Annex 1 - Company Standard Forms Checklists Logs and Posters

Download as pdf or txt
Download as pdf or txt
You are on page 1of 32

Fleet Management Limited

Company's Standard
Forms, Checklists,
Logs and Posters
*For Shipboard Use

Rev. 10
01-Jan-2020
INDEX

PAGE

SECTION 1 1
SECTION 2 2
SECTION 3 3
SECTION 4 4
SECTION 5 6
SECTION 6 8
- BULK CARRIER 9
- BUNKER 10
- CHEMICAL TANKER 11
- CONTAINER 13
- GAS TANKER 14
- LNG CARRIER 16
- OIL TANKER 18
SECTION 7 20
SECTION 8 21
SECTION 9 22
SECTION 10 24
SECTION 11 27
SECTION 12 28

SECTION 13 29

Rev. 10
01-Jan-2020
SECTION 1

No. Forms Revision Source

S-1.1 F Master's Review Rev.0 07/18 Paper / PARIS

S-1.2 P Vision & Mission statement Rev.0 07/18 Poster

S-1.3 P Company Policy Rev.3 01/20 Poster

S-1.4 P Internet poster Rev.0 07/18 Poster

S-1.5 P DPA & CSO Poster (Tanker) Rev.2 09/19 Poster

S-1.6 P DPA & CSO Poster (Non-Tank) Rev.2 09/19 Poster

S-1.7 P Safety Empowerment Rev.0 07/18 Poster

ISPS 12 ISPS Annual Review Rev.0 07/18 SSP

Rev. 10
Page 1 01-Jan-2020
SECTION 2

No. Forms Revision Source

S-2.1 F Note of Protest Rev.0 07/18 Paper / PARIS

S-2.2 F Notice of Readiness Rev.0 07/18 Paper / PARIS

S-2.3 F Off- Hire Certificate Rev.0 07/18 Paper / PARIS

S-2.4 F Monthly Document Cover sheet Rev.0 07/18 Paper / PARIS

S-2.5 F Removal Report Rev.0 07/18 Paper / PARIS

S-2.6 F Store List (For Custom Purpose) Rev.0 07/18 Paper / PARIS

S-2.7 F Visitor Pass Rev.0 07/18 Paper / PARIS

S-2.8 F Declaration of Personal Effects Rev.0 07/18 Paper / PARIS

S-2.9 F Authority sign B/L on behalf of Master Rev.0 07/18 Paper / PARIS

S-2.10 F Damage Report Rev.0 07/18 Paper / PARIS

S-2.11 F Extra Meal Entertainment Report Rev.0 07/18 Paper / PARIS

S-2.12 F Provision Report Rev.1 01/20 Paper / PARIS

S-2.13 F LO and Marine pollutant storage facility plan Rev.0 07/18 Paper / PARIS

Contractors and Supernumerary Safety


S-2.14 F Rev.0 07/18 Paper / PARIS
Familiarisation
S-2.15 C Contractor's Safety Induction Checklist Rev.0 07/18 Paper / PARIS

Rev. 10
Page 2 01-Jan-2020
SECTION 3

No. Forms Revision Source

S-3.1 L Training Log for Chief Officer to Master Rev.1 01/20 Paper / PARIS

S-3.2 L Training Log for Second Officer to Chief officer Rev.1 01/20 Paper / PARIS

S-3.3 L Training Log for Third Officer to Second Officer Rev.1 01/20 Paper / PARIS

Training Log for Second Engineer to Chief


S-3.4 L Rev.1 01/20 Paper / PARIS
Engineer
Training Log for Third Engineer to Second
S-3.5 L Rev.1 01/20 Paper / PARIS
Engineer
Training Log for Fourth Engineer to Third
S-3.6 L Rev.1 01/20 Paper / PARIS
Engineer
S-3.7 F Alcohol Testing Result Form Rev.1 04/19 Paper / PARIS

S-3.8 F Sea Service Testimonial for Engineer Officers Rev.0 07/18 Paper / PARIS

S-3.9 F Certificate of Watch-Keeping Service Rev.1 01/20 Paper / PARIS

S-3.10 F Record of Rest Hours Rev.0 07/18 Paper / PARIS

S-3.11 F Shipboard working arrangements Rev.0 07/18 Paper / PARIS

S-3.12 P Drug & Alcohol Poster Rev.0 07/18 Poster

S-3.13 C Stowaway Search Rev.1 01/20 Paper / PARIS

S-3.14 F Safety Familiarisation Card Rev.0 07/18 Paper / PARIS

S-3.15a C Checklist for familiarisation of officers Rev.0 07/18 Paper / PARIS

S-3.15b C Checklist for familiarisation of ratings Rev.0 07/18 Paper / PARIS

S-3.15c C New joining Deck Officers' bridge familiarisation Rev.0 07/18 Paper / PARIS

Type / Rank specific MARPOL equipment


S-3.15d C Rev.0 07/18 Paper / PARIS
training
S-3.15e C Emission control training requirements Rev.0 07/18 Paper / PARIS

S-3.16 L Ship’s Medical Log Rev.0 07/18 Paper / PARIS

S-3.17 F Sickness Report Rev.0 07/18 Paper / PARIS

Record of Navigation in Polar Water and


S-3.18 F Rev.0 01/20 Paper / PARIS
Equivalent Ice Waters

Rev. 10
Page 3 01-Jan-2020
SECTION 4

No. Forms Revision Source

S-4.1 L Defect List register Rev.0 07/18 Log Book

S-4.2 L Battery Log Rev.0 07/18 Log Book

S-4.3 F Crankwebs Deflection Report Rev.0 07/18 Paper / PARIS

S-4.4 F Bearing Measuring Report Rev.0 07/18 Paper / PARIS

Main Engine Piston And Piston Calibration


S-4.5 F Rev.0 07/18 Paper / PARIS
Report
S-4.6 F Main Engine Cylinder Liner Calibration Report Rev.0 07/18 Paper / PARIS

S-4.7 F Aux Diesel Overhaul Report Rev.0 07/18 Paper / PARIS

S-4.8 L Engine Room sounding logbook Rev.0 07/18 Log Book

S-4.9 L Chief Engineer's Night Order book Rev.0 07/18 Log Book

S-4.10 C Engine Room Pre-Arrival Checklist Rev.0 07/18 Paper / PARIS

S-4.11 C Engine Room Pre-Departure Checklist Rev.0 07/18 Paper / PARIS

S-4.12 L Daily Dry docking Safety Meeting Rev.0 07/18 Paper / PARIS

S-4.13 C Bunkering Plan and Checklist Rev.2 09/19 Paper / PARIS

S-4.14 F Dry Dock Specification Sheet Rev.0 07/18 Paper / PARIS

S-4.14.1 F Index to Dry Dock Specification Rev.0 07/18 Paper / PARIS

Engine Watch take over at sea/ Checklist prior


S-4.15 C Rev.0 07/18 Paper / PARIS
putting UMS
Record of Critical Parameters and Checks
S-4.16 C Rev.0 07/18 Paper / PARIS
During UMS Round
S-4.17 F Tank Condition Report Rev.0 07/18 Paper / PARIS

S-4.18 F Guarantee report Rev.0 07/18 Paper / PARIS

S-4.19 F Survey Report Rev.0 07/18 Paper / PARIS

Rev. 10
Page 4 01-Jan-2020
SECTION 4

No. Forms Revision Source

S-4.20 L Chief Engineer’s standing instructions. Rev.0 07/18 Paper / PARIS

S-4.21 L Chief Engineer's Log Book Rev.0 07/18 Log Book

S-4.22 C Pre Dry Dock Checklist Rev.0 07/18 Paper / PARIS

S-4.23 C Checks Prior Departure From Dry-Dock Rev.1 01/20 Paper / PARIS

Rev. 10
Page 5 01-Jan-2020
SECTION 5

No. Forms Revision Source

S- 5.1 C Bridge Daily tests & checks Rev.0 07/18 Paper / PARIS

S- 5.2 C Radio Station Noon checks Rev.0 07/18 Paper / PARIS

Bridge Watch Handover Take over while


S- 5.3 C Rev.0 07/18 Paper / PARIS
underway
S- 5.4 C Navigation under Pilotage Rev.0 07/18 Paper / PARIS

Ship/ Shore - Pre Arrival Master/ Pilot


S- 5.5a C Rev.0 07/18 Paper / PARIS
Information Exchange

S- 5.5b C Master / Pilot Information Exchange Rev.1 01/20 Paper / PARIS

S- 5.6 C Pilot Card Rev.2 01/20 Paper / PARIS

S- 5.7 C Preparation for Arrival/ Departure in Port Rev.1 01/20 Paper / PARIS

S- 5.8 C Anchoring and Anchor Watch Rev.1 01/20 Paper / PARIS

Anchoring in Open / Non-Designated / Deep


S- 5.9 C Rev.1 01/20 Paper / PARIS
Water Anchorage
S-5.10 C Navigation in Heavy Weather Rev.0 07/18 Paper / PARIS

S- 5.11 C Navigation in ice Rev.0 07/18 Paper / PARIS

S- 5.12 C Navigation in Restricted Visibility Rev.0 07/18 Paper / PARIS

S- 5.13 F Passage Plan Rev.0 07/18 Excel / PARIS

S- 5.14 F Master's standing orders Rev.0 07/18 Paper / PARIS

S- 5.15 C Master's Verification of Navigational Standards Rev.0 07/18 Paper / PARIS

S- 5.15 F Master's Self Nav Audit Cover Sheet Rev.1 04/19 Paper / PARIS

S- 5.16 C Bridge UMS Checklist Rev.0 07/18 Paper / PARIS

S- 5.17 C Master's Monthly Verification Rev.0 07/18 Paper / PARIS

S- 5.18 L Compass Error Log Rev.0 07/18 Log Book

S- 5.19 L Anchor watch log Rev.0 07/18 Log Book

S- 5.20 L Master's Night Order Book Rev.0 07/18 Log Book

Rev. 10
Page 6 01-Jan-2020
SECTION 5

No. Forms Revision Source

S- 5.21 L Bridge equipment status register Rev.0 07/18 Log Book

S- 5.22 L Manoeuvring order Book Rev.0 07/18 Log Book

Shipboard safety checklist for helicopter


S- 5.23 C Rev.0 07/18 Paper / PARIS
operations
S- 5.24 L Deck Log Book Rev.0 07/18 Log Book

S-5.25 P Man Overboard Rev.0 07/18 Poster

S-5.26a P Bridge No Distraction Poster Rev.0 07/18 Poster

S-5.26b P No Distraction Policy Poster Rev.0 07/18 Poster

S-5.27 P CFR 33 Poster Rev.0 07/18 Poster

S-5.28 P "VHF Assisted" Collisions Poster Rev.0 07/18 Poster

S-5.30 F Ship Master’s Port Report Rev.0 07/18 Paper / PARIS

S-5.31 L VHF Log (Only for NIS Flag Vessel) Rev.0 07/18 Log Book

S-5.32 L Radar Log (Only for NIS Flag Vessel) Rev.0 07/18 Log Book

Additional
Required Boarding Arrangements for Pilot Rev.0 07/18 Poster
(P)
Additional
Wheelhouse Poster Rev.0 07/18 Poster
(P)

Rev. 10
Page 7 01-Jan-2020
SECTION 6

No. Forms Revision Source

S-6A.1 L Mooring Equipment log Rev.0 07/18 Log Book

S-6A.2 P Safe Mooring Poster Rev.0 07/18 Poster

Mooring Operations Checks and Tool Box


S-6A.3 C Rev.0 07/18 Paper / PARIS
Meeting Record
S-6A.4 F Brake Rendering Test (MEG4) Rev.0 01/20 Paper / PARIS

S-6A.5 L Line Management Plan (LMP) Rev.0 01/20 Paper / PARIS

S-6A.6 L Mooring System Management Plan (MSMP) Rev.0 01/20 Paper / PARIS

Rev. 10
Page 8 01-Jan-2020
SECTION 6 - BULK CARRIER

No. Forms Revision Source

Record of Air Temperature, Dew Point, Ventilation


S - 6BC.1 F Rev.0 07/18 Paper / PARIS
and Cargo Hold Parameters
S - 6BC.2 C Checklist – Steel loading Rev.0 07/18 Paper / PARIS

S - 6BC.3 F Maintenance Manual for Hatch covers Rev.0 07/18 Paper / PARIS

S - 6BC.4 C Bulk Carrier ship-shore Safety checklist Rev.0 07/18 Paper / PARIS

S - 6BC.5 C DRY-OPS checklist Rev.0 07/18 Paper / PARIS

S - 6BC.6 F Cargo hold Gas, Bilge and ventilation records Rev.0 07/18 Excel / PARIS

Cargo operation safety procedures – Advance


S - 6BC.7 F Rev.0 07/18 Paper / PARIS
letter to Stevedores

S - 6.1 L Chief Officer’s Night order Rev.0 07/18 Log Book

S - 6.2 L Port Log Rev.0 07/18 Log Book

Rev. 10
Page 9 01-Jan-2020
SECTION 6 - BUNKER

No. Forms Revision Source

BOT 6A Pipeline to Ship - Bulk Products Rev.0 05/19 Paper / PARIS

BOT 6B Truck to Ship - Bulk Products Rev.0 05/19 Paper / PARIS

BOT 6C Barge to Ship - Bulk Products Rev.0 05/19 Paper / PARIS

BOT 6D Barge / Launch to Ship - Packed Products Rev.0 05/19 Paper / PARIS

BOT 6E Truck to Ship - Packed Products Rev.0 05/19 Paper / PARIS

BOT 6F Cargo Operations Plan Rev.0 05/19 Paper / PARIS

BOT 6G Hose Maintenance Checks Rev.0 05/19 Paper / PARIS

BOT 6H Statement of Facts (Time Sheet) Rev.0 05/19 Paper / PARIS

BOT 6I Letter of Protest (General) Rev.0 05/19 Paper / PARIS

BOT 6K Ullage Sheet Rev.0 05/19 Paper / PARIS

BOT 6L Gas Detection Equipments - Calibration Record Rev.0 05/19 Paper / PARIS

BOT 6M Master's Requisition Lubricants Checklist Rev.0 05/19 Paper / PARIS

BOT 6N Master's Requisition Fuels Checklist Rev.0 05/19 Paper / PARIS

BOT 6P Tank Cleaning Checklist Rev.0 05/19 Paper / PARIS

Rev. 10
Page 10 01-Jan-2020
SECTION 6 - CHEMICAL TANKER
No. Forms Revision Source

S-6CT.1 C Cargo Transfer Checklist Rev.1 01/20 Paper / PARIS

S-6CT.1a C Addendum to Cargo Transfer Checklist - P.O. Rev.0 07/18 Paper / PARIS

S-6CT.2 C Ship Shore Safety Checklist Rev.1 01/20 Paper / PARIS

S-6CT.3 C STS Operation Checklist Rev.1 01/20 Paper / PARIS

S-6CT.4 C Nitrogen Handling Checklist Rev.0 07/18 Paper / PARIS

S-6CT.5 F Terminal Feedback Form Rev.0 07/18 Paper / PARIS

S-6CT.6 C Cargo Operation Plan Rev.0 07/18 Excel / PARIS

S-6CT.7 C Stowage Plan Rev.0 07/18 Paper / PARIS

S-6CT.8 F Letter for Cargo Samples Rev.0 07/18 Paper / PARIS

S-6CT.9 C Ullage Sheet Rev.0 07/18 Paper / PARIS

S-6CT.10 C Hourly Calculation Sheet Rev.0 07/18 Paper / PARIS

S-6CT.11 C Tank Squeezing Checklist Rev.0 07/18 Paper / PARIS

S-6CT.12 C Tank Cleaning Checklist Rev.1 01/20 Paper / PARIS

S-6CT.13 L Cargo Sample Retention & Disposal Log Rev.0 07/18 Log Book

S-6CT.14 P Thermal Expansion Hazard Rev.0 07/18 Paper / PARIS

S-6CT.15 C Last Three Cargoes Rev.0 07/18 Paper / PARIS

Control of cargo tank entry onboard chemical


S-6CT.16 C Rev.0 07/18 Paper / PARIS
tankers

S-6CT.17 C Checklist for Use of Portable pump Rev.0 07/18 Paper / PARIS

S-6CT.18 L Cargo Temperature Log Rev.0 07/18 Paper / PARIS

S-6CT.19 F Vapour Tightness Certificate Rev.0 07/18 Paper / PARIS

Pressure Test and Inspection Record for Cargo


S-6CT.20 C Rev.0 07/18 Paper / PARIS
Hoses

Rev. 10
Page 11 01-Jan-2020
SECTION 6 - CHEMICAL TANKER
No. Forms Revision Source

Calibration Record for Tankscope/ Combustible Gas


S-6CT.21 C Rev.0 07/18 Paper / PARIS
Indicator
S-6CT.22 C Calibration Record for Oxygen Meter Rev.0 07/18 Paper / PARIS

Calibration Record for Fixed Gauging System


S-6CT.23 C Rev.0 07/18 Paper / PARIS
(Temperature)

Calibration Record for Fixed Gauging System


S-6CT.24 C Rev.0 07/18 Paper / PARIS
(Ullage)

Calibration Record for Fixed Gauging System


S-6CT.25 C Rev.0 07/18 Paper / PARIS
(Pressure)

S-6CT.26 C Comparision Record of Pressure Gauges Rev.0 07/18 Paper / PARIS

S-6CT.27 C Comparision Record of Compound Pressure Gauges Rev.0 07/18 Paper / PARIS

S-6CT.28 C List of Draeger Tubes Rev.0 07/18 Paper / PARIS

Risk Assessment for 'Cargo Tank Entry on Chemical


S-6CT.29a F Rev.0 07/18 Paper / PARIS
Tanker'

S-6CT.29b C Cargo Tank Entry Permit for Chemical Tanker Rev.0 07/18 Paper / PARIS

Rev. 10
Page 12 01-Jan-2020
SECTION 6 - CONTAINER

No. Forms Revision Source

S-6CV.1 L Refrigerated Container Monitor Log Rev.0 07/18 Paper / PARIS

S-6CV.2 C Departure Checklist - Container Vessels Rev.0 07/18 Paper / PARIS

S-6CV.3 F Container Lashing Inventory Rev.0 07/18 Paper / PARIS

Rev. 10
Page 13 01-Jan-2020
SECTION 6 - GAS TANKER
No. Forms Revision Source

S-G-6.1 C Pre-arrival checklist Rev.0 02/19 Paper / PARIS

S-G-6.2 C Ship-Shore Safety checklist Rev.0 02/19 Paper / PARIS

S-G-6.2a C Addendum to Ship/Shore Safety checklist Rev.1 01/20 Paper / PARIS

S-G-6.3 C Pre-cargo transfer checklist Rev.1 01/20 Paper / PARIS

S-G-6.4 C Ship to Ship Transfer checklist Rev.0 02/19 Paper / PARIS

S-G-6.5 F Ship/Shore Information Exchange (Key Meeting) Rev.0 02/19 Paper / PARIS

S-G-6.6 C Pre-departure checklist Rev.0 02/19 Paper / PARIS

S-G-6.7 C Cargo Watch Change-over checklist Rev.0 02/19 Paper / PARIS

S-G-6.8a F Cargo Operations Plan Rev.0 02/19 Excel / PARIS

S-G-6.8b F Cargo Plan Bar Diagram Rev.0 02/19 Excel / PARIS

S-G-6.9 F Cargo Stowage Plan Rev.0 02/19 Excel / PARIS

S-G-6.10 F Cargo Inhibitor Information Rev.0 02/19 Paper / PARIS

S-G-6.11a F Ullage Sheet - Gas Calculations (before Loading) Rev.0 02/19 Excel / PARIS

S-G-6.11b F Ullage Sheet - Gas Calculations (after Loading) Rev.0 02/19 Excel / PARIS

Ullage Sheet - Gas Calculations (before


S-G-6.11c F Rev.0 02/19 Excel / PARIS
Discharging)
S-G-6.11d F Ullage Sheet - Gas Calculations (after Discharging) Rev.0 02/19 Excel / PARIS

S-G-6.12 F Cargo System Parameter Sheet Rev.0 02/19 Excel / PARIS

S-G-6.13 F Calculation Sheet for Cargo & Stability Rev.0 02/19 Excel / PARIS

S-G-6.14 L Pumping Log Rev.0 02/19 Excel / Log Book

S-G-6.15 L LPG Log (Daily Records) Rev.0 02/19 Excel / Log Book

S-G-6.16 C Gas-freeing/Gassing-up Operations Checklist Rev.0 02/19 Paper / PARIS

S-G-6.17 F Gas-freeing/Gassing-up Plan Rev.0 02/19 Excel / PARIS

S-G-6.18a F Ship Specific Cargo Equipment Training for Officers Rev.0 02/19 Paper / PARIS

Rev. 10
Page 14 01-Jan-2020
SECTION 6 - GAS TANKER
No. Forms Revision Source

S-G-6.18b F Ship Specific Cargo Equipment Training for Ratings Rev.0 02/19 Paper / PARIS

S-G-6.19 F Cargo Lines - Record of Pressure testing Rev.0 02/19 Paper / PARIS

S-G-6.20 F Cargo Hoses - Record of Pressure testing Rev.0 02/19 Paper / PARIS

Portable Gas Instruments - Calibration & Test


S-G-6.21 F Rev.0 02/19 Paper / PARIS
records
Personal Gas Instruments - Calibration & Test
S-G-6.22 F Rev.1 01/20 Paper / PARIS
records
S-G-6.23 F Fixed Gas Detector - Calibration & Test records Rev.0 02/19 Paper / PARIS

S-G-6.24 F Toxic Gas Detector - Record of Inspection Rev.0 02/19 Paper / PARIS

S-G-6.25 F Toxic Gas Detector Tubes - Monthly Inventory Rev.0 02/19 Paper / PARIS

S-G-6.26 F Cargo Tank Level Gauges - Record of comparison Rev.0 02/19 Paper / PARIS

S-G-6.27 F Cargo Pressure Gauges - Record of comparison Rev.0 02/19 Paper / PARIS

S-G-6.28 F Cargo Temperature Gauges - Record of comparison Rev.0 02/19 Paper / PARIS

S-G-6.29 F Emergency Shut-down system - Record of testing Rev.0 02/19 Paper / PARIS

S-G-6.30a F Cargo Tank level alarms - Record of testing Rev.0 02/19 Paper / PARIS

Cargo Tank Temp & Pressure alarms - Record of


S-G-6.30b F Rev.0 02/19 Paper / PARIS
testing
Vent Masts - Record of inspection of Flame Screen
S-G-6.31 F Rev.1 01/20 Paper / PARIS
& Drain

S-G-6.32a F Hold Space - Report of inspection Rev.1 01/20 Paper / PARIS

S-G-6.32b F Hold Space HL Alarm - Record of testing Rev.0 02/19 Paper / PARIS

Hold Space Pressure Relief System - Record of


S-G-6.32c F Rev.0 02/19 Paper / PARIS
Inspection

S-G-6.33 F Cargo Tank - Report of inspection Rev.1 01/20 Paper / PARIS

S-G-6.34 F IG Line Non-return valve - Record of Inspection Rev.0 02/19 Paper / PARIS

S-G-6.35 F Terminal Feedback form Rev.0 02/19 Paper / PARIS

Rev. 10
Page 15 01-Jan-2020
SECTION 6 - LNG CARRIER
No. Forms Revision Source

S-LNG-6.1 C Pre-arrival Checklist for LNG Carrier Rev.0 07/18 Paper / PARIS

S-LNG-6.2 C Ship/Shore Safety Checklist for LNG Carrier Rev.0 07/18 Paper / PARIS

Addendum to Ship/Shore Safety checklist for LNG


S-LNG-6.2a C Rev.0 07/18 Paper / PARIS
Carrier
S-LNG-6.3 C Pre-cargo Transfer Checklist for LNG Carrier Rev.1 01/20 Paper / PARIS

S-LNG-6.4 C Ship to Ship Transfer Checklist for LNG Carrier Rev.0 07/18 Paper / PARIS

S-LNG-6.5 F Ship/Shore Information Exchange for LNG Carrier Rev.0 07/18 Excel / PARIS

S-LNG-6.6 C Pre-departure Checklist for LNG Carrier Rev.0 07/18 Paper / PARIS

S-LNG-6.7 C Cargo Watch Change-over Checklist for LNG Carrier Rev.0 07/18 Paper / PARIS

S-LNG-6.8 F Cargo Operation Plan for LNG Carrier Rev.0 07/18 Excel / PARIS

S-LNG-6.9 F Cargo Plan Bar Diagram for LNG Carrier Rev.0 07/18 Excel / PARIS

S-LNG-6.11 L Calculation Sheet - Cargo & Stability for LNG Carrier Rev.0 07/18 Excel / PARIS

Cargo System Parameter Sheet for Loading on LNG


S-LNG-6.12 L Rev.0 07/18 Excel / PARIS
Carrier
Cargo System Parameter Sheet for Unloading on
S-LNG-6.13 L Rev.0 07/18 Excel / PARIS
LNG Carrier
S-LNG-6.14 L Pumping Log for LNG Carrier Rev.0 07/18 Excel / PARIS

S-LNG-6.15 L Daily Log for LNG Carrier Rev.0 07/18 Excel / PARIS

Gas-freeing/Gassing-up Operations Checklist for


S-LNG-6.16 C Rev.0 07/18 Paper / PARIS
LNG Carrier

S-LNG-6.17 F Gas-freeing/Gassing-up Plan for LNG Carrier Rev.0 07/18 Excel / PARIS

Ship-specific Cargo Equipment Training for Officers


S-LNG-6.18 F Rev.0 07/18 Paper / PARIS
on LNG Carrier
Ship-specific Cargo Equipment Training for Ratings
S-LNG-6.19 F Rev.0 07/18 Paper / PARIS
on LNG Carrier
S-LNG-6.20 F Cargo Hose for LNG - Inspection & Testing Record Rev.0 07/18 Paper / PARIS

Portable Gas Instrument for LNG Carrier -


S-LNG-6.21 F Rev.0 07/18 Paper / PARIS
Calibration & Testing

Rev. 10
Page 16 01-Jan-2020
SECTION 6 - LNG CARRIER
No. Forms Revision Source

Personal Gas Instrument for LNG Carrier -


S-LNG-6.22 F Rev.0 07/18 Paper / PARIS
Calibration & Testing
Fixed Gas Detector on LNG Carrier - Calibration &
S-LNG-6.23 F Rev.0 07/18 Paper / PARIS
Testing
S-LNG-6.24 F Toxic Gas Detector - Inspection Record Rev.0 07/18 Paper / PARIS

S-LNG-6.25 F Toxic Gas Detector Tube - Monthly Inventory Rev.0 07/18 Paper / PARIS

Cargo Tank Level Gauge on LNG Carrier -


S-LNG-6.26 F Rev.0 07/18 Paper / PARIS
Comparison Record

Cargo Tank Pressure Gauge on LNG Carrier -


S-LNG-6.27 F Rev.0 07/18 Paper / PARIS
Comparison Record

Cargo Tank Temperature Sensor on LNG Carrier -


S-LNG-6.28 F Rev.0 07/18 Paper / PARIS
Comparison Record

Emergency Shut-down System on LNG Carrier -


S-LNG-6.29 F Rev.0 07/18 Paper / PARIS
Testing Record

Cargo Tank Level Alarm on LNG Carrier- Testing


S-LNG-6.30 F Rev.0 07/18 Paper / PARIS
Record
Cargo Tank Pressure Alarm on LNG Carrier -
S-LNG-6.31 F Rev.0 07/18 Paper / PARIS
Testing Record
S-LNG-6.32 F Vent Mast on LNG Carrier - Inspection Record Rev.0 07/18 Paper / PARIS

S-LNG-6.33 F Hold Space on LNG Carrier- Inspection Report Rev.0 07/18 Paper / PARIS

Hold Space High-level Alarm on LNG carrier -


S-LNG-6.34 F Rev.0 07/18 Paper / PARIS
Testing Record
Hold Space Pressure Relief System on LNG Carrier -
S-LNG-6.35 F Rev.0 07/18 Paper / PARIS
Inspection Record

S-LNG-6.36 F IG & N2 Line Non-return Valve - Inspection Record Rev.0 07/18 Paper / PARIS

S-LNG-6.37 F LNG Terminal Feedback form Rev.0 07/18 Paper / PARIS

Rev. 10
Page 17 01-Jan-2020
SECTION 6 - OIL TANKER
No. Forms Revision Source

S-6OT.1 C Cargo Transfer Checklist Rev.1 01/20 Paper / PARIS

S-6OT.2 L Cargo Sample retention & Disposal log Rev.0 07/18 Log Book

S-6OT.3 C Ship / Shore Safety Checklist Rev.1 01/20 Paper / PARIS

S-6OT.4 C Departure Checklist Rev.0 07/18 Paper / PARIS

S-6OT.5 C Tank Cleaning Checklist Rev.0 07/18 Paper / PARIS

S-6OT.6 C Ship To Ship Transfer Rev.0 07/18 Paper / PARIS

S-6OT.7 C Stowage Plan Rev.0 07/18 Paper / PARIS

S-6OT.8 F Last Cargo & Tank Cleaning Procedure Rev.0 07/18 Paper / PARIS

S-6OT.9 F Tank Cleaning schedule Rev.1 01/20 Paper / PARIS

S-6OT.10 F Tank cleaning report Rev.0 07/18 Paper / PARIS

S-6OT.11 C Ullage Sheet (Oil Tankers) Rev.0 07/18 Paper / PARIS

S-6OT.12 C Hourly Calculation Sheet Rev.0 01/20 Paper / PARIS

S-6OT.13 F Letter for cargo Samples Rev.0 07/18 Paper / PARIS

S-6OT.14 F Cargo Equipment Status Rev.0 07/18 Paper / PARIS

S-6OT.15 F Inspection Record of Portable Cargo Pump Rev.0 07/18 Paper / PARIS

S-6OT.16 C Cargo Operation Plan Rev.1 01/20 Paper / PARIS

S-6OT.17 F Pressure Test Record Rev.0 07/18 Paper / PARIS

S-6OT.17a F Cargo Hose Pressure Test Rev.1 01/20 Paper / PARIS

S-6OT.18 F Megger Test of Tank Cleaning Hoses Rev.0 07/18 Paper / PARIS

S-6OT.19 F Megger Test of Cargo Hoses Rev.0 07/18 Paper / PARIS

S-6OT.20 C Calibration Record for Combustible Gas Indicator Rev.0 07/18 Paper / PARIS

S-6OT.21 C Calibration Record for O2 Meter Rev.0 07/18 Paper / PARIS

S-6OT.22 C Calibration Record for Tank Scope Rev.0 07/18 Paper / PARIS

S-6OT.23 C List of Dragger Tubes Rev.0 07/18 Paper / PARIS

S-6OT.24 F Mussasino Level Gauge Rev.0 07/18 Paper / PARIS

Rev. 10
Page 18 01-Jan-2020
SECTION 6 - OIL TANKER
No. Forms Revision Source

S-6OT.25 F Calibration Record for Mussasino Temp Rev.0 07/18 Paper / PARIS

S-6OT.26 F Portable Thermometer Rev.0 07/18 Paper / PARIS

S-6OT.27 F Pressure Gauge Rev.0 07/18 Paper / PARIS

S-6OT.28 F Vaccum Gauge Rev.0 07/18 Paper / PARIS

S-6OT.29 L Cargo temperature log Rev.0 07/18 Paper / PARIS

S-6OT.30 C Crude oil washing checklists (Oil Tankers) Rev.0 07/18 Paper / PARIS

S-6OT.31 F Crude oil washing records (Oil Tankers) Rev.0 07/18 Paper / PARIS

S-6OT.32 F OBQ/ROB report Rev.0 07/18 Paper / PARIS

S-6OT.33 L Pumping log Rev.0 07/18 Paper / PARIS

Cargo Changeover Checklists (Oil to Dry Bulk


S-6OT.36a C Rev.0 07/18 Paper / PARIS
Cargo)
Cargo Changeover Checklists (Dry Bulk Cargo to
S-6OT.36b C Rev.0 07/18 Paper / PARIS
Oil)

Rev. 10
Page 19 01-Jan-2020
SECTION 7

No. Forms Revision Source

S-7.1 L MoC Log Rev.0 07/18 Paper / PARIS

S-7.2 F Management of Change Rev.0 07/18 Paper / PARIS

S-7.3 C Vessel Take over Checklist Rev.0 07/18 Paper / PARIS

S-7.4 F Master Hand Over Notes Rev.1 01/20 Paper / PARIS

S-7.5 F Chief Officer Hand Over Notes Rev.0 07/18 Paper / PARIS

S-7.6 F Second Officer Hand Over Notes Rev.1 01/20 Paper / PARIS

S-7.7 F Third Officer Hand Over Notes Rev.0 07/18 Paper / PARIS

S-7.8 F Chief Engineer Hand Over Notes Rev.0 07/18 Paper / PARIS

S-7.9 F Second Engineer Hand Over Notes Rev.0 07/18 Paper / PARIS

S-7.10 F Third Engineer Hand Over Notes Rev.0 07/18 Paper / PARIS

S-7.11 F Fourth Engineer Hand Over Notes Rev.0 07/18 Paper / PARIS

S-7.12 F ETO Hand Over Notes Rev.0 07/18 Paper / PARIS

Rev. 10
Page 20 01-Jan-2020
SECTION 8

No. Forms Revision Source

S-8.1 F Incident/ Near Miss Report form Rev.0 07/18 Paper / PARIS

S-8.2 F Near Miss Data Card Rev.0 07/18 Paper / PARIS

Rev. 10
Page 21 01-Jan-2020
SECTION 9

No. Forms Revision Source

S-9.1 F Safety Committee Meeting & QHSE Review Rev.3 01/20 Paper / PARIS

S-9.2 C Checklist for Entry into Enclosed Spaces Rev.1 01/20 Paper / PARIS

Lifeboat entry Template for inspection/


S-9.2 C (LB) Rev.0 07/18 Poster
maintenance

S-9.3 C On Board Hot Work Permit Rev.1 01/20 Paper / PARIS

On Board Hot Work Checks - Workshop


S-9.3 C (T) Rev.1 01/20 Paper / PARIS
(Template)

S-9.4 C On board Cold Work Permit Rev.0 07/18 Paper / PARIS

S-9.5 C Lock Out-Tag Out Permit Rev.0 07/18 Paper / PARIS

S-9.6 C Permit for Working Aloft or Outboard Rev.1 01/20 Paper / PARIS

Permit for handling Asbestos & Other


S-9.7 C Chemicals or Products possessing a Health Rev.0 07/18 Paper / PARIS
Hazard
S-9.8 C Small Craft and Driving Operation Permit Rev.0 07/18 Paper / PARIS

S-9.9 C Checklist for Painting inside Enclosed Spaces Rev.0 07/18 Paper / PARIS

S-9.10 C Checklist for Office Permission for Hotwork Rev.0 07/18 Paper / PARIS

S-9.11 L Lifting Appliance Log Rev.0 07/18 Log Book

S-9.12 C (1-7) Housekeeping and Safety Checklist Rev.1 01/20 Paper / PARIS

S-9.13 F Risk Assessment Form Rev.0 07/18 Excel / PARIS

S-9.14 L SOLAS Maintenance Manual Rev.1 01/20 Log Book

S-9.15 L Fire Maintenance Manual Rev.0 07/18 Log Book

S-9.16 L Control of Enclosed Space Entry Permists Rev.0 07/18 Log Book

S-9.17 F Minutes of Contingency/ Emergency Drill Rev.0 07/18 Paper / PARIS

S-9.18 L Personal Guide To Hazard Identification Rev.0 07/18 Log Book

S-9.19 C Occupational Health and Safety Inspection Rev.0 07/18 Paper / PARIS

Rev. 10
Page 22 01-Jan-2020
SECTION 9

No. Forms Revision Source

S-9.20 L Tool Box Meeting Rev.0 07/18 Log Book

S-9.21 F Urgent Safety Meeting Rev.0 07/18 Paper / PARIS

S-9.22 L Permit to Work Audit Form Rev.0 07/18 Paper / PARIS

S-9.23 P Check your Pocket Poster Rev.0 07/18 Poster

S-9.24 P PPE Category Level Chart Rev.0 07/18 Poster

S-9.25 P PPE Slide Guide Rev.0 07/18 Poster

S-9.26 P Permit to Work System Poster Rev.0 07/18 Poster

Guidance for Hazard Identification Against


S-9.27 P Rev.0 07/18 Poster
Consequences
Pumproom & Bow Thruster Space Entry
S-9.28 L Rev.1 01/20 Log Book
Record Book
S-9.29 C Pressure Vessel Permit Rev.0 07/18 Paper / PARIS

S-9.30 P No Smoking Poster Rev.0 07/18 Poster

Permit for Transfer of Drums & Other Heavy


S-9.31 C Loads of Products prossessing Pollution Rev.0 07/18 Paper / PARIS
Hazard
S-9.32 C High Voltage Permit Rev.0 03/19 Paper / PARIS

Rev. 10
Page 23 01-Jan-2020
SECTION 10
No. Forms Revision Source

S-10.1 L Environmental Tag System Log Rev.0 07/18 Log Book

S-10.2 C Sludge/ Bilge Discharge Checklist Rev.0 07/18 Paper / PARIS

Advance Notification Form for Waste Delivery


S-10.3 F Rev.0 07/18 Paper / PARIS
to Port Reception Facility

S-10.4 L Vessel General Permit Log Rev.0 07/18 Log Book

Reporting Alleged Inadequacies of Port


S-10.5 F Rev.0 07/18 Paper / PARIS
Reception Facility
S-10.6 P Vessel General Permit Rev.0 07/18 Poster

S-10.7 P Open Reporting Poster Rev.0 07/18 Poster

S-10.8 C 96-hrs Pre-Arrival Marpol Checklist Rev.0 07/18 Paper / PARIS

S-10.9 L Ballast Water Record Book Rev.1 02/19 Log Book

S-10.10 L Garbage Management Plan Rev.1 02/19 Log Book

S-10.11 L ODS Equipment log Rev.0 07/18 Log Book

S-10.12 F MARPOL Report Rev.0 07/18 Paper / PARIS

S-10.13a L Garbage Disposal Record Book - Part 1 Rev.0 07/18 Log Book

S-10.13b L Garbage Disposal Record Book - Part 2 Rev.0 07/18 Log Book

S-10.14 L Marine Fuel Sulphur Record Book Rev.1 02/19 Log Book

S-10.15 L SOx Compliance Guide in SECA area Rev.1 02/19 Log Book

Running Record of Unused Environmental


S-10.16 L Rev.0 07/18 Paper / PARIS
Tags

S-10.17 L EMS Logs Rev.0 07/18 Log Book

S-10.18 P Machinery Space Bilge Water Management Rev.0 07/18 Poster

S-10.19 P Operation of Oily Water Separator Rev.0 07/18 Poster

Direct Bilge Suctions, Emergency Bilge


S-10.20 P Rev.0 07/18 Poster
Suctions & Bilge Cross Over

Rev. 10
Page 24 01-Jan-2020
SECTION 10
No. Forms Revision Source

S-10.21 P Sludge and Waste Oil Management Rev.0 07/18 Poster

S-10.22 P Sewage Management Rev.0 07/18 Poster

S-10.23 P Special Areas for MARPOL Annex V Rev.0 07/18 Poster

S-10.24 P Air Pollution Prevention Rev.0 07/18 Poster

Say No To Pollution - Caution (Cargo Hold


S-10.25 P Rev.0 07/18 Poster
Bilges)

S-10.26 P Control of Pumps and Hoses Rev.0 07/18 Poster

Say No To Pollution - Management of


S-10.27 P Rev.0 07/18 Poster
Chemicals

S-10.28 P Say No To Pollution - Caution (Ballast Tanks) Rev.0 07/18 Poster

S-10.29 P Cooking Oil Disposal Method Rev.0 07/18 Poster

S-10.30 P Say No To Pollution - Caution (Laundry) Rev.0 07/18 Poster

S-10.31 P Say No To Pollution - Water Rev.0 07/18 Poster

S-10.32 P Say No To Pollution - Caution (Bilges) Rev.0 07/18 Poster

S-10.33 P Drawings, Manuals and Layout Rev.0 07/18 Poster

S-10.34 P Garbage Management Rev.0 07/18 Poster

S-10.35 P Hazardous Waste Management Rev.0 07/18 Poster

S-10.36 P Recycling Rev.0 07/18 Poster

S-10.37 P Ballast Water Management Rev.0 07/18 Poster

S-10.38 P Special Areas for MARPOL Annex I Rev.0 07/18 Poster

S-10.39 P Special Areas for MARPOL Annex II Rev.0 07/18 Poster

S-10.40 F Daily Fuel Consumption Record Rev.0 07/18 Paper / PARIS

S-10.41 F Allocation of Boiler Consumption Rev.0 07/18 Paper / PARIS

S-10.42 F Voyage Data Record Rev.0 07/18 Paper / PARIS

Rev. 10
Page 25 01-Jan-2020
SECTION 10
No. Forms Revision Source

Chief Engineer Taking Over Environmental


S-10.43 F Rev.0 07/18 Paper / PARIS
Report
Bio Fouling Management Plan & Bio Fouling
S-10.44 F Rev.0 02/19 Paper / PARIS
Record Book
SEEMP Review and Energy Efficiency
S-10.45 F Rev.0 09/19 Excel / PARIS
Management Plan

Rev. 10
Page 26 01-Jan-2020
SECTION 11

No. Forms Revision Source

S-11.1 P Muster List (1LB & 2LB) Rev.1 01/20 Poster

S-11.2 F Initial Notification Report Rev.0 07/18 Paper / PARIS

S-11.3 F Follow Up Notification Form Rev.0 07/18 Paper / PARIS

S-11.4 P Initial Office Notification Poster Rev.0 07/18 Poster

S-11.5 P Emergency Contingency Duties Rev.0 07/18 Poster

Rev. 10
Page 27 01-Jan-2020
SECTION 12

No. Forms Revision Source

S-12.1 F NonConformity/ Observation Report Rev.0 07/18 Paper / PARIS

S-12.2 C ISM Internal Audit Checklist - General Rev.0 07/18 Excel / PARIS

S-12.3 F ISM Internal Audit Report - General Rev.1 04/19 Paper / PARIS

S-12.4 C ISM Internal Audit Checklist - EMS Rev.0 07/18 Excel / PARIS

S-12.5 F ISM Internal Audit Report - EMS Rev.1 04/19 Paper / PARIS

S-12.6 C Company's QHSE Inspection Checklist Rev.0 07/18 Excel / PARIS

S-12.7 F Company's QHSE Inspection Report Rev.0 07/18 Excel / PARIS

S-12.8 C ISM Internal Audit Checklist - Navigation Rev.1 01/20 Excel / PARIS

S-12.9 F ISM Internal Audit Report - Navigation Rev.1 04/19 Paper / PARIS

S-12.10 C Addendum to 'Navigation Audit Checklist' Rev.0 07/18 Excel / PARIS

S-12.11 C Comprehensive Vessel Engineering Audit Rev.0 09/19 Paper / PARIS

Master's Verification of Navigational Standards


S-5.15 C Rev.0 07/18 Paper / PARIS
Checklist
Master's Vertification of Navigational Standards
S-5.15 F Rev.1 04/19 Paper / PARIS
Report

Rev. 10
Page 28 01-Jan-2020
SECTION 13
No. Forms Revision Source

S-13.1 F MST Performance Assessment Rev.0 07/18 Paper / PARIS

S-13.2 C MST Safety and Security Familiarization Rev.0 07/18 Paper / PARIS

S-13.3 C Weapon Testing Checklist & Permit Rev.0 07/18 Paper / PARIS

S-13.4 C Security Preparation and Access Control Rev.0 07/18 Paper / PARIS

S-13.5 C Refugees and Migrants at Sea Rev.0 07/18 Paper / PARIS

S-13.6 F Registration of Refugees at sea Rev.0 07/18 Paper / PARIS

S-13.7 L Shore leave Register Rev.0 07/18 Log Book

S-13.8 L Visitor's Log Rev.0 07/18 Log Book

S-13.9 P Danger Stowaway Rev.0 07/18 Poster

S-13.10 P Graduatd Response Card Rev.0 07/18 Poster

ISPS - 1 Ship Security assessment Rev.1 01/20 SSP

ISPS - 2 Unlawful Act Report Rev.0 07/18 SSP

Declaration of Security for Ship-Port Facility


ISPS - 3 Rev.0 07/18 SSP
Interface
Declaration of Security for Ship-Ship Facility
ISPS - 4 Rev.0 07/18 SSP
Interface
Declaration of Security for Interfaces without ISPS
ISPS - 5 Rev.0 07/18 SSP
Compliance
ISPS - 6 Record of Change of Security Level Rev.0 07/18 SSP

Inventory of Dangerous Goods/ Hazardous


ISPS - 7 Rev.0 07/18 SSP
Substances
ISPS - 8 Failure Deviation Report Rev.0 07/18 SSP

ISPS - 9 Quarterly Security Report Rev.0 07/18 SSP

ISPS - 10 Internal Audit Checklist - ISPS Rev.0 07/18 SSP

ISPS - 10A Internal Audit Report - ISPS Rev.0 07/18 SSP

ISPS - 11 Record of Interfaces Rev.0 07/18 SSP

ISPS - 12 ISPS Annual Review Rev.0 07/18 SSP

ISPS - 13 Security Training Record Rev.0 07/18 SSP

Rev. 10
Page 29 01-Jan-2020
SECTION 13
No. Forms Revision Source

CS 13.0 P Cyber Incident Response Team (CIRT) Rev.1 04/19 Poster

Cyber Security - Responsible Behaviours and


CS 13.1 P Rev.0 08/18 Poster
Best Practices

CS 13.2 P Cyber Security - Beware of "Phishing" Attacks Rev.0 08/18 Poster

CS 13.3 P Cyber Security - "Social Engineering" Attacks Rev.0 08/18 Poster

CS 13.4 P Cyber Security - "Malware" Rev.0 08/18 Poster

Review of Ship Cyber Security Plan / Cyber


SCSF 01 Rev.0 08/18 Paper / PARIS
Security Assessment / MOC
SCSF 02A Checklist for Familiarisation with Cyber Security Rev.0 08/18 Paper / PARIS

SCSF 02B Record of Cyber Security Familiarization Rev.0 08/18 Paper / PARIS

Record of "Access to Visitors / 3rd Parties /


SCSF 03 Rev.0 08/18 Paper / PARIS
Contractors / Vendors"
List of Licenses in Form of CD’s, Dongles, etc. for
SCSF 04A Rev.0 08/18 Paper / PARIS
IT / OT Systems
Record of Manual Updates and Software
SCSF 04B Rev.0 08/18 Paper / PARIS
Maintenance of IT / OT Systems
List of Anti‐Virus / Malware CD, Media Available
SCSF 05A Rev.0 08/18 Paper / PARIS
on Board
Record of Anti‐Virus / Malware Manual Updates to
SCSF 05B Rev.0 08/18 Paper / PARIS
IT / OT Systems
List of IT / OT Systems with "Remote Access"
SCSF 06A Rev.0 08/18 Paper / PARIS
from Ashore
Record of Control of "Remote Access" to Vessel's
SCSF 06B Rev.0 08/18 Paper / PARIS
IT / OT Systems
Record of Use of Administrator Privileges on IT /
SCSF 07A Rev.0 08/18 Paper / PARIS
OT Systems
SCSF 07B Record of Control of Passwords Rev.0 08/18 Paper / PARIS

Record of Use of Removable Media / Portable


SCSF 08 Devices (USB, CD’s etc) / Personal Devices, on Rev.0 08/18 Paper / PARIS
Ship’s-controlled Network

Record of Equipment Disposal, Including Data


SCSF 09 Rev.0 08/18 Paper / PARIS
Destruction

Rev. 10
Page 30 01-Jan-2020

You might also like