Jamp600012 - R - 1 - A-08 c1 First Visit Report Close-Out

Close Out Report
Client/Asset: Ampelmann / A-08
Job Description: Annual Gangway Inspection 2023
PO / WO No.: PO-7007461
Job / Doc No.: JAMP600012
Revision A1
DELIVERY ASSURED
Close Out Report JAMP600012
Ampelmann
A-08
JOB/DOC NO. JAMP600012 REV A1
PREPARED BY: Charlie Lim

Digitally signed by:
Charlie Jr Lim
SIGNATURE: Date: 2023.08.30 15:
03:59 +08'00'
DATE: 30th August 2023
CHECKED BY: Jahafer Sadikh

Jahafer Sadikh
SIGNATURE: Date: 2023.08.30 14:
56:39 +08'00'
DATE: 30th August 2023
APPROVED BY Paul Sanderson

Digitally signed by: Paul
Sanderson
SIGNATURE Date: 2023.08.30 14:59:
33 +08'00'
DATE 30th August 2023
Date Revision Description Author Check Approve
30
August A1 Issued to Client CL JS PS
2023
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Ampelmann
A-08
Table of Contents
1 INTRODUCTION ..........................................................................................................................................4
2 SCOPE OF WORK .......................................................................................................................................5
2.1 Offshore Scope of Work .......................................................................................................................5
3 SUMMARY....................................................................................................................................................6
3.1 Work Completed ...................................................................................................................................6
3.2 Outstanding Activities / Defects Noted .................................................................................................6
4 APPENDICES ...............................................................................................................................................7
4.1 Handover Certificate .............................................................................................................................8
4.2 Certificate of Thorough Examination ....................................................................................................9
4.3 Inspection Checklist ........................................................................................................................... 10
4.4 Dropped Object Survey ..................................................................................................................... 11
4.5 Daily Reports ..................................................................................................................................... 12
4.6 Customer Feedback .......................................................................................................................... 13
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Ampelmann
A-08
1 INTRODUCTION
Sparrows were requested by Ampelmann to carry out the annual gangway inspection 2023 on the A-08 at
Brunei Darussalam. This work was conducted under PO 7007461.
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Ampelmann
A-08
2 SCOPE OF WORK
2.1 Offshore Scope of Work
A Sparrows supervisor was mobilised to Brunei Darussalam to inspect A-08 gangway.
• Review of certifications and maintenance records.

• General visual checks on structure/primary load path elements, wire ropes, hoist and slew
machinery, prime mover and drive train.
• Carry out wear measurements.
• Completion of Sparrows Gangway Checklist.
The equipment inspected was assessed and rated using the traffic light system as follows:
Green Good Operational Condition; continue with regular maintenance and inspection as defined
within the Maintenance Management System.
Amber Corrective Action identified but operating performance is not compromised, if not addressed in
an appropriate timescale performance issue may result, corrective action required to be completed as
per the defect rectification time assessment.
Red Unsafe Condition identified, these apply to critical operational systems which mean the equipment
sub system or in certain instances the equipment itself cannot be safely operated. Therefore, the
EQUIPMENT IS NOT TO BE USED until the defect is repaired or an alternative solution is found subject
to the approval of the ICP / SME / Client.
There wasn’t any red condition noted for the inspection covered in this report.
Points were noted as amber and these have been recorded in the sections below which should
be addressed in the near future.
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Ampelmann
A-08
3 SUMMARY
3.1 Work Completed
The work scopes completed during the mobilisation are summarised in Table 1 below:
Table 1 – Summary of completed work scopes
Supporting
# Task Complete?
documentation
Annual Inspection
Checklist,
Dropped Object
1 Annual Inspection of A-08 Gangway Yes
Survey, Report of
Thorough
Examination
3.2 Outstanding Activities / Defects Noted
All items identified as outstanding from the planned work scopes are identified in Table 2. Any additional
items noted by the offshore personnel during the course of the work scope are also listed in Table 2.
Table 2 – Summary of outstanding actions and additional defects noted
Reasons/
# Task Actions
source
Recommend to keep all
Records
Checklist hardcopies of
1. A.5 Observed no oil consumption from the equipment
A.5 documentation onboard
records.
prior to next inspection.
Recommend to keep
Pump & Pump Drive
Checklist records onboard for the
2. D14 | 101 – Observed no records of the pump were removed
D14.101 next inspection at the
for male and female drive spline inspection.
nearest opportunity.
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Ampelmann
A-08
4 APPENDICES
4 APPENDICES ...............................................................................................................................................7
4.1 Handover Certificate .............................................................................................................................8
4.2 Certificate of Thorough Examination ....................................................................................................9
4.3 Inspection Checklist ........................................................................................................................... 10
4.4 Dropped Object Survey ..................................................................................................................... 11
4.5 Daily Reports ..................................................................................................................................... 12
4.6 Customer Feedback .......................................................................................................................... 13
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Ampelmann
A-08
4.1 Handover Certificate
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Handover Certificate
Sparrows hereby certify that all the work carried out by Sparrows personnel, associated with Annual
Gangway Inspection onboard the Ampelmann asset A-08, has been satisfactorily completed under
Job No. JAMP600012.
Any outstanding Items still to be completed have been noted and agreed in the accompanying
Punch List PL-JAMP600012 of the Work Pack.
All remedial actions and following work orders required are to be brought to the attention of the
appropriate Platform Specialist and Sparrows CSE and documented in the Daily Reports.
SIGNED: Sparrows Personnel
Print Name: MOHD AIDI MADON
01/08/2023
Signed: Date:
SIGNED: Client Representative
Print Name: Abdullah Bukhari
03/08/2023
Signed: Date:
PD05f20 Rev 0 17 Feb 2016 1 of 1

Ampelmann
A-08
4.2 Certificate of Thorough Examination
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Paul Sanderson
Date: 2023.08.30
14:59:56 +08'00'
Ampelmann
A-08
4.3 Inspection Checklist
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Personnel Transfer System - Annual Inspection
Ampelmann - Annual Inspection Report JAMP600012
Job No. / Work Order No.: JAMP600012 Inspector Names Mohd Aidi Madon
Title: Ampelmann - Annual Inspection Report
Client: AMPELMANN Date 01/08/2023
Site: KHALIFA Gangway Length (m) 25 METER
Equipment Manufacturer: AMPLEMANN Serial No A-08
General Notes or Comments

A. RECORD:
1. FIRST YEARLY INSPECTION AT LOCATION.
B. GENERAL VISUAL CHECK

1. IN SATISFACTION CONDITION. NO DEFECT FOUND
C. GENERAL FUNCTION TEST

1. ALL FUNCTION IN SATISFACTION CONDITION.
D. IN DEPTH INSPECTION
D1. BOLTED CONNECTIONS
1. ALL SECURED
D2. STRUCTURAL WELDMENT
1. NO SIGN OF DAMAGE OR CRACK DURING INSPECTION
D3. GANGWAY
1. IN SATISFACTION CONDITION.
D4. SLEW BEARING ASSEMBLY
2. WELL LUBRICATION ON GEAR TEETH.
D5. SLEW DRIVE ASSEMBLY
1. SYSTEM IN SATISFACTION CONDITION.
D6. TELESCOPIC DRIVE SYSTEM.
1. SYSTEM IN SATISFACTION CONDITION.
D9. WIRE ROPE - TELESCOPIC GANGWAY
1. WIRE ROPE IN GOOD CONDITION. NO SIGN OF DAMAGE
D12. DIESEL PRIME MOVER.
2. ALL SETTING AS FOLLOW MANUFACTURER SPECIFICATIONS
D14. PUMPS & PUMP DRIVE
D15. GANGWAY LUFFING CYLINDERS
D17. NITROGEN SYSTEM AND PISTON ACCUMULATOR SYSTEM
D18. WIRES, CABLES AND APPLIANCES
D19. LIGHTING
1. IN WORKING CONDITION
Condition Codes
UNSAFE CONDITION IDENTIFIED, THESE APPLY TO CRITICAL OPERATIONAL SYSTEMS WHICH MEAN THE EQUIPMENT SUB SYSTEM OR
RED IN CERTAIN INSTANCES THE EQUIPMENT CANNOT BE SAFELY OPERATED, THEREFORE THE EQUIPMENT IS NOT TO BE USED
UNTIL THE DEFICIENCY IS REPAIRED OR AN ALTERNATIVE SOLUTION IS FOUND .
CORRECTIVE ACTION IDENTIFIED BUT OPERATING PERFORMANCE IS NOT COMPROMISED, IF NOT ADDRESSED IN AN APPROPRIATE
AMBER TIMESCALE PERFORMANCE ISSUES MAY RESULT , CORRECTIVE ACTION REQUIRED TO BE COMPLETED BEFORE OR DURING THE NEXT
SCHEDULED EQUIPMENT INSPECTION.
ADH03f4 Rev 0 24 May 2019 Page 1 of 17

Condition Codes
GREEN GOOD OPERATIONAL CONDITION, CONTINUE WITH REGULAR MAINTENANCE AND INSPECTION.
CONSULT THE SUBJECT MATTER EXPERT (SME) OR THE TECHNICAL AUTHORITY (TA) FOR A REVIEW & RECOMMENDATION,
SME
EQUIPMENT OR FUNCTION IS LOTO UNTIL CONCERN IS RESOLVED.
N/A ITEMS, COMPONENTS, OR INSPECTION CRITERIA ARE NOT APPLICABLE TO THIS EQUIPMENT
RED - Unsafe Condition identified Inspector Sign-Off (int) Client Sign-Off (Int) Date
AMBER - Corrective Action identified but operating performance is not compromised
CODES
GREEN - Good Operational Condition
SME - Consult SME/TA Equipment /Function is LOTO until Resolved
PROCEDURE CONDITION
OBSERVATIONS / COMMENTS
AMBER
GREEN
SME
# INSPECTION DETAILS
RED
N/A
A RECORDS
REVIEW THE LAST ANNUAL INSPECTION REPORTS AND DEFICIENCY
First inspection at site
REPORTS. ✓
1.
VERIFY THAT REPORTED PROBLEMS HAVE BEEN
CORRECTED.
REVIEW ALL GREASE AND FLUID SAMPLE ANALYSIS RECORDS AND NOTE
2. ✓ Reviewed
ANY CONCERNS.
DISCUSS CONTENTS OF AMPELMANN PREVENTIVE MAINTENANCE Discussed with operator/mechanic
3. CHECKLISTS W/ EQUIPMENT OPERATOR NOTING ANY CONCERNS OR ✓ onboard
SHORTFALLS THEY MAY HAVE
REVIEW & MARK ANY ITEMS BELOW THAT WERE PREVIOUSLY

4. ✓ Reviewed
MONITORED AND NOTE ANY CHANGE WITHIN THIS INSPECTION REPORT
5. REVIEW THE OIL CONSUMPTION FROM THE EQUIPMENT RECORDS ✓ Record not seen
CHECK THE DATE THE FUEL, OIL AND AIR FILTERS WERE REPLACED
6. ✓ Last change on April 2023
(RECOMMEND THAT THESE BE REPLACED ANNUALLY)
The record was in attendance

7. REVIEW RESULTS OF SAMPLING RECORDS OF ALL COMPONENTS. ✓
during the inspection.
REVIEW THE OEM MAINTENANCE PROCEDURES FOR GUIDANCE ON THIS

8. ✓ Reviewed
INSPECTION
B GENERAL VISUAL CHECKS

DURING THE WALK AROUND SURVEY, EXAMINE THE OVERALL Overall, in satisfactory condition
CONDITION OF THE EQUIPMENT, CHECKING FOR ANY ABNORMAL
9. ✓
SITUATIONS THAT WILL POSE A RISK TO PERSONNEL, EQUIPMENT, OR
ENVIRONMENT.
VISUALLY CHECK OVERALL CONDITION OF EQUIPMENT/ STEELWORK/
10. ✓ All in satisfactory condition
PAINTWORK/ HOUSEKEEPING
VISUALLY CHECK DRIP PANS LOCATED IN THE POWER UNIT CONTAINER

11. ✓ In placed
ARE IN PLACE AND DRAINS ARE NOT PLUGGED
VISUALLY CHECK ALL FALL ARREST ANCHOR POINTS FOR CRACKS AND
12. ✓ Not in the design.
CORROSION.
VISUALLY CHECK THE CONDITION OF ALL HYDRAULIC HOSES FOR SIGNS Good condition at the time of
13. ✓
OF DAMAGE OR DETERIORATION. inspection. No sign of damage
VISUALLY CHECK THAT ALL FITTINGS AND PIPE COUPLINGS ARE FREE Good condition at the time of
14. ✓
FROM CORROSION AND LEAKS inspection.
VISUALLY CHECK THE CONDITION OF HYDRAULIC PIPING FOR SIGNS OF Good condition at the time of
15. ✓
DAMAGE, DETERIORATION, OR CORROSION inspection
VISUALLY CHECK ALL THE HYDRAULIC MOTORS FOR SIGNS OF Good condition at the time of
16. ✓
OVERHEATING inspection.
VISUALLY CHECK THE CONDITION OF THE HYDRAULIC RESERVOIR FOR Good condition at the time of
17. ✓
SIGNS OF LEAKS, BENDING, DISTORTION, CRACKS OR CORROSION. inspection. No leak or damage
VISUALLY CHECK THE CONDITION OF THE FUEL RESERVOIR FOR SIGNS Good condition at the time of
18. ✓
OF LEAKS, BENDING, DISTORTION, CRACKS OR CORROSION. inspection. No leak or damage
CODES
PROCEDURE CONDITION
AMBER
GREEN
SME
RED
N/A
VISUALLY CHECK ALL FLUID LEVELS ARE BEING MAINTAINED: FUEL,
19. ✓ Fluid at recommended level
HYDRAULIC FLUID, ENGINE OIL, COOLANT, GEAR OILS ETC.
VISUALLY CHECK HYDRAULIC RETURN FILTER IS FREE FROM DAMAGE OR Good condition at the time of
20. ✓
DETERIORATION AND BACK PRESSURE inspection. No sign of damage
VISUALLY CHECK ALL OF THE WALKWAYS, LADDERS GRATING, & Good condition at the time of
21. HANDRAIL SECTIONS FOR SECURITY AND DAMAGE, CHECK THE CLOSING ✓ inspection. No sign of damage
ACTION OF GATES / SAFETY BARRIERS / HATCHES / HINGES
VISUALLY CHECK THE ROPE GUARDS ARE IN GOOD CONDITION AND
22. ✓ In good condition
SECURELY FASTENED
VISUALLY CHECK ALL GREASE LUBRICATION LINES AND FITTINGS ARE
23. ✓ In placed.
CORRECTLY FITTED, WELL SECURED AND NOT PLUGGED
CHECK LUBRICATION FOR ALL COMPONENT SUCH AS Bearing grease – XHP222
• PINS AND BUSHINGS
• WIRE ROPES Slew ring gear teeth – Mobil
• PINION TEETH OGL461
24. TO CONFIRM SUFFICIENT LUBRICATION PRESENT (LUBRICATE AS ✓
NEEDED)
Manually apply lubricatation
IF LUBRICATION ADDED, IDENTIFY THE FOLLOWING;
• TYPE OF LUBRICATION USED
• METHOD OF LUBRICATION
VISUALLY CHECK THE CONDITION OF THE PAINT, ANY DAMAGED Good condition at the time of
COATING SHOULD BE NOTED FOR REPAIR
inspection. No sign of damage
• STEWARD PLATFORM / FOUNDATION
25. • GANGWAY ✓
• HEXAPOD BASE / LOWER TRUSS FRAME
• MAIN DECK / UPPER FRAME
• HOISTS & CYLINDERS
26. TAKE PICTURES OF THE OVERALL EQUIPMENT CONDITION ✓ Picture taken
C GENERAL FUNCTIONAL TESTS

COMPLETE AMPELMANN CHECKLIST FOR TESTING FUNCTIONALITY AND Correct labels on control
ALL ALARMS ENSURING TO:
• VERIFY THAT ALL CONTROLS AND INSTRUMENTS ARE CORRECTLY All instrumentation in correct
IDENTIFIED WITH PERMANENT LABELS indication
27. ✓
• CHECK ALL INSTRUMENTATION FOR CORRECT INDICATION, ARE IN
Electrical apparatus functioning
GOOD CONDITION, LEGIBLE AND FUNCTIONAL properly
• CHECK THAT ALL ELECTRICAL APPARATUS ARE FUNCTIONING
PROPERLY.
VERIFY & TEST GANGWAY PER AMPELMANN TESTING PROTOCOL AND
28. ✓ As follow procedure
WEEKLY SAFETY PROCEDURES
D IN-DEPTH INSPECTION
D1 BOLTED CONNECTIONS
INSPECT ALL PIN KEEPER PLATES ARE SECURELY FASTENED AND FREE Good condition at the time of
FROM DAMAGE;
✓
29. SHEAVE PINS ✓
✓ CYLINDER PINS
✓ LOAD AND IDLER PINS
CODES
PROCEDURE CONDITION
AMBER
GREEN
SME
RED
N/A
INSPECT ALL BOLTED CONNECTIONS ARE TIGHT, SECURELY FASTENED
Good condition at the time of
AND FREE FROM CORROSION, WEAR AND DEFORMATION.
✓
30. STRUCTURAL WELDMENTS
✓
✓ HOISTS All fasteners are tighten
✓ SWING DRIVES
✓ ENGINE / PUMPS / MOTORS
INSPECT ALL PINNED CONNECTION ARE SECURELY FASTENED AND FREE Good condition at the time of
31. ✓
FROM CORROSION, WEAR AND DEFORMATION. inspection. No sign of damage
INSPECT ALL BUSHINGS ARE SECURELY FASTENED AND FREE FROM Good condition at the time of
32. ✓
CORROSION, WEAR AND DEFORMATION. inspection. No sign of damage
D2 STRUCTURAL WELDMENT
INSPECT THE CONDITION OF THE STEWARD PLATFORM / FOUNDATION,
Good at the time of inspection. No
33. CHECKING FOR CORROSION, DEFORMATION OF CHORDS, LEGS, ✓
sign of damage
LACINGS, PLATES, HOLES, CRACKED WELDS, PAINT, ETC…
INSPECT THE CONDITION OF THE HEXAPOD BASE / LOWER TRUSS
34. FRAME, CHECKING FOR CORROSION, DEFORMATION OF MATERIALS, ✓
inspection.
HOLES, CRACKED WELDS, PAINT, ETC…
INSPECT THE CONDITION OF THE MAIN DECK / UPPER FRAME, CHECKING Good condition at the time of
35. FOR CORROSION, DEFORMATION OF MATERIALS, HOLES, CRACKED ✓
inspection.
WELDS, PAINT, ETC…
INSPECT VESSEL/DECK CONNECTION POINTS/WELDS FOR CRACKS AND Good condition at the time of
36. ✓
CORROSION inspection. No sign of damage
D3 GANGWAY ASSEMBLY
INSPECT THE CHORDS, LACINGS AND WELDMENTS FOR SIGNS OF No sign of bending, crack or
37. ✓
BENDING, DISTORTION, CRACKS OR CORROSION corrosion.
INSPECT ALL CONNECTIONS, SUCH AS JOINING PINS AND BOLTS, TO Good condition at the time of
38. CONFIRM THAT THEY ARE ALL SECURELY FASTENED AND FREE FROM ✓ inspection.
CORROSION, WEAR AND DEFORMATION
INSPECT WIRE WEAR BARS AND OR ROPE ROLLERS ARE ROTATING Good condition at the time of
39. ✓
FREELY, IN GOOD CONDITION AND SECURELY FASTENED inspection.
INSPECT ALL SHEAVES FOR CRACKS AND MECHANICAL DAMAGE. CHECK Good condition at the time of
40. ✓
THE ROPE GROOVE FOR WEAR USING A SHEAVE GROOVE GAUGE inspection.
INSECT SHEAVE PIN KEEPER PLATES ARE SECURELY FASTENED AND

41. ✓ Secured and correct fitted
CORRECTLY FITTED.
CODES
PROCEDURE CONDITION
AMBER
GREEN
SME
RED
N/A
CHECK 2XADJUSTMENT BOLTS (ITEM 2) AND 2XLOCKING BOLTS (ITEM 4)
Adjustment locking bolts secured.
ARE INSTALLED ON THE SLIDING GAP PLATE (ITEM 3)
ENSURE THEY ARE TIGHT AND SECURE. Sliding gap – 8mm
inspection.
42. ✓
D4 SLEW BEARING ASSEMBLY
43. INSPECT THE OVERALL STRUCTURAL CONDITION OF THE SLEW BEARING ✓ In satisfactory condition
44. INSPECT BEARING SEAL CONDITION ✓ No sign of damage
45. INSPECT THE SLEW BEARING TEETH FOR WEAR AND DAMAGE ✓ No damage or wear
INSPECT THE SLEW BEARING MOUNTING BOLTS FOR SIGNS OF No corrosion or damage
46. CORROSION OR MECHANICAL DAMAGE. ✓
ENSURE THEY ARE TIGHT AND SECURE. Bolts are tight and secured
47. INSPECT THE SLEW BEARING AND GEAR TEETH LUBRICATION ✓ Lubricated well
D5 SLEW DRIVE ASSEMBLY
48. INSECT THE GEARBOX(S) FOR OIL LEVEL AND LUBRICATION ✓ At recommended level
COLLECT THE SAMPLING OF GEAR OIL FLUID SAMPLE (ANNUAL FLUID

49. ✓ Annual
SAMPLE)
INSPECT CONDITION AND SECURITY OF PINION RETAINER BOLTS AND Good condition at the time of
50. ✓
SPLINES. inspection.
51. INSECT THE SLEW PINION TEETH FOR WEAR AND DAMAGE ✓ No sign of damage or wear
D6 TELESCOPIC DRIVE SYSTEM
INSPECT THE CONDITION OF HOIST WEDGE USED IN THIS COMPONENT Good condition at the time of
52. ✓
FOR DAMAGE OR CORROSION. inspection.
53. INSPECT THE HOIST FOR LEAKS ✓ No sign of leak
54. INSPECT THE HOIST FOR OIL LEVEL AND LUBRICATION ✓ At recommended level
55. COLLECT THE SAMPLING OF GEAR OIL FLUID SAMPLE. ✓ Annual collection
No drum fitted. System run by

INSPECT THE CONDITION OF THE DRUMS AND FLANGES FOR
56. ✓ sheave directly connect to hoist
CORROSION, WEAR AND CRACKS
drive pulley
CODES
PROCEDURE CONDITION
AMBER
GREEN
SME
RED
N/A
57. INSPECT THE CONDITION OF THE EXTERNAL SEALS OF EACH WINCH ✓ No winch fitted in the design
INSPECT THE HOIST HOLD DOWN / MOUNTING BOLTS FOR SIGNS OF Holding bolts for gear box in good
58. CORROSION OR MECHANICAL DAMAGE. ✓ condition.
ENSURE THEY ARE TIGHT AND SECURE.
COMPONENT TAGGED - ENSURE HOIST IS CORRECTLY LABELLED OR
59. ✓ Correct label
TAGGED
D9 WIRE ROPE - TELESCOPIC GANGWAY

INSPECT WIRE ROPE CONDITION Wire rope in good condition. No
IDENTIFY THE FOLLOWING; sign of damage
60. • WAS THE WIRE ROPE CUT BACK ✓
• WAS THE WIRE ROPE REPLACED
• APPLY DISCARD CRITERIA FROM ISO 4309
61. INSPECT WIRE ROPE FOR CORRECT SPOOLING AND FOR WEAR ✓ Correct spooling applied
INSPECT CONNECTION OF WIRE ROPE AT THE DEAD END POINT & WEDGE Good condition at the time of
62. ✓
SOCKET inspection.
VERIFY THAT THE ROPE WEDGE SOCKET IS CORRECTLY TERMINATED

63. ✓ Correct termination
BASED ON MODEL AND STYLE USED.
COMPONENT TAGGED - ENSURE WIRE ROPE IS CORRECTLY LABELLED

64. ✓ Correct label
AND OR TAGGED
D10 HOIST – LIFTING SYSTEM
INSPECT THE CONDITION OF HOIST WEDGE USED IN THIS COMPONENT Equipment not fitted with lifting
65. ✓
FOR DAMAGE OR CORROSION. system
Equipment not fitted with lifting

66. INSPECT THE HOIST FOR LEAKS ✓
system

67. CHECK THE HOIST FOR OIL LEVEL AND LUBRICATION ✓
system

68. COLLECT THE SAMPLING OF GEAR OIL FLUID SAMPLE. ✓
system
INSPECT THE CONDITION OF THE DRUMS AND FLANGES FOR Equipment not fitted with lifting
69. ✓
CORROSION, WEAR AND CRACKS system

70. INSPECT THE CONDITION OF THE EXTERNAL SEALS OF EACH WINCH ✓
system
INSPECT THE HOIST HOLD DOWN / MOUNTING BOLTS FOR SIGNS OF

71. CORROSION OR MECHANICAL DAMAGE. ✓ system
ENSURE THEY ARE TIGHT AND SECURE.
INSPECT THE ROPE GUARDS ARE IN GOOD CONDITION AND SECURELY Equipment not fitted with lifting
72. ✓
FASTENED system
COMPONENT TAGGED - ENSURE HOIST IS CORRECTLY LABELLED OR Equipment not fitted with lifting
73. ✓
TAGGED system
CODES
PROCEDURE CONDITION
AMBER
GREEN
SME
RED
N/A
D11 WIRE ROPE – LIFTING SYSTEM
INSPECT WIRE ROPE CONDITION Equipment not fitted with lifting
IDENTIFY THE FOLLOWING; system
74. • WAS THE WIRE ROPE CUT BACK ✓
• WAS THE WIRE ROPE REPLACED
• APPLY DISCARD CRITERIA FROM ISO 4309

75. INSPECT WIRE ROPE FOR CORRECT SPOOLING AND FOR WEAR ✓
system
INSPECT CONNECTION OF WIRE ROPE AT THE DEAD END POINT & WEDGE Equipment not fitted with lifting
76. ✓
SOCKET system
VERIFY THAT THE ROPE WEDGE SOCKET IS CORRECTLY TERMINATED Equipment not fitted with lifting
77. ✓
BASED ON MODEL AND STYLE USED. system
COMPONENT TAGGED - ENSURE WIRE ROPE IS CORRECTLY LABELLED Equipment not fitted with lifting
78. AND OR TAGGED ✓ system
NOTE INSTALLATION DATE
D12 DIESEL PRIME MOVER

INSPECT THE ENGINE GAUGES AND CONTROLS TO CONFIRM THEIR
79. ✓ All gauge in functioning condition
FUNCTIONALITY.
INSPECT THE ENGINE BLOCK, PIPEWORK AND HOSES FOR LEAKS AND Good condition at the time of
80. ✓
DAMAGE inspection. No sign of leaks
INSPECT ALL HOSES ARE WELL SECURED AND FREE FROM CRACKS OR Good condition at the time of
81. ✓
DAMAGE inspection. No sign of damage
INSPECT THE ENGINE OIL PRESSURE IS WITHIN THE MANUFACTURER ’S

82. ✓ Pressure within specifications
SPECIFICATIONS
CHECK THE ENGINE WATER LEVEL AND TEMPERATURE UNDER NORMAL
83. ✓ In normal operating condition
OPERATING CONDITIONS
INSPECT THE ENGINE TURBOCHARGER/ BLOWERS FOR WEAR OR Good condition at the time of
84. ✓
DAMAGE inspection. No sign of damage
INSPECT EXHAUST MUFFLER WRAP/GUARD ARE WELL SECURED AND

85. ✓ Wrap. No sign of damage
FREE FROM CORROSION OR DAMAGE
INSPECT ALL ENGINE MOUNTING BOLTS ARE FREE FROM CORROSION Good condition at the time of
86. AND SECURELY FASTENED. NOTE THE CONDITION OF THE FLEXIBLE ✓
inspection
MOUNTS IF DAMAGED OR SWELLING OF ELASTOMERS HAS TAKEN PLACE .
VERIFY THE ENGINE COOLANT SAMPLING FOR ADEQUATE CORROSION No sampling repoting at the time of
87. ✓
INHIBITOR (AND ANTI-FREEZE WHERE REQUIRED) IS BEING PERFORMED inspection
CHECK THE DRIVE SHAFT UNIVERSAL JOINT BEARINGS FOR BACKLASH.

88. ✓ Closed unit. Unable to check
CHECK ALL CONNECTING FASTENERS, ARE TIGHT AND SECURE.
INSPECT CHECK THE RADIATOR/ OIL COOLER FOR SIGNS OF LEAKS OR Good condition at the time of
89. ✓
DAMAGE inspection. No sign of leak
CODES
PROCEDURE CONDITION
AMBER
GREEN
SME
RED
N/A
REMOVE EXHAUST WRAP IF PRESENT TO VISUALLY INSPECT THE ENGINE
EXHAUST SILENCER FOR CORROSION. ENSURE THE SELF-CLOSING
90. ✓ inspection.
FLAPS ARE OPERATING CORRECTLY, AND THAT CONDENSATE DRAINS
ARE CLEAR
INSPECT RADIATOR / SHROUD / FAN / GUARDS ARE WELL SECURED AND
91. ✓ Secured
FREE FROM CORROSION OR DAMAGE
D13 ELECTRIC PRIME MOVER

INSPECT THE POWER LEAD CONNECTIONS AT MOTOR TERMINAL STRIP
92. ✓ Engine prime mover
FOR TIGHTNESS, FAULTY HOOK-UP OR GROUNDED LEADS
INSPECT MOTOR FIELD WINDINGS FOR BROKEN LEADS OR DAMAGED

INSULATION
INSPECT MOUNTING BOLTS FOR LOOSENESS AND CORRECT ALIGNMENT
OF MOTOR FRAME AND THE MOUNTING SURFACE
95. INSPECT MOTOR BEARING FOR DAMAGE OR INSUFFICIENT LUBRICATION ✓ Engine prime mover
INSPECT ROTOR FOR CRACKED OR DAMAGED BARS, PROPER

INSULATION, DRAGGING ROTOR OR FOREIGN MATTER
D14 PUMPS & PUMP DRIVE

VISUALLY INSPECT VIA INSPECTION HATCH (WHERE FITTED) THE PUMP
No hatch fitted. Unable to check.
97. DRIVE INTERNAL COMPONENTS FOR WEAR AND DAMAGE . THIS INCLUDES ✓
SPROCKETS, CHAINS AND GEARS.

98. INSPECT THE PUMP DRIVE FOR LEAKS, DAMAGE AND CORROSION ✓
inspection. No sign of leak
INSPECT THE PUMP DRIVE HOLD DOWN BOLTS ARE SECURELY FASTENED Good condition at the time of
99. ✓
AND FREE FROM CORROSION inspection. Secured
100. INSPECT THE PUMPS FOR SIGNS OF OVERHEATING ✓ In normal condition
VERIFY THE DATE THE PUMPS WERE REMOVED FOR MALE AND FEMALE No record seen
101. DRIVE SPLINE INSPECTIONS. ✓
(NOTE DATE OF LAST INSPECTION).
102. INSPECT ALL PUMP MOUNTING BOLTS ARE SECURELY FASTENED ✓ Secured and tight
D15 GANGWAY LUFFING CYLINDERS
INSPECT STRUCTURAL CONDITION OF ‘THE CYLINDERS, CHECKING FOR Good at the time of inspection. No
103. ✓
CORROSION, DEFORMATION AND CRACKING OF WELDS sign of damage
INSPECT ALL PINS/ FITTINGS/ FASTENINGS FOR CORROSION,

104. ✓ Good at the time of inspection.
DEFORMATION OR MISSING ITEMS
INSPECT HYDRAULIC RAM END JOINING PINS ARE ALL SECURELY Good at the time of inspection. No
105. ✓
FASTENED AND FREE FROM CORROSION, WEAR AND DEFORMATION sign of damage
INSPECT CYLINDER PINS, BUSHES AND CLEVISES FOR WEAR, SECURELY

FASTENED/RETAINED, LUBRICATION AND DAMAGE
107. CHECK THAT ALL BOLTED CONNECTIONS ARE TIGHT AND SECURE ✓ Secured
INSPECT MULTIPLE LUFFING RAMS ARRANGEMENTS FOR IMPROPER

ALIGNMENT OR LENGTH.
CODES
PROCEDURE CONDITION
AMBER
GREEN
SME
RED
N/A
INSPECT CONDITION OF HYDRAULIC / SERVO VALVES WITHIN THE
No damage, corrosion, or leaks
109. ENCLOSURES OR MANIFOLD WHICH CONTROL GANGWAY FOR SIGNS OF ✓
DAMAGE, CORROSION, OR LEAKS
110. DOCUMENT RELIEF PRESSURE SETTING (ENTER PASCALS) ✓ 280 Bar
D16 COMPENSATING / LEVELLING CYLINDERS
INSPECT STRUCTURAL CONDITION OF ‘THE CYLINDERS, CHECKING FOR Good at the time of inspection. No
111. ✓
CORROSION, DEFORMATION AND CRACKING OF WELDS sign of damage
INSPECT ALL PINS/ FITTINGS/ FASTENINGS FOR CORROSION,

DEFORMATION OR MISSING ITEMS
113. INSPECT THAT ALL BOLTED CONNECTIONS ARE TIGHT AND SECURE ✓ Secured
INSPECT CONDITION OF HYDRAULIC VALVES WITHIN THE ENCLOSURES Good at the time of inspection. No
114. OR MANIFOLD WHICH CONTROL GANGWAY FOR SIGNS OF DAMAGE, ✓ leaks or damage
CORROSION, OR LEAKS
D17 NITROGEN SYSTEM AND PISTON ACCUMULATOR SYSTEM
INSPECT THE CONDITION OF EACH COMPONENT FOR CORROSION, WEAR
AND CRACKS
116. INSPECT FITTINGS FOR CORROSION AND LEAKS ✓ Good at the time of inspection.
INSPECT THE CONDITION OF THE ACCUMULATOR FOR SIGNS OF DAMAGE Good at the time of inspection. No
117. ✓
OR CORROSION. sign of damage
INSPECT THE CONDITION OF THE NITROGEN BOTTLES AND BOTTLE Good at the time of inspection. No
118. ✓
VALVES FOR SIGNS OF DAMAGE OR CORROSION. sign of damage
INSPECT GAS VALVE AND HYDRAULIC CONNECTION FOR DAMAGE OR

CORROSION
Good at the time of inspection.

120. INSPECT AND RECORD NITROGEN CHARGE PRESSURE ✓
Pressure at 200 bar
D18 WIRES, CABLES AND APPLIANCES

INSPECT ALL POWER SUPPLY AND DISTRIBUTION PANELS, CHECKING
Good at the time of inspection. No
121. FOR SIGNS OF DAMAGE, CORROSION. ENSURE ALL COVERS, SEALS AND ✓
sign of damage
GLANDS ARE INTACT
INSPECT ALL WIRES AND CABLES FOR SIGNS OF DAMAGE. ENSURE THEY Good at the time of inspection. No
122. ✓
ARE NOT LYING LOOSE, BUT ARE SECURELY STRAPPED IN PLACE sign of damage
123. INSPECT THE GENERAL CONDITION OF SOLENOID VALVES ✓ Good at the time of inspection.
D19 LIGHTING
CHECK THE FOLLOWING LIGHTS ARE INSTALLED AND ARE IN

124.
GOOD WORKING ORDER:
125. CONFIRM ALL FLOODLIGHT SAFETY FIXTURES ARE IN PLACE ✓ In functioning condition
126. FIXED RED NAVIGATION LIGHTS ✓ In functioning condition
CODES
PROCEDURE CONDITION
AMBER
GREEN
SME
RED
N/A
127. OPERATOR STATION FLOOD LIGHT ✓ In functioning condition
128. DECK ILLUMINATION ✓ In functioning condition
129. EMERGENCY LIGHT IN MACHINERY SPACE ✓ In functioning condition
CODES
MEASURE COMPONENT DIAMETER (ALL MEASUREMENT SHOULD TO

00.000 MM TOLERANCE.) DOCUMENT THE BASELINE MEASUREMENT AND
RECORD THREE (3) MEASUREMENTS ALONG THE LENGTH OF THE PENDANT
LINES
GANGWAY HOIST SYSTEM
- WIRE ROPE - WIRE ROPE
BASELINE 13 MM NOT APPLICABLE
MEASUREMENT PT1 13.60 MM NOT APPLICABLE
PERFORM SLEW BEARING DEFLECTION TEST – MIN (4) POINTS (NOTE ALL MEASUREMENT SHOULD TO .000 TOLERANCE.)
IDENTIFY METHOD USED DIAL INDICATOR POSITION

☒ TILT METHOD ☐ INLINE / UNDER GANG WAY
☐ DEPRESSION METHOD ☒ INLINE / OPPOSITE GANG WAY
☐ ROTATION METHOD TAKE SLEW BEARING GREASE SAMPLE

☐ OTHER – (8 POINTS)
RECORDED DEFLECTION DATA

(NOTE COMPARE THESE VALUES TO THE PREVIOUS DATA RECORDED )
ANGLE DIRECTION OR POSITION (MEASUREMENT) (SAMPLE)
0˚ SITE OBSTRUCTION
90˚ G/WAY FROM 00 TO 300 0.01 MM

135˚ G/WAY FROM 00 TO 300 0.02 MM
190˚ G/WAY FROM 00 TO 300 0.02 MM
225˚ G/WAY FROM 00 TO 300 0.01 MM
CODES
On Completion of this Procedure please certify below. Date
I have carried out all of the steps as listed above Mohd Aidi Madon
1 and have ticked or added a value to each step as
required
Any anomalies that were found during Print Name

2 completion of the procedure steps are listed in
the Comments Section below Sign
Comments:
CODES
Job No. / Work Order No.: JAMP600012 Inspector Names MOHD AIDI MADON
Client: AMPELMANN Date: 1/08/2023
Site: KHALIFA Gangway Length (m) 25 METER
Equipment Details: AMPLEMANN Serial No: A8
DEFICIENCY SUMMARY REPORT

REF AFTER REPAIRS COMPLETED
# DEFICIENCY DESCRIPTION PRIORITY
LINE (INITIALS) (DATE)
5 Low
1. NO RECORD OF OIL CONSUMPTION
101 Low
2. NO RECORD OF SPLINE INSPECTION OF PUMP
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

PHOTOGRAPH
GENERAL VIEW
MAIN AND BACK UP CONTROL STATION

ELECTRICAL, HYDRAULIC AND ELECTRONIC COMPONENTS
SLEW DRIVE GEAR BOX
ENGINE, POWER PACK AND CONTROL.

HYDRAULIC HOSES
GANGWAY
TELESCOPIC DRIVE

Ampelmann
A-08
4.4 Dropped Object Survey
PD06f1 Rev 05 13 Apr 2022 11 of 13

Dropped Object Survey
Area surveyed Date of survey Signature of surveyor Signature of OIM/HMI

Amplemann 1/8/2023
Platform / Vessel Gangway

Khalifa A8 Risks
Comments
Y/N
Gangway
Tip N Secured
Handrails N Bolts secured with locknuts
Flood Light and Camera N Secured
Grating Platform N Secured
Wire Transmitter N Secured
Pipe Conduit N Secured
Telescopic Gangway N Secured
Rubber Protection N Secured
Cable / Drag Chain N Secured
Sheaves N Secured
Transfer Deck
Handrails N Bolts secured with locknuts
Cabinet and Controller N Secured
Grating Platform N Secured
Cylinders Piston N Secured
Hydraulic Lines N Secured
Stewart Platform
Fall arrest Anchor Point N/A Not in the design
Cylinders N Secured
Slew ring Bolts N Secured
Slewing Gear & Motor N Secured
Motor Winch N Secured
Lifting accessories N Secured
Fire Extinguisher & Storage N Secured
Engine Cab / Container
Engine Mounting N Secured
Cab & machinery house externals including OEM signs N
Secured
and other attachments
Gratings, clips N Secured
Hydraulic Hoses N Secured
PD05f31 Rev 0 17 Feb 2016 1 of 1

Ampelmann
A-08
4.5 Daily Reports
PD06f1 Rev 05 13 Apr 2022 12 of 13

Daily Report Form
JOB DETAILS
DAILY REPORT No: 01 JOB No: JAMP600012 DATE: 01/8/2023
REPORT AUTHOR: MOHD AIDI JOB TITLE: Annual inspection
CONTACT No.: +60123912101 CLIENT: Ampelmann
FACILITY: Khalifa LOCATION: BRUNEI
EMPLOYEE DETAILS
HOURS DAYS ON
NAME(S) COMPANY POSITION SHIFT OVERTIME
Work S/By LOCATION
MOHD AIDI SPARROWS INSPECTOR DAY 12 02
EQUIPMENT DETAILS
YEAR OF MACHINERY
MANUFACTURER MODEL No. SERIAL No. OTHER INFO
MANUFACTURE LOCATION
Amplemann A type A8 Main deck
HSEQ
OBSERVATION CARDS
SUBMITTED IN PAST 24 •
HRS
PAST 24 HOUR TASKS COMPLETED
31/7/2023
1. Travel to offshore
1/8/2023
2. General Visual Checks equipment steel works, structural, weldment and paint work.
3. Hydraulics hose and electrical cable, and components inspection.
4. Visual inspection on deck, gangway, and slipway.
5. Inspect the slew bearing assembly check including motor, gearbox, and pinions.
6. Function check.
7. Slew Bearing Rocking motion test.
8. Verify crane record.
A8
PD05f22 Rev 04 10 Mar 2023 1 of 4

Daily Report Form
General view Gangway
Control station Electrical component
Slew drive Slew gear and pinion
Categorise the S/By time clearly

Day Shift (Hours) Night Shift (Hours)
Permit Delays - Client Material Delays Permit Delays - Client Material Delays
Permit Delays - Sparrows Weather Permit Delays - Sparrows Weather
Isolation Delays - Client Scaffolding Isolation Delays - Client Scaffolding
Isolation Delays - Sparrows Mob & Induction Isolation Delays - Sparrows Mob & Induction
Deck Ops - Client Awaiting De-mob Deck Ops - Client Awaiting De-mob
PD05f22 Rev 04 10 Mar 2023 2 of 4

Daily Report Form
Deck Ops - Sparrows Safety Training Deck Ops - Sparrows Safety Training
Supply Vessel Ops Other Supply Vessel Ops Other
Support Issues Support Issues Support Issues Support Issues
NEXT 24 HOURS TASKS PLANNED
Demob
FAULTS / ISSUES RESPONSIBLE PARTY OPEN / CLOSED
RECOMMENDATIONS
CUSTOMER COMMENTS
PD05f22 Rev 04 10 Mar 2023 3 of 4

Daily Report Form
PD05f22 Rev 04 10 Mar 2023 4 of 4

Ampelmann
A-08
4.6 Customer Feedback
PD06f1 Rev 05 13 Apr 2022 13 of 13

Jamp600012 - R - 1 - A-08 c1 First Visit Report Close-Out

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Client/Asset: Ampelmann / A-08

Job Description: Annual Gangway Inspection 2023

Job / Doc No.: JAMP600012

JOB/DOC NO. JAMP600012 REV A1

PREPARED BY: Charlie Lim

DATE: 30th August 2023

CHECKED BY: Jahafer Sadikh

DATE: 30th August 2023

APPROVED BY Paul Sanderson

DATE 30th August 2023

Date Revision Description Author Check Approve

PD06f1 Rev 05 13 Apr 2022 2 of 13

PD06f1 Rev 05 13 Apr 2022 3 of 13

PD06f1 Rev 05 13 Apr 2022 4 of 13

2.1 Offshore Scope of Work

A Sparrows supervisor was mobilised to Brunei Darussalam to inspect A-08 gangway.

• Review of certifications and maintenance records.

PD06f1 Rev 05 13 Apr 2022 5 of 13

3.1 Work Completed

Table 1 – Summary of completed work scopes

3.2 Outstanding Activities / Defects Noted

Table 2 – Summary of outstanding actions and additional defects noted

PD06f1 Rev 05 13 Apr 2022 6 of 13

PD06f1 Rev 05 13 Apr 2022 7 of 13

4.1 Handover Certificate

PD06f1 Rev 05 13 Apr 2022 8 of 13

SIGNED: Sparrows Personnel

Print Name: MOHD AIDI MADON

SIGNED: Client Representative

Print Name: Abdullah Bukhari

PD05f20 Rev 0 17 Feb 2016 1 of 1

4.2 Certificate of Thorough Examination

PD06f1 Rev 05 13 Apr 2022 9 of 13

4.3 Inspection Checklist

PD06f1 Rev 05 13 Apr 2022 10 of 13

Title: Ampelmann - Annual Inspection Report

Client: AMPELMANN Date 01/08/2023

Site: KHALIFA Gangway Length (m) 25 METER

Equipment Manufacturer: AMPLEMANN Serial No A-08

General Notes or Comments

B. GENERAL VISUAL CHECK

C. GENERAL FUNCTION TEST

ADH03f4 Rev 0 24 May 2019 Page 1 of 17

REVIEW & MARK ANY ITEMS BELOW THAT WERE PREVIOUSLY

The record was in attendance

REVIEW THE OEM MAINTENANCE PROCEDURES FOR GUIDANCE ON THIS

B GENERAL VISUAL CHECKS

VISUALLY CHECK DRIP PANS LOCATED IN THE POWER UNIT CONTAINER

26. TAKE PICTURES OF THE OVERALL EQUIPMENT CONDITION ✓ Picture taken

C GENERAL FUNCTIONAL TESTS

INSECT SHEAVE PIN KEEPER PLATES ARE SECURELY FASTENED AND

D4 SLEW BEARING ASSEMBLY

44. INSPECT BEARING SEAL CONDITION ✓ No sign of damage

D5 SLEW DRIVE ASSEMBLY

COLLECT THE SAMPLING OF GEAR OIL FLUID SAMPLE (ANNUAL FLUID

D6 TELESCOPIC DRIVE SYSTEM

53. INSPECT THE HOIST FOR LEAKS ✓ No sign of leak

No drum fitted. System run by

D9 WIRE ROPE - TELESCOPIC GANGWAY

VERIFY THAT THE ROPE WEDGE SOCKET IS CORRECTLY TERMINATED

COMPONENT TAGGED - ENSURE WIRE ROPE IS CORRECTLY LABELLED