/L
AUX.BOILERF.O.BOOSTERPUMPFAIL/STͲBYSTART XA
AUX.BOILERF.W.FEEDPUMPFAIL/STͲBYSTART XA
AUX.BOILERAUX.F.W.PUMPFAIL/STͲBYSTART XA
CASCADETANKSALINITY SIAH
CASCADE&OBSERVATIONTANKLEVELHIGH/LOW LAH/L
CASCADE&OBSERVATIONTANKOILCONTENTHIGH DAH
VACUUMCONDENSERTANKLEVELHIGH/LOW LAH/L
VACUUMCONDENSERPRESSUREHIGH PAH
VACUUMCONDENSERSALINITY SIAH
COMP.BOILERABNORMAL/TRIP XA
COMP.BOILER(EGB)WATERLEVELHIGH/LOW LAH/L
COMP.BOILER(EGB)STEAMPRESS PIAH
COMP.BOILER(EGB)EXH.GASOUTLETTEMP. TIAH
COMP.BOILER(EGB)F.W.PUMPFAIL/STͲBYSTART DAH
No1AUX.BOILERABNORMAL/TRIP XA
No1AUX.BOILERWATERLEVELHIGH/LOW LAH/L
No1AUX.BOILERSTEAMPRESSHIGH/LOW PAH/L
No1AUX.BOILERSUPPLYAIRTEMP. TIAH
No1AUX.BOILERUPTAKEGASTEMP. TIAH
No1AUX.BOILERSMOKEALARM XA
No2AUX.BOILERABNORMAL/TRIP XA
No2AUX.BOILERWATERLEVELHIGH/LOW LAH/L
No2AUX.BOILERSTEAMPRESSHIGH/LOW PAH/L
OTHERREMARKS:

Vessel:
Date:
NORMAL
DESCRIPTION CODE
SETVALUE TESTVALUE TESTDATE REMARK
VALUE
STEAMSYSTEMS/BILGESYSTEMS
No2AUX.BOILERSUPPLYAIRTEMP. TIAH
No2AUX.BOILERUPTAKEGASTEMP. TIAH
No2AUX.BOILERSMOKEALARM XA
No1CARGOOILPUMPTRIP XA
No1CARGOTURBINEABNORMAL XA
No1BALLASTPUMPABNORMAL/TRIP XA
No2BALLASTPUMPABNORMAL/TRIP XA
FRESHWATERGENERATORABNORMAL XA
FRESHWATERGENERATORSALINITY SIAH
ATMOSPHERICCONDENSERSALINITY SAH
E/RPORTFWDBILGELEVELHIGH LAH
E/RSTBDFWDBILGELEVELHIGH LAH
E/RSURROUNDBILGELEVELHIGH LAH
E/RAFTBILGELEVELHIGH LAH
BILGEHOLDINGTANKLEVELHIGH
BILGE HOLDING TANK LEVEL HIGH LAH
SEPARATEBILGEOILTANKLEVELHIGH LAH
GREYWATERHOLDINGTANKLEVELHIGH LAH
EMERGENCYFIREPUMPROOMBILGELE LAH
STEERINGGEARROOMBILGELEVELHIGH LAH
PUMPROOMBILGELEVELHIGH LAH
BOSUNSTOREBILGELEVELHIGH LAH
OTHERREMARKS:

Vessel:
Date:
NORMAL
DESCRIPTION CODE SETVALUE TESTVALUE TESTDATE REMARK
VALUE
MISCELLANEOUSPLANTS
No1MAINAIRCOMPRESSORFAIL. XA
No2MAINAIRCOMPRESSORFAIL. XA
TOPPINGͲUPAIRCOMPRESSORFAIL. XA
CONTROLAIRCOMPRESSORFAIL. XA
EMERGENCYAIRCOMPRESSORFAIL. XA
DECKSERVICEAIRCOMPRESSORFAIL. XA
No1MAINAIRRESERVOIRPRESS PAL
No2MAINAIRRESERVOIRPRESS PAL
CONTROLAIRRESERVOIRPRESSLOW PAL
CONTROLAIRDRYERFAIL. XA
REFRIGERATINGPROVISIONPLANTFAIL. XA
AIRCONDITIONINGPLANTFAIL. XA
FIREALARM XA
FIREDETECTIONSYSTEMFAIL. XA
OILYWATERSEPARATOROILCONTENTHIGH OCH
OILYWATERSEPARATORFAIL. XA
INCINERATORSYSTEMABNORMAL XA
INERTGASSYSTEMABNORMAL XA
O.D.M.SYSTEMFAIL. XA
No1STEERINGGEARCOMMONALARM XA
No2STEERINGGEARCOMMONALARM XA
AUTOPILOTPOWERFAIL. XA
No1H.F.O.PORTSTORAGETANKLEVELHIGH LIAH
No1H.F.O.STBDSTORAGETANKLEVELHIGH LIAH
No 2 H F O PORT STORAGE TANK LEVEL HIGH
No2H.F.O.PORTSTORAGETANKLEVELHIGH LIAH
No2H.F.O.STBDSTORAGETANKLEVELHIGH LIAH
No1D.O.STORAGETANKLEVELHIGH LIAH
No2D.O.STORAGETANKLEVELHIGH LIAH
MAINSWITCHBOARDCOMMONALARM XA
EMERGENCYSWITCHBOARDCOMMONALARM XA
SHIP'SSERVICEBATTERYCHARGERABNORMAL XA
MAINAC440VLOWINSULATION XA
MAINAC220VLOWINSULATION XA
MSBBUSBARSHIGH/LOWFREQUENCY XA
MSBBUSBARSHIGH/LOWVOLTAGE XA
MSBPREF.&EMERG.STOPCIRCUITPOWERFAIL. XA
EM'CYAC440VLOWINSULATION XA
EM'CYAC220VLOWINSULATION XA
DC24VLOWINSULATION XA
FORECASTLEAC220VLOWINSULATION XA
ECRCONSOLEAC/DCPOWERFAIL. XA
CHARTCONSOLEAC/DCPOWERFAIL. XA
EMERGENCYQUICKCLOSINGVALVEPRESSLOW PAL
SEWAGETREATMENTPLANTFAIL. XA
M/EREMOTECONTROLUPSFAIL. XA
ALARM&MONITORINGSYSTEMNo1UPSFAIL XA
ALARM&MONITORINGSYSTEMNo2UPSFAIL XA
P/RGASDETECTIONSYSTEMFAIL XA
GASSAMPLINGSYSTEMFAIL XA
OTHERREMARKS:

Vessel:
Date:
NORMAL SET
DESCRIPTION CODE TESTVALUE TESTDATE REMARK
VALUE VALUE
COTHIGHLEVELALARMSYSTEMFAIL. XA
COTLEVELGAUGINGSYSTEMFAIL. XA
No1STBDC.O.T.LEVELMEASURING LI
No1STBDC.O.T.LEVEL98% LAHH
No1STBDC.O.T.LEVEL95% LAH
No1STBDC.O.T.INERTGASPRESSHIGH PAH
No1STBDC.O.T.INERTGASPRESSLOW PAL
No1STBDC.O.T.UPPERTEMP TIAH/L
No1STBDC.O.T.MIDDLETEMP TIAH/L
No1STBDC.O.T.LOWERTEMP TIAH/L
No1PORTC.O.T.LEVELMEASURING LI
No1PORTC.O.T.LEVEL98% LAHH
No1PORTC.O.T.LEVEL95% LAH
No1PORTC.O.T.INERTGASPRESSHIGH PAH
No1PORTC.O.T.INERTGASPRESSLOW PAL
No1PORTC.O.T.UPPERTEMP TIAH/L
No1PORTC.O.T.MIDDLETEMP TIAH/L
No1PORTC.O.T.LOWERTEMP TIAH/L
No ST C.O.T. IN RT GAS PR SS OW
OTHERREMARKS:

Form:TE 32
Vessel:
Date:
NORMAL SET TEST
VALUE VALUE VALUE
No 4 PORT C O T UPPER TEMP
No5PORTC.O.T.LOWERTEMP TIAH/
OTHERREMARKS:
D
Date:01Sept2020
t 01 S t 2020 I
IssuetoallVessels
t ll V l FForm:TEͲ32
TE 32
Vessel:
Date:
NORMAL SET
DESCRIPTION CODE TESTVALUE TESTDATE REMARK
VALUE VALUE
PORTSLOPTANKLEVELMEASURING LI
PORTSLOPTANKLEVEL98% LAHH
PORTSLOPTANKLEVEL95% LAH
PORTSLOPTANKINERTGASPRESSHIGH PAH
PORTSLOPTANKINERTGASPRESSLOW PAL
PORT SLOP TANK UPPER TEMP
PORTSLOPTANKUPPERTEMP TIAH/L
PORTSLOPTANKMIDDLETEMP TIAH/L
PORTSLOPTANKLOWERTEMP TIAH/L
STBDSLOPTANKLEVELMEASURING LI
STBDSLOPTANKLEVEL98% LAHH
STBDSLOPTANKLEVEL95% LAH
STBDSLOPTANKINERTGASPRESSHIGH PAH
STBDSLOPTANKINERTGASPRESSLOW PAL
STBDSLOPTANKUPPERTEMP TIAH/L
STBDSLOPTANKMIDDLETEMP TIAH/L
STBDSLOPTANKLOWERTEMP TIAH/L
No1W.B.TANKPORTLEVELINDICATION LI
No1W.B.TANKSTBDLEVELINDICATION LI
OTHERREMARKS:

Vessel:
Date:
NORMAL SET TEST
VALUE VALUE VALUE
FOREPEAKTANKLEVELINDICATION LI
AFTPEAKTANKLEVELINDICATION LI
No1LOWSTOOLTANKLEVELINDICATION LI
FOREDRAFTLEVELINDICATION LI
AFTDRAFTLEVELINDICATION LI
PORTMIDDLEDRAFTLEVELINDICATION LI
STBDMIDDLEDRAFTLEVELINDICATION LI
OTHERREMARKS:
OTHER REMARKS :

Vessel:
Date:
SET TEST TEST
DESCRIPTION CODE REMARK
VALUE VALUE DATE
M/EOVERSPEED SHD XA
M/EEMERGENCYSTOP SHD XA
M/EMAINLUBOILINLETPRESSLOW SHD PAL
M/ECAMSHAFTLUBOILINLETPRESSLOW SHD XA
M/ETHRUSTPADBEARINGTEMP.HIGH SHD TAH
M/EMAINLUBOILINLETPRESSLOW SLD PAL
M/EMAINLUBOILINLETTEMP.HIGH SLD TAH
M/ECAMSHAFTLUBOILPRESSLOW SLD PAL
M/ECAMSHAFTLUBOILINLETTEMP.HIGH SLD TAH
M/EPISTONCOOL.OILINLETPRESSLOW SLD PAL
M/EPISTONCOOL.OILOUTLETTEMP.HIGH SLD TAH
M/EPISTONCOOL.OILNONͲFLOW SLD FAL
M/ECYL.LUBOILNONͲFLOW SLD FAL
M/ECRANKCASEOILMISTHIGH SLD DAH
M/ECYL.C.F.W.INLETPRESSLOW SLD PAL
M/ECYL.C.F.W.OUTLETTEMP.HIGH SLD TAH
M/ECYL.EXHAUSTGASOUTLETTEMP.HIGH SLD TAH
M/ECYL.SCAVENGEAIRTEMP.HIGH SLD TAH
M/ETHRUSTBEARINGTEMP.HIGH SLD TAH
No1D/GOVERSPEED SHD XA
No1D/GLUBOILINLETPRESSLOW SHD PAL
No 1 D/G COOL WATER OUTLET TEMP HIGH
No1D/GCOOL.WATEROUTLETTEMP.HIGH SHD TAH
No2D/GLUBOIINLETPRESSLOW SHD PAL
OTHERREMARKS:
ChiefEngineer Electrician

Vessel:
Date:
DESCRIPTION NORMAL ALARM TEST ECR BRIDGE TESTDATE

VALUE SET VALUE VALUE
No1BLOWERABNORMALSTOP TRIP
No1BLOWERHIGHTEMP. TRIP
No1BLOWERLOWPRESS TRIP
No2BLOWERABNORMALSTOP TRIP
No2BLOWERHIGHTEMP. TRIP
No2BLOWERLOWPRESS TRIP
I.G.MAINLINEHIGHTEMP. TRIP
I.G.MAINLINEHIGHPRESS TRIP
I.G.MAINLINELOWPRESS
I.G.MAINLINELOWͲLOWPRESS
COMBUSTIONAIRLOWPRESS TRIP
INSTRUMENTAIRLOWPRESS TRIP
SCRUBBERS.W.FLOWRATE
SCRUBBERS.W.LOWPRESS TRIP
SCRUBBERS.W.LOWLEVEL TRIP
SCRUBBERDRAINHIGHLEVEL
SCRUBBERS.W.HIGHTEMP. TRIP
DECKSEALS.W.FLOWRATE
DECKSEALS.W.LOWPRESS TRIP
DECKSEALS.W.HIGHLEVEL TRIP
DECKSEALS.W.LOWLEVEL TRIP
FUELOILHIGHTEMP.
FUELOILLOWTEMP.
FUELOILLOWPRESS TRIP
OXYGENCONTENTHIGH
OXYGENCONTENTLOW
FLAMEFAILUREALARM TRIP
ELECTRICSOURCEFAILUREALARM
LAMPTEST
ALARMTEST
ATM/CONS.VALVEPOSITION
OXYGENINSTRUMENT
IGPRESSINSTRUMENT
O2ANALYZER
EMERGENCYSTOP TRIP
OTHERREMARKS:

Vessel:
Date:
DESCRIPTION SETVALUE TESTVALUE TESTDATE

No1AUX.BOILERDRUMSTEAMHIGHPRESS
No1AUX.BOILERDRUMSTEAMLOWPRESS
No1AUX.BOILERDRUMWATERHIGHLEVEL
No1AUX.BOILERDRUMLOWLEVEL
No1AUX.BOILERF.OLOWTEMP
No1AUX.BOILERSMOKEDENSITYABNORMAL
No1AUX.BOILERATOMIZESTEAMLOWPRESS
No1AUX.BOILERMANUALTRIP
No1AUX.BOILERIGNITIONFAILTRIP
No1AUX.BOILERF.OFANTRIP
No1AUX.BOILERF.OLOWPRESSTRIP
No1AUX.BOILERDRUMWATERLLLEVELTRIP
No1AUX.BOILERATOM.STEAMLOWPRESSTRIP
No2AUX.BOILERDRUMSTEAMHIGHPRESS
No2AUX.BOILERDRUMSTEAMLOWPRESS
No2AUX.BOILERDRUMWATERHIGHLEVEL
No2AUX.BOILERDRUMLOWLEVEL
No2AUX.BOILERF.OLOWTEMP
No2AUX.BOILERSMOKEDENSITYABNORMAL
No2AUX.BOILERATOMIZESTEAMLOWPRESS
No2AUX.BOILERMANUALTRIP
No 2 AUX BOILER MANUAL TRIP
No2AUX.BOILERF.OFANTRIP
No2AUX.BOILERF.OLOWPRESSTRIP
No2AUX.BOILERDRUMWATERLLLEVELTRIP
No2AUX.BOILERATOM.STEAMLOWPRESSTRIP
AUX.BOILERRCBOARDELECT.SOURCEFAIL
AUX.BOILERF.O.HIGHTEMP.
No1F.O.PUMPALARMTRIP
No2F.O.PUMPALARMTRIP
AUX.BOILERF.O.PUMPOUTLETLOWPRESS
AUX.BOILERINERTGASHIGH02
AUX.BOILERCONTROLAIRLOWPRESS
AUX.BOILERFEEDWATERLOWPRESS
NOTE1:IncolumnSETVALUEinserttheappropriatevaluefromMaker'shandbook.Ifnotexisting,Mark:N/A
OTHERREMARKS:

Vessel:
Date:
DESCRIPTION SETVALUE TESTVALUE TESTDATE

No1BALLASTPUMPOVERSPEEDTRIP
No1BALLASTPUMPMANUALTRIPFROMCCR/PR/ER
No1BALLASTPUMPBODYHIGHTEMP
No1BALLASTPUMPCOUPLSIDE(UPPER)BRGH.T.
No1BALLASTPUMPENDSIDE(LOWER)BRGH.T.
No1BALLASTPUMPSTUFFBOXBRGH.T.
No1BALLASTPUMPLUBOILHIGHTEMP
No1BALLASTPUMPLUBOILLOWPRESSALARM
No1BALLASTPUMPLUBOILLOWPRESSTRIP
No1BALLASTPUMPBACKUPPRESS
No2BALLASTPUMPOVERSPEEDTRIP
No2BALLASTPUMPMANUALTRIPFROMCCR/PR/ER
No2BALLASTPUMPBODYHIGHTEMP
No2BALLASTPUMPCOUPLSIDE(UPPER)BRGH.T.
No2BALLASTPUMPENDSIDE(LOWER)BRGH.T.
No2BALLASTPUMPSTUFFBOXBRGH.T.
No2BALLASTPUMPLUBOILHIGHTEMP
No2BALLASTPUMPLUBOILLOWPRESSALARM
No2BALLASTPUMPLUBOILLOWPRESSTRIP
No2BALLASTPUMPBACKUPPRESS
NOTE1:IncolumnSETVALUEinserttheappropriatevaluefromMaker'shandbook.Ifnotexisting,Mark:N/A
No1BALLASTPUMPINSTRUMENT&REMOTECONTROLCONDITION: GOOD NEED REPAIR

No2BALLASTPUMPINSTRUMENT&REMOTECONTROLCONDITION: GOOD NEED REPAIR
No1STRIPPINGPUMPINSTRUMENT&REMOTECONTROLCONDITION: GOOD NEED REPAIR
OTHERREMARKS:

Authorized by: Tech Dept File: TͲ5
File:TͲ5
WINDLASSBRAKETEST
VESSEL:
PORT: DATE:
"ATTENTION" A
1)FILLOUTVSL'SNAMEPLUSALLTHEVALUESWRITTENWITHREDLETTERS&GRAYBACKROUND
2)IFJACK'SGAUGEDISPLAYSKG/CM2,FILLOUTINTHETABLEȰͲͲLETTER(Ⱦ)
IFDISPLAYSINKiloNEWTONFILLOUT(Ɂ)
3
PAYOUT DIRECTION
2 1
L2 =
L 2 = Drum rad + Wire rad

Required Jack Force
F 1 = L 1 / L 2 * BHC
WINCH FOUNDATION
L1
6 L1= DRUM Diam. =
WIRE Diam. =
4 5 HYDRAULIC JACK DIAMETER IN cm =
ASSIGNED B.H.C. IN Tons (F) =
Winch Distance in Distance in Assignet Force appiled Pressure aplied Actual tested Actual
Drum ( mm ) ( mm ) B.H.C. in tons in tones in kgr / cm 2 B.H.C. Pressure
No L1 L2 F F1 P F2
1
1
2
3
2
4
5
3
6
7
4
8
9
5
10
11
6
12
TESTED BY :
CHIEF OFFICER CHIEF ENGINEER MASTER

Frequency: Monthly
BUNKERINGTEAM
Vessel:
Port: Date:
DUTIES RANK NAME SIGNATURE

GeneralSupervision:Instructthe
relevantpersonnelaccordinglyand
implementtheLoadingPlan.
AssistC/EͲͲResponsibleforthecorrect
connectionofthefuelhoses,closingof
scuppers and of preparing
scuppersandofpreparing
AssistC/Ebytakingtanksoundingsin
vessel/bargebeforeandafterbunkering.
Arrangeforcollectingfuelsample
Connectthefuelhosesbeforebunkering,
checktheirconnectionsduringbunkering
anddisconnectthemafterbunkering
C
Connectthefuelhosesbeforebunkering,
h f l h b f b k i
checktheirconnectionsduringbunkering
anddisconnectthemafterbunkering
Assist2Engineerinclosingscuppers,
preparingtoolsandOPAmaterialsand
checkfueltanksforoverflow.
Assist2Engineerinclosingscuppers,
preparingtoolsandOPAmaterialsand
checkfueltanksforoverflow.
Assist3Engineerintakingsoundings
beforeandafterbunkering,incollecting
fuelsampleandasdirected
Assist3Engineerintakingsoundings
before and after bunkering in collecting
beforeandafterbunkering,incollecting
fuelsampleandasdirected
Inchargeofship’sheelandtrim,
operationofmooringlinesandchecksea
surfaceattheship’svicinityforoilspillage
AssisttheDeckOOWonmooringlines
g
andcheckingseasurfaceattheship’s p
vicinityforoilspillage/leaks
ChiefEngineer Master

Issue/Revision: 2/0 Page: 1 off 1
BATTERIESINSPECTIONREPORT
Vessel: GHMELTEMI
Date:
VOLTS AH DATE LAST
S/N DESCRIPTIONͲUSE CONDITION DENSITY EXPIRE LOCATION
perPC perPC ACTIVATE INSPECTION
1 ENGINEROOMBATTERY
2 EMERGENSYGEN.BATTERY
3 GMDSS
4 LIFEBOATENGINEBATTERY
5 BridgeControlConsolebattery
6 UPS#2Tanklevel&VRCsystem
7 UPS#3Tanklevel&VRCsystem
8 UPSAMSFPD1
9 UPSAMSFPD2
10 UPSPropultionControlSystem
11 FireAlarmSystemBattery
12 DayLightSignallingLampbattery
13 ECDISUPS#1
14 ECDISUPS#2
15 ECCUPSforDutyAlarmPanel
16 ECCUPSforPC
**Batteries’Inspections/checksandmeasurementstobecarriedouteverymonth
Electrician Master
Frequency:Monthly
BALLASTTANKINSPECTION
Vessel:
Date:
Nameofinspectedtank:
Generalformatforinspectingandsurveyinganytankonboardourvessels
Riskassessmentandproceduretobefollowedcanbefoundinthefollowingdocumentscarriedonboard:
Codeofsafeworkingpractice,Company'sSafetyManagementManual,Permittoworkinenclosedspaces
Itemsthatareconsideredaspartoftheinspectionarelistedbutnotlimitedtothefollowing:Thegeneralconditionofthetankcoatinggivenasapercentageofthe
coatingbreakdown.Theconditionofthestructureofthetank(i.e.tanktop,floors,frames,stiffeners,ladders,hull,anypipesandvalves)incl.theconditionofthe
strikerplateandtheballastsuctionelephant'sfoot.
Generalcommentoncondition
GeneralCondition
Condition Remark
A Manholes Good Fair Poor
B Ladders Good Fair Poor
C StructuralDamages&Cracks Good Fair Poor
D PaintCondition Good Fair Poor
E Markings Good Fair Poor
F Tankheating Good Fair Poor
G Valves Good Fair Poor
H VentilationHeads Good Fair Poor
I PipeLines Good Fair Poor

(incl.clampsandholders)
J Soundingremote Good Fair Poor
K Zincanodes Good Fair Poor
L Doublerplate Good Fair Poor

(underbellmouth)
M Doublerplate Good Fair Poor
(undersoundingpipe)
N Bellmouth Good Fair Poor
(suction/fillingline)
O Pipecompensators Good Fair Poor
Officiallengthofsoundingpipe[m]:
Actualmeasuredsoundingtobottomofsoundingpipe[m]:
***************************************ATTACHPHOTOREPORTWITHTHEFORM***************************************
Frequency:6Months
I
IssuetoallVessels
t ll V l File:TͲ14
Fil T 14
Detailedconditionreports
PaintCondition.Pleasespecifylocationofanydefectsbyframe,stringer,
longitudinalpositionandanyotherinformationavailableandanyactionundertaken.
Location Remark
CorrosionCondition.Pleasespecifylocationofanydefectsbyframe,stringer,longitudinalpositionand
anyotherinformationavailableandanyactionundertaken.
Location Remark
StructuralCondition.Pleasespecifylocationofanydefectsbyframe,stringer,longitudinalpositionand
anyotherinformationavailableandanyactionundertaken.
Location Remark
Master ChiefEngineer
Frequency:6Months
IssuetoallVessels File: TͲ14
File:TͲ14
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FIREALARMSYSTEMTESTLOG
SD :SmokeDetector FD :FlameDetector Vessel: GHMELTEMI

TD :ThermalDetector PB :PushButton
Date:
Week1ͲDate:
Detector Sect.and
Fixingplace CONDITION REMARKS
type det.No.
1 DECKͲG#46P SD FA1Ͳ1
2 DECKͲGW/H.P PB FA1Ͳ2
3 DECKͲG#46S T FA1Ͳ3
4 DECKͲG#46P PB FA1Ͳ4
5 DECKͲD#45S PB FA3Ͳ1
6 DECKͲD#45S SD FA3Ͳ2
7 DECKͲD#45P SD FA3Ͳ3
8 DECKͲD#45P PB FA3Ͳ4
9 STAIRSWAYDECKͲG SD FA8
Week2ͲDate:
Detector Sect.and
type det.No.
1 DECKͲE#45P PB FA2Ͳ1
2 DECKͲE#45P SD FA2Ͳ2
3 DECKͲE#45S SD FA2Ͳ3
4 DECKͲE#45S PB FA2Ͳ4
5 DECKͲC#45P PB FA4Ͳ1
6 DECKͲC#45P SD FA4Ͳ2
7 DECKͲC#45S SD FA4Ͳ3
8 DECKͲC#45S PB FA4Ͳ4
9 STAIRSWAYDECKͲD SD FA8Ͳ1
Frequency:3Months

Date:
Week3ͲDate:
Detector Sect.and
type det.No.
1 DECKͲB#45P PB FA5Ͳ1
2 DECKͲB#45P SD FA5Ͳ2
3 DECKͲB#45M SD FA5Ͳ3
4 DECKͲB#45S SD FA5Ͳ4
5 DECKͲB#45S PB FA5Ͳ5
6 DECKͲB#45S PB FA5Ͳ6
7 EMERG.GEN.ROOM PB FA16Ͳ1
8 EMERG.GEN.ROOM SD FA16Ͳ2
9 STAIRSWAYDECKͲB SD FA8Ͳ2
Week4ͲDate:
Detector Sect.and
type det.No.
1 MAINDECK#45P PB FA7Ͳ1
2 MAINDECK#45P SD FA7Ͳ2
3 MAINDECK#45M SD FA7Ͳ3
4 MAINDECK#45S SD FA7Ͳ4
5 MAINDECK#45S PB FA7Ͳ5
6 MAINDECKTREATMENT&DISPENSARY SD FA7Ͳ6
7 MAINDECKTREATMENT&DISPENSARY PB FA7Ͳ7
8 STAIRSWAYMAINDECK SD FA8Ͳ3
Frequency:3Months

Date:
Week5ͲDate:
Detector Sect.and
type det.No.
1 DECKͲA#45P PB FA6Ͳ1
2 DECKͲA#45P SD FA6Ͳ2
3 DECKͲA#45M SD FA6Ͳ3
4 DECKͲAGALLEY T1 FA6Ͳ4
5 DECKͲAGALLEY PB FA6Ͳ5
6 DECKͲA#45S SD FA6Ͳ6
7 DECKͲA#45S PB FA6Ͳ7
Week6ͲDate:
Detector Sect.and
type det.No.
1 2NDDECK#230S
2 C 230S SD
S FA15
2 2NDDECK#230P PB FA15Ͳ1
3 2NDDECK#230P SD FA15Ͳ2
4 BOWTHRUSTERROOM SD FA15Ͳ3
5 ROPEROOM PB FA15Ͳ4A
6 WORKSHOPENTRANCE PB FA15Ͳ4B
7 PAINTSTOREENTRANCE PB FA15Ͳ4C
8 PAINTSTORE T2 FA15Ͳ5
Frequency:3Months

Date:
Week7ͲDate:
Detector Sect.and
type det.No.
1 ENGINECASING,DECKͲB SD FA11Ͳ1
2 ENGINECASING,DECKͲA T1 FA11Ͳ2
3 ENGINECASING,DECKͲA PB FA11Ͳ3
4 ENGINECASING,MAINDECK T1 FA11Ͳ4
5 ENGINECASING,MAINDECK PB FA11Ͳ5
6 ENGINECASING,2NDDECK T1 FA11Ͳ6
7 INCENERATORROOM SD FA14Ͳ1
Week8ͲDate:
Detector Sect.and
type det.No.
1 2NDDECK#45P
2 C PB FA9Ͳ1
9
3 2NDDECK#27P PB FA9Ͳ3
4 2NDDECK,SUZECREW PB FA9Ͳ3A
7 2NDDECK#45S SD FA9Ͳ8
8 2NDDECK#45S PB FA9Ͳ9
Frequency:3Months

Date:
Week9ͲDate:
Detector Sect.and
type det.No.
1 3RDDECK#43P PB FA10Ͳ1
2 3RDDECK#38P SD FA10Ͳ2
3 3RDDECK#43P PB FA10Ͳ3
4 3RDDECK#48M SD FA10Ͳ4
5 3RDDECK#38M FD FA10Ͳ5
6 3RDDECK.E.C.R PB FA10Ͳ6
7 3RDDECK.E.C.R SD FA10Ͳ7
8 3RDDECK,E/RSTORE SD FA10Ͳ8
Week10ͲDate:
Detector Sect.and
Fixing place
type det.No.
1 PLATFORMDECK#45P SD FA13Ͳ1
2 PLATFORMDECK,BOILERAREA SD FA13Ͳ2
3 PLATFORMDECK#43P PB FA13Ͳ3
4 PLATFORMDECK#50S PB FA13Ͳ4
5 PLATFORMDECK#45S SD FA13Ͳ5
6 PLATFORMDECK#41M SD FA13Ͳ6
7 PLATFORMDECK#29M SD FA13Ͳ7
Frequency:3Months

Date:
Week11ͲDate:
Detector Sect.and
type det.No.
1 FLOOR#43P PB FA13Ͳ8
2 FLOOR#41P SD FA13Ͳ9
3 FLOOR#50M PB FA13Ͳ10
4 FLOOR#43S SD FA13Ͳ11
5 FLOOR#25M SD FA13Ͳ12
6 3RDDECK,ENGINEWORKSHOP SD FA10Ͳ11
Week12ͲDate:
Detector Sect.and
Fixing place
type det.No.
1 3RDDECKS.G.RP SD FA12Ͳ1
2 3RDDECKS.G.RS SD FA12Ͳ2
3 3RDDECKS.G.RS PB FA12Ͳ3
7 3RDDECK#9S PB FA12Ͳ7
8 2NDDECK,GEN.ROOM SD FA12Ͳ8
9 2NDDECK,GEN.ROOM SD FA12Ͳ9
10 3RDDECK#28S PB FA12Ͳ10
Frequency:3Months
GENERALINSPECTION/MAINTENANCEREPORT
(foralltypeandkindofmachineryonboard)
Vessel:
ClassNo.: Date:
MachineryDesc/ClassItem: Manufacturer: DueDateodPMS:
DateLastOverhauling: WorkinghourssincelastOverhauling: ReasonofOverhauling:
Workcarriedoutby: Extrasapplied: Work:
ConditionasFound
Workcarriedout
1 NameofChiefEng. 5 YeatsofserviceasC/E
2 Licencetypeandno 6 TimeOnboardVessel
3 Dateandplaceofissue 7
4 Placeofsurvey 8 DateofSurvey
SparePartsUsed
PCSROB
No CodeNo Description Pcs
New inGoodCond.
ChiefEngineer
Frequency:Monthly
WEEKLYPLANNEDMAINTENANCE(E.RDEPT.)
Vessel:
FromDate: ToDate:
No. DESCRIPTION ITEM FormNo.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
WORKSCARRIEDOUT
(Othersthanthoseplaned)
No. DESCRIPTION FormNo.
1
2
3
4
5
6
7
8
9
ChiefEngineer
Frequency:Weekly
CRITICALst/byEQUIPMENT
Vessel:
Date:
S/N COMPONENT Description Confirmation Remark

1 MAINENGINE
ConfirmNOoiltracesatanyplacearoundM/E,D/Gs,Boiler,
1.1 Visualinspection
Purifiers&Aircompressors.
1.2 Allpipingtobefreeofleakages/patches/clamps Visualinspection
1.3 Mainswitchboardforlooseconnectionsandexcessivedust Visualinspection
Sterntubelub.oilanalysisisbeingproperlykept&that
bearingtemperaturesarebeingmonitored
1.5 BilgeoperationandhighͲlevelalarmstobetested Operationtest
M/EautoͲshutdownstests(asapplicableifinportor
1.6 Operationtest
anchorage)
1.7 M/Elubeoil–lowpressurealarm Operationtest
1.8 Cylindercoverscondition(leaks) Visualinspection
1.9 Fuelhighpressurepumps&pipes(leaks/cracks) Visualinspection
Crankcasecondition(oilcolour/leaks/metalfragments/
1.10 Operationtest
tightbolts)
1.11 Cylinder’sInspectionthroughscavengeports Visualinspection
1.12 Turbochargersandaircoolerscondition(leaks) Visualinspection
1.13 Safetydevices(Changeoverofpumps) Operationtest
1.14 Enginesidelocalcontrol Operationtest
1 15
1.15 Emergency Stop switch (ERC & Bridge)
EmergencyStopswitch(ERC&Bridge) Operation test
Operationtest
1.16 F.O.leakagealarm Operationtest
1.17 M/EL.O.Lowpressuretrip Visualinspection
1.18 ScavengeAirHighTemperatureAlarm Visualinspection
1.19 OilandwaterMistdetectoralarms Visualinspection
1.20 Crankcase–Oilmisthighconcentration/detectionalarm Visualinspection

2 AUX.ENGINE
2.1 F.O.LeakageAlarm Operationtest
2.2 EngineL.O.Lowpressurealarm Visualinspection
2.3 Alarm/Trip Operationtest
2.4 Governorcondition Visualinspection
2.5 D/GNo.1Automation/Safetydevices Operationtest
Crankcasecondition(oilcolour/leaks/metalfragments/
tightbolts/sealtight)
2.9 #1F.O.highpressureinjectionpipeͲleakdetectionalarm Operationtest
Frequency:Monthly
Vessel:
Date:

3 EMERGENCYGENERATOR
3.1 Operationunderload Operationtest
3.2 Batteriescondition Visualinspection
3.3. FueltankQuickClosingvalve Visualinspection
3.4 Conditionofemergencyswitchboard Visualinspection
Conditionofaircompressor&testforfillingupthebottle
3.5 Operationtest
includingemergencycomp.
3.6 Conditionofstartingbatteries Visualinspection
3.7 EngineL.O.LowpressureTrip Visualinspection
3.8 AutoͲstarttestsimulationblackout Operationtest
3.9 OverspeedTrip Operationtest
3.10 Manualstartbyallavailablemodes,tested Operationtest
CheckthatduringblackͲout,allservicesaresuppliedonNav.
3.11 Operationtest
Bridge
Checkemergencylightsinsideandoutsideofaccommodation
duringblackͲout
Checkthatmainspoweralarm&emergencypower
indicatorsareworkingonNav.Bridge

4 STEERINGGEAR
4.1 Allavailablemodesofsteeringtested Operationtest
4.2 Communicationwithbridgetestedbybothavailablemeans Operationtest
Rudderangleindicatoronbridgecheckedagainstthe
4.3 Operationtest
mechanicalmodeatvariousangles
SteeringRm.compasscheckedagainstmainonthehelm
4.4 Operationtest
position
4.5 Hydraulicoillowlevelalarmoperationchecked. Visualinspection
4.6 HydraulicOiltanklevelAlarm Operationtest
4.7 RudderAngleLimit Operationtest
4.8 AutoPilot Operationtest
Main&EmergencyFirePumpstartingandpipingunder
4.9 Operationtest
pressure
Frequency:Monthly
IssuetoallVessels File:T 11
File:TͲ11
Vessel:
Date:

5 MISCELLANEOUS
SmokeandfiredetectionsystemincludingcallpointsinE/R
5.1 Operationtest
&Accommodationandalarm
5.2 FireDamperFlapsinE/R(Open/Close) Operationtest
5.3 FixCO2System
ͲAlarms Operationtest
ͲCylinderSecurity Visualinspection
ͲReleasemechanism Visualinspection
ͲConditionofbottles Visualinspection
5.4 FueltankQuickClosingvalve Visualinspection
5.5 EmergencyBilgesuctionvalve Operationtest
5.6 Communicationsystem Operationtest
5.7 Emergencyaircompressor Operationtest
5.8 Seawatersuctionvalve Operationtest
5.9 Remoteshutoffandquickclosingdevices Operationtest
5.10 Boileralarmsandsafetydevices Operationtest
5.11 FiredoorsandselfͲclosingdevices Operationtest
5.12 Lifeboat&Rescueboatengine Operationtest
5.13 Machineryalarmsandshutdowndevices Operationtest
5.14 FueltankQuickClosingvalve Operationtest
5.15 WaterMistdetectoralarm Operationtest
5.16 Machineryalarmsandshutdowndevices Operationtest
Master ChiefEngineer
INSTRUCTIONS:
Thecompanyhasidentifiedthementionedgroupofequipmentandsystemascritical,thesuddenfailureofwhichmayresulthazardoussituations.
Fortheitemsthatcannotbecheckedallatonce,themastershouldberesponsibleforplanningofcheckingoftheseitemstobedoneinthespecific
timeandreportedmonthly.TheMasterhastheoverallresponsibilityforcoordinatingthesurveysofthementioneditems.HeshoulddelegateChief
OfficerandChiefEngineertoperformvarioustasks.
Thecheckingoftheaboveitemsshouldalsobementionedintherelevantlogbooks.
Frequency:Monthly
M/ECRITICALSPAREPARTS
Vessel:
Date:
Port:
AVAILABLEO/B(QTY) N/A
USEDIN USEDIN REQUISIͲ
ITEM DESCRIPTION MIN.REQUIRED PARTNO. REMARKS
NEW GOOD NEEDOF TIONDATE
CONDITION REPAIRS (IFANY)
A. MAINENGINE
1 PISTONCOMPLETE 1UNIT
2 PISTONSKIRT 0
3 PISTONCROWN 0
4 PISTONROD 0
PISTONRINGS(FORONECYLINDER
5 3SET
UNIT)
PISTONCLEANINGRING[PC]STANDARD
6 1UNIT
SIZE
7 PISTONCLEANINGRING[PC]OVERSIZED 1UNIT
8 STUFFINGBOXRINGS 1SET
9 CYLINDERCOVERCOMPLETE 1UNIT
10 COOLINGJACKET 1PC
CYLINDERCOVERSTUDSWITHNUTS
11 1/2SET
(FORONECYLINDERUNIT)
12 EXHAUSTVALVECOMPLETE 2
13 EXHAUSTVALVEHOUSING 0
14 EXHAUSTVALVESTEM 0
15 EXHAUSTVALVESEAT 0
FUELINJ.VALVESCOMPLETE(FORHALF
16 HALFENGINE
ENGINE)
17 FUELINJECTIONVALVESNOZZLES 0
18 CYLINDERLINERCOMPLETE 1UNIT
19 SAFETYVALVECOMPLETE 1UNIT
20 STARTINGAIRVALVECOMPLETE 1UNIT
AIRINTAKEVALVESCOMPLETE(FOR
21 1SET
ONECYLINDERUNIT)
SETOFOͲRINGS(FORONECYLINDER
22 1SET
LINERO/H)
SETOFGASKETS(FORONECYLINDER
23 1SET
LINERO/H)
24 FUELINJECTIONPUMPCOMPLETE 1UNIT
FUELINJECTIONPUMPPLUNGER&
25 0
BARREL
H.PR.SH.FUELPIPESCOMPLETEWITH
26 1PC
COUPLINGS
27 CYL.LUBRICATORS 1UNIT
28 MAINBEARING(UPPER&LOWER) 1SET
29 CROSSHEADBEARING(UPPER&LOWER) 1SET
30 CRANKPINBEARING(UPPER&LOWER) 1SET
31 THRUSTBEARINGPADS 1SET
B. MAINENGINE'STURBOCHARGER
1 BEARINGONBLOWERSIDE 1PC
2 BEARINGONTURBINESIDE 1PC
3 L.O.PUMPORDISCONBLOWERSIDE 1PC
4 L.O.PUMPORDISCONTURBINESIDE 1PC
5 LABYRINTHSBLOWERSIDE 1PC
6 LABYRINTHSTURBINESIDE 1PC
7 ROTOR&SHAFT 0
NOTE: N/A :INCASESPARENOTAVAILABLE

N/APPL .:INCASEEQUIPMENTNOTAPPLICABLE
ChiefEngineer
Frequency:Monthly
D/GCRITICALSPAREPARTS
Vessel:
Port: Date:
AVAILABLEO/B(QTY) N/A
MIN. USEDIN USEDIN REQUISIͲ
ITEM DESCRIPTION PARTNO. REMARKS
REQUIRED NEW GOOD NEEDOF TIONDATE
CONDITION REPAIRS (IFANY)
A.D/GENGINES
1 PISTONCOMPLETE 1PC
2 CONNECTINGROD 2PCS
3 CONNECTINGRODBOLTS 3SET
4 CYLINDERLINER 1PC
5 CYLINDERCOVER 1PC
PISTONCOMPRESSION&OILRINGS
6 1SET
(FORONECYLINDERUNIT)
7 PISTONPIN 1PC
8 PISTONPINBUSH 1PC
9 EXHAUSTVALVECOMPLETE 2PCS
10 EXHAUSTVALVESEAT 0
11 EXHAUSTVALVESPRING 0
12 EXHAUSTVALVESPINDLES 0
13 AIRINTAKEVALVESEAT 0
14 AIRINTAKEVALVECOMPLETE 1PC
15 AIRINTAKEVALVESPRING 0
16 SAFETYVALVECOMPLETE 1UNIT
17 STARTINGAIRVALVECOMPLETE 1UNIT
18 FUELINJ.VALVESCOMPLETE 3SET
19 FUELINJECTIONVALVENOZZLES 3PCS
20 FUELINJ.PUMPCOMPLETE 1UNIT
FUELINJECTIONPUMPCOMPLETE
21 0
PLUNGER&BARREL
22 MAINBEARING(UPPER&LOWER) 1SET
23 BIGENDBEARING(UPPER&LOWER) 1SET
24 THRUSTBEARING(UPPER&LOWER) 1SET
GASKETSFORCYLINDERCOVER
25 1SET
OVERHAUL
OͲRINGSFORCYLINDERCOVER
26 1SET
OVERHAUL
SETOFGASKETS(FORONECYLINDER
27 1SET
LINERO/H)
SETOFOͲRINGS(FORONECYLINDER
28 1SET
LINERO/H)
B.D/GENGINES'TURBOCHARGER
1 BEARINGONBLOWERSIDE 1PC
2 BEARINGONTURBINESIDE 1PC
3 LABYRINTHSONBLOWERSIDE 1PC
4 LABYRINTHSONTURBINESIDE 1PC
5 ROTOR 0
6 COMPLETETURBOCHARGER 0
NOTE:
PLEASEWRITE
N/A:INCASESPARENOTAVAILABLE
N/APPL.:INCASEEQUIPMENTNOTAPPLICABLE
ChiefEngineer
Frequency:Monthly
SPAREPARTSREQUISITION
Vessel:
Date:
REQUISITIONNo: OFFICE’SORDERNo: O/BRECEIPTDATE:

Reason:
EQUIPMENT SPECIFICATION–MODELͲTYPE MAKER
ROBON PCS PCS

S/N CODE DESCRIPTIONOFSPARE PARTNO. DRAWINGNo.
REQUEST REQUESTED RECEIVED
1
2
3
4
5
6
7
8
9
10
IMPORTANTNOTE:
1.AREMINDERABOUTTHISREQUISITIONMUSTBESENTTOTHECOMPANY,WHENTHEDELIVERYOFSPARESISCONSIDERABLYDELAYED
2.WHENYOURECEIVETHESPARES,REͲSENDTHISFORMTOOFFICEWITHORDERNO,PCSRECEIVEDANDO/BRECEIPTDATEFILLEDUP
Remarks
Captain/Ch.Engineer
Date:01Sept2020
Frequency:Monthly
Issue/Revision: 2/0
Page:1of1
GUIDANCE ON THE USE OF THE EMERGENCY CHECKLISTS
The Company’s “EMERGENCY CHECKLISTS” are only to assist in compliance with the Company’s
Procedures and Documentation for the safe operation of the vessel, the safety of the crew, the cargo,
and the environment. Checklists are to be used as applicable for the purpose of onboard training or
during emergencies.
It is emphasized that checklists are only to assist the Officers and the crew and do not detract from their
responsibility towards the safety of the vessel, her crew, her cargo, and the environment.
Masters are reminded of their overriding authority as per ISM code:
Nothing in this Safety Management System removes from the Master his overriding
authority and responsibility to make decisions, take any steps and issue any orders,
whether or not they are in accordance with the contents of this Safety Management System,
which he considers are necessary for the preservation of life, prevention of pollution or for
the safety of the ship and to request the Company's assistance as may be necessary.
An outline of the checklists is as follows:
No. EMERGENCY CHECKLIST Code

01 COLLISION ECL-01
02 GROUNDING / STRANDING ECL-02
03 FIRE ECL-03
04 HEAVY WEATHER DAMAGE ECL-04
05 HULL FAILURE ECL-05
06 EXCESSIVE LIST ECL-06
07 FLOODING ECL-07
08 MAIN ENGINE FAILURE ECL-08
09 STEERING FAILURE ECL-09
10 POWER FAILURE ECL-10
11 MAN OVERBOARD ECL-11
12 SEARCH AND RESCUE ECL-12
13 PERSONNEL INJURY OR ILLNESS ECL-13
14 RESCUE FROM ENCLOSED SPACE ECL-14
15 PIRACY ECL-15
16 SALVAGE OF OWN SHIP ECL-16
17 ABANDON SHIP ECL-17
18 OIL POLLUTION ECL-18
19 HELICOPTER OPERATIONS ECL-19
20 RECOVERY OF PERSONS FROM THE WATER ECL-20
21 ECDIS FAILURE CHECK LIST ECL-21
READ AND SIGNED FOR THE KNOWLEDGE OF THE ECL’S CONTENT BY
CH. OFFICER 2ND OFFICER 3RD OFFICER 2ND ENGINEER CH.ENGINEER MASTER
1. ECL Use Guidance POSTED IN THE BRIDGE

Date: 31/12/2018 Issue/Revision: 2/0 Page 1 of 1
CONBULK SHIPMANAGEMENT CORP. ECL-1
COLLISION
NO DESCRIPTION PERSONNEL RESPONSIBLE Completed
1 Sound emergency (internal) alarm. Officer On Duty
2 Stop engines. Officer On Duty
3 Manual steering. Officer On Duty
4 Switch on deck lights (at night). Officer On Duty
5 Call Master to bridge. Officer On Duty
6 Switch On VHF - Channel 16. Officer On Duty
7 Advise Engine Room. Officer On Duty
8 Close watertight doors. Master
9 Alert vessels in vicinity. Master/GMDSS Officer
10 Alert shore stations. Master/GMDSS Officer
11 Exhibit “Not Under Command” lights & shapes. Master/Officer On Duty
12 Muster fire fighting/ spill party. Master/Ch. Officer
13 Muster lifeboat party. Master/Ch. Officer
14 Muster remainder of crew as necessary. Master/Ch. Officer
15 Check for injuries and/ or missing persons. Ch. Officer
16 Give GMDSS Officer vessel’s position. Master
17 Sound all tanks, wells and bilges including Engine Room. Ch. Officer/
2ndEng./Bosun
18 Assess damage to hull, tanks peaks, Engine Room, Pump Master/Ch.Eng./
Rooms & cargo. Ch.Officer
19 Check cargo, fuel, steam, hydraulic pipelines & valves for Master/Ch.Eng./
fracture/ leaks. Ch.Officer
20 Check for oil spills & internal and/ or overside pollution (if yes Master/Ch.Engnr/
then address SOPEP). Ch.Officer
21 Mark Engine Room date logger. Ch. Engineer
22 Mark the event to the SVDR. Master
23 Mark course recorder. Master/Officer On Duty
24 Note time of contact. Master/Officer On Duty
25 The position of the vessels prior/ to/ and during the incident. Master/Officer On Duty
26 Note all bridge times. Master/Officer On Duty
27 Note all Engine Room times. Master/Officer On Duty
28 Note course and speed at time of contact. Master/Officer On Duty
29 Note angle of contact. Master/Officer On Duty
30 If no signals were exchanged please explain the reasons. Master/Officer On Duty
31 Check if other vessel requires assistance. Master
32 Pay utmost attention when attempting refloating. Master
33 Obtain from other vessel name port of registry type of cargo,
Master
whence bound, where bound.
34 Check if other vessel requires you to stand by. Master
35 Hold other vessel responsible by letter. Master
36 Note protest. Master
37 Report to the Office. Master
This checklist should be placed in the BRIDGE and ENGINE CONTROL ROOM and followed in case of emergency

GROUNDING / STRANDING
1 Stop engines. Officer on Duty
2 Sound alarm. Officer on Duty
3 Call Master. Officer on Duty
4 Advise Engine Room. Officer on Duty
5 Exhibit lights/shapes. Officer on Duty
6 Switch on VHF-Channel 16. Officer on Duty
7 Muster of crew in leakage station. Master/Ch. Officer
8 Close all watertight doors. Master/Ch. Officer
9 Sound all tanks/bilges etc. Ch. Officer/Bosun
10 Check for oil spillage. Ch. Officer/Ch. Engineer
11 Check for internal damage. Ch. Officer
12 If shell plating holed assess rate of water intake. Ch. Officer/Ch. Engineer
13 Sound around vessel & assess grounding. Ch. Officer/Bosun
14 Determine nature of bottom. Ch. Officer/Bosun
15 Check sea suctions. Ch. Engineer
16 Position fixing/notification. Master
17 Check machinery for damage. Ch. Engineer
18 Check tailshaft for oil loss. Ch. Engineer
19 Check propeller for damage (if possible). Ch. Engineer/Ch. Officer
20 Check state of tide. Officer on Duty
21 Assess if vessel likely to refloat next high water. Master
22 Check weather/forecast. Master
23 Consider additional ballast to prevent vessel going further
Master
aground or to stop pounding.
24 Use of anchor, possibility of vessel sitting on anchor. Master
25 Course & speed at time of grounding. Master/Officer on Duty
26 Draft at time of grounding aft, mean, forward. Master/Ch. Officer
27 Draft when aground (aft, mean, forward). Ch. Officer
28 If tugs in attendance note where fast & direction of
Master
pull/push.
29 Check for injuries to crew. Ch. Officer
30 Assess damage to cargo. Ch. Officer
31 Assistance required. Master
32 Mark the event to the SVDR. Master
33 Enter facts in log book. Master
34 Chart with positions up to time of grounding. Officer on Duty
35 Course recorder printout. Officer on Duty
36 Time of refloating. Master/Officer on Duty
37 Notify interested parties. Master
38 Date & time (GMT) of the incident. Master/Officer on Duty
39 Details of flooding, ebbing, low water, slack water, high
Master
water.
40 Direction & strength of currents. Master

FIRE
No. Description Personnel Responsible Completed
1 Determine location of fire. Master / Ch. Officer

2 Advise bridge. Crew member on the spot
3 Call Master and sound the Fire Alarm. Officer on Duty
Crew member on the spot of
4 Muster fire party and accounted.
Fire. Officer on Duty
At sea, alter course & speed to reduce draft & minimize fire spread
5 Officer on Duty
(If necessary). Keep radio stand-by with updated PSN.
6 Advise engine room. Officer on Duty
7 Shut down cargo & bunker operations (if any). Ch. Officer / Ch. Engineer
8 Close down vent system. Ch. Officer / Ch. Engineer
9 Close skylights, doors ports etc. Care of Ch. Officer / Bosun
10 Isolate electrical circuits. Ch. Engineer/ Electrician
11 Isolate fire. Fire Party
12 Stop engines if necessary. Master/Ch. Engineer
13 Evacuate unnecessary personnel from area. Master/Ch. Officer
14 Check for missing crew. Ch. Officer
15 Check for injuries. Ch. Officer
16 If in or near port alert harbour authority, shore fire services & agent. Master
17 Shore hose connection ready. Ch. Officer/Bosun
18 Switch on vhf-channel 16. Officer on Duty
19 At sea-fix position. Officer on Duty
20 Switch on deck lights (at night). Officer on Duty
21 At sea-position to radio room. Master/Officer on Duty
22 At sea-exhibit lights/shapes. Master/Officer on Duty
23 At sea-prepare lifeboats. Master/Ch. Officer
Master/ Ch. Officer/Ch.
24 Determine cause of fire.
Engineer
Master / Ch. Officer / Ch.
25 Assess damage to vessel
Engineer
26 Assess damage to cargo. Master / Ch. Officer
27 Enter all times and facts in log book. Master
29 Date & time (using GMT) of the occurrence. Master
30 Weather conditions. Master
31 Actions taken to control/extinguish & means used (water, foam Master
etc )
32 Report to the office. Master
Date: 01/01/2020 Issue/Revision:2/1 Page 1 of 1

HEAVY WEATHER DAMAGE

1 Position. Master/Officer on Duty

2 Nature of damage. Master/Ch. Officer/ Ch.
Engineer
3 Tank and bilge soundings. Ch. Officer/ Bosun
4 Damage to cargo(if any). Master/Ch. Officer
5 Check for crew injuries. Ch. Officer
6 Check for fractured pipes. Ch. Officer/ Ch.
Engineer
7 Check anchor lashings. Ch. Officer/ Bosun
8 Check windlass / winches/ capstains. Ch. Officer/ Bosun
9 Course & speed/hove to. Master/ Officer On Duty
10 Weather & forecast. Master
11 Assistance required. Master
14 Actions/measures taken to mitigate the situation together
Master
with the chronological sequence thereof.
15 Describe action taken to prevent further damage to
Master
cargo/packaging or casing.
16 Make a sea protest. Master

HULL FAILURE
1 Report casualty (internal). Officer on Duty

Ch. Officer / Officer on
2 Alert ship’s crew-account for and ensure their safety.
Duty
3 Implement emergency response plan procedures. Master
Ch. Engineer /
4 Initiate damage control measures.
Ch. Officer
Ch. Engineer /
5 Isolate cargo and fuel pipelines sources to affected tanks.
Ch. Officer
Determine vessel’s structural integrity (damage stability and Ch. Engineer /

6
hull stress). Ch. Officer
7 Conduct tank / void gauging. Ch. Officer
8 Initiate required agency and company notification. Master
Master / Ch. Engineer /
9 Determine need for commercial salvage assistance.
Ch. Officer
10 Initiate oil spill removal and verify containment. Ch. Officer
11 Coordinate shore-side clean up support (if applicable). Master / Local Affiliate
12 Ascertain cause of casualty. Master
Master / Ch. Engineer/
13 Determine corrective action.
Ch. Officer

EXCESSIVE LIST

3 Stop any cargo, bunkering or ballast operations in progress. Officer on Duty
4 Reduce speed or stop or alter course. Master
5 Determine cause of list. Master / Ch. Eng. / Ch.
Off.
6 Sound all tanks and bilges and compare soundings with Master / Ch. Eng. / Ch.
departure soundings. Off. /2nd Eng. / Bosun
7 If night time the oow to switch on deck floodings. Officer on Duty
8 Assess effect of list on hull, machinery pumps and piping. Ch. Off. / Ch. Eng.
9 Crew to “stand by” survival craft to be prepared by a
Ch.Off.
designated boat preparation party.
10 Switch on VHF – Channel 16. Officer on Duty
11 Check for injuries and/or missing persons. Ch.Off.
12 Check for oil spillage or if it is necessary to jettison oil in Master / Ch. Eng. / Ch.
order to maintain stability. Off.
13 Inform shore/harbor control and other appropriate parties
Master
(agents/p & i club representative/company’s headquarters).
14 Take samples of spill. Ch. Off. / Ch. Eng.
15 Fix position on chart, log it, and pass to radio room. Officer on Duty
16 Warn vessels in vicinity. Master / Radio Off.
17 Advise damage/stability information. Master / Ch. Off.
18 Assess vessel’s seaworthiness and ability to right herself. Master
19 Record all bridge/engine rm. times. Master / Ch. Eng. /
Off. on Duty
20 Determine assistance needed tug/salvage. Master
21 Alert office E.R.T. & send report. Master / Radio Off.
22 Report to the office. Master

FLOODING
1 Sound appropriate Emergency Stations signal & call Master. Officer on Duty
2 Crew to “stand-by”. Master / Officer on Duty
3 Main Engine(s) to stand-by, ships speed reduced to
Master/ Ch. Engineer
maneuvering revs.
4 Maneuver ship as required to:
 safeguard personnel Master
 Reduce effect of flooding (if cause known).
5 Nominated personnel under direction of Chief Officer (deck)
& Chief Engineer (machinery space) to take soundings of
tanks & spaces to establish: Ch. Officer /
 extent of flooding Ch. Engineer
 Approximate rate of water ingress.

6 As a precaution, prepare survival craft & other life saving
appliances (EPIRBS’s etc) in this case, ship to be stopped in Master
water.
7 Inform relevant shore/port state authorities dependent upon
seriousness of situation, but notifying the Company in any Master / GMDSS Officer
event.
8 From soundings date obtained:
 Calculate present effects of flooding on stability & stress
 Calculate effect on stability & stress for any anticipated
corrective actions to be taken against the flooding e.g. To
correct any resultant etc. Master / Ch. Officer/
 Calculate whether ship has pumping Ch. Engineer
 Means & capacity to discharge or stem flood water

ingress. If the answer to this is no, then what is the
probable final effect of the flooding with regards to
stability.
9 Where possible, pump out flooded spaces using ships fixed
pumping system. Ch. Engineer
Otherwise use portable equipment such as eductors.
10 Where the possibility exists, make preparation for oil
Master / Ch. Engineer
pollution prevention (ref. SOPEP manual).
11 Use on-board materials where possible to stem flow of water
Ch. Officer / Bosun
(dunnage, mattresses etc).

MAIN ENGINE FAILURE

1 Check for other vessels in the vicinity. Officer on Duty

2 Check for navigational hazards in vicinity. Officer on Duty
3 Use sound signals as necessary. Officer on Duty
5 Exhibit NUC lights/spares. Master / Officer on Duty
6 Switch on VHF - Channel 16. Officer on Duty
7 Prepare for anchoring if water depth suitable. Master
8 Fix position of vessel. Master / Officer on Duty
10 Assess weather sea conditions, currents and drift. Master
11 Forecasted weather/sea conditions. Master
12 Note date/time of breakdown. Master / Officer on Duty
13 Describe damage establish.
Cause of breakdown.
14 Establish action taken. Master
15 Establish if repairs possible by vessel’s staff. Ch. Engineer
16 Time required to repair. Ch. Engineer
17 Establish if shore assistance required. Ch. Engineer
18 Tug assistance required. Master
19 Notify interested parties if delay anticipated. Master
20 Report to the Office Master

STEERING FAILURE
1 Engage alternate or emergency steering system. Officer on Duty

2 Advise engineer officer on watch. Officer on Duty
4 Check positions of vessel in vicinity. Officer on Duty
5 If necessary - stop engines. Master / Officer on Duty
6 If necessary - make appropriate sound signals. Master
7 Exhibit NUC shapes/lights as necessary. Master / Officer on Duty
9 Prepare for anchoring if considered necessary and depth of
Master
water is suitable.
11 Check for navigational hazards in vicinity. Master / Officer on Duty
12 Note time of failure. Master / Officer on Duty
13 Check cause of failure. Ch. Engineer
14 Enter facts in log. Master

POWER FAILURE
1 Check for other vessels in the vicinity. Officer on Duty

2 Check for navigational hazards in vicinity. Officer on Duty
3 Use sound signals as necessary. Officer on Duty
5 Exhibit NUC lights/shapes. Master / Officer on Duty
7 Prepare for anchoring if water depth suitable. Master
9 Pass position of vessel to radio room. Officer on Duty
10 Assess weather sea conditions, currents & drift. Master
11 Forecasted weather/sea conditions. Master
12 Note date/time of breakdown. Master / Officer on Duty
13 Describe damage establish cause of breakdown.
Describe effects on vessel.
14 Establish action taken. Master
15 Establish if repairs possible by vessel’s staff. Ch. Engineer
16 Time required to repair. Ch. Engineer
17 Establish if shore assistance required. Ch. Engineer

MAN OVERBOARD
1 Turn on side that man fell overboard. Officer on Duty

2 Stop engines. Officer on Duty
3 Release lifebuoy with light & smoke signal on side that man
Officer on Duty
fell overboard.
4 Plot vessel’s position with respect to man. Officer on Duty
5 Plot lifebuoy position. Officer on Duty
6 Commence Williamson turn. Officer on Duty
8 Post lookout with binoculars. Officer on Duty
10 Place engines on stand by advising engine room the reason. Officer on Duty
11 Muster accident boat crew. Master / Ch. Off.
12 Complete Williamson Turn. Master
13 Alert by radio vessels in vicinity & shore stations. Master / R.O.
14 Maneuver to pick up man. Master
15 Switch on VHF. Officer on Duty
16 Note other vessels in the vicinity warning them as necessary
Master / Officer on Duty
by sound or light signals.

SEARCH AND RESCUE

1 On receipt of distress call fix own position, calculate distance

Officer on Duty
& steaming time to distress position.
3 GMDSS Officer to continue listening watch/ relaying distress
R.O.
signal.
4 If assistance can be rendered then follow guidelines in IMO
publication: Master
“MERCHANT SHIP SEARCH & RESCUE MANUAL”.
5 Prepare emergency boat/crew. Ch. Officer / Bosun
6 Prepare ladders & nets. Bosun
7 Steward to prepare for medical treatment of survivors &
Steward / Cook
provisions of hot food & drinks.
8 Notify person/authority coordinating operation that the
Master
vessel is proceeding to area.
9 Check number of crew of distressed vessel or aircraft. Master
10 Check nature of cargo in distressed vessel & if oil leakage,
ascertain if sea in area is polluted of any other conditions Master
which might hamper operations.
11 If survivors taken on board list names & next of kin. list of
Master
missing persons.
12 Report course deviation to harbor. Master
13 Prepare exact copy of radio log. R.O.

PERSONNEL INJURY OR ILLNESS

1 On receipt of an Injury or Serious Illness reports, inform the
Master & call the following to the location of the casualty Crew Member on the
 Members of the first aid squad with relevant equipment spot Designated medical
(first aid kit, stretcher, resuscitator, splints etc) Officer
 The designated on board Medical Officer
2 Where there is no threat to his own life, the person initially at
the scene to administer “first aid”:
 airway kept clear Master / Designated
 breathing and heartbeat ensured (otherwise CPR required) Medical Officer
 bleeding controlled (casualty not to be moved unless
imperative).
3 In the situation where there could be a threat to a rescuer’s
life (eg. casualty in a gas or oxygen deficient atmosphere in
a confined space), then the resources of the normal on - Master / Medical Officer
board emergency squad must be called for with safety
equipment such as compressed air breathing apparatus etc.
4 Portable radio communication means to be set up between
Master
on site operations & Master
5 Method for transporting casualty to ship’s hospital to be
Master / Designated
formulated & additional equipment & personnel called in the
Medical Officer
case that a vertical or near vertical lift/hoist will be required.
6 Company communication & relevant international radio
station manuals to be consulted in order to plan for a
Master / GMDSS Officer
possible “Medivac”, with notification to relevant external
parties.
7 If a “Medivac” is envisaged, preparations to be made to
either:
 receive a launch from shore or other ship alongside
(fenders, stretcher transfer means, position rendezvous
etc)
 receive a helicopter (consult ics guide to helicopter/ship Master / Ch. Officer
operations for safety requirements dependent upon
whether helicopter will land on deck or winching only
possible)
 transfer casualty using own rescue or survival craft, to
nearby ship with better medical facilities.
8 If necessary, seek medical advice by radio using the
international radio station in rome that offers free medical Master / GMDSS Officer
advice to merchant ships.
9 Record to be kept of events in the case than an accident
Master
report form may be required to be completed.

RESCUE FROM ENCLOSED SPACE

1 Raise the alarm and inform Master Officer on Watch
2 Obtain necessary assistance and equipment including medical
support Master
3 Lifelines, breathing apparatus, resuscitation equipment and other
items of rescue equipment are ready for use Chief Officer
4 A trained emergency team is available Chief Officer
5 A back up support squad readily available near to the scene Chief Officer
6 First aid squad fully equipped near to the scene Chief Officer
7 Breathing apparatus and, where practicable, lifelines must be used
Officer in Charge
by persons entering the space
8 A code of signals is agreed in advance Officer in Charge
9 Communication link established. Use approved VHF/UHF radios Officer in charge
10 The officer in charge of the rescue must remain outside the space,
where he can exercise the most effective control. Officer in Charge
11 Before entry fill up effectively & not rashly the relevant entry to
Chief Officer & Officer in
enclosed space checklist. Check & use calibrated portable
instruments for accurate readings. Charge
12 Before entry, officer in charge must inform in briefly the squads about the Officer in Charge or Chief
peculiarities of the relevant space (if possible, consult relevant plan) Officer
13 Consider the possibility to use lifting equipment in order to pull up
the casualty. (If possible prior entering the space) Officer in Charge
14 Prepare back-up teams for immediate evacuation of the rescue
team when situation arises. (Prior entering) Chief Officer
15 Prepare approved means of lighting (portable &/ or hand held) Officer in Charge
16 Before entering a tank/compartment the team members should:
 Check all equipment carefully, Inspect the air hoses, face mask
and straps.
 Check the cylinders for air content.
 Try the apparatus and see if it functions properly.
 If anyone feel sleepy or lethargic or smell something, or in any Officer in Charge
other way feel affected by vapours do not stay in the
tank/compartment.
 Be careful about keeping safety line from becoming entangled
with the structures of the tank/compartment.
 Never take off their equipment while in the tank.
17 During rescue procedure adjust ship’s course & speed in order to
Officer in Charge
keep the vessel steady (avoid pitching & rolling)
18 During entering enclosed space log the pressure in the air bottles for each
Officer in Charge
person. Calculate the approximate safe working time for each rescuer.
19 During rescue operation adequate ventilation shall be provided
Officer in Charge
continuously.
20 If any of the conditions stated on the entry permit become unsafe
after personnel have entered the tank, space or compartment, they
Officer in Charge
should leave immediately and not re-enter until the safe conditions
stated on the permit have been restored.
21 After rescue from enclosed space consider if the person rescued Chief Officer or Officer in
needs further medical assistance. Inform the Master Charge
22 After leaving the tank/compartment:
 Remove all protective clothing upon leaving the confined space.
Liquids impregnating shoes, gloves and other protective clothing
can do their evil work later Officer in Charge
 After having removed protective garments which may be
contaminated, make certain that the items are properly cleaned
before being stowed away in lockers
23 Inform the Master and report to the Office Chief Officer / Master

PIRACY
1 Call the Master. Officer on Duty

2 Sound the alarm signal “Ship Under Attack”. Officer on Duty
3 Crew “stand-by”. Prepare to defend the ship by barricading Master / Ch. Officer
all access routes to the ship.
4 Keep the radio station on “stand-by”-with current & updated Master / GMDSS Officer
position available.
5 Establish vhf communication with signal stations, coast radio Officer on Duty /
stations & other ships in surrounding waters. GMDSS Officer
6 Request assistance from local port authority, police, coast Master
guard & navy.
7 If possible, speed up & carry out evasive maneuvers. Master
8 Water on deck-make fire hoses ready in order to prevent Master / Ch. Engineer
pirates from boarding.
9 Fire a parachute flare in the direction of the attacking craft. Officer on Duty
10 Use the search lights to illuminate & possibly blind the Officer on Duty
attacking craft.
11 Switch on the hull lights & outside accommodation lights. Officer on Duty
12 Fix time for & position of the attack. Officer on Duty
13 Avoid violation. Ch. Officer /
Ch. Engineer
14 Try to ward off pirates, or delay entry by fire hosing, Ch. Officer /
barricading or similar actions. Ch. Engineer
15 Barricade the whole crew on the bridge and/ or in the engine Master
room. Try to bring portable VHF’s.
16 Establish communication between the bridge & the engine Master / Officer on Duty
room.
17 Remain barricaded until the danger is over. Notify company Master
about the attack as soon as possible.

SALVAGE OF OWN SHIP

1 Fix time and position. Master

2 Keep the radio station “stand-by”-with current & updated
Master / GMDSS Officer
position available.
3 Enter continuously any actions taken in ship’s log book. If
Master
possible, take photographs (or film/videotape).
4 If time permits always consult company before ordering
salvage assistance
 if immediate danger is at hand for ship and/ or cargo-the
Master should order salvage & accept offered help. The
Master
company should be notified as soon as possible.
 Do not let negotiations cause unnecessary delay.
Agreement of salvage should be made on enclosed Lloyd’s
open form “no cure, no pay”.
5 Salvage can be ordered through: salvage companies, coast
radio stations, coast guards, life boat services, towing Master
companies’ local agents.
6 Prepare the salvage operation in co-operation with the
salvor. the Master should assist the salvor for best possible Master
outcome.
7 Should the situation so demand: do not forget to use other
Master
suitable plans.

ABANDON SHIP
1 Sound abandon ship signal & call Master. Officer on Duty

2 Fix ship’s position. Officer on Duty
3 Sound “MAYDAY” signal with position. GMDSS Officer
4 Main engine stopped & propeller secured. Chief Engineer
5 Overboard discharges stopped especially in way of craft
Chief Engineer
launch areas.
6 Extra blankets, water, food etc. to craft (if time permits). Chief Steward
7 Check all hands at muster stations with lifejackets & thermal
Deck Officer
suits if applicable
8 Run out painters from boats if applicable. Chief Officer/ Bosun
9 Lower boats/life crafts to water. Chief Officer/ Bosun

OIL POLLUTION
1 Stop all cargo & bunkering operations. Master / Ch. Officer /

Ch. Engineer
2 Stop all ballasting & deballasting operations. Master / Ch. Officer /
Ch. Engineer
3 Call Master. Crew member on the
spot
4 Stop all bilge pumping / internal transfer. Master / Ch. Officer /
Ch. Engineer
5 Stop all cargo/fuel transfer operations. Master / Ch. Officer /
Ch. Engineer
6 Muster fire party. Master / Ch. Officer
7 Enforce “No Smoking” rule. Ch. Officer
8 Advise berth operations. Master
9 Advise harbor authorities. Master
10 Locate leak & repair. Ch. Officer /
Ch. Engineer
11 Ensure all scuppers are still properly plugged. Ch. Officer
12 If oil contained on deck take action to clear up. Ch. Officer
13 If oil spill to sea dock immediately alert P&I local
Master
representative & address to SOPEP.
14 Determine type of oil. Ch. Officer /
Ch. Engineer
15 Take sample of oil. Ch. Officer /
Ch. Engineer
16 Quantity of oil spilled. Ch. Officer /
Ch. Engineer
17 If in harbour estimate area covered. Master / Ch. Officer /
Ch. Engineer
18 Weather and forecast. Master
19 Check tide and current. Officer on Duty
20 Check names of vessels in vicinity. Officer on Duty
21 Letter of protest. Master
22 Photographs only if camera of the non-flash type. Ch. Officer
23 Correspondence. Officer on Duty

HELICOPTER OPERATIONS
1 Have all loose objects within and adjacent to the operating
Ch. Off. /Bosun
area been secured or removed?
2 Have all aerials, standing or running gear above and in the
Off. on Duty / Radio Off.
vicinity of the operating area been lower or secured?
3 Has a pennant or windsock been hoisted where it can be
Off. on Duty
clearly seen by the helicopter pilot?
4 Does the leader of the deck party have a portable radio transceiver
Ch. Officer
(walkie talkie) for communicating with the bridge?
5 Are the fire pumps running and is there adequate pressure
Ch. Engineer
on deck?
6 Are fire hoses ready (hoses should be near to but clear of the
Ch. Off. / Bosun
operating area)?
7 Are foam hoses, monitors and portable foam equipment
Ch. Off. / Bosun
ready?
8 Are dry powder fire extinguishers available and ready for use? Ch. Off. / Bosun
9 Is the deck party complete, correctly dressed and in position? Ch. Officer
10 Are the fire hoses and foam nozzles pointing away from the
Ch. Off. / Bosun
operating area in case of inadvertent discharge?
11 Has a rescue party been detailed? Master
12 Is a man overboard rescue boat ready for lowering? Ch. Off. / Bosun
13 Are the following items of equipment to hand?
i. Large axe
ii. Red emergency signal/torch
Ch. Off. / Off. on Duty /
iii. Crowbar
Bosun
iv. Marshalling batons (at night)
v. Wire cutters
vi. First aid equipment
14 Has the correct lighting (including special navigation lights)
Off. On Duty
been switched on prior to night operations?
15 Is the deck party ready, wearing brightly colored tabards
(waistcoats) and protective helmets, and are all passengers Ch.Officer
clear of the operating area?
16 Has the hook handler been equipped with helmet, strong rubber
gloves and rubber soled shoes to avoid the danger of static Off. On Duty
discharge?
17 Is access to and egress from the operating area clear? Ch.Officer
18 Has pressure in cargo tanks been reduced to slight positive Ch.Officer
pressure?
19 Have all tank openings been secured following venting Ch. Off. / Off. on Duty /
operations? Bosun
20 Is the deck party aware that a landing is to be made? Master / Ch. Off.
21 Is the operating area free of heavy spray or seas on deck? Master / Ch. Off.
22 Have side rails and, where necessary, awnings, stanchions
Ch. Off. / Bosun
and other obstructions been lowered or removed?
23 Where applicable, have portable pipes been removed and
Ch. Off. / Bosun
have the remaining apex ends been blanked off?
24 Are rope messengers to hand for securing the helicopter, if
necessary? (Note: only the helicopter pilot may decide Ch. Off. / Bosun
whether or not to secure the helicopter.)
25 Have all personnel been warned to keep clear of rotors and Master / Ch. Off. /
exhausts? Ch. Eng.

RECOVERY OF PERSONS FROM THE WATER

No. Actions to be taken Completed
A On passage to the scene of the incident
1 Establish communications with the Rescue Coordination Centre (RCC)
2 Establish communications with the On Scene Coordinator (OSC), if appointed
3 Reread the ship-specific recovery plan
Reread MSC.1/Circ.1182 Rev.1 (See Plans and Procedures for Recovery of Persons from the
4
Water Manual)
5 Check the relevant sections of the IAMSAR Manual
6 Check the relevant sections of the IMO's guidance on cold water survival
7 Consider on-scene conditions
8 Consider the number and type of people you may have to recover, and the condition they may be in
9 Consider whether to launch rescue craft
10 Assess the best points of entry into the ship with the prevailing conditions in mind
11 Advise RCC and/or OSC of your expected recovery capability
12 Brief crew, and any passengers aboard
13 Prepare recovery equipment, including control and safety measures
14 Prepare additional life-saving equipment in case of accidents during recovery
15 Assign crew to handling the ship, lookout duties, recovery and care of survivors
B Approaching the scene
1 Post lookouts, well-briefed and in communication with the Bridge
Have recovery team(s) standing by, well-briefed, equipped with personal protective equipment, and
2
in communication with the Bridge
3 Assess your ship's manoeuvrability and recovery capability in the prevailing conditions
4 Prepare to launch rescue craft, if conditions permit
5 Prepare to receive craft and/or people alongside
6 Think about your best approach
7 Determine the priorities
8 Advise RCC and/or OSC of your arrival and capabilities
C During the recovery operation
1 Continue to assess the priorities
Continue your risk assessment, including your own ongoing recovery capability,the survival
2
chances of those not yet recovered, and the availability of other recovery resources
3 Keep RCC and/or OSC advised of your progress and future capability
Date: 01/01/2020 Issue/Revision:2/1 Page 1 of 1

CONBULK SHIPMANAGEMENT CORP. ECL‐21

ECDIS FAILURE CHECK LIST

AUTHORISED PERSONNEL: OOW

NO OPERATIONS Completed

01 Inform Master
02 Engage hand steering
03 Inform E/R
04 Prepare engines for maneuvering
05 Fix vessels position by all available means
06 Take action to manoeuvre ship away from dander
07 Prepare for anchoring if in shallow water
08 Broadcast URGENCY message to ships in vicinity
09 Modify AIS status
10 Inform VTS or Port Authority if in coastal waters
11 Change over to Back‐up ECDIS
12 Notify DPA
Other actions
13 Ensure that Secondary ECDIS/ECS unit is operating properly by referencing, Pre‐
departure checks and switch to master if in slave mode.

During the Critical operation, if an unexpected event occurs, STOP the job,
review the controls and Risk Assessment and resume the job only when
deemed Safety to do so.

This checklist should be placed in the Bridge and followed in case of emergency.


CONBULK SHIPMANAGEMENT CORP. BRIDGE CHECKLIST-02
CRITICAL PORT OPERATIONS CONTROL

CHECKLIST
No. Containers Check

1. Check conformity of Master Initial Container Plan with Port Final Loading /
Discharging Container Plan
2. Check Stack Load / Stress / Stability calculations
3. Check the number of the loaded and/or discharged boxes prior securing
hatch covers
4. Check if all Reefers (Hold and Deck) are plugged, record their
temperatures, the setting point and temperature chart.
5. Check if all boxes are properly lashed and secured as per Cargo Securing
Manual
6. Check if all IMO Containers are stowed in proper and certified positions in
the holds and/or on deck
7. Check Containers Safety Seals
8. Has Master signed the Pre-Planning calculations
8. Check if all Cargo Holds ventilators are in good working condition
9. Check if vessel is properly ballasted for sailing
10. Check Stevedores damages to vessel and/or Cargo and/or condition of
Containers and issue the damage report
11. Endorse Logbook with all particulars occurred during watch
12. Check Moorings during all stages of operations
13. Have all precautions been taken for bunkering?
No. Bulkcarriers Check

1.Has Master signed the Pre-Planning calculations
2.Do calculations meet Stability – Stress – Draft restrictions
3.Check cranes (if applicable) in good working order
4.Check Moorings during all stages of operations
5.Check Air Draft in conjunction with tide and relevant operation
6.Check and report if cargo handled not conforming with Charter Party
7.Check cargo stowage (trimming-dunnage-lashing). Report abnormalities
8.Check for damages to the vessel and report immediately to the C/O and
Master
8. Check drafts at frequent intervals
9. Check Ballasting – Deballasting procedure to be according to Plan
10. Endorse Logbook with all particulars occurred during watch
11. Check if Stevedores are following loading-discharging sequence as agreed
12. Check if hold ventilators (mechanical) in order
13. Have all precautions been taken for bunkering?
Remarks:
1- This checklist serves as a generic guidance for follow up of cargo operations
2- In all cases the Cargo Operations Special Instructions Booklet for Deck Officers must be
completed with further actions required taking into consideration the particulars of each
cargo handled. Officers signatures on the Booklet, as acknowledgement, is required
3- This checklist is not needed to be filed and should be posted in the cargo room.
4- An entry in the logbook must be made “Watch handed over. Reference Bridge Checklist #2 all
OK during watch”
BRIDGE CHECKLIST-02
Effective Date: 31/12/2018
BRIDGE PREPARATION FOR ARRIVAL & DEPARTURE
ACTIONS TO BE TAKEN Arrival Departure

Date Date
1. Is passage plan fully completed from Pilot to berth/ berth to
Pilot with all available information?
2. Are charts and nautical publications corrected up to date?
3. Has bridge to engine room telegraph been tested?
4. Has steering gear been tested in all modes?
5. Have all navigation lights and signaling equipment been
tested?
6. Has internal/external/portable communication equipment been
tested?
7. Are anchors ready for immediate use?
8. Is echo sounder in operation?
9. Is course recorder in operation?
10. Is bridge bell book available / bridge movement recorder
operational?
11. Are gyro compass and repeaters aligned?
12. Are electronic navigational fixing aids operational?
13. Are Radar/ARPA operational?
14. Is speed indicator operational?
15. Has draft been checked / stability and stress calculation
executed?
16. Has pilot/tugs ETA been fixed? Has port clearance been
obtained?
17. Are the latest local navigational and weather messages
available?
18. Are pilot embarkation arrangements prepared and satisfactory?
19. Are all crew personnel informed of stand-by conditions?
20. Is it necessary to re-arrange any cargo or ballast?
21. Is the pilot card prepared?
22. Has vessel’s ETA been sent with relevant information to all
parties?
23. Has manual steering been engaged in sufficient time for
helmsman to become accustomed before maneuvering
commences?
24. Is all Port documentation ready (immigration, customs forms,
health declaration, cargo documents)?
25. Are VHF channels for VTS, Pilots, Tugs and Terminal agreed?
26. Are Mooring winches, anchors and lines prepared and ready for
use?
27. Is A.I.S. programmed accordingly prior departure?
-------------------------------- ------------------------------- ---------------------------

Duty Officer Arrival Duty Officer Departure Master
Remarks:
1- Mark with X when satisfied with ballpen.
2- Upon completion please insert in DECK LOG BOOK that BRIDGE PREPARATION FOR ARRIVAL
OR DEPARTURE WAS CARRIED OUT IN ACCORDANCE TO BRIDGE CHECK LIST#3.
3- Be careful to follow above since failure will result to Non Conformity.
BRIDGE CHECKLIST-03
RESTRICTED VISIBILITY
No. Check
1. Has the Radar, ARPA or other plotting facilities been brought into operation?
2. Is vessel steering switched to manual?

3. Are VHF tested and in working order?
4. Is Signalling apparatus operational and kept in readiness and used as
required?
5. Is Echo Sounder in operation (if in soundings)?
6. Are watertight doors confirmed closed , as appropriate
7. Have lookout(s) been posted?
8. Have the Master and engine room been informed?
9. Are the 1972 International Regulations for Preventing Collisions at Sea being
complied with, particularly with regard to proceeding at a safe speed?
10. If the ship's position is in doubt, has the possibility of anchoring been
considered?
11. If the vessel is sailing close to iceberg areas are comparisons between air and
sea temperatures taken?
12. Is Bridge watch adjusted in accordance with ISM Manuals?
Remarks:
1- Mark with X when satisfied with special marker pen.

2- Upon completion please mention in the Bridge logbook that voyage continues in accordance with Restricted
Visibility Checklist No.4 . Upon lifting of fog, mention in logbook accordingly that “ Fog lifted voyage continues
as normal”
4- No other records are required.
BRIDGE CHECKLIST-04
ANCHORING & ANCHOR WATCH
No. Check
1. Has an anchoring plan been prepared taking into account speed reduction in
ample time?
2. Is wind and current direction and strength taken into account?

3. Is Tidal Stream taken into account during low speed manoeuvre?
4. Have you calculated adequate sea room particularly to seaward?
5. Is bowthruster confirmed operational (if applicable)
6. Is Echo Sounder in operation?
7. Is Master – Engine Room and Anchor Part advised in time?
8. Has the steering be changed over to hand?
9. Upon anchoring, has an anchor watch been established?
10. Is anchor secured on the brake only?
11. Is Officer of the Watch (Deck) advised of requirement for regular check of
position?
12. Is Officer of the Watch (Engine) advised of requirement for engine readiness
in case of weather deterioration?
13. Is position reported to Authorities (if so required)
14. Is position checked at frequent intervals?
15. Are securing plates been placed on hawse pipes?
Remarks:

2- Upon completion please mention in the Bridge logbook that Anchor Checklist No.5 taken into account prior
anchoring. During anchor watch mention that anchor watch is maintained according to Checklist No.5
BRIDGE CHECKLIST-05
NAVIGATING IN HEAVY WEATHER OR IN TROPICAL STORM AREAS
No. Check
1. Is Master advised of impending heavy weather?
2. Is Ch.Engineer advised to secure loose gear and equipment in engine room?

3. Is Crew advised to secure loose gear on decks, messrooms, cabins?
4. Have you checked personally that all moveable objects are secured on deck,
under deck, accommodation?
5. Has speed and course adjusted as necessary?
6. Has crew been warned to avoid upper deck areas which are dangerous due to
shipping seas?
7. Have Safety Lines been rigged where appropriate?
8. Has the cargo lashing been inspected and tightened if necessary?
9. Are all watertight doors secured in closed position and monitored?
10. Have all loose equipment (ropes etc) been secured within protected areas?
11. Have the anchor hawse pipes been sealed with quick drying cement?
12. Have instructions been given to monitor closely weather reports?
13. Have instructions been issued to transmit weather reports to the appropriate
authorities or, in the case of tropical storms, danger messages in accordance
with SOLAS 1974 Chapter V, Regulation 2(a)
Remarks:

2- Upon completion please mention in the Bridge logbook that voyage continues in accordance with Bridge
checklist No.6. When circumstances change, mention in logbook that voyage resumed under normal
conditions.
BRIDGE CHECKLIST-06
NAVIGATING IN ICE
No. Check
1. Is Master advised of impending Ice conditions?
2. Is Ch.Engineer advised of impending Ice conditions?

3. Has crew been advised of impending ice conditions?
4. Has speed adjusted as necessary? (Momentum varies at the square of ship’s
speed)
5. Have all necessary precautions taken to safeguard piping and ballast tanks
from ice freezing effects?
6. Have watertight doors been secured?
7. Are measures taken to monitor at frequent intervals the sea and air
temperatures?
8. Have instructions been issued to monitor ice advisory broadcasts?
9. Have instructions been issued to transmit danger messages in accordance
with SOLAS 1974 Chapter V, Regulation 2(a)?
10. Is salt applied for crew safety (if applicable)?
Remarks:

2- Upon completion please mention in the Bridge logbook that voyage continues in accordance with Bridge
checklist No.7 When circumstances change mention in logbook that voyage resumed as normal.
BRIDGE CHECKLIST-07
ARRIVAL – ENGINE STAND BY CHECKLIST
VESSEL:
PORT: DATE:

1. Notice Received from bridge Watch Keeper Officer
2. Clocks Synchronized
3. Standby Diesel Generator started and put it in parallel with
Generator (on ready worked)
4. D.O. and F.O. tanks checked for sufficient Levels.
Checked /Drained of water
5. Other Engine Room Stuff advised as necessary
6. Electrical Breakers at the “On” position for Deck Winch Equipm.
7. Fresh Water Generator Shut Down
8. Commence Reducing M/E R.P.M.
9. Ensure that the Discharge Overboard Valve of Sewage System is
securely closed
10. Oily water Separator Overboard valve Shut and Locked
appropriately
11. Oil Fired Auxiliary Boiler ready for immediate use
12. Two Steering Motors running Steering Manual in order
13. Steering Gear Operation verified
14. All Standby Pumps ready in Automatic Start mode
15. Air Receiver to main Engine Open Full pressure and valves
16. Starting Air Valve in Automatic Position
17. Main Engine Compressors Ready in Automatic Start mode
18. Alarm/ Monitoring System Function Test
19. 3rd Standby Diesel Generator ready to Start
20. Main Engine at Maneuvering R.P.M.
21. Test Main Engine Astern or CPP
Chief Engineer Master
Date: 01/09/2020 ENGINE CHECKLIST - 01

Issue to all Vessels File: E-3
DEPARTURE – ENGINE STAND BY CHECKLIST
VESSEL:
PORT: DATE:

1. All necessary supply pumps running
2. Correct Temperatures and Pressuers M/E and Aux./M
3. Standby pumps selected in Auto Start mode
4. Minimum of –2‐ Diesel Generators running parallel on Switchboard
5. Standby Generator in Auto Start Mode
6. Two Steering Motors running
7. Air Compressor in Auto Start / Stop mode
8. Diesel oil Service and Setting tanks Full
9. Fuel Oil Service tank Heated and ready for use
10. All Fuel Oil and Diesel Oil tanks checked for drained of water
11. Main Engine Indicator Cocks Open
12. Main Engine turned with Turning Gear (Check with Bridge “all
clear”)
13. Cylinder Lubricators hand operated whilst turning with Turning
Gear
14. Turning Gear removed and Locked
15. Air Receivers Drained of Water
16. All Alarms and Trips Reset
17. Main Engine Lub Oil Sump Tanks at Correct Level
18. Air Receiver to Main Engine Open
19. Main Engine Automatic Air Starting Valve Unblocked and in Auto
Position
20. Check with Bridge “All clear” to test Main Engine
21. Main Engine turned on Air, Ahead and Astern Test
22. Indicator Cocks closed
23. Main Engine started, Ahead Astern. Control Room and Bridge
Control (Master’s Permission and Port Regulations Permitting)
24. Stowaway Search carried out and Duty Deck Officer Advised
25. All Heavy components properly Secured
26. Are clocks synchronized?

EQUIPMENT TEST
(ONE HOUR PRIOR TO STAND – BY)
VESSEL:
PORT: DATE:
Check the operation condition of the following equipment ΟΚ
1. Telegraph control and response from the Bridge
2. Steering Gear – manual – Auto & Changeover to Emergency
3. Internal Communications
4. Bow Thruster –if any
5. Alarms/Indicators and Monitoring System
6. Bridge / Engine Room clocks Synchronised
7. Emergency Procedure in event of Power Failure/Preferential
Trip
8. Emergency generator in Auto Start Mode
9. Fire Monitoring Equipment
10. Diesel Generator Starting capability
11. Main Air Compressors
12. Main Sea Water Cooling Pumps
13. Main Lub‐Oil Pumps
14. Jacket Cooling Water Pumps
15. Fuel Oil Supply/Booster Pumps
16. Stern Tube Lub‐Oil Pumps


SAFETY CHECK LIST PRIOR TO DRYDOCKING
Vessel:
Shipyard: Date:
This checklist is to be considered and started prior vessel reaching dry dock and be completed after vessel sits on keel
blocks. The items in the checklist are to be used as a guide. Therefore any inspection or/and check prior and exactly
after vessel sits on keel blocks should not be limited to the items hereunder.
The following have been checked prior to vessel's dry‐docking :
Fixed CO2 fire extinguishing system to engine room and other spaces to be isolated from its Pilot
Control (CO2) cylinders and relevant label to be posted
Power shore connection contacts and breaker checked for readiness
Starting of emergency generator is at manual mode if shore power is to be engaged
Main engine turning gear engaged. Propeller shaft to be stopped and secured
Engine room and pump room bilges clean
Cathodic protection system stopped and is to be switched on one (1) month after refloating
All navigation electronic equipment switched off before black out for shore power connection (if
applicable ) or scheduled blackout for MSB cleaning
Vessel’s accommodation ladders properly secured
No open manholes left at deck and tanks, unless properly protected with rails
Vessel gas free, including cargo piping and cargo tanks
Docking ballast condition confirmed and approved by Dock Master
Docking ballast condition confirmed and approved by Dock Master
Arrange communication with dock Master and ship’s staff
Chief Engineer prepares drawing with DO and HFO tank. Positions and declares their contents. No
transfer is permitted while vessel is in Shipyard, unless Shipyard has been notified and agreed
Prior to entering the dock stress / stability calculations have been carried out and submitted to the
Office for reviewing
WBT bottom plugs to be safely stored after removal under supervision of Ch.Officer
Secure all electrical switches with tape to avoid turning on machines ( motors ) that personel is working
Undocking ballast quantities to be supervised by C/O and Docking master
Date: 01/09/2020 ENGINE CHECKLIST ‐ 04
Frequency: in Dry Docking
Issue to all Vessels FILE: E‐3
DRY DOCK INSPECTION & CERTIFICATION
REPORT
Vessel:
IMO No.: Date:
Item Date (d/m/y) Name & Singature

The chain locker has been cleaned from accumulated sediments and any
potential accompanying pollutants and living organisms as well as painted (up
to the man‐height) as part of scheduled drydock maintenance.
The vessel hull, propeller, rudder, sea chest, and other surface and niche areas
of the vessel have been inspected for attached living organisms and those
organisms have been removed or neutralized.
Antifouling hull coatings have been re‐applied and are in compliance with the
IMO AF Convention requirements. Paint manufacturers also confirmed the
antifouling coatings are consistent with FIFRA requirements and does not
contain biocides or toxics that are banned for use in the United States.
The components of the ICCP system, reference cells, anodes, and dielectric
shields are inspected and maintained as appropriate
The sacrificial anodes are inspected, cleaned and replaced, as necessary, with
the aim of reducing excessive flaking or releases from the oxidizing
anodes.*Due to toxicity only aluminum sacrificial anodes should be used on
vessel’s hull, sea chest, rudder, and other exposed areas of the vessel. If zinc is
selected, please state why aluminum was not selected.
The OWS was thoroughly inspected and maintained as necessary by a
manufacturer representative.
Bow thruster seals verified to be in good condition. If applicable state the date
B th t l ifi d t b i d diti If li bl t t th d t
that bow thruster was replaced by Environmental Acceptable Lubricants.
Rudder bearings found in good condition with clearances within limits.
Rudder lubrication was found to be in good operation, without excess grease.
The above items have been checked and verified in accordance with the requirements stipulated in the United States National Pollution
Discharge Elimination System (NPDES) – Vessel General Permit 2013, Paragraph 4.1.4.
Rank Name
Master
Chief Officer
Chief Engineer
Frequency: in Dry Dock
Issue to all Vessels File: E‐3
IIssue/Revision: 2/0
/R i i 2/0 P
Page: 1 of 1
1 f1
POST DRY DOCK / NEW DELIVERY
Vessel:
Date:
GENERAL NOTE
The purpose of the form is to ensure vessel’s functionality and operational readiness in all respects after docking,
major repairs or new deliveries. Below listed items are to be verified by competent/authorized personnel, hence
minimizing the risk of breakdown after sailing from repair port and / or delivery place.
The procedure for properly completing the form should be as follows:
‐ Copies should be handed over to Master/Chief Engineer/ attending Superintendent
‐ Comments are to be discussed with the attending Superintendent, thus appropriate actions will be taken
‐ In column “NOTES” specify authorized personnel that may have witnessed or verified testing of equipment, such as
Service Engineer and Class Surveyor
‐ The form to be signed by Master/Chief Engineer/ attending Superintendent.
1. Propulsion, Shafting & Steering Systems
Check Notes
M/E assembled as per maker’s standards after overhauling and tested
Fuel oil system (incl. heaters) is operating to nominal pressures and is leak free
Starting air bottles are full and properly drained
Control air is leak free
Aux. Blowers are running properly
LO pumps are running properly
M/E is pre‐heated and cooling system operates normally
Steering Gear tested in remote and local (emergency) operation
Shafting is thoroughly inspected:
‐ Stern Tube Sealing test performed during DD
‐ The system is monitored after vessel’s floating and no leaks observed
‐ Tank levels are normal
Dock Trials and/or Sea Trials to be performed, allowing time to observe M/E’s
performance, leak free condition and normal indications.
Check from the name plate full particulars of the engine, turbochargers and
governor.
Collect date for running hours of the engine since last overhauling, top
overhauling, turbo overhauling, bearings overhauling, fuel injection valves, fuel
pumps, exhaust valves e.t.c. Pls collect all the data in order to fill up the relevant
company form. In the case that any item is approaching for overhauling pls raise
relevant spares requisition.
Full performance (if able) to be taken
Check M/E consumption of system oil and cylinder oil per day
Major alarms to be checked such as: oil mist detector, jacket, L.O. e.t.c.
M/E fuel consumption
Issue to all Vessels File: E 3
File: E‐3
Vessel:
Date:
2. Power Generation
Check Notes
All Generator Engines are operating normally, tested under load
Alarms & trips incl. Reverse Power/Low LO/Overspeed tested and working
properly
Fuel oil system (incl. heaters) is operating to nominal pressure and is leak free
Alternators are tested in parallel operation.
Main Switchboard instrumentation is working properly
Em’cy Switchboard instrumentation is working properly
Em’cy D/G Auto Start tested & running properly
Em’cy Batteries are in good condition
D/G F.O consumption
Collect data for running hours of each engine since last overhaul, top overhaul,
turbo overhaul, bearings renewals, connecting rods and bolts, e.t.c. In case any
item is approaching pls raise relevant spare requisition. Also, check whether
spare governor is available on‐board, in case not pls raise relevant requisition.
3. Boilers
Check Notes
Steam System pressurized up to nominal working pressure and no leaks
observed / working automode
Feed system found leak free
Water level indication is operating (Remote & Local)
Fuel system is leak free
All alarms/trips are tested with good results
Burner is operating normally
Safety valves opening pressure adjusted and tested
FD Fans continuously tested and verified normal operation
Boiler Consumption
4. Aux. Machineries
Check Notes
Several aux machineries to be checked performance and operating condition,
and case by case for alarms:
Main sea water, fire, jacket, boiler feed, booster e.t.c. pumps
Air compressors
Bilge separator (take copy of the type approval certificate).
Air dryer
Air condition
Provision reefer compressors and units
E.C.R air condition
Remote control valves
Heeling system
ICCP system
Evaporator
Purifiers
Bow thruster
File: E‐3
Vessel:
Date:
5. Cargo Handling Equipment
Check Notes
Cell guides are in good order
Hach cover are in good order
Cargo monitoring system is working properly
6. Ballasting
Check Notes
Ballast pumps tested. No leaks observed
Ballast Valves are sealing properly
Ballast Valves opening/closing time is in compliance with maker’s standards
All WBTs have been visually inspected for any waste or metal parts that may
cause breakdown on Ballast System
Draft gauging system is working properly. Valves (fwd,aft.port,sbrd) properly
assembled overhauled and water tightness was verified
WBT level transmitters tested and found fully operational.
7. Mooring and Lifting Equipment
Check Notes
Mooring Winches/Windlasses are operational, properly greased and tested
Bitter ends are properly connected and sealed
Manholes properly tightened in fwd spaces
Bilge alarms Tested
Cargo Gear & Lifting appliances are working properly
Cargo Gear & Lifting appliances limit switches are working properly
Brake Holding Capacity setting verified/corrected and marked
File: E‐3
Vessel:
Date:
8. Life Saving Appliances / Fire Fighting Equipment
Check Notes
Lifeboats/Rescue boat and all LSA are in order
Release & Retrieval System of L/B has been thoroughly inspected
Lifeboats air supply system tested and found fully operational. Air bottles
verified to be properly charged
Boarding equipment for Lifeboat/Liferaft/Pilot inspected and found in good
condition
Emergency Fire Pump tested and operates at nominal pressure
FFE (incl. fixed & portable) are valid and in order. Certificates checked.
Fire Detection System is in normal operation – All Zones activated
Fire extinguishers are in correct position according to Fire Plan
Fire Boxes/Hoses/Hydrants/Monitors are in good order
Fire Doors/Dampers/Flaps are in good order
9. Navigational Equipment
Check Notes
GMDSS/RADARS/VDR/SSAS/LRIT/AIS/BNWAS/ EPIRB/SART activated and
working properly
Gyro Compass turned on 24hrs before departure for stabilization
Gyro Repeaters are compared and responding correctly
Navigational & Signal lights are working properly
Echo sounder bottom sensors and speed log inspected and tested prior and after
undocking and found fully operational
undocking and found fully operational.
10. Miscellaneous
Check Notes
Trading Certificated are valid, verified and in order
Oil Record Book is updated and relevant delivery receipts are available
Garbage record book is updated and relevant delivery receipts are available
Insulation matting is installed back on all designated areas
OWS tested successfully
E/R & P/R fans tested and working normally
Gas Detection System is operational
VGP Check Lists for D/D are properly completed and filed
Document management system server installed and working properly
PCs, Ethernet serviced and protection systems updated (antivirus updated)
Portable Atmosphere monitoring equipment serviced and certified
Portable tank gauging equipment
Resting / work hours are in compliance with STCW and MLC requirements
Fill up and send to our office company’s form with inventory of the major spare
parts
Prepare list with the available measuring instruments (Liner micrometer,
deflection gauge, feeler gauge, dial gauge etc.)
Portable fire extinguishers, also hydraulic test of the bottles
Compass deviation card
BA units, including hydraulic test of the bottles
EEBD
Life boat / davits: Dynamic load test (5‐years) and the last annual.
Vessel:
Date:
11. CLASS CERTIFICATES
Check Notes
Cargo Ship Safety Construction Certificate
Record for the Equipment for the Cargo Ship Safety Construction Certificate
(Form E)
Cargo Ship Safety Equipment Certificate
Cargo Ship Safety Radio Certificate
Record of Equipment of Radio Facilities Supplement to Cargo Ship Safety Radio
Certificate (Form R)
Cargo Ship Safety Certificate
Minimum Safe Manning Document
International Sewage Pollution Prevention Certificate
Result of calculation of moderate rate of discharge in accordance with
MEPC.157(55)
International Air Pollution Prevention Certificate
Supplement to International Air Pollution Prevention Certificate, Record of
Construction and Equipment
Engine International Air Pollution Prevention Certificate
(including NOx Technical File for Verification for Control of Nox Emission and
Record Book of Engine Parameters if applicable)
International Energy Efficiency Certificate
(1st intermediate or renewal IAPP survey after 2013‐01‐01)
Supplement to International Energy Efficiency Certificate, Record of
Construction Relating to Energy Efficiency
C i R l i E Effi i
International Load Line Certificate
International Tonnage Certificate
Suez Canal Special Tonnage Certificate
Panama Canal Special Tonnage Certificate
International Anti‐Fouling System Certificate
Supplement to International Anti‐Fouling System Certificate, Record of
Antifouling Systems
International Anti‐Fouling System Declaration
Record of Approved Cargo Ship Crew Accommodation for ILO 133
Ship Sanitation Control Exemption Certificate / Ship Sanitation Control
Certificate of Registry
Class Certificate
Calibration Certificate for the 15ppm Bilge Alarm (every 5 years)
Certificate of Elevator
Ship’s Medicine Chest Certificate
Ice Certificate and extension
Portable Gas Meters and other Instruments Calibration Certificates
Immersion Suits Certificates
Minor Certificates (Yard)
Certificate of Cargo Gear Examination (Initial, Annual, Retesting)
Pressure & Temperature Calibrators Certificates
Coating Technical File
I
t ll V l Fil E 3
File: E‐3
Vessel:
Date:
EU MRV Document of Compliance
IMO DCS {SEEMP2} Confirmation of Compliance
Emergency Towing Procedures
As‐built construction drawings
Ship Construction File
Intact Stability Booklet
Damage Control Plan
Damage Control Booklet
Maneuvering Information
Instructions for on‐board maintenance of life‐saving appliances
Radio Record
Voyage Data Recorder System – Certificate of Compliance
AIS Report
Deviation Curve of Magnetic Compass
Nautical Publications
Shipboard Oil Pollution Emergency Plan
Garbage Management Plan
Bunker Delivery Notes and Representative Samples
Energy Efficiency Design Index (EEDI) Technical File
Cargo Gear Booklet
D
Damage Stability Booklet
S bili B kl
Note: For the first 24hrs of sea passage, the engine room will be operated in manned condition, even if the vessel is UMS certified.
Master / Date Chief Eng./Date Superintendent / Date
CHANGE‐OVER TO UNMANNED MACHINERY
SPACE (U.M.S.) CONDITION
Voyage No:
Prior changing over to “U.M.S.” condition, the Duty Engineer must ensure and satisfy himself that all
necessary steps followed and at least the following checks have been carried out:
(A) LOWER FLOOR Yes/No 3 Is the bilge of emergency fire pump room empty?

1 Is oil level in FWD and AFT seal correct? 4 Is steering gear system set to “auto/stand‐by”
Is level in S/T L.O. drain tank correct /
2 (E) OTHER EQUIPMENT Yes/No
temperature?
Is service air compressors crankcase
3 Is oil level at intermediate shaft bearing correct? 1
oil level correct?
4 Is M/E L.O. sump tank oil level correct? 2 Is L.O. level in main air compressors correct?
5 Is F.O. sludge tank level low? 3 Is main air reservoir(s) air pressure correct?
6 Is M/E L.O. sludge tank level low? 4 Is control air reservoir working condition correct?
Is any pipe, pump or valve leaking below
7 5 Is air dryer unit in good order?
platforms?
8 Is temp of stern tube bearing correct? 6 Is cylinder oil service tank level high?
Is pitch control indicator / oil distributor in good Is feed water cascade and observation tank free of
9 7
order? oil?
(B) M/E FUEL OIL PLATFORM Yes/No 8 Is exhaust gas boiler working properly?

1 Is load indicator position correct? 9 Is boiler water circulating pump in order?
2 Is oil mist detector in operation?
(F) ENGINE CONTROL ROOM Yes/No
3 Blow off M/E air scav chamber? 1 Alarm panel:
a) Function test of all indicator lamps & alarm
(C) PURIFIER ROOM AND AUX ENGINES Yes/No siren
Is differential pressure at M/E F.O. auto filter b) Are all alarm‐measuring points correct?
1
correct?
I t t t l l f M/E j k t
Is auto‐temp control valve for M/E jacket cool l )A t A lt T/C RPM t l
c) Are press, temp, Amp, volt, T/C RPM at normal
2
system in order? range?
3 Is L.O. level in F.O. purifier’s gear case correct? d) Is aux boilers water level correct?
Is differential pressure at G/E F.O. auto filter e) Is scavenging duct fire detector in good order?
4
correct?
Is H.F.O. service & settling tank for M/E level / f) Is monitoring selector switch positioned at W/H
5
temp correct? position?
Is H.F.O. service & settling tank for A/E level / g) Is M/E maneuvering control positioned to
6
temp correct? Wheelhouse?
Is M/E turbocharger(s) oil level and Check all monitor displays on CRT to be in normal
7 2
temperature correct? condition.
Is M/E turbocharger(s) oil level in em’cy oil tank
8 3 Are all pressures and temps set in standard range?
correct?
Are aux engines crankcase oil and T/C oil bath in Check position of speed setting lever, telegraph
9 4
correct level? level & load indicator.
Are pressures & temperatures related to aux Is monitor display of run / stand‐by pumps /
10 5
engines in order? compressors correct?
Are thermostatic control v/vs for A/E cool F.W. Extension Alarm Panels: watch selector switch
11 6
and L.O. in order? placed at correct position
12 Is diesel oil service tank level high?
(G) REFRIGERATOR ROOM Yes/No
Are A/E H.F.O. fine filter pressures correct? Is compressor and system condition
13
satisfactory?
14 Are M/E L.O. auto filter pressures correct?
(H) ENGINE CASING Yes/No
H/T & L/T C.F.W. expansion tanks: is water level
(D) STEERING GEAR ROOM Yes/No high?
1 Is oil level in pump case normal?
(I) AIRCONDITION FAN ROOM Yes/No
2 Is oil level in pilot pump correct? Is fans’ general condition satisfactory?
Is system’s running condition normal?
Frequency: Daily
File: E‐3
CHANGE‐OVER TO UNMANNED MACHINERY
SPACE (U.M.S.) CONDITION
Voyage No:
Yes/No
1 Standing orders & Chief Engineer’s special instructions related to machinery operation have been adhered
2 Is E/R Fire Alarm working properly?
3 Is Local Fire Fighting System in auto mode?
4 Are aux diesel engines set to “AUTO” mode?
5 Emergency generator has been checked to be in “AUTO” position
6 Main & emergency fire pump has been checked to be in “REMOTE CONTROL” at wheelhouse
7 Condition and availability for IMMEDIATE use of fire fighting equipment has been checked
8 Emergency air bottles are full, all emergency and/or stand‐by machinery are set in “auto/stand‐by” mode
9 Oxygen / acetylene bottles supply devices are shut and the electric arc device is isolated
All loose accessories, tools, spares, cranes, doors, etc. are secured and there is not any possibility for accidental
10
shifting, due to adverse weather conditions
11 Extension Alarm Panels to accommodation spaces / bridge have been checked, are functioning and set properly
12 All engine entrance doors are closed properly
13 Is E/R bilge system working properly?
14 Is “Dead Man Alarm” working properly?
Note: in case of “No”, please state specific reasons:
The undersigned Duty Engineer of
confirms that all above‐mentioned items have been checked efficiently and properly prior changeover to U.M.S. condition.
Date / Time:
Deputy Engineer:
Chief Engineer:
Master:
Frequency: Daily
ELECTRICAL ISOLATION CERTIFICATE
Vessel:
Port: at Sea:
Consecutive No. :
Issue Date: Issued Time: Work Permit No.
‐ This form must be completed whenever work is to be carried out that requires the source of electricity to be shut off.
‐ The person engaged on the above work must hold this certificate until the job is completed when he will sign it, have it
cleared by his immediate Superior and return it to the Chief Engineer for filing.
Equipment Description:
Work To Be Done:
Work To Be Done By: Name/Rank:
Authorized By Name/Rank:
Electrical Supply Isolated / Tagged By Name/Rank:
Permit Received By Name/Rank:
Work Completed On Name/Rank:
Work Completed By Name/Rank:
Work Cleared By Name/Rank:
Supply Reconnection Authorized By Name/Rank:
Supply Reconnected By Name/Rank:
Equipment Normal Operation Verified On Name/Rank:
Electrician Chief Engineer Master
This form should be filed in Chief Engineer’s Office file No 24
h i db h
OWS OPERATION CHECKLIST
Vessel:
Date & Time Started: Date & Time Completed:
PRIOR TO OPERATING THE OWS
No Description Yes/No
1 Have the Master and the C/E conducted a meeting prior OWS operation?
2 Have the meeting been logged?
3 Has the duty officer of the bridge been informed?
4 Has the OWS been correctly lined up?
5 Have you verified the overboard re‐circulating valve has been blanked off?
Has it been verified that all requirements of MARPOL Annex I Regulations for the
6
Prevention of Pollution by Oil have been met?
7 Have all tanks, BHT, Oily Bilge, Sludge, waste oil been sounded?
DURING START‐UP OPERATION OF THE OWS
1 Is the C/E in attendance at OWS start up?
2 Is the OCM IN 100% working condition?
3 Was the sample line flushed by fresh water?
Is the 3 way valve positioned such that the flush water is fully isolated and the sample
4
fully open?
fully open?
5 Has the OWS been properly primed with sea water?
6 Are the system gauges working properly, OWS and Bilge Pump?
7 Is the Bridge keeping a watch astern?
AFTER COMPLETION OF THE OWS OPERATION
1 Has the OCM been flushed with fresh water?
2 Has the OWS been flushed through with Sea Water?
3 Are all valves closed?
4 Has the bridge been notified of the time of completion?
5 Has the overboard valve been locked and key returned to C/E?
6 Have all tanks, BHT, Oily Bilge, Sludge, Waste Oil been sounded?
7 Have ORB entries been made?
y p
Poster
CONBULK SHIPMANAGEMENT CORP. P-01
SMS POSTERS
MASTER’S STANDING ORDERS
1. The OOW in no account may leave the Navigating Bridge when the vessel is under way unless properly
relieved by the Master or another certified Deck Officer. Officers shall maintain a proper Watch when the
vessel is at anchor.
2. The Officer taking over the watch must be sober, fully alert and when the vessel is underway, he shall
thoroughly familiarize himself with the following prior to taking over the watch:
 The progress of the vessel during the previous watch.
 The present fix and the course and speed approved by the Master.
 The general weather conditions and forecasts
 Any navigational hazards in the vicinity or to be in the vicinity
 The position of other vessels and their intention
 Any radio emergency or warning signals which apply to the area and course of the vessel
 Any deck works in progress, which may affect the vessel’s safety.
3. A close check at frequent intervals throughout the watch is to be made between the Standard Magnetic
Compass and Gyro Compass Repeater. Any deviations between them, to be recorded as appropriate. The
Off Course Alarm (if fitted) is to be in use when the vessel is underway.
4. The OOW should not fail to take immediate action for changing course and speed, if in his judgment, it may
be necessary to avoid casualty to the vessel and / or its personnel. The Master is to be notified as soon as
possible of the circumstances and the action taken. The vessel is to return back to her original course and
speed when the watch officer is convinced in all aspects that it is safe to do so.
5. Steering shall be changed from AUTO to MANUAL:

 In fog or other conditions of reduced visibility;
 When navigating close to the shore, near shallow banks, or in shallow waters;
 In any emergency situation, and at other times specified by the Master or deemed necessary by the
Watch Officer.
6. The radar(s) must be switched on and remain in operation, prior to approaching areas of reduced visibility,
traffic congestion, coastal areas and in any other cases when deemed necessary by the OOW.
7. The presence of he Master on the Bridge, does not relieve the OOW from his duties, unless it is clearly
stated so by the Master, following the “Change Over The Watch” procedure (BCL-1).
8. The presence of a Pilot on the Bridge NEVER reduces the responsibilities of the OOW to continue
navigating.
9. The use of the bridge radiotelephones should be confined to safe navigation of the Vessel, port facilities,
company official business and emergencies
10. The Master must be notified immediately if the OOW is in doubt or in any emergency situations.
11. The Master may add (but not delete) items to these instructions, as he deems necessary per case.
12. These Standing Orders have been clearly understood and signed by all Deck Officers as follows:
01. P-01 Master's Standing Orders

Issue/Revision: 2/0 Posted in the Bridge Page 1 of 2
Poster
SMS POSTERS
13. Additional Master’s standing orders (continue in a separate page if necessary):
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Chief Officer: Name: Signature:
Second Officer: Name: Signature:
Third Officer: Name: Signature:
The Master: Name: Signature:
01. P-01 Master's Standing Orders

Issue/Revision: 2/0 Posted in the Bridge Page 2 of 2
Poster
SMS POSTERS
CHIEF ENGINEER’S STANDING ORDERS
1. The Officer of the watch represents the Chief Engineer and he is continuously responsible
for the safe and efficient operation and maintenance of the machinery, which is relevant to
the safe operation of the ship.
2. The presence of Chief Engineer in the Engine Room does not relieve the Officer of Watch
from his duty and responsibilities unless it is confirmed by the Chief Engineer and the event
is inserted and signed in the Log Book.
3. He inspects systematically the main engine and auxiliary machinery, as well as the engines
and steering gear spaces in order to monitor and report any misoperation and/or damage to
the equipment, the completion or supervision of routine adjustments, the necessary
maintenance and other works required.
4. He ensures that all bridge orders regarding change of speed or turning direction are
executed at once and he keeps the chief engineer informed.
5. He keeps the engine logbook updated with all events taken place during his watch and
which are relevant to the main engine and auxiliary machinery.
6. He must ensure that anyone from the lower staff of engine department who carries out any
works is able to assist in the manual operation of machinery in case of automation damage.
7. The Officer of the watch must immediately inform the bridge and Chief Engineer in case of:
 Fire
 Imminent work in the engine room which may affect the reduction of ship’s speed.
 Loss of steering capability.
 Holding out the propulsion system of ship.
 Change or reduction of the electric power.
 Any threat to the safe operation of machinery in order to give sufficient time for taking
any measures required for the avoidance of possible accident and/or hazardous
occurrence.
8. The officer of the watch ensures that all machinery equipment can be started on manually
as well as constant supply of steam or air is provided in case of possible maneuvers.
Furthermore he ensures that all auxiliary machinery can be operated immediately if
required.
9. The Officer of the watch must inform immediately and without delay the Chief Engineer in
case of:
 Mechanical malfunction/ damages which may endanger the safe operation of the ship.
 Malfunctions which may cause damage or stoppage of main engine, auxiliary machinery,
steering gear.
 Emergency situations or cases, if he in doubt of the measures/decisions he made.
 Despite the obligation to inform the Chief Engineer in all the above cases, the officer of
the watch must not hesitate to make immediate decisions for the safety of the ship, the
equipment and crew.
P-02 Ch. Engineer Standing Orders
Issue/Revision: 2/0 Posted in the Engine Control Room Page 1 of 2
Poster
SMS POSTERS
10. The Officer of the watch must not change watch with the taking over Officer and he must
inform the Chief Engineer when he has reasons to believe that the taking over Officer is not
in position to carry out his duties as required.
11. The Chief Engineer has the authority to add items to these Standing Orders, for a limited
period if he deems it necessary.
12. The 2/E should close the valve of sewage installation into the sea, switching valve to the
holding tank before entering the port. Closing overboard valve and secured/locked and only
open at sea after departure, ensuring required distance of the vessel as stated in MARPOL
Annex IV 73/78, Regulations.
13. Additional Chief Engineer’s Standing orders:

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
________________________________________________________________________
Chief Engineer Name: _______________________ Signature: ___________________

nd
2 Engineer Name: _______________________ Signature: ___________________
rd
3 Engineer Name: _______________________ Signature: ___________________
4th Engineer Name: _______________________ Signature: ___________________
P-02 Ch. Engineer Standing Orders

Issue/Revision: 2/0 Posted in the Engine Control Room Page 2 of 2
Poster
SMS POSTERS
HARASSMENT AND BULLYING
HARASSMENT AND BULLYING
What is harassment?
Harassment is a form of discrimination which has the purpose or effect of violating the dignity of a
person and of creating an intimidating, hostile, degrading, humiliating or offensive environment.
What is bullying?
Bullying is a form of harassment that includes hostile or vindictive behavior, which can cause the
recipient to feel threatened or intimidated. It results in a work environment in which a group of
people or an individual may become threatened or intimidated because of the negative or hostile
behavior of another group of people or individual.
Bullying may involve a misuse of power or position and is often persistent and unpredictable. It
may be vindictive, cruel or malicious. However, it can also arise when a person is unaware of the
effect that their behavior is having on other persons, or does not have any intention to bully.
Obligations and responsibilities of seafarers

No seafarers should be harassed or bullied on board ships.
All seafarers have a responsibility for ensuring that their ship is free of harassment and bullying.
Harassment includes any act which creates feelings of unease, humiliation, embarrassment,
intimidation, or discomfort to the person on the receiving end.
Bullying may include any negative or hostile behavior that makes a recipient feel intimidated.
You may be unaware of the effect of your own actions on other seafarers and may need to
modify your approach.
Possible examples include:

• Do you consider that your way of doing a job is always right?
• Do you raise your voice at others?
• Are you sarcastic or patronizing to others?
• Do you criticize individuals in front of others?
• Do you criticize minor non-safety critical errors and fail to give credit for good work?
• Do you shun any others or spread rumors or malicious gossip?
If you are concerned those aspects of your behavior could be considered harassment or
bullying, our company can help you to eradicate these aspects. However, you should
approach your Master and seek assistance – don’t wait until a complaint is made against
you!
P-06
Issue/Revision: 2/0 Posted in Mess Room Page 1 of 1
CONBULK SHIPMANAGEMENT CORP. SMS Poster P-07
Handover The Watch
When changing over the watch, relieving officers should personally satisfy themselves regarding the following:
1. Ship’s Position – Speed – Course

The most important factor or the first thing to be checked after coming upon the bridge is the position and speed of the ship.
Once you are satisfied with the position of the ship on the chart, it is a good practice to browse through the chart and the course
to be followed till the end of your watch. Check for waypoints of course alterations, any reporting points, traffic separation
schemes, shallow patches, or any dangers to navigation along the intended track marked on the chart. Check also prevailing
and predicted tides, weather and visibility and the effect of these factors upon course and speed. Manually plot positions at
regular intervals and these are recorded in the ECDIS Log. Make yourself aware of the Engine RPM, Speed, Log speed, Course
made good, Course steered. Any doubt or uncertainties are to be checked with the OOW.
2. Traffic Density
When you are satisfied with the position and course of the ship, without wasting time look outside the bridge to get a clear view
of the horizon and check the number of vessels around. It is advised to take a walk all the way to both the bridge wings to get a
view of the stern of the ship, as it is likely to be omitted. Once you have visually ascertained the situation outside, glance at the
Radar screen for the targets around and for more information provided by the Automatic Radar Plotting Aids (ARPA). It is
recommended to switch to higher range scales for early detection of the aspect of vessels coming down (if any).
If your ship is already in a situation such as overtaking, close-quarter, or a crossing situation, DO NOT take over the watch until
the situation is over and the vessel is past and quite clear.
3. Weather Conditions and Night Vision

The next important factor to check is the weather condition. Make sure you are aware of a) Wind speed and direction and b) the
set and drift of current, as these play an important role in the charting a good course. With the available information, try to
foresee if restricted visibility or precipitation is expected during your watch.
During hours of darkness/restricted visibility, it is of utmost importance to be fully adjusted to the low lights, as it helps in the
purpose of an effective look-out. Keep in mind that, it takes around 15 minutes for the eyes of an average person to get adjusted
to low lights from artificial lights. Also ensure that complete darkness is maintained on the bridge during night watches.
4. Bridge Equipment
Ensure all bridge equipment is ready and intact. Any troubleshooting or exception is to be clarified with the OOW to be relived.
If needed, adjust and configure the required bridge equipment to your settings. It is found that different officers like to use the
Radar with different orientation, CPA limits, alarm settings and displays which they are comfortable with.
Check the degrees of rate of turn set on the Auto-Pilot and make adjustments if necessary. Check operation of communication
equipment and radio communications to be tuned / monitoring in the proper frequencies / Channels. During hours of darkness,
all bridge equipment and other displays should be dimmed to absolute minimum. Switch the display of equipment to night mode.
This will help in effective look-out and prevent back scatter of lights.
5. Navigational situation
Be informed / evaluate navigational situation including but not limited to:
a. The operational condition of all navigational & safety equipment being used or likely to be used during the watch.
b. The errors of the Gyro and Magnetic compasses.
c. The presence and movements of ships in sight or known be in the vicinity.
d. The conditions and hazards likely to be encountered during the watch.
e. The possible effects of heel, trim, water density and squat on under-keel clearance
With regard to the ECDIS following to be verified:

a. Errors that may have been identified were reported.
b. Ensure that correct Display setting is shown.
c. The correct route loaded in Route Monitoring and Route Editor.
d. Safety Depth and Safety Contour settings configured correctly.
e. The Anti-Grounding Cone set.
f. The chart in use is the most recently corrected and in the best scale.
g. Vessel’s position fixed
h. All GPS connected checked in a routine manner as per FIM Section C.
P-07
Issue/Revision:2/0 Posted in the Bridge Page 1 of 2
CONBULK SHIPMANAGEMENT CORP. SMS Poster P-07
Handover The Watch
6. Logbooks – Checklists – Daily orders

Make it a habit to check the latest entry of the logbook while taking over the watch. All the necessary information found there
should be noticed. Any misgiving entries should be clarified with the OOW in no time. Do not forget to note the gyro-error as
well.
It is also important to check and sign the ‘change of watch’ checklist. The same should be complied as well.
It is a common practice onboard to issue Master’s daily orders in addition to the existing Standing orders of the Master. Such
daily orders will contain special guidelines and information about navigating the present leg of the voyage, and hence should be
read with good care and the same should be signed and complied.
If prior to arrival or pilot boarding, confirm while taking over the watch, weather you are supposed to prepare the required
checklists or pilot cards or give notices to engine room or deck crew.
7. Readiness of the Look-out/ Helmsman

It is a requirement to have an Able seaman for look-out duties as a part of the bridge team. He is also required to steer the ship
in certain situations of emergencies, landfall, approaches to port or constrained waters.
In open seas or day light hours, the OOW could be the sole look-out of the watch. In such cases, ensure that the look-out/
helmsman is readily available on the walkie-talkie in case to call on any emergency situation. It is a good practice to radio-check
his availability while taking over the watch.
8. Miscellaneous Activities on Deck or Engine room

If there are any out-of-ordinary jobs in progress or ready to commence on deck or engine room, such information has to be
passed on to the OOW. It is also his responsibility to demand such information. The miscellaneous activities can be, but not
limited to the following:
a. Tank entry/ Inspection / Cleaning
b. Cargo Hold Entry
c. Bilge well entry/ routine alarm checks
d. Fire watch/ Hot works / Welding on deck
e. Working aloft
f. Working on monkey island
g. Working on masts
h. Drills
i. Ship security status
9. Procedures for main deck under bridge control

Ensure that procedures for the use of main engines to maneuver when the main engines are on bridge control and the status of
the watch-keeping arrangements in the engine room are followed up.
10. Inform the Master if Required

The relieving officer has the authority to demand on any information regarding the navigation of the vessel and to elucidate on
any uncertainty. If such uncertainties exists or there is lack of confidence about the situation from where you take over the
watch, or that you are not satisfied with the hand-over, DO NOT take over the watch. You have the privilege to call the Master
and wait until he is upon the bridge.
Even though the factors discussed above sounds like a long, time consuming process, it can be efficiently checked and done in
10-15 minutes of time. It is always a good habit to reach the bridge 10-15 minutes before your watch. Such acts not only reflect
your officer-like-quality but also help the other OOW to get relieved on time.
The above points are some of the many important ones, which are helpful for a smooth and efficient takeover of a navigational
bridge watch.
Remarks:
a. All the above mentioned procedures to be carefully verified by the relieving officer before any changeover taking place and
posted on bridge.
b. Upon verification and in every change of watch, Deck Log book to be entered as follows:
“Change over the watch was carried out in accordance with FIM Section C paragraph 2.1.8 and SMS Poster P-07”.
P-07
Issue/Revision:2/0 Posted in the Bridge Page 2 of 2

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CONBULK SHIPMANAGEMENT

CONTROLLED COPY No.: ( 13 )

DOCUMENT CONTROL INFORMATION

Controlled Documentation List

M/V GH MELTEMI (Manual control No.13)

CHAPTER TITLE OF DOCUMENT ISSUE DATE ISSUE REV. DATE REVISION

Cover Page 31/12/2018 2 06/05/2019 1

Controlled Documentation List 31/12/2018 2 01/09/2020 4

Record of Amendments & Revisions 31/12/2018 2 01/09/2020 4

App. A Vessels Filing System 31/12/2018 2 01/09/2020 3

App. B Matrix of Forms, Checklists and Posters 31/12/2018 2 01/09/2020 4

App. C Forms, Checklists and Posters As per vessel specific

Effective Date: 01/09/2020 Issue/Revision: 2/4 Page 1 of 1

FORM REV. EFFECTIVE

FORMS MANUAL RE-ISSUED TO NUMBER 2, REVISION 0

COVER PAGE REVISED TO OMIT INCLUDE DPA’S NAME 1

S-04 REVISED TO INCLUDE NEAR MISSES REPORTING 1

S-05 REVISED TO INCLUDE NEAR MISSES REPORTING 1

S-08 REVISED TO INCLUDE REQUIRED MISSING INFORMATION 1

OPS-15 REVISED TO MODIFY FORMAT 1

D-02 REVISED TO MODIFY WORDING 1

D-06 REPORTING FREQUENCY AMENDED FROM MONTHLY TO WEEKLY 1

NEW FORM ADDED “MONTHLY SAFETY INSPECTION RECORDS” TO SATISFY

D-12 RESTRUCTURED TO SATISFY SAFETY WEEKLY SOLAS REQUIREMENTS 1

T-02 REVISED TO MODIFY WORDING 1

T-15 REPORTING FREQUENCY AMENDED FROM MONTHLY TO 3 MONTHS 1

T-27 REVISED TO SATISFY ISM CHAPTER 10 REQUIREMENTS 1

Effective Date: 01/09/2020 Issue/Revision: 2/4 Page 1 of 7

FORM REV. EFFECTIVE

S-01 REVISED TO MODIFY FORMAT 1

S-02 REVISED TO MODIFY FORMAT 1

S-03 REVISED TO MODIFY FORMAT 1

S-04 REVISED TO MODIFY FORMAT 2

S-05 REVISED TO MODIFY FORMAT 2

S-06 REVISED TO MODIFY FORMAT 1

S-07 REVISED TO MODIFY FORMAT 1

S-08 REVISED TO MODIFY FORMAT 2

S-10 REVISED TO MODIFY FORMAT 1

S-11 REVISED TO MODIFY FORMAT 1

S-12 REVISED TO MODIFY FORMAT 1

S-13 REVISED TO MODIFY FORMAT 1

S-14 REVISED TO MODIFY FORMAT 1

CREW-06 REVISED TO MODIFY FORMAT 1

SUP-01 REVISED TO MODIFY FORMAT 1

SUP-02 REVISED TO MODIFY FORMAT 1

SUP-03 REVISED TO MODIFY FORMAT 1

SUP-04 REVISED TO MODIFY FORMAT 1

SUP-05 REVISED TO MODIFY FORMAT 1

SUP-06 REVISED TO MODIFY FORMAT 1

SUP-07 REVISED TO MODIFY FORMAT 1

Effective Date: 01/09/2020 Issue/Revision: 2/4 Page 2 of 7

FORM REV. EFFECTIVE

SUP-08 REVISED TO MODIFY FORMAT 1

SUP-09 NEW FORM ADDED “LUBRICANTS REQUISITION FORM” 0

ECL-3 REVISED TO MODIFY FORMAT 1

ECL-20 REVISED TO MODIFY FORMAT 1

S-01 SAFETY FORM “DRILLS REPORT” REVISED TO MODIFY FORMAT 2

SAFETY FORM “MASTER’S REVIEW ON SMS” REVISED TO CHANGE

S-12 SAFETY FORM “BATTERIES INSPECTION REPORT” REVOKED -

S-16 NEW SAFETY FORM “WORKING OVERSIDE OR ALOFT” ADDED 0

OPS-12 OPERATIONAL FORM “BUNKERING PRELOADING PLAN” REVOKED -

5. OPS-13 OPERATIONAL FORM “BUNKERING TEAM” REVOKED - 01/09/20

OPS-14 OPERATIONAL FORM “PRE BUNKER TRAINING” REVOKED -