岸基应急准备及检查记录表 船岸联合应急反应.doc

岸基应急准备及检查记录表 船岸联合应急反应、演练记录表 船舶应急演习训练计划表 岸基应急准备及检查记录表 SHORE EMERGENCY PREPARATION AND INSPECTION RECORD应急总指挥Responsible for All应急领导小组成员Team members 是/否YES/NO公司领导Leadership总经理General Manager公司调度Company Operator海务主管Port Captain机务主管Port Engineer船员主管Crew Supervisor监控人Person on Watch指定人员Designated OfficerSMS办主任SMS Manager集合地点Muster Station集合时间Muster Time 年 月 日Date召集人Convener记录人Recorder公司调度Company Operator海务/机务Port Captain/Port Engineer岸基应急分工Assignment Of Responsibility1总经理 GM总指挥，公司应急领导小组组长。General commander, leader of emergency team.2指定人员Designated Officer总指挥的助手，负责全程监控。Assistant of Team Leader, Person On Watch3公司调度Company Operator应急召集人，接到船舶报告立即通知、召集各成员并记录全过程。Emergency Convener, convene/record upon receive ships report at once.4海务主管Port Captain备妥海图、航技技能支持，协助总指挥实施海损应急措施。Make marine chart ready, submit navigation technique support and assistance for carrying out the measure of sea damage to general commander.5机务主管Port Engineer备妥图纸、机电操作支持，协助总指挥实施机损应急措施。Make machine chart ready, submit operation support and assistance for carrying out the measure of machinery damage to general commander.6人事主管Human Affair Manager备妥船员名单，人事支持，协助总指挥了解处理人员变数。Make crew list ready, submit personnel support and assistance for carrying out the personnel problem to general commander.7SMS办主任SMS Manager负责对外接待，应对新闻媒体，安抚员工家属，并对记录。Responsible for external reception, answer medium, conciliation relation of crew, and storing record.发现问题Problems Finded纠正措施Corrective Actions总经理评语Comment 总经理： 日期： General Manager Date备注Notes1、公司应确保应急小组能随时给予船舶足够的岸基支持，检查人应每月对应急准备进行检查以常备不懈；Company should ensure emergency team which is possible to give the sufficient shore-based support to the ship at any moment. Inspector should inspect emergency preparing every month to confirm it always be ready and un-slack.2、检查记录是（V），表明招之即来、分工准备到位；反之为否（X）应立即改正，必要时追究责任。Inspection record mark（V）, means in good condition; be reverse to mark（X）, might be hold responsible if necessary.船/岸联合应急反应、演练记录表 Ship/Shore Emergency Reaction and Training Record船名ship name船长Master老轨C/E大副C/O航次Voy.船位position货类goods日期Date年 月 日 时 分航向heading航速speed吃水Draught稳性stability天气weather风向Wind direction风力winder power危险品编号/数量/位置dangerous cargo No./number/position类别Type1应急分类Emergency Type2发生部位Happened Place3损害情况Damage Condition4已采措施Have Taken Action5现在态势Now Condition6可能原因Possible Cause1碰撞/触礁/搁浅Crash/Aground2船体结构损坏Hull Structure3失火/爆炸Fire/Blast4机/电/舵失灵Engine/Electric/Rudder Out of Control5污染水域Pollution Area6货移动失稳性Cargo Move7进水Flooding Water8重伤/急病Serious Injury/Sudden Illness9人落水/搜救Overboard/Search and Rescue10封闭处所伤害Close Space Injury11弃船Abandonment12偷渡/海盗/恐怖Stowaways/Pirates/Terror船舶需求Requirement岸基支持Based Support编制Prepare安监部Safety supervision department审核Audit指定人员Designated Officer：批准Approval总经理General Manager：备注Notes1为满足SOLAS及STCW规定和SMS要求，船岸联合应急演练应每年进行并按规记录；1 In accordance with the requirement of SOLAS and STCW, ship and shore emergency training should be done yearly and recorded.2船岸联合应急演练遵循程序规定，计划由海务主管按程序要求编制、总经理批准执行；2 Ruled as regulation, developed by port Captain and improved operating by general managrer;3本报表由海务主管保存备案，实施前24小时与船长商定演练细节，记录应全面简要准确。3 Stored by port Captain, 24 hours before training discuss the details with the Captain and record briefly and correctly.船舶应急演习/训练计划表 Ship Emergency Drill/ Training Plan船舶名称 Ships Name日 期Date 月份Month 项目 item间隔期period123456789101112船舶火灾 （爆炸）fire(explosion)生活区accommodation 至少每月一次at least once every month机 舱engine room至少每月一次at least once every month货 舱 cargo hold至少每月一次at least once every month碰撞（包括堵漏）Collision (including plugging)至少每年一次at least once every year搁浅、触礁Grounded, stranded至少每年一次at least once every year遭遇自然灾害Natural disaster至少每年一次at least once every year人员落水、搜救man overboard, search and rescue至少每3个月一次at least once every three months弃船Abandon ship包括艇机启动boat engine start至少每月一次at least once every month右艇放至水面Release the right lifeboat into water至少每月一次at least once every month左艇放至水面Release the left lifeboat into water至少每月一次at least once every month自由降落式救生艇free-fall launched lifeboat至少每6个月一次at least once every six months货物移动Cargo Shift至少每年一次at least once every year船舶进水 Leakage至少每年一次at least once every year船舶失控out of control主机故障Main engine failure至少每3个月一次at least once every three months电力中断power failure至少每3个月一次at least once every three months舵机故障steering gear failure至少每3个月一次at least once every three months油污污染oil pollution至少每3个月一次at least once every three months人身伤害/封闭场所伤害person injured / enclosed space injured至少每2个月一次at least once every two months偷渡与毒品drug and smuggling至少每年一次at least once every year海盗与恐怖 piracy and terrorism至少每年一次at least once every year编制edit海务主管：Marine Superintendent：安监部经理：Manager of Safety Supervision Dept.:日期date备注1.船舶应急演练和培训应定期及必要时进行(按法规规定和实际需要)；Ship emergency exercise and training should be carried timely and also if necessary( as regulation and actual condition required)2.船舶应急演练和培训应有具体计划，实施要有记录。 There should be