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阿达尼船务有限公司LIST OF SHIP SAFETY INSPECTION船 舶 安 全 检 查 清单M.V. _IMO Number_Official Number_Call Sign:呼号:Type of ship:船型:Date of Keel Laid:龙骨铺设日期:Ship Dimensions#(L x B X D, metres):船舶尺寸(长X宽X高,单位:米。):Gross Tonnage:总吨:FLAG STATE:船籍国:Classification Society(s):船级社1st Inspection第一次检查Surveyor检查人:Date of Inspection日期:Place of Inspection地点:2nd Inspection第二次检查Surveyor检查人:Date of Inspection日期:Place of Inspection地点:3rd Inspection第三次检查Surveyor检查人:Date of Inspection日期:Place of Inspection地点:4th Inspection第四次检查Surveyor检查人:Date of Inspection日期:Place of Inspection地点:DOCUMENTATION 证书Statutory Certificates 法定证书 Note: N.A.- Not Applicable 注: N.A - 不适用DocumentIssuingAuthority发证机关IssueDate发证日期ExpiryDate过期日期LastEndorsementDate上次签证日期Certificate of Registry国籍证书 Ships Radio Station License电台执照 International Tonnage Certificate (1969)国际吨位证书International Load Line Certificate 国际载重线证书International Load Line Exemption Certificate (if any)国际载重线免除证书(如有)Cargo Ship Safety Construction Certificate货船安全构造证书Cargo Ship Safety Construction Exemption Certificate(if any)货船安全构造免除证书(如有)Cargo Ship Safety Equipment Certificate货船安全设备证书Record of Equipment (Form E)设备记录(E表)Cargo Ship Safety Equipment Exemption Certificate (fixed fire fighting)货船安全设备免除证书(固定消防设备)Document of Compliance with the special requirements for ships carrying dangerous goods危险品适装证书Cargo Ship Safety Radio Certificate货船无线电安全证书Record of Approved Cargo Ship Radio Installation (Form R)货船无线电设备安装认可记录(R表)Cargo Ship Safety Equipment Exemption Certificate (GMDSS items)货船安全设备免除证书(GMDSS条款)Document of Compliance (ISM Code)符合证明DOC (安全管理规则)Safety Management Certificate (ISM Code)安全管理证书SMC(安全管理规则)International Oil Pollution Prevention (IOPP) Certificate国际防油污证书(IOPP)Record of Construction and Equipment (Form A for ships other than oil tankers)构造和设备记录(A表)(除油轮以外其他船)Minimum Safe Manning Certificate最低安全配员证书Other Certificates/Documents/Records其他证书文件和记录Certificate / Document证书/文件证明Issue Date发布日期Remarks备注*Certificate of Class船级证书Record of Continuous Survey of Hull and Machinery船体,机械循环检验记录Enhanced Survey Report File (for Bulk Carriers) andSupporting documents加强检验报告(散货船)和支持文件Record of Conditions of Assignment of Load Lines载重线勘定状态记录Record of Approved Cargo Ship Safety Equipment货船安全设备认可记录Record of Cargo Ship Safety Radio Equipment货船无线电安全设备记录Liferaft servicing certificates救生筏检验证书Liferaft hydrostatic release servicing certificates救生筏静水压力释放器检验证书CO2 bottles and system servicing record二氧化碳系统和钢瓶检验记录CO2 bottles hydraulic test record二氧化碳钢瓶压力试验记录 Fire extinguishers servicing record灭火器检验记录Dangerous goods manifest or stowage plan (if any)危险品舱单和配载计划(若有)Certificate of compliance for the carriage of solid bulk cargoes固体散装货物适装证书Cargo gear book and testing certificates (if any)(period for test: 4 years or 5 years)起重设备和试验证书(若有) (检验期:4或5年。)Shore Base Maintenance Contract for GMDSSGMDSS设备岸基维护协议书B.A. bottles hydraulic test record (period for test: 5 years)呼吸器瓶压力试验记录(试验期限:5年)* To note if there is any condition of class如有任何船级社条件证书请说明Documents and Plans to be posted up onboard 船上需要张贴的文件和计划Documents / Plans证书和图表Posted张贴Remarks备注Yes有No无Fire Control Plan防火控制图Muster lists and emergency instruction应变部署表(Navigation bridge, engine room and crew accommodation spaces) 驾驶台,机舱,船员住舱IMO Symbols related to LSA & FFA. Res. A. 760(18), A.654(16)IMO救生,消防设备符号表Illustrations and instructions of method of donning lifejackets(Muster stations)救生衣穿着方法的指南和图解Posters and signs in the vicinity of lifeboats, liferafts, rescue boats and their launching controls在救生艇,救生筏和救助艇及其释放控制处附近张贴图解和标示 Damage Control Plan (for ships constructed on or after 01.02.1992)(Navigation bridge)破损控制计划(图)(适用于1992.2.1或以后建造的船舶) (驾驶台)Block diagram showing change over procedures for remote steeringGear control systems and steering gear power units(Navigation bridge and steering gear compartment)舵机遥控系统和舵机电源切换程序方框图.(在驾驶台与舵机房张贴)Manuals, Booklets and Record Book 手册、小册子和记录薄Manual / Booklet / Record Book手册、小册子和记录簿Provided提供Remarks备注Yes有No无Approved stability booklet, associated stability plansand stability information认可的稳性计算书,相关的稳性计划和稳性资料Approved grain loading information booklet认可的谷物装载资料手册Approved document of authorization for the carriage of grain认可的谷物适装证书Bulk Carrier Booklet (to prevent excessive stress in ships structure, the required information may be contained in the intact stability booklet)散货船手册(为了避免船舶结构承受太大的应力,在稳性手册里应提供相关资料)Approved Shipboard Oil Pollution Emergency Plan (SOPEP) (Marpol 73/78, Annex l, Reg. 26)认可的船上油污应急计划(MARPOL 73/78)Oil Record Book Part l (Machinery Space Operations)油类记录簿(PART 1)(机械处所的操作)Approved Cargo Stowage and Securing Manual认可的积载与绑扎手册Lifesaving appliances training manual救生设备训练手册Instructions for on-board maintenance of life saving Appliances救生设备船上保养指南Fire Safety Operational Booklet防火安全操作手册Fire Fighting Training Manual消防训练手册Fire fighting Systems & Appliances Maintenance Plan消防系统和设备的维修保养计划Record of Drills and Inspections演习和检查记录Record of Onboard Training 船上培训记录Garbage Management Plan垃圾管理计划Garbage Record Book 垃圾记录簿Damage Control Plan (for ships built on or after 01.02.1992)破损控制计划(1992年2月1日及以后建造的船舶适用)Damage Control Booklet (for ships built on or after 01.02.1992)破损控制手册(1992年2月1日以后建造的船舶适用)Muster List and Emergency Instructions应急部署表和应急说明SOPEP Drills Log Book油污应急计划演习记录簿Deck and Engineer Log Book航海和轮机日志Radio Log Book/GMDSS Log Book电台日志和GMDSS日志Battery Log Book蓄电池日志Emergency Battery Log BOOK应急蓄电池日志Please put “” in the appropriate space. 请在相关空格中划“”。- 41 -PORT STATE CONTROL INSPECTION RECORD 港口国检查记录Please fill in the recent one years PSC inspection record请填写最近一年的检查记录Port andCountry港口和国家Date ofInspection检查日期Detention(Yes / No)是/否滞留No. ofDeficiency缺陷数量Code number of the relevantDeficiencies缺陷相关的行动代码Any outstanding deficiencies from previous port state control inspection overdue or detainable items raised 在上一个港口国检查出的缺陷中有无过期未纠正的遗留缺陷或出现了滞留项目_CREW CERTIFICATES 船员证书Certificate证书Provided提供IssuingAuthority签发机关Remarks备注Yes有No无Certificate of Competency forOfficers and Watchkeeping Ratings职务船员的适任证书和普通船员的值班证书License for Officers职务船员的香港证书Medical Certificate for Fitness健康证书GMDSS Operators CertificateGMDSS操作员证书CREW INFORMATION 船员资料Crew Information船员资料Remarks备注*Crew Agreement (“HKENG1”) 船员协议(HKENG10)*Term & Condition of Services (attached to “HKENG1”)服务条款(HKENG1)*List of Crew (“HKENG2”)船员名单(HKENG2)*Official Log Book (“HKLOG3”)法定记录簿(HKLOG3)*Copy of current Crew Agreement (“HKENG1”) to send to Mercantile Marine Office within 28 days from the date of “HKENG1” open船员协议书(HKENG1)复印件在协议签署后28天内递交香港海事处*Record to show the delivery of the completed “HKENG1”, Term & Condition of Services, “HKENG2” & “HKLOG3” to Mercantile Marine Office有记录表明已经把完成的HKENG1,服务情况和条款,HKENG2和HKENG3送交香港海事处。Number of crew (including Master)船员人数(包括船长)Nationalities of Officers高级船员的国籍Nationalities of Ratings普通船员的国籍Working Language工作语言Any language problem among the crew船员间的语言交流问题Work schedule工作安排表* only applicable for ships with HK flag 仅适用于香港籍船舶。NAUTICAL PUBLICATIONS 航海图书Publications出版物Updated VersionProvided/Corrected提供/改正Remarks备注Yes有No无Charts海图 Notice to Mariners航海通告Tide Tables潮汐表Nautical Almanac航海天文历Sailing Directions and Supplements航路指南及补篇List of Lights灯标表Lists of Radio Signals无线信号表International Code of Signals国际信号规则ITU Publications国际无线电联合会出版物NAUTICAL RELATED INFORMATION 其他航海资料Information资料Provided提供Remarks备注Yes有No无Chart Correction System海图改正体系Life-saving signals illustrated table救生信号图解表Ship Manoeuvring Information船舶操纵资料Captains Night Order Book船长夜航命令簿Radar Log Book雷达记录簿Chronometer Error Book天文钟误差记录簿IMO & OTHER MARITIME RELATED PUBLICATIONS国际海事组织和其他相关航海出版物Publications出版物Provided提供Remarks备注Yes有No无SOLAS consolidated edition 2001+Amendment 20002001年出版的SOLAS公约附加2002修正案MARPOL consolidated edition 20022002年出版的MARPOL公约LOADLINE 1966 Regulations + Supplement to Load Line Regulations 1996 and Protocol of 1988 to Load Line Regulations1966年载无线公约+补篇+1988议定书Collision Regulations 避碰规则International Convention on Standard of Training, Certification and Watchkeeping for Seafarers, 1978as amended in 1995 (STCW Convention)1978年海员培训、发证和值班标准国际公约1995年修正案(STCW公约)IMO Ships Routeing IMO船舶航路International Safety Management Code国际安全管理规则IMDG Code, supplement and errata 国际危规+补篇+勘误表Code of Safety Practice for Cargo Stowage &Securing (not for dry bulk carriers and OBO carriers)货物积载和系固操作规则(不适用于干散货船和OBO船)Code of Safety Practice for Solid Bulk Cargoes (BC Code)固体散装货物安全操作规则(BC规则)Code for the construction and Equipment of ships Carrying dangerous chemicals in bulk (BCH Code)船舶承运散装危险化学品的结构和设备规则Index of Dangerous Chemicals carried in bulk (IBC)散装危险化学品附录(IBC)International Convention for the Safe Containers (CSC)国际集装箱安全公约International Grain Code 国际谷物规则Code of Safe Practice for ships carrying Timber & deck Cargoes木材和甲板货运输安全操作规则International LIFE-Saving Appliance Code (LSA Code)国际救生设备规则(LSA规则)International Code for Fire Safety Systems国际消防安全系统规则IMO Bridge Procedure Guide IMO 驾驶台程序指南Guide to helicopter / ship operations (from ICS)直升飞机/船舶操作指南(ICS)PUBLICATIONS PEQUIRED TO BE CARRIED ONBOARD A HONG KONG REGISTERED SHIP 香港籍船舶要求持有的出版物Publications出版物Provided提供Remarks备注Yes有No无Merchant Shipping (Seafarers) (Safety Officials and Reporting of Accidents and DangerousOccurrences) Regulation商船(海员)(安全和发生危险和伤害报告)规则Merchant Shipping (Seafarers) (Medical Examination) Regulation商船(海员)(医疗检查)规则Merchant Shipping (Seafarers) (Medical Stores)Regulation商船(海员)(医药存放)规则Merchant Shipping (Seafarers) (Code of SafeWorking Practices) Regulation商船(海员)(安全操作)规则Merchant Shipping (Seafarers) (Hours of Works)Regulation商船(海员)(工作时间)规则Code of Safe Working Practices for Merchant Seaman (English Version and / or Chinese Version)商船船员(安全工作)规则(中/英文版)The Ships Captains Medical Guide船长医疗指南Hong Kong Merchant Shipping Notices香港商船通告Hong Kong Merchant Shipping Information Notes香港商船资讯LOG/RECORD BOOK ENTRIES 日志和记录簿PSCCode No.PSC编号Description内容Entries inLog Books是否记入日志Remarks备注Yes是No否0190On board training and instruction 船上训练和指导Not later than two weeks after joining the ship, on the use of shipsLSA including survival craft equipment and in the use of ships FFA上船后二周内,船上救生设备(包括救生筏)和消防设备的使用方法0190At interval not more than four months, in the use davit-launchedliferafts (if fitted)不超过四个月内,学会使用用吊艇架式救生筏(若有)0190Lifeboat falls 救生艇索具Turn end to end at intervals not more than 30 months钢丝调头不超过30个月0190Renewal at intervals not more than 5 years不超过5年钢丝换新0190Falls certificate available 索具证书提供1599within 12 hours before departure from port 离港前12个小时内Testing of steering gear and change over procedures试验舵机和转换程序0190Weekly 每周Visual inspection of all survival craft, rescue boat and launching Appliance目视检查所有救生筏、救助艇和释放装置0190All engine of lifeboats and rescue boats run ahead and astern for a Total period of not less than 3 minutes救生艇、救助艇的艇机正车,倒车运转时间不短于3分钟0190Test of general emergency alarm试验通用应急报警器0190Monthly 每月LSA including lifeboat equipment check救生设备检查包括救生艇检查0190Crew muster for abandon ship and fire drill船员弃船和消防演习0190Emergency lighting for mustering and abandonment tested试验在应急部署和弃船时的应急照明0190Rescue boat launched and maneouvred in water (maximumallowable period 3 months)救助艇最多不超过三个月进入水中操练0190Enclosed space entry and rescue 密闭空间的进入和救助0190Three monthly 每三个月Emergency steering drills 应急操舵演习0190Lifeboats launched and manoeuvred in water救生艇释放和水中操练0190Six monthly 每六个月Free-fall lifeboats launched and manoeuvred in water (if fitted)自由抛落式救生艇释放和水上操练1710Routine Log Book Entry 常规日志记载Oil Record Book 油类记录簿2330Garbage Record Book 垃圾记录簿1705SOPEP Drill Record Book 油污应急演习记录簿0190Engine Log Book 轮机日志INTERNATIONAL SAFETY MANAGEMENT (ISM)CODE ISM规则To assess the effectiveness of the Safety Management System (SMS), please see “Explanatory notes to surveyors” for items marked with )安全管理体系(SMS)有效性评估,请看标有“验船师的解释”的条目。ISM Code ItemsISM规则项目PSCCode No.PSC编号Requirements要求Conditions状况Remarks备注Documentation (11) 证书2555Safety Management Manual (SMM) available有效的安全管理手册(SMM)Resources and Personnel (6)资源和人员2530SMM document in working language Understood by the crewSMM文件采用船员明白的工作语言编写2530Proficiency in common language betweenShipboard personnel船上人员工作中使用同一语言2530Officers license & medical fitness ascertained持有合适的职务船员适任证书和健康证书2550Safety Management Manual available to crewSMM对船员适用2550Safety Management Manual distribution in orderSMM配置适当Designated person(4)指定人员2520Knowledge of Designated Person by shipboard persons船上人员知道谁是指定人员(DP)2520Designated Person/Shore contact details readily available指定人员/岸基联络明细完备Maintenance (10)保养2550Engine room and deck equipment maintenance record机舱和甲板设备保养记录2550Planned Maintenance System计划维护保养体系Master responsibility andauthority (5)船长的责任的权限2525Evidence of Masters understanding of his roleand duties under the SMS (Overriding Authority)有证据显示船长明了SMS赋予他的义务和权利(越权处置)2525Evidence of Masters understanding of his duty ofimproving the SMS (Master Review)有证据显示船长明了其对SMS有推进的义务(船长评审)Reports andanalysis (9)不合格、事故与险情的报告及分析2545Evidence of reports generated under (Accident, incident, non-conformity) were reported to the company有证据显示(事故险情和不合格)产生的报告已报给公司2545Evidence of reports generated were respondedby the company with corrective action(s), if applicable, implemented如果(事故险情和不合格)已报告或已执行纠正,应有证据显示公司对相关报告采取的纠正措施Resources andpersonnel (6)资源和人员2530Evidence of crew familiarization of SMS:船员熟悉SMS的证据- Job Familiarization record 职责熟悉记录- Onboard training, e.g. video, books, etc. 船上培训,如录像、书籍等- Results of interview/questioning 评审结果/建议- Instruction prior to sailing 开船前的指示2530Identification of training needs: 培训的判定需要:- Individual performance evaluation record个人能力评估记录- Individual onboard training record个人船上培训记录Emergencypreparedness (8)应急部署2540Emergency Preparedness 应急部署- Familiarization of individual designated duties熟悉个人指定的职责- Drill record (scenarios covered & frequency)演习记录(险情和频率)- Testing of emergency & backup systems应急和备用系统的试验- Identification of emergency situation紧急情况的识别- Emergency drill programme & emergency drill record & review应急演习步骤和应急演习记录和讲评Companyverification, review andevaluation (12)公司审核、评审和评估2560Ship-Shore Interaction: 船岸间联系: - Internal / External Audit record内部/外部审核报告(记录)- Internal / External Audit NC follow-up and corrective action taken内部/外部审核不合格项目跟踪和采取的纠正行动- Internal / External Audit NC closure内、外部不合格项关闭Safety and environmentalPolicy

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