Ship’s Name Arrival Draft

Port / Terminal / Arrival Air Draft

Quay

Depth at Berth Departure Draft

Minimum Air draft Departure Air

Draft

The master and the terminal manager, or their representatives should complete the checklist jointly. The
safety of the operations requires that all questions should be answered affirmatively, and boxes ticked. If
this is not possible the reason to be given, and agreement to be reached upon precautions to be taken
between ship and terminal. If the question is not applicable write “N/A”, explaining why if appropriate.

No Safety Measure Taken Ship Terminal

.

Is the depth of water at the berth and the air draft,

1 Y NO Y NO
adequate for the cargo operations to be completed?
Are mooring arrangements adequate for all local effects of
2 Y NO Y NO
tide, current weather , traffic, and craft alongside ?
In emergency, is the ship able to leave the berth at any
3 Y NO Y NO
time?
Is there a safe access between the ship and the wharf
4 Y NO Y NO
(tendered by ship/terminal……cross out as appropriate)
Is the agreed ship/terminal communications system
5 Y NO Y NO
operative ?
Are the liaison contact persons during operations
6 Y NO Y NO
positively identified?
Are adequate crew on board, and adequate staff in the
7 Y NO Y NO
terminal, for emergency?
8 Have any bunkering operations been advised and agreed? Y NO Y NO
Have any intended repairs to wharf or ship whilst
9 Y NO Y NO
alongside been advised and agreed?
Has a procedure for reporting and recording damages from
10 Y NO Y NO
cargo operations been agreed ?
Has the ship been provided with copies of port and
11 terminal regulations, including safety and pollution Y NO Y NO
requirements and details of emergency services?
Has the shipper provided the master with the properties of
12 the cargo in accordance with the requirements of CH. VI Y NO Y NO
SOLAS
Is the atmosphere safe in holds and enclosed spaces to
which access may be required, have fumigated cargoes
13 Y NO Y NO
been identified, and has the need for monitoring of
atmosphere been agreed .
Have the cargo handling capacity and any limits of travel
14 Y NO Y NO
of each loader/unloaded been passed to the ship/terminal
Has a cargo loading or unloading plan been calculated for
15 Y NO Y NO
all stages of loading /de-ballasting or unloading/ballasting
Have the holds to be worked been clearly identified in the
loading or unloading plan, showing the sequence of work
16 Y NO Y NO
and the grade and tonnage of cargo to be transferred each
time the hold is worked?
17 Has the need for trimming of cargo in the holds been Y NO Y NO

Ship / Shore Safety Checklist Page 1 of 2

 discussed, and have the method and extent been agreed?
Do both ship and terminal understand and accept that if
the ballast program becomes out of step with the cargo
18 Y NO Y NO
operation, it will be necessary to suspend cargo operation
until the ballast operation has quote up?
Have the intended procedures for removing cargo residues
19 lodged in the holds while unloading been explained to the Y NO Y NO
ship and accepted?
Have the procedures to adjust the final trim of the loading
20 Y NO Y NO
ship been decided?
Has the terminal been advised of the time required for the
21 Y NO Y NO
ship to prepare for sea, on completion of cargo work?

General Comments

THE ABOVE HAS BEEN AGREED( contents of pages 1 & 2 ):

Time : Date :

For Ship : For Port /Terminal :

Rank : Position / Title :

Ship / Shore Safety Checklist Page 2 of 2