SHIP/SHORE CHECK LIST

SHIP/SHORE CHECK LIST

To the maritime Authority of Venice

__________________________

Ship’s name flag

____________________________________________

Bert

____________________________ ___________

Date of arrival time of arrival

INSTRUCTIONS FOR COMPLETION

The safety of operation requires that all questions should be answered affirmatively. If an affirmative answer is not possible the reason should be given. Where any questions is not considered to be applicable a note to that effect should be inserted in the remarks column.

The presence of the letters A and P in the column “code” indicates the following : The mentioned procedures and agreements shall be in writing and signed by both parties;

In the case of a negative answer the operations shall not be carried out without the permission of the Maritime Autority.

SHIP‑SHORE CHECK LIST

PART A GENERAL

	Ship	terminal	Code	Remarks
A1 *Is the agreed ship/shore* *comunication system opera* *tíve?*			A
A2 *have the procedures for* cargo, bunker and ballast *handling been agreed* ?			A
A3 *has the emergency shut down* *procedure. beeri agreed* ?			A
A4 *Are portable* VHF/UHF *tran-* *sceivers of an approved* type ?

PART B- ADDITIONAL CHECKS ‑ BULK LIQUID CHEMICALS

	Ship	terminal	Code	Remarks
B1 *Is sufficient and suitable protective equipment (including self‑contained breathing apparatus) and protective clothing ready for immediate use* ?
B2 *Are conter measures against accindental personal contact with the cargo agreed?*
B3 *Is the cargo handling rate compatible with the automatic* shut down sistem if in use?
B4 *Are portable vapour detection instruments readily available for the products to be handled?*
B5 Has information on fire fighiting media and procedures been exchanged ?

PART C ‑ ADDITIONAL CHECK ‑ BULK LIQUEFIED GASES

	Ship	tterminal	Code	Remarks
C1 *Is sufficient and suitable Protective equipment (including self‑contained breathIng apparatus) and protective clothing ready for immediate uso?*
C2 *Are all remote control valves* in working order ?
C3 *Are the required cargo pump and compressors in good or der and have maximus working pressure been agreed ?*
C4 *Are the emergency shut down system working properly* ?
C5 *Has information been exchanged between ship and shore on minimum working temperature of the cargo systems?*

Venezia ___________________

__________________________

For the ship

______________________

For the terminal

TERMINAL CHECKS

PART A GENERAL

	Ship	terminal	Code	Remarks
A1 *Is there an adeguate supervion on the operations, on the terminal* ?
A2 *Are fire hoses and fire fighting equipment on the terminal. Positioned and ready for immediate use* ?
A3 Are cargo and bunker hoses/arms in good condition and properly rigged and, where appropriate, certificates checked ?
A4 *Are hand torches of an approved* *tipe* ? i
A5 *Are smoking requirements beng* *Observed*?
A6 *Are naked light requirements being observed* ?
A7 *Are sufficient personell on the terminal, to deal with an emergency ?*
A8 *Are adeguate insulating means in place in the ship/shore connection*

PART S ‑ ADDITIONAL CHECKS ‑ BULK LIQUID CHEMICALS

Ship

terminal

Code

Remarks

Is information available giving

the necessary data for the safe

handling of the cargo including,

where applicable, a manufacturer's

inhibition certificate ?

Are transfer hoses of suitable material resistant to the action of the cargoes ?

PART C ‑ ADDITIONAL CHECKS ‑ SULK LIQUEFIED GAS

Ship

terminal

Code

Remarks

Is information available givinq

the necessary data for the safe

handling of the cargo including,

where applìzable, a manufacturer’s

inhibition certificate ?

Venezia_________________________

____________________________

For the terminal

SHIF CHECKS

PART A GENERAL

	Ship	Terminal	Code	Remarks
1 *Is the ship securely moored?*
2 *Are the emergency towing vires correctly positioned?*
3 *Is there safe access between ship and shore*
4 *Is the ship ready to move under its own power* ?			P
5 Is there an effective deck watch in attendance and an adeguate supervision on board?
6 *Are fire hoses and fire fíghting equipment on board positioned and ready for immediate use* '7
8 *Are scuppers effectively plugged and Drip trays in position* ?
9 I *Are unused cargo and bunker connections Including the stern* *Discharge line, if fitted, blanked* ?
10 *Are sea and overload discharae valves, when not in use, closed* *and lashed ?*
11 *Are all cargo and bunker tank lids closed*?
12 *Is the agreed tank venting system being used?*			A
1 *Are hand torches of approved type?*
14 *Are the ship’s main radio trasmitter aerials earthed and radars switched off?*
15 *Are electric cables to portable electrical equipement disconnected from power*?
16 *Are all external doors and ports in the amidships accomodation closed?*
17 *Are all external doors and ports in the after accomodation leading on to or over looking the tank deck closed?*
18 *Are air conditioning intakes which may permit the entry of cargo vapours closed?*
19 *Are window-tipe air conditioned units disconnected?*
20 *Are smoking requirements being observed?*
21 *Are the requirements for the use of the galley and other cooking appliances being observed?*
22 *Are naked light requirements being observed?*
23 *Are sufficient personell on board to deal with an emergency?*
24 *Are adeguate insulating means in place in the ship/shor connection?*
25 Have measures been taken to ensure sufficient pumproom ventilation?

PART B – ADDITONAL CHECKS – BOLK LIQUID CHEMICALS

Is information available giving the necessary data for the safe handling of the cargo in including, where applicable, a manufacturer’s inhibition certificate?

Are cargo sistem gauges and alarms correctly set and in good order?

PART c – ADDITONAL CHECKS – BOLK LIQUEFIEDGASES

1 *Is information available giving the necessary data for the safe handling of the cargo in including, where applicable, a manufacturer’s inhibition certificate*?
2 *Is the water spray sistem ready for use?*
3 *Are void space properly inerted, where required?*
4 *Are cargo tank safety relief valves lined up-to the ship’s venting sistem and are by-passes closed?*
5 *Is reliquefation or boil off controll equipment in good order?*
6 *Is gas detection equipement set for the cargo, calibrated and in good order?*
7 *Are cargo system gauges and alarms correctly set and in good order?*

Are tank cleaning operations planned during the ship’s stay alongside the shore installation?

Yes/No *

If so, have Port Authority and terminal been informed?

SI/NO *

Yes/No*

Does the Master of the ship knowing ordinance’s general rules n. 17/70 dated 28.04.70 of the Venice Harbour Master?

Yes/No *

· Delete YES or NO as appropriate

Venezia, ____________________

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For the ship

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For the terminal knowledge