《船岸安全检查表》

1、船/岸安全检查表SHIP/SHORE SAFETY CHECK LIST船名： 泊位： 港口： Ship，s Name： Berth No. : Port： 靠泊时间： 离泊时间： Time of arrival: Time of depart： 填表说明：为了安全作业，对所有的问题均应肯定地做出回答，可在相应的方格内清 楚地标上“V”记号。如果不能作肯定的回答，则应说明理山，并就所应釆取的 相应的措施在船船与油码头之间达成协议。对认为不适用的任何问题，就在备 注栏中注明。“船舶”和“油码头”栏H下的方格，是供双方各自填写检查结果的。 在“代码”栏目中标有字母A、P或R者，分别表示如下意义：A

2、任何议定的程序和协议，均应以书面方式写明在本检查表的“备注” 栏中，或者互相认可的其他表式中，无论哪一种方式，都应要求双方签字。P在否定回答的情况下，未经港口主管当局的准许，不可进行作业。R表示对不超出声明中时间间隔需要重复检查的项目。表A散装液体货物的一般要求PART A- BULK LIQUID GENERAL通用检査内容Bulk Liquid - General船舶 Ship油码头Terminal代码Code备注Remarks1船舶是否已经系泊牢靠？R2应急钢统拖缆是否已经正确放置？Are emergency towing wires correctly positioned?R3船岸之

3、间的安全通道是否符合安全要求？Is there safe access between ship and shore?R4船舶是否保持自航移动能力？Is the ship ready to move under its own power?PR5678910111213141516171819船上是否有了有效的甲板现场值班？船/岸是否都有充分的监替？ Is there an effective deck watch in attendance on board and adequate supervision of operations on the terminal and on the s

4、hip?船/岸之间的系统使用是否正常？Is the agreed ship/shore communication system operative?是否已经说明并理解船岸/所应使用的应急信号？Has the emergency signal to be used by the ship and shore been explained and understood?是否已经议定了货物、燃油和压载水的装卸程序？Have the procedures for cargo, bunker and ballast handling been agreed?是否已经认识并了解拟装卸货物中有毒物质所具有

5、的危险？Have the hazards associated in the cargo being handled been identified and understood?是否已经议定了紧急停止（作业）程序？Has the emergency shutdown procedure been agreed?船岸双方的消防水带和消防设备是否已经正确放置并随时可用？ Are fire hoses and fire fighting equipment on board and ashore positioned and ready for immediate use?货物和燃油的软管或输油臂

6、状况是否良好、装配是否符合要求并适 合于预定的用途？Are the cargo hoses in good condition and correctly connected with shore pipes for designed use?船岸双方的排水孔是否已经堵塞严密、集液容器是否已经安置就 位？Are scuppers effectively plugged and drip trays in position both ship and shore?不使用的货物和燃油软管接头是否已经用厅板妥善封闭并上紧全 部螺栓？Are unused cargoes and bunker conn

7、ected property secured with blank flanges fully bolted?不使用的通海阀和舷外排出阀是否保持关闭并明显地系牢？Are sea and overboard discharge valves, when not in use, closed and visibly secured?所有货舱和燃油舱舱盖是否保持关闭？Are all cargo and bunker tank lids closed?是否釆用已议定的油舱透气系统？Is the agreed tank venting system be used?F/V阀和/或高速排气装置的效用，是否

8、已经用扌是升校验设施（如 装置有）验明正常？Is the operation of the P/V system been verified?手电筒是否属于认可类型？RARAARAARAre hand torches of an approved type?2021222324252627282930313233343536便携式VHF/UHF无线电对讲机是否属于认可的类型？Are portable VHF/UHF transceivers of an approved type?船上主要的无线电发射天线是否已经接地、雷达是否已经关闭？Are the ship* s main radio tr

9、ansmitter aerials earthed and radars switched off?便携式电器设备的电缆是否已经与电源断开？Are electric cables to portable electrical equipment disconnected from power?生活区所有的外部舱门和舷窗是否都保持关闭？Are all external doors and ports in the accommodation closed?窗式空调机是否都已经断开电源？Are window-type air conditioning units disconnected?有可能吸

10、入货物蒸汽的空调系统进气口是否已经关闭？Are air conditioning intakes that mey permit the entry of cargo vapors closed?使用厨房设备和其他炊事用具的规定被切实遵行？Are regulations of kitchen being observed?是否切实遵行吸烟安全规定？Are smoking requirements being observed?是否切实遵守明火安全规定？Are naked fire regulations being observed?是否已做了应急逃生的安排？Is there provisio

11、n for an emergency escape?船上和岸上是否有足够的人员以备处理紧急情况？Are there sufficient personnel on board and ashore to deal with an emergency?船/岸管路接头是否符合要求的绝缘措施？Are the joints of ship/ashore hoses meeting the insulation是否已经采取保证泵房充分通风的措施？Are efficiency measures for pump room ventilation used?船舶如果能够以封闭方式进行装栽，是否已经约定封闭式作业的有 关要求？Have the requirements for closed operations been agreed?蒸汽回收管路是否已连接？Is the vapour return line been correctly connected?如果蒸汽回收管路已经连接了，是否已经议定了操作参数？Is operating parameter for vapour return line been agreed?是否在室外放置有船舶应急防火控制图？RRRRRRAre the ship* s emergency fire control plans locate