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Marine Inspector (QA/QC) : Marine Inspector (Marine Safety) : Approved by Marine Logistics Lead :
Rev.02/2022 Page 1
The vessel is considered fit for purpose and suitable for the proposed scope of work following the successful close of the following items.
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
1 YEAR BUILT AND PLACE BUILT Specify 2010 / COCHIN SHIPYARD INDIA
2 CLASSIFICATION SOCIETY BV, ABS, Lloyds or equivalent ABS
3 LAST AND NEXT DRY DOCKING Specify 28.06.2021 / TBA
4 LAST FOUL REMOVER FROM HULL Specify (not more than 12 months) 18.02.2023
5 GROSS / NET TONNAGE Specify 2177 / 1044
6 DEADWEIGHT Specify 3217
7 TOTAL DISPLACEMENT Specify 4966.4
8 LENGTH OVERALL Specify (maximum 75m) 73.6
9 LENGTH BETWEEN PERPENDICULARS Specify 68.3
10 BREADTH / DEPTH Specify 16 & 07
11 CLEAR DECK AREA Specify 708 SqM
12 MAXIMUM DECK STRENGTH / LOAD Specify 5MT/SqM
13 SUMMER DRAFT Specify 5.8
14 LOADED DRAFT Specify 5.83
15 LIGHT SHIP DISPLACEMENT Specify 1760
16 FREEBOARD Specify 1181
17 PROPELLER Minimum 2, type and maker 2 x ULSTEIN BERGEN C:2533L6P
Rev.02/2022 Page 2
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
Unobstructed vision aft, full machinery Unobstructed vision aft, full machinery
21 STERN CONTROL POSITION
instrumentation "Joystick" control instrumentation "Joystick" control
6 INTERNATIONAL LOAD LINE CERTIFICATE Issue date, validity, last endorsement, etc 20 Oct 2022, 25 Nov 2022, 20 Oct 2022
7 INTERNATIONAL TONNAGE CERTIFICATE Issue date, validity, last endorsement, etc 20 Oct 2022, 20 Jan 2023, NA
18 SPECIAL PURPOSE SHIP (SPS) CERTIFICATE Issue date, validity, last endorsement, etc NOT APPLICABLE
19 SHORE BASED MAINTENANCE Issue date and validity 14 Oct 2022, 13 Oct 2023
20 SHIP RADIO STATION LICENSE Issue date and validity 04 Oct 2022, 02 Jan 2023
FINANCIAL RESPONSIBILITY INSURANCE
21 Issue date and validity 03-Oct-22 - 20-Feb-23
FOR OIL POLLUTION
22 P&I INSURANCE CERTIFICATE Issue date and validity 03-Oct-22 - 20-Feb-23
23 H&M INSURANCE CERTIFICATE Issue date and validity 03-Oct-22 - 20-Feb-23
24 SAFE MANNING DOCUMENT Issue date and validity October 04, 2022
Rev.02/2022 Page 3
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
26 SAFETY MANAGEMENT CERTIFICATE Issue date, validity, last endorsement, etc 20 Oct 2022, 19 Apr 2023, 20 Oct 2022
27 MARITIME LABOUR CERTIFICATE Issue date, validity, last endorsement, etc 20 Oct 2022, 19 Apr 2023, 20 Oct 2022
28 DOCUMENT OF COMPLIANCE Issue date, validity, last endorsement, etc 12 Sept 2022, 29 July 2023,12 Sept 2022
29 CONTINUOUS SYNOPSIS RECORD (CSR) Issue date, number October 04, 2022 / No.12
38 DAMAGE STABILITY PLAN / BOOKLET Ship-specific, class approved Bridge, ABS approved
SHIPBOARD MARINE / OIL POLLUTION
39 Ship-specific, class approved ABS Approved
PREVENTION AND EMREGENCY PLAN
SHIP ENERGY EFFICIENCY MANAGEMENT
40 Ship-specific, class approved ABS Approved
PLAN
Awaiting for cert. from ABS, inspection
41 CLASS 1 FIRE FIGHTING CERTIFICATE Specify NOT AVAILABLE
already completed.
42 SHIP SANITATION CONTROL CERTIFICATE Issue date and validity, every 6 months May 29, 2023
43 FUMIGATION CERTIFICATE Issue date and validity, one year calender May 29, 2023
45 QATAR PETROLEUM WORK ATTESTATION Issue date and validity NOT AVAILABLE
46 PORT/FLAG STATE INSPECTION REPORT Inspection date, findings closed NOT AVAILABLE
Rev.02/2022 Page 4
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
2 CHIEF OFFICER (1) / SDPO) COC (AII/1), COE, STCW, DP License, etc YES UNLIMITED / DP UNLIMITED
3 CHIEF OFFICER (2) / (SDPO) COC (AII/1), COE, STCW, DP License, etc YES UNLIMITED / DP UNLIMITED
4 SECOND OFFICER (JDPO) COC (AII/1), COE, STCW, DP License, etc YES UNLIMITED / DP ADVANCE
5 SECOND OFFICER (JDPO) COC (AII/1), COE, STCW, DP License, etc NOT APPLICABLE
6 CHIEF ENGINEER COC (AIII/2), COE, STCW, etc YES UNLIMITED / DP MAINTENANCE
7 SECOND ENGINEER (1) COC (AIII/3), COE, STCW, etc YES UNLIMITED / DP MAINTENANCE
8 SECOND ENGINEER (2) COC (AIII/3), COE, STCW, etc YES UNLIMITED / DP MAINTENANCE
9 OILER/GREASER STCW, etc STCW
10 ETO COC/Engineering/Electrical Certificate, STCW, etc STCW / DP MAINTENANCE
11 BOSUN STCW, etc STCW
12 SEAMAN (1) STCW, etc STCW
13 SEAMAN (2) STCW, etc STCW
14 SEAMAN (3) STCW, etc STCW
15 SEAMAN (4) STCW, etc STCW
16 CAMPBOSS STCW, Health Certificate, Food Handling, MLC, etc NOT APPLICABLE
17 COOK (1) STCW, Health Certificate, Food Handling, MLC, etc STCW
18 COOK (2) STCW, Health Certificate, Food Handling, MLC, etc NOT APPLICABLE
19 STEWARD (1) STCW, Health Certificate, Food Handling, MLC, etc STCW
20 STEWARD (2) STCW, Health Certificate, Food Handling, MLC, etc NOT APPLICABLE
21 STEWARD (3) STCW, Health Certificate, Food Handling, MLC, etc NOT APPLICABLE
22 STEWARD (4) STCW, Health Certificate, Food Handling, MLC, etc NOT APPLICABLE
23 CREW COMPLEMENT As per minimum safe manning and contract YES
24 MASTER AND CHIEF OFFICER Shipboard Safety Officer Certificate YES
25 GMDSS RADIO OPERATOR LICENSE Minimum 2 personnel YES
26 FAST RESCUE CRAFT CERTIFICATE All senior officers, engineers and Bosun YES
27 DP MAINTENANCE CERTIFICATE Chief Engineer, Second Engineer and ETO YES
28 H2S TRAINING CERTIFICATE For all crew and OPITO approved YES
29 OFFSHORE MEDICAL FITNESS CARD For all crew and approved by QE/QG YES
Rev.02/2022 Page 5
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
6 CHIEF ENGINEER'S STANDING ORDER Available, signed by all engineers Available, signed by all engineers
7 RADAR LOG Available, up to date Available, up to date
8 GMDSS LOG Available, up to date Available, up to date
9 OIL RECORD BOOK PART 1 Available, up to date, correct entries Available, up to date
10 CARGO RECORD BOOK Available, up to date, correct entries NOT AVAILABLE
11 SHIP SECURITY PLAN Available, class approved Available
12 VISITOR LOG BOOK Available, up to date, complete entries Available, up to date, complete entries
13 GARBAGE RECORD BOOK Available, up to date, correct entries Available, up to date, complete entries
Up to date, conformity of PMS, deck and
14 PLANNED MAINTENANCE SYSTEM (PMS) Up to date, conformity of PMS, deck and engine
engine
Rev.02/2022 Page 6
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
9 DYNAMIC POSITIONING SYSTEM Specify type/manufacturer and reference system DP2/ Converteam & 2 x DGPS, Cyscan
11 PRINTER ABLE TO PRINT SCREEN SHOTS Required Yes,Able to print screenshot Printing by USB drive
14.c WAVE Specific Max. Wave at 90/270 deg : 1.5-2.5 meters Awaiting for FMEA
14.d CURRENT Specify Max. Current at 90/270 deg : 2.0 Knots Awaiting for FMEA
15 ANNUAL DP TRIAL REPORT Last trial date (not more than 1 year) 11-Oct-19 DP FMEA in progress
16 DP FOOT PRINT Offset (m) perimeter TBA on the next DP trial Awaiting for FMEA
17 FMEA REPORT Last FMEA date (not more than 5 years) 19-Feb-17 DP FMEA in progress
18 DP CLASS NOTATION Specify DP 2, ABS Class
19 DP REFLECTOR / TRANSPONDER Specify and quantity 4 x Cylinder Reflector
20 MOTION REFERENCE UNIT (MRU) Specify VRU, DS, VRS, wind sensor and quantity 2 x VRU, 2 x wind sensor
Rev.02/2022 Page 7
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
QATAR ENERY RAS LAFFAN PORT TIDE ONCE VESSEL WILL ARRIEVED RLP
35 Latest edition NOT AVAILABLE
TABLE QG TEAM WILL PROVIDE
36 MARINE OPERATIONAL MANUAL Revision number YES
37 NAUTICAL/ADMIRALTY CHARTS Latest edition and corrected to latest NTM up to date Last NTM-08/2023
38 NAUTICAL/ADMIRALTY PUBLICATIONS Latest edition and corrected to latest NTM up to date
39 INTERNATIONAL CODE OF SIGNAL Latest edition 2005 Edition
INTERNATIONAL MARITIME DANGEROUS
40 Latest edition 2016 Edition
GOODS (IMDG) CODE
41 IAMSAR VOLUME 3 MANUAL Latest edition 2022 Edition
16 DRY BULK CAPACITY Specify number of tanks and total capacity 5 TKS / 320M3
Check tank/line configuration and simultaneous
17 DRY BULK SYSTEM 22.8m3 /minutes
intake/discharge capacity
18 DRY BULK MANIFOLD / HOSE Male/Female (4"Camlock Female) 4" camlock male
19 PUMPING SYSTEM Type and configuration 22.8m3 /minutes
Rev.02/2022 Page 8
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
20 INTAKE / DISCHARGE LINE (DRY BULK) Minimum 2 independent system 2 independent compressor with 1 drier
25 LIQUID MUD / MEG FLOW METER Meter certified accuracy < 0.5% 09.01.2023 BRINE
26 MEG TANK CONDITION Suitable to store MEG and no cross line in the tank NOT APLICABLE
32 COMPUTER MONITORING AND PRINTER Monitored from ECR computer and to have printer YES
Rev.02/2022 Page 9
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
11.0 MACHINERY
Rev.02/2022 Page 10
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
31 EMERGENCY FUEL SHUT OFFS Condition and marked All Working Good
32 BILGES Clean, free from oil and debris GOOD
6 CONFINED SPACE ENTRY RESCUE DRILL Included in ERP, last drill date 11-Dec-22
27 BILLY PUGH BASKET Capacity and last 3rd party certification NOT APLICABLE
28 PERSONAL PROTECTIVE EQUIPMENT Hardhats, work boots, glasses, gloves, etc YES
29 SAFETY WARNING AND SIGNS Provided in all areas as required YES
30 FRESH WATER TANK Quantity and last cleaning date YES
31 STRETCHER Type, quantity and certificate available NEL ROBERTSON & PARAGUARD - 3
Rev.02/2022 Page 11
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
32 FIRST AID KIT Quantity and locations BRIDGE / GALLEY / HOSPITAL / ECR
33 MEDICINE / MEDICAL STORES As per Flag State and contract YES
13.0 ACCOMMODATION
1 BRIDGE Layout and orderly arranged GOOD
2 GALLEY Condition and cleanliness GOOD
3 MESS ROOM Condition and cleanliness GOOD
4 FRIDGE / FREEZER Condition, cleanliness and alarms operational GOOD
5 PROHIBITED ITEM No alcohol, pork, drugs etc and declared by Master YES
6 FOOD AND PROVISION Required for 30 days YES
Rev.02/2022 Page 12
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
2 DECK AREA AND LAYOUT Size, deck condition, 5m deck space for heli landing NA
Rev.02/2022 Page 13
COMPLY
VESSEL SPECIFICATION / OWNER'S QG MARINE REMARKS /
DESCRIPTION CHARTERER SPECIFICATION
Yes No COMMENTS EVALUATION
16 MOORING ROPE Quantity, type, length, condition and spare ropes 10COILS including spare 100Mtrs Each
17 ANCHOR CHAIN Quantity, type, length and condition 2 (P-8 Shackle/S - 9 Shackels) Good
18 ANCHOR WINCH / WINDLASS Condition, brake pads Good
19 FREEZER CONNECTIONS Minimum 6 point@300 AMP, 415V-440V@50 cycle YES
20 GANGWAY Quantity, condition and length 2Nos. (4Mtr & 8Mtrs)
21 SAFET NET Quantity and condition 1 NOS GOOD
22 HYDRAULIC ACCESS GANGWAY x 10m Minimum 1 and condition (for accommodation vessel) NOT APLICABLE
17.0 CRANE
The information provided and/or inspected has been provided by the vendor and whilst he/she believes it to be accurate based on statement of fact, Qatargas Marine will make our own enquiries and not rely on this information in making a decision to approve the
vessel fit for purpose. The information is to be used and accepted as a guide only. It is Qatargas Marine responsibility to verify and confirm all information.
Rev.02/2022 Page 14