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INSPECTION CLOSED-OUT FORM

Ships Name GAS SUASA


(Nama Kapal)
Ship Owner/Operator SUASA BENUA SUKSES
(Pemilik/Pengelola Kapal)
Date | Port of Inspection 20 September 2021 SEMARANG
(Tanggal | Pelabuhan Inspeksi)

VIQ / SSSCL Ref. Observation


(Temuan)
According to LSA Code Chapter 2.1.1.7, the Lifebuoy intended to operate the quick release
arrangement (MOB lifebuoys) should have a mass not less than 4 kgs. However the MOB
5.31 lifebuoys onboard was found have a mass of 2.5 kgs.

Menurut LSA Code bab 2.1.1.7, Lifebuoy diperuntukkan untuk dioperasikan Quick Release
Arrangement (MOB Lifebuoys) harus memiliki berat tidak kurang dari 4 kgs. Akan tetapi MOB
Lifebuoy diatas kapal ditemukan memiliki berat 2.5 kgs.

Root Cause Lifebuoy 4 kgs interchanged to other place during maintenance & painting.
(Akar Masalah)

Lifebuoy 4 kgs tertukar ke lain tempat saat perawatan & pengecatan.


Corrective Action Checked and weighing all lifebuoy, founded lifebuoy weight 4 kgs interchanged to
(Tindakan Perbaikan) other place. Lifebuoy weight 4 kgs marking and placed on the Quick Release
Arrangement (MOB) port & starboard side.

Mengecek dan menimbang semua lifebuoy, ditemukan lifebuoy degan berat 4 kgs
tertukar ke lain tempat. Lifebuoy dengan berat 4 kgs diberikan tanda dan ditempatkan
di Quick Release Arrangement (MOB) sisi kiri dan kanan.
Preventive Action Marking Lifebuoy with weight 4 kgs and inspect regularly.
(Tindakan Pencegahan)

Memberikan tanda Lifebuoy dengan berat 4 kgs dan melakukan pemeriksaan rutin.
Close-Out evidence might be; documents, procedures, photos, certificate, service report, delivery order, etc.)
(Bukti tindak lanjut dapat berupa; dokumen, prosedur, poto, sertifikat, laporan kerja, bukti pengiriman, dll.)

Portside MOB Lifebuoy (4.0 kgs)

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INSPECTION CLOSED-OUT FORM
Ships Name GAS SUASA
(Nama Kapal)
Ship Owner/Operator SUASA BENUA SUKSES
(Pemilik/Pengelola Kapal)
Date | Port of Inspection 20 September 2021 SEMARANG
(Tanggal | Pelabuhan Inspeksi)

Starboard MOB Lifebuoy (4.0 kgs)

CLOSED
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