PT Lestari Banten Energi

Banten Power Plant

Ship and Port Safety & Security Checklist

Responsible: person Issue Date : Revision No. : File No. PAGE

SM/Safety 13/08/2018 0 R05PSM010 1 of 2

Name of Ship : Name of Port:

Date and Time of Arrival:

Part A: Ship
Items to Check Yes No N/A Remark
1. There is safe access bridge between the ship and terminal. de

2. The ship is securely moored.

3. Communication system between ship and terminal is System …………………..
operative. Backup system ………….
4. Emergency towing-off pennants are correctly rigged and
positioned.
5. The ship’s fire hoses and firefighting equipment is positioned
and ready for immediate use.
6. There are sufficient personnel on board to deal with an
emergency.
7. Emergency route and muster point are available in the ship
and understood by the crew.
8. Ring buoys are available and ready for use in the ship.
9. Spill containment and spill kit in the ship are available and
correctly managed.
10. The illumination is adequate for activity at night in the ship.

11. Access ladder inside cargo hold is safe for use.

12. Ship crew get off the ship to the terminal wear proper PPE.

13. The ship’s cargo are stable and safe for an inspection/taking
sample.
14. All cargo holds lids can open and close safely.

15. The coal inside cargo is free from any fire spot.

16. The ship’s engine is fit and ready for use, free from any repair-
work.
17. SSO is ready on board

18. The security level of ship is level 1

 PT Lestari Banten Energi
Banten Power Plant
Ship and Port Safety & Security Checklist

Responsible: person Issue Date : Revision No. : File No. PAGE

SM/Safety 13/08/2018 0 R05PSM010 2 of 2

Part B: Terminal
Items to Check Yes No N/A Remark
1. There is safe access bridge between terminal and the ship.

2. Mooring boulders and fenders are in good condition

3. Communication system between terminal and ship is System ………………………………

operative. Backup system ………………….
4. Emergency stop of coal conveyor is ready

5. Hydrant and firefighting equipment in terminal are positioned

and ready for immediate use.
6. There are sufficient personnel on shore to deal with an
emergency
7. Emergency route and muster point are available in terminal
and understood by the crew
8. Ring buoys are available and ready for use in the terminal

9. Spill containment and spill kits in terminal are available and

correctly managed
10. The illumination is adequate for activity at night in terminal

11. Ship unloader is ready and safe for operation

12. Wheel loaders are ready and safe for operation

13. Rescue boat in terminal is ready for immediate use

14. Security guards are ready at the post …………………………….. persons

15. The maximum wind and swell criteria for operations has been Stop cargo at: ..................
agreed. Disconnect at:..................
Unberth at:……………….
16. PFSO is ready on shore

17. The security level in terminal is level 1

Declaration
We, the undersigned, have checked the above items in Parts A and B, in accordance with the
instructions and have satisfied ourselves that the entries we have made are correct to the best of our
knowledge.
For Ship - SSO For Terminal - PFSO
Name : Name :
Designation : Designation :
Date & Time : Date & Time :
Signature : Signature :