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Time of Inspection 0900 - 0930 HRS

Date of Inspection 27.10.2019
Name of Vessel JAVA INSIGNIA
Project/ Client BINTULU ANCHORAGE

Inspection Team Job Designation Inspection Team Job Designation

SUCI TRILESTARI CHIEF OFFICER FEBRIANSYAH COOK 1
ERIS HENDARIS CHIEF ENGINEER ALI MAKHMUDI STEWARD 2
KAWAN PRIYATMOJO BOSUN THAMRIN PARULIAN LIMBONG COOK 2
FARUK STEWARD 1

Satisfactory
Details Of Action Taken
Yes No
Accommodation Areas (mess rooms, alleyways, bridge, CSR Office etc.)
i. Clean and habitable ⱴ
ii. Free of any infestation ⱴ
iii. All doors closing properly ⱴ Repaired cabin no.26 door handle done.
iv. Adequate lighting ⱴ
v. Heating/air conditioning arrangements within ⱴ
acceptable limits.
vi. Condition of electric cables, no exposed wires, no ⱴ The electric cables tagged and checked by
heavy corrosion. Engineer
vii. Nuisance levels (i.e: noise, dust, odor problems, ⱴ
etc.) within acceptable limits.
viii. Proper operation of ventilation including exhaust ⱴ
fans for sanitary facilities and lights)
ix. Free from hazards (no damaged flooring/tiling, no ⱴ
slippery, etc.)
x. Condition of securing furniture and recreation ⱴ
equipment.
xi. Excessive garbage not being retained onboard. ⱴ Garbage will dispose regulary to shore by
agent, once vessel on port call
xii. No ship’s stores or equipment stored in crew ⱴ
spaces.
1a Hospital
i. All elements of item 1 (as applicable) are satisfied ⱴ Hospital alarm tested & acknowledged by
Officer on duty at bridge
ii. Medical locker properly stocked and with ⱴ List of medical equipment’s updated & posted
instruction use of medicines/equipment. at six bay.
iii. Resuscitator’s oxygen cylinder and disposable ⱴ Resuscitation 02 cylinder last service & refilled
available) in good condition/replaced in time. 15th May 2019
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Satisfactory
Details Of Action Taken
Yes No
iv. Check inventory of medicines. Check records of ⱴ Medicines checked and recorded by 2nd
disposable medicines. Officer onboard
v. Check validity of medicines. ⱴ Updated the medicines validity in inventory
vi. Medicine Chest issue date. ⱴ Medical Chest cert expire:20th September 2019
1b Stairways / Passageways
i. All elements of item 1 (as applicable) are satisfied) ⱴ
ii. No objects are left lying blocking stairways and ⱴ Found staircase from bridge to f’castle
passageways. accommodation painting in bad condition
(black mark on the step of stairway need to
repaint)
iii. Check the condition of Fire (smoke/heat) ⱴ 11.10.2019 - Replaced 2 pcs 6v battery tested
detector. found in order.
iv. Ensure Detectors are not covered/obstructed. ⱴ
1c Toilet/showers/washrooms/bathrooms
i. All elements of item 1 (as applicable) are satisfied. ⱴ
ii. In working order. ⱴ
iii. Supplied with hot water. ⱴ
iv. No leakages. No blocked drains, broken floor tiles. ⱴ
v. No defective/broken/missing fittings. ⱴ Cabin no.21 and 19 toilet floors damaged.
1d Galley/Pantry/Food Preparation areas
i. All elements of item 1 (as applicable) are satisfied. ⱴ
ii. Free of any infestation. Galley equipment clean. ⱴ
Floor tiles clean/unbroken.
iii. No blocked drains. ⱴ
iv. Hot water supply. ⱴ
v. No signs of pests and vermin. ⱴ
vi. Inspect hygienic conditions of food preparation ⱴ
and processing.
vii. Adequate food supplies and potable water. ⱴ
viii. Personnel handling food and preparing meals ⱴ
wear clean & proper clothing.
ix. All preparation equipment, utensils and surfaces ⱴ
(e.g. pots, pans, cutting boards, slicers, worktable
tops, etc.) and food storage containers properly
handed, sanitized and stored.

x. All working and eating surfaces cleaned, galley ⱴ

floors and scuppers disinfected. Extraction hoods,
filters, trunks and screens free from condensed
grease and fats. Grease traps in place and clean.
Ventilation fans in good condition.
xi. Fire blanket and other relevant fire extinguishing ⱴ
means available.
1e Refrigerator room / freezers
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Satisfactory
Details Of Action Taken
Yes No
i. Clean, tidy with adequate shelving, accurate ⱴ
thermometers and defrosted.
ii. Test alarm ⱴ Alarm tested with properly of Sound & caution
light & acknowledged by Officer on duty at
bridge
iii. Check closing, locking and releasing arrangements ⱴ Checked closing, locking and releasing
(doors opening arrangements from the inside). arrangements found in order.
iv. No leakages of Freon. ⱴ
v. Temperature warning systems in refrigerators and ⱴ Daily checked and monitoring temperature,
freezers. and recorded
vi. All deep freezers maintained at or below ⱴ Daily checked and monitoring temperature,
-18Celcius. and recorded
vii. All refrigerators/fresh provisions maintained at or ⱴ Daily checked and monitoring temperature,
below +5Celcius. and recorded
viii. Drainages are clean. ⱴ
ix. Lights (no burned bulbs). ⱴ
1f Dry store room
i. All elements of item 1 (as applicable) are satisfied. ⱴ
ii. Adequate shelving provided. ⱴ
iii. No signs of stores deterioration of pests and ⱴ
vermin.
iv. Check the validity of dry provision. ⱴ
v. Doors closing and locking arrangements in order. ⱴ
vi. Dry stores securely stowed. Old supplies stowed ⱴ
in the front of shelves
vii. Products are safely & hygienically stored with ⱴ Maintained and arranged on stored, used and
respect to rotation, segregation, consumption and disposed
spillages.
1g Vegetable rooms
i. All elements of item 1 (as applicable) are satisfied. ⱴ
ii. Adequate shelving provided. ⱴ
iii. Vegetables with no signs of mildew and rot and ⱴ Removed and disposed
stored on rack.
iv. No contact with other foodstuffs, cleaning. ⱴ Clean
v. Products are safely & hygienically stored with ⱴ Maintained and arranged on stored, used and
respect to rotation, segregation, consumption and disposed
spillages.
1h Cabin spaces
i. All elements of items 1 (as applicable) are ⱴ
satisfied.
ii. Check the Flushing Water of toilet. ⱴ
iii. Check the condition of Fire (smoke/heat) ⱴ Functioning well
detector.
iv. Ensure Detectors are not covered/obstructed. ⱴ Clear no obstruction
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Satisfactory
Details Of Action Taken
Yes No
1i Laundry Spaces
i. Linen and laundry equipment in operable ⱴ 2 units of washing machine & 3 units of dryer
condition without defects. (Different machinery provided and use alternately
for Clean & bed linen – work clothes).
ii. Areas clean of fuzz. ⱴ Clear no obstruction
iii. Clean bedding, towels, soap, toilet paper ⱴ
provided.
Other findings/comments:

Prepared by, Reviewed by,

SUCI TRILESTARI CAPT.SUDARMANTO

(Safety Officer/Chief Officer ) (Master)
Date: 27.10.2019 Date: 27.10.2019
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Vessel Name MV JAVA INSIGNIA Date 27/10/2019

“✓” where appropriate or “NA”

ACTION
NO BEFORE AFTER COMMENTS STATUS
PARTY

Found aircond
isolation ducting
and ceiling at
survey room
1
CHIEF passage way CLOSED
ENGINEER
damaged.

Replaced with the

new isolation and
new ceiling.
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Carried out
SAMAK by Pejabat
Agama Daerah
2 OFFce Kemaman, CLOSED

Terengganu and
received the
certificate.

3 CHIEF Repaired cabin CLOSED

OFFICER no.26 door’s handle
& BOSUN done.
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OFFICE OPEN
Found Cabin no.25
damaged on the wall and
floor.

Found cabin no.20 &22

Damaged on the toilet
4 floor. For safety reason
sealed the toilet until
repair.

Found cabin no.19 & 21

Damaged on the toilet
floor. For safety reason
sealed the toilet until
repair.
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Found stairway
from the bridge to
f’castle deck very
dirty / black mark
on the steps need to
CHIEF
5 repainting with CLOSED
OFFICER
yellow color.

Painting the
stairway and
applied anti skid
tape.

Found damaged
toilet flushing pump
at public toilet
6 OFFICE survey OPEN
accommodation.
Need to replace the
flushing pump.