Please enable JavaScript in your browser to complete this form.General - Step 1 of 11GeneralName of shipIMO No.Present FlagPort of RegistryType of ShipRegistered OwnerShip's ManagerGT/NTDeadweightLengthBreadthDepthYear BuiltClassification SocietyClass is valid till Class NotationVessel StatusA. In ServiceB. Laid-upC. Under RepairDate of last Dry DockingDate of last Special Survey Hull/MachineryDate of next Special Survey Hull/MachineryTrading Area according to Classification CertificateNext Port of CallIn Case of Change of Class, foreseen Classification SocietySurvey ParticularsSurveyor’s Name Accredited by Date of Accreditation Date of SurveyPlace of SurveyShip's Certificates & DocumentsCertificate of RegistryYesNoExpiry Date:Class Certificate YesNoExpiry DateInternational Tonnage Certificate YesNoExpiry DateInternational Load Line Certificate YesNoExpiry DateInternational Oil Pollution Prevention Certificate (IOPP) YesNoExpiry Date International Air Pollution Prevention Certificate (IAPP) YesNoExpiry Date Sewage Prevention Certificate YesNoExpiry DateSafety Construction Certificate YesNoExpiry Date Safety Equipment CertificateYesNoExpiry Date Safety Radio Certificate YesNoExpiry Date Document of Compliance for Dangerous Goods (if carrying) YesNoExpiry Date Document of authorization for carriage of grainYesNoExpiry Date Cargo GearYesNoExpiry Date Safety Management Certificate YesNoExpiry Date Document of Compliance YesNoExpiry DateInternational Ship Security Certificate YesNoExpiry DateExemption(s) granted by previous Flag Administration YesNoExpiry Date AFS Compliance Certificate YesNoExpiry Date PLANS AND RECORDS AVAILABLE ON BOARDGeneral Arrangement Plan YesNoCommentMid-ship Section Plan YesNoCommentShell Expansion Plan YesNoCommentRecord of Safety Equipment YesNoComment Fire Control Plans YesNoCommentTraining Manuals YesNoCommentFire Safety Operational Booklet YesNoComment Oil Record Book – Part 1 YesNoComment Oil Record Book – Part 2 YesNoComment Sounding Book YesNoCommentRadar Log YesNoCommentCompass Error Book YesNoCommentChronometer Rate Book YesNoCommentLoading InstrumentYesNoCommentLoading Manual YesNoCommentApproved Grain Stability Book YesNoCommentSOPEP ManualYesNoCommentApproved Cargo Securing Manual YesNoComment Deck Maintenance Record Book YesNoComment E.R. Maintenance Record Book YesNoComment Medical Log YesNoCommentPort / Flag State Inspection Records (note outstanding deficiencies). YesNoCommentCargo Gear Book YesNoComment Radio Log YesNoCommentMANNINGOFFICERSManning CertificateTotal No. of Persons per Safety Certificate RemarksRATINGSManning CertificateTotal No. of Persons per Safety Certificate RemarksTOTAL NO. OF PERSONS ON BOARDManning Certificate Total No. of Persons per Safety Certificate Remarks MANNING RECORD TO MINIMUM SAFE MANNING REQUIREMNTSRank STCW 95 RemarksRank STCW 95RemarksOTHER DATAVessel Trading AreaCommentVessel is classed UMS (UMS notation to be indicated) YesNoComment NextNAVIGATIONAL/RADIO EQUIPMENTEcho Sounding DeviceYesNoCommentGyro Compass YesNoComment Autopilot YesNoComment Course Recorder YesNoComment Standard (Magnetic) Compass YesNoCommentRadars YesNoType Comment A.R.P.A YesNoCommentChronometers YesNoComment GPS YesNoIndicate number of GPSs: Log/Speed Indicator YesNoComment Rudder Indicator YesNoComment Signal Lights/Aldis/Whistle/ ships bell & gong YesNoComment Navigation Shapes YesNoComment NAVTEX Receiver YesNoComment Engine Room Telegraph YesNoCommentEPIRB YesNoCommentSART (Radar Transponder) YesNoCommentPortable VHF CommentWatch Receiver YesNoCommentEmergency Batteries YesNoCommentRADIO STATION (Description/Condition)PreviousNextFIRE FIGHTING EQUIPMENT AND LIFE SAVING APPLIANCESLifeboats Type and NumberYesNoComment Overall ConditionYesNoComment EquipmentYesNoCommentFittingsYesNoCommentLife rafts, number, and location. (Appropriate certification) YesNoCommentHydrostatic Releases YesNoCommentLaunching Equipment (as applicable) YesNoCommentSignage / instructions posted at point of use YesNoCommentLifebuoys YesNoComment Immersion Suits Number/Condition YesNoComment Life Jackets overall condition and number, Light ExpiryYesNoCommentType-Approved YesNoComment Rescue Boat YesNoComment Thermal Protective Aids Number and Location YesNoComment Fixed FFA, including surveys as applicable YesNoComment Fixed FFA, including surveys as applicable YesNoCommentFixed Fire Detection YesNoCommentFire Lines and Hydrants YesNoCommentInternational Shore Connection YesNoCommentFire Hoses and Nozzles YesNoCommentFire Extinguishers (including surveys) YesNoComment SCBA and ELSA (including surveys) YesNoComment Portable Oxygen Meters YesNoComment Bridge Pyrotechnics YesNoCommentBridge Pyrotechnics YesNoCommentLine Throwing Appliance YesNoCommentLifeboat Pyrotechnics YesNoCommentEmergency Station Bills YesNoCommentFire Control Plan YesNoComment Internal YesNoComment External YesNoComment Escape Routes and Signs YesNoComment Life Saving Apparatus Training Manuals (SOLAS)YesNoComment Maintenance Manuals (FFA/LSA) YesNoCommentEEBD (Number/Position) YesNoComment PreviousNextExternal Shell PlatingDecks, Main Deck, Forecastle, PoopSuperstructure Internal Shell Plating, Bulkheads, Frames Ballast Tanks, Peak Tanks, Cofferdams (not less than two salt water ballast tanks are to be inspected)Mooring Equipment, Anchors, Cables, Mooring Ropes, Fairleads WT Openings, Doors, Ports, Skylights Ventilators, Pipes, Sounding Pipes and Closing Devices, including identification of compartment Deck LightingManifold, Bunker Tank Vent and Sounding Pipe including identification of tank served Pilot Hoist /LaddersAccommodation Ladders and gangways. Deck Store / Foc’sle Store / Paint Locker / CO2 / incident (Oil Pollution etc.) spaces.Selected thickness measurement taken at the time of this survey (Relative Report is sent herewith) YesNoLast thickness measurement report taken on (is attached) YesNoPreviousNextType and Number Method of Opening/Closing Condition of CoversCoaming Compression Bars Sealing Rubbers Cross Joint Drain Channels Coaming Channels and Drains Securing Devices for Sea YesNoCommentHatch covers Container Fitted YesNoCommentPreviousNextInternal StructureCoatings Ladders GuardrailsCell Guides and Pads Tank Tops Manholes, Covers Bilges and Suctions; Air Sounding PipesLighting Ventilation Type Ventilation Trunking Smothering Distribution System Selected thickness measurement taken at the time of this survey (Relative Report is attached) YesNoDate of last thickness measurement report A copy of the last thickness measurement report taken on (insert date set out directly above) is attached YesNoTANKS (INTERNALLY EXAMINED) / CONDITION***Indicate whether condition is Good, Fair, Poor.Ballast TanksSide Tanks Other tanksSelected thickness measurement taken at the time of this survey (Relative Report is attached)YesNoDate of last thickness measurement report A copy of the last thickness measurement report taken on (insert date set out directly above) is attached.YesNoPreviousNextAccommodation (Internal)Galleys and StoreroomsHospital Dispensary and MedicalMedical Oxygen PreviousNextOverall Condition of Engine Room Main Engine BoilerAuxiliary Boiler Auxiliary MachineryBallast PumpsF.O. Pumps Lube Oil Pumps General Pumps Air CompressorsCargo Pumps Emergency Fire PumpGeneratorsPurifier Room CleanlinessSwitchboard Domestic Refrigeration MachineryWorkshops (including machinery guards and/or protective items). Control Room Alarms and InstrumentationSpares YesNoCommentFire Detection SystemYesNoComment Smothering System YesNoComment Closing / Sealing Devices YesNoComment Remote Stops YesNoComment Oil/Water Separator YesNoComment Overboard Discharge Alarm YesNoComment Overboard Discharge Locked in Port? YesNoComment Fixed Fire System in Engine Room YesNoComment Fixed Fire System in Cargo Holds YesNoComment Sanitation System Sea ValvesBilge SystemHigh-Level AlarmsCleanlinessShaft Tunnel/Stern Gland Emergency Escape Fire-Resisting Doors YesNoComment Fire/Pollution Hazards YesNoComment Steering Gear and Emergency SystemDate Last Tested at SeaEmergency Generator (Tested) YesNoDate last tested DateTimeEmergency Fire Pump (Tested)YesNoDate last testedDateTimeCrane/Hoist –SWL and Record of Examination YesNoCommentRecords of Maintenance for Engine Room Equipment. YesNoComment CommentsRecords of Maintenance for Engine Room Equipment. YesNoDate last testedPreviousNextCranes or Derricks Number Type SWL Limit SwitchesCargo Running GearYesNoComment WinchesYesNoComment ControlsYesNoComment Entries Made in RegisterYesNoComment Spares YesNoComment COMMENTSSafety/Operation MarkingsYesNoComment CONCLUSION (additional sheets may be added if necessary)RECOMMENDED TO REGISTER YesNoPreviousNextCodeList of deficiencies to rectifyPrior departureNext port/15 days*Within one monthCode List of deficiencies to rectifyPrior departureNext port/15 days*Within one monthCode List of deficiencies to rectifyPrior departureNext port/15 days*Within one monthCodeList of deficiencies to rectify Prior departureNext port/15 days*Within one monthCodeList of deficiencies to rectify Prior departureNext port/15 days*Within one monthCode List of deficiencies to rectify Prior departureNext port/15 days*Within one monthCode List of deficiencies to rectify Prior departureNext port/15 days*Within one monthCode List of deficiencies to rectify Prior departureNext port/15 days*Within one monthCode List of deficiencies to rectify Prior departureNext port/15 days*Within one monthCode List of deficiencies to rectify Prior departureNext port/15 days*Within one monthPreviousNextUpdating preview…This is a preview of your submission. 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