Conditional Survey

CONTENTS
PAGE
INTRODUCTION .......................................................... ERROR! BOOKMARK NOT DEFINED. INSTRUCTIONS ........................................................... ERROR! BOOKMARK NOT DEFINED. ATTENDANCE ............................................................................................................................... 2 GENERAL INFORMATIONS ...................................................................................................... 3 CONTINUATION SHEET AND ANY RELEVANT INFORMATIONS ................................. 4
CERTIFICATION .................................................................................................... 5 OFFICER CERTIFICATION ................................... Error! Bookmark not defined. PARTICULARS OF VESSEL ............................................................................... 10 NAVIGATION and communication EQUIPMENT ............................................ 11 SAFETY & LIFESAVING EQUIPMENT ........................................................... 14 GENERAL ............................................................................................................... 17 MACHINERY SPACES ......................................................................................... 21
CRANES ......................................................................... ERROR! BOOKMARK NOT DEFINED.
main towing gear ..................................................................................................... 32
APPENDICES :
APPENDIX A: DEFICIENCIES LIST APPENDIX B: PHOTOGRAPHS SECTION APPENDIX C: COPIES OF CERTIFICATES APPENDIX D: BARGE LAY-OUT APPENDIX E: CLOSE OUT DEFICIENCIES LIST
VESSEL NAME
CONDITION SURVEY
ATTENDANCE
Attendance was made by on . Overall attendance including travelling time was one day The following personnel accompanied the surveyor: i.. ii. iii iv
PETRONAS CARIGALI SDN BHD
VESSEL NAME
CONDITION SURVEY
GENERAL INFORMATIONS
VESSEL NAME
PORT OF REGISTRY
PORT OF DELIVERY/DATE
MOORING SYSTEMS
CRANE
DATE OF INSPECTION
LOCATION OF INSPECTION
OWNER
OPERATOR CONTACT PERSON
PHONE/FAX INSPECTOR
:
VESSEL NAME
CONDITION SURVEY
CONTINUATION SHEET AND ANY RELEVANT INFORMATIONS
Deficiencies have been listed and attached in Appendix A. Photographs are attached in Appendix B. Copies of vessels and equipment certificates are attached in Appendix C. Barge Lay-Out are attached in Appendix D. Close out deficiencies are attached in Appendix E.
VESSEL NAME
CONDITION SURVEY
CERTIFICATION
1. . 2. . 1 YEAR & PLACE OF BUILD 2 CERT OF REGISTRY/FLAG Year: Place: Flag: Issue Date: Class Society : Notation : 3. . 3 CERT. OF CLASS, HULL Issue date : Valid to : Annual Endorsement: Issue date: 4. . INT. 4 LOADLINE CERTIFICATE Valid to: Annual Endorsement: Issue date: GRT / NRT : Issue date: Valid to: Annual Endorsement: Issue date: Valid to: Issue date: 8. . CARGO SHIP SAFETY 8 RADIO CERTIFICATE (For ships 300 GT) Valid to: Annual Endorsement: Issued by: 9. . SHIP RADIO STATION 9 LICENSE (All ships) Issue date: Valid to: Issue date: Valid to: Annual Endorsement:
5. .
INT. 5 TONNAGE CERTIFICATE CARGO SHIP SAFETY CONSTRUCTION 6 CERTIFICATE (For ships 500GT) CARGO SHIP SAFETY EQUIPMENT 7 CERTIFICATE (For ships 500GT)
6. .
7. .
INT. OIL POLLUTION 10. PREVENTION 1 CERT. 0. (For oil tanker 150 GT and cargo ship 400 GT)
VESSEL NAME
CONDITION SURVEY
CERTIFICATION
INT. SEWAGE POLLUTION PREVENTION Issue date: CERTIFICATE 11. - new 1 ship >400 GT or <400 Valid to: 1. GT carry >15 pax. - existing ship >400GT or Annual Endorsement: >400 GT carry >15 pax, (Sept 2008) Issue date: INT. AIR POLLUTION 12. PREVENTION 1 Valid to: 2. CERTIFICATE (new ship 400 GT) Annual Endorsement DERATTING/DERATTING 13. 1 EXEMPTION 3. CERTIFICATE 14. 1 LIFERAFT CERTIFICATE 4. 15. FIRE 1 EXITINGUISHER 5. CERTIFICATE Issue date: Valid to: Number of Liferaft: Certificate No. & Type of fire extinguishers: Certificates: Issue date: Valid date: 16. 1 CRANE CERTIFICATE 6. Migas certificate: Operator Certificate: Load indicator: Issued by: Issued Date: 17. DOCUMENT 1 OF 7. COMPLIANCE Valid to: Endorsement for annual verification: Issued by: 18. SAFETY 1 MANAGEMENT 8. CERTIFICATE Issued Date: Valid to: Endorsement:
VESSEL NAME
CONDITION SURVEY
CERTIFICATION
Issued Date: 19. INTERNATIONAL 1 SHIP 9. SECURITY CERTIFICATE Valid to: Endorsement: Issued by: SAFE MANNING 20. 2 CERTIFICATE 0. (issued by flag state) Issue date: Number of crew : Up-to-date crew list? SHIPBOARD OIL POLLUTION EMERGENCY 21. 2 PLAN 1. (For oil tanker 150 GT and cargo ship 400 GT) GARBAGE 22. MANAGEMENT 2 PLAN 2. (For ship >400 GRT or certified to carry 15 person)
ENTER OTHER DETAILS AS REQUIRED BELOW WITH COMMENTS ON ITEMS ABOVE. - Certificate of Seaworthiness and other Class certificates.
VESSEL NAME
CONDITION SURVEY
DOCUMENTATION Last entry? 1. DECK LOG BOOK / BARGE MASTER REPORT Entry with ink? Signed by Barge Master? Last entry? Entry with ink? 2. ENGINE ROOM LOG BOOK Entry of machinery running hours? Signed by Chief Engineer & Barge Master? Last entry? 3. OIL RECORD BOOK (For cargo ship > 400 GRT) Entry with ink? Signed by Barge Master? Approved by: 4. STABILITY BOOKLET Date: 5. GARBAGE RECORD BOOK (For ship >400 GRT or certified to carry 15 person) GMDSS LOG BOOK Entry with ink? 7. 8. 9. DRILL RECORD LAST CLASS/DOCKING SURVEY REPORT DRILL LOG BOOK Up date? Outstanding items? Last Entry? Entry with ink? Last Entry? 6.
VESSEL NAME
CONDITION SURVEY
OFFICER CERTIFICATION
NOTE THAT ALL OFFICERS WORKING IN INDONESIAN WATERS IN THE TFEI AREAS OF OPERATION ARE REQUIRED TO HAVE CERTIFICATES OF COMPETENCY OR LICENCES EQUAL TO THE POSITION THEY WILL HOLD. THESE CERTIFICATES HAVE TO BE REVALIDATED WHERE REQUIRED. THESE CERTIFICATES SHALL BE APPROPRIATE TO THE FLAG OF THE VESSEL FOR THE MASTER, MATE, AND CHIEF ENGINEER. PANAMA REGISTER REQUIRES PANAMA CERTIFICATES OR LICENCES. ORIGINAL NATIONAL LICENCES MUST ALSO BE SHOWN. THESE CERTIFICATES MUST BE THE ORIGINALS. DECK OFFICERS REQUIRE HAVING VALID GMDSS CERTIFICATES.
MARINE LICENCE ENDORSED IN ACCORDANCE WITH STCW 1978/95 RANK NAME BARGE MASTER I ISSUING COUNTRY
LICENCE/GRADE
ISSUE DATE
ENDORSEMENT
RADIO OFFICER MEDIC CRANE OPERATOR CHIEF ENGINEER I
SAFETY OFFICER
VESSEL NAME
CONDITION SURVEY
GMDSS CERTIFICATION FOR DECK OFFICERS ONLY PARTICULARS OF VESSE L 23. . 24. . 25. . 26. . 1 LENGTH OVERALL 2 BREADTH 3 DEPTH 4 OPERATING DRAFT 1-berth cabin: 2-berth cabin: 27. . ACCOMMODATION 5 CAPACITY 4-berth cabin: 8-berth cabin: Total capacity : 28. . 29. . 30. . 31. . 6 BHP MAIN ENGINES 7 PROPELLERS 8 THRUSTERS 9 FUEL TANK CAPACITY
32. 0.
FRESHWATER 1 TANK CAPACITY Type:
33. 1. 34.
1 FRESH WATER MAKER
Capacity: Production per day:
HOT WATER
Yes
No
10
VESSEL NAME
CONDITION SURVEY
35. 36. 37. 38. 2.
WATER COOLER DRINKING WATER WATER TANK CLEARCARGO DECK 1 AREA (BP REQ. 505M2)
ENTER OTHER DETAILS AS REQUIRED BELOW WITH COMMENTS ON ITEMS ABOVE
NAVIGATION AND COMMU NICATION EQUIPMENT

EQUIPMENT TYPE CONDITION / REMARKS
Number:
39. .
RADAR 1 (For ships > 300 GT)
Brand/Type: Condition : Brand & Type : Condition : Number :
40. .
SSB RADIO
41. .
FIXED MARINE VHF 3 RADIO (minimum2 required) INMARSAT 4 (Not required unless part of GMDSS) GYRO COMPASS 5 (For ships >500 GT)
Brand & Type : Condition : Brand & Type : Condition : Number : Brand & Type :
42. .
43. .
11
VESSEL NAME
CONDITION SURVEY
Condition :
Number :
44. .
MAGNETIC COMPASS
Brand & Type : Condition :
45. .
COMPASS DEVIATION 7 CARD
Issued Date: Number :
46. .
NAVTEX RECEIVER Condition : Spare Paper? Number: Brand/Type: Number: Brand/Type: Brand & Type : Condition : SEARCH LIGHTS (Min 2 1 required) AUTOMATIC IDENTIFICATION SYSTEM 1 (For ships > 300 GT int. voyage, 500 GT & Pass. Ship) NAVIGATION LIGHTS
1
Brand & Type :
47. .
GPS / DGPS RECEIVER ECHO SOUNDER 1 (For ships > 300 GT) WIND SPEED INDICATOR Operational: ( watt)
1
48. 1.
49. 2. 50. 3.
51. 4.
Number: Brand/Type:
52. 5.
Operational? Black ball (min 2 required) Diamond shape (for tug only)
53. 6.
DAYLIGHT SHAPES
54. 7. 55. 8. 56. 9.
WHISTLE BINOCULARS NAVIGATION CHARTS

1 1
Operational? No. & Condition: Chart No.
12
VESSEL NAME
CONDITION SURVEY
57. 0.
CHART INSTRUMENTS
2 EMERGENCY STOPS
Adequate? Main Engine: Thrusters: Main Engine:
58. 1.
59. 2.
BRIDGE 2 INSTRUMENTATION
Thrusters: Steering Gear:
TELECOMMUNICATION EQUIPMENT yes no
60. . 61. . 62. .
VHFS APPROVED TYPE VHFS AERONAUTICAL 2 BAND ( HELICOPTER) DIGITAL MICROWAVE 3 RADIO (ANY EXPANSION) NON DIRECTIONAL AERONAUTICAL 4 RADIO/MARINE BEACON (HELICOPTER) SATELITE 5 COMMUNICATION BACKUP SYSTEM PAGING SYSTEM INTERCOM
8 CRANE RADIO 7 6
63. .
64. . 65. . 66. . 67. . 68. . 69. 0. 70. 1.
RADIO 9 COMMUNICATION TOWER CCTV WEATHER MONITORING 1 SYSTEM

1
ENTER OTHER DETAILS AS REQUIRED BELOW WITH COMMENTS ON ITEMS ABOVE.
13
VESSEL NAME
CONDITION SURVEY
71. . 72. .
SAFETY & LIFESAVING EQUIPMENT (Must work on 24v 1 GENERAL ALARM supply) 2 MUSTER LIST Up dated? Up dated? FIRE PLANS
3
73. .
Approved by: Dated? Number :
74. .
FIXED FIRE DETECTION 4 SYSTEM
Control Panel : Detector Heads : Condition after test? Number :
75. .
SMOKE DETECTORS Detector Heads : Condition after test? Type :
Control Panel :
76. .
FIXED FIRE 6 Alarms : EXTINGUISHING SYSTEM Local/Remote Control: Accommodation :
77. .
EMERGENCY LIGHTING Out side : Conduct test? No. & Type / Capacity:
Engine Room :
78. .
PORTABLE 8 EXTINGUISHERS
14
VESSEL NAME
CONDITION SURVEY
SAFETY & LIFESAVING EQUIPMENT Next Service:
79. .
FIREMANS OUTFITS 9 (Minimum 2 required)
Number: Condition: Type & Capacity: Spare Cylinder: Test Date:
80. 0.
SELF CONTAINED AIR 1 BREATHING APPARATUS
81. 1.
OXYGEN 1 RESUSCITATION EQUIPMENT.
Capacity: Test date: Brand & Type :
82. 2.
MULTI GAS DETECTOR
Last Calibrated: Condition : Number: Connection Type: Number: Condition: Number: Conduct test: Number: (at Galley) Position: Adequate?
83. 3.
FIRE HYDRANTS FIRE 1 HOSES (Minimum 3 required) FIRE NOZZLES 1 (Shall be dual purposes jet & spray) FIRE 1 AXES (WITH LONG HANDLE)
1 FIRE BLANKETS
84. 4.
85. 5. 86. 6. 87. 7. 88. 8. 89. 9. 90. 0.
SHIP/SHORE 1 CONNECTION (for ships 500 GT) FIRST AID KITS CLINIC & MEDICAL 2 STORES
1
Number:
91. 1. 2 LIFERAFTS
Capacity : Expiry Date:
15
VESSEL NAME
CONDITION SURVEY
92. 2.
93. 3.
SAFETY & LIFESAVING EQUIPMENT Life Raft: HYDROSTATIC RELEASE 2 UNIT EPIRB: No. 2 LIFE BOATS Capacity: Boat condition: FRC / MOB BOAT
2
94. 4.
Engine Power: Davit SWL & condition: MOB buoy (P & S): Line & lights (min 2) Line only
95. 2 LIFEBUOYS 5.
Without line & light: Ships name & Port of Registry? Condition: Number: SOLAS Approved Type? With light & whistle Ships name marked? Number:
96. 2 LIFE JACKETS 6
97. 2 WORK VEST 7.
Condition: Ships name marked? Brand/Type:
98. 2 EPIRB 8.
Work on 406 MHz? Check Battery / 3 yrs life Brand/Type: Expiry:
99. SARTS 2 (>300~<500 = 1, 9. >500=2)
Check Battery / 3 yrs life
Expiry:
16
VESSEL NAME
CONDITION SURVEY
SAFETY & LIFESAVING EQUIPMENT 100. LINE 3 THROWING 0. APPLIANCE Canisters rockets : Check all four: Parachute Flares / 12 required 101. 3 PYROTECHNICS 1. Hand Held Flares / 6 required Smoke Floats / 2 required Procedure collision, grounding, fire, explosion, gas/toxic vapour release? Certificate valid: Condition: Condition: Expiry: No. / Expiry: No. / Expiry: No. / Expiry:
102. EMERGENCY 3 RESPONSE 2. PLAN 103. 3 BILLY PUGH BASKET 3. 104. 3 STRETCHER (MEDICAL) 4. 105. EMERGENCY 3 EYE WASH 5. STATION
GENERAL Type: 106. 1 FENDERING . No. at Port side: No. at Stbd Side: Condition: Type: Condition:
107. 2 CARGO DECK .
17
VESSEL NAME
CONDITION SURVEY
108. BULWARKS 3 & . HANDRAILS 109. 4 SHELL PLATING .
Condition: Condition: 1) 2) 3) 4) 5) 6) 7) 8) 1) 2) 3) 4) 5) 6) 7) 8) 1) 2) 3) 4) 5) 6) 7) 8) 1) 2) 3) 4) 5) 6) 7) 8) 1) 2) 3) 4) 5) 6) 7) 8) Type: Condition:
110. ANCHORS 5 (TYPE, . WEIGHT & CONDITION)
111. 6 WINDLASS (TESTED) .
112. MOORING 7 LINES (Size, . Condition , Length)
BUOYS (VISUAL 113. 8 INSPECTION & . WEIGHT/BOUYANCY)
TENSION METER 114. 9 (TESTED & . CALIBRATED)
115. 1 TANK VENTS 0.
18
VESSEL NAME
CONDITION SURVEY
Handles? Can be closed from inside/outside? 116. WATERTIGHT 1 DOORS 1. (PORTSIDE) Rubber gasket? Door coaming? Door condition? Handles? Can be closed from inside/outside? 117. WATERTIGHT 1 DOORS 2. (STARBOARD SIDE) Rubber gasket? Door coaming? Door condition? Broken bulb? 118. 1 DECK LIGHTING 3. Light without cover? Electric cable in safe arrangement? 119. BUNKER 1 POINTS & FUEL 4. TANKS VENT
Cabin Condition? 120. 121. 1 ACCOMMODATION 5. 122. Electric cable in safe arrangement? Rat / cockroaches traces?
123. 1 LAUNDRY EQUIPMENT 6.
Washing Machine, capacity: Dryer, capacity: Condition:
124. 1 GALLEY 7.
Provision store:
19
VESSEL NAME
CONDITION SURVEY
Exhaust fan cleanliness? Capacity: Condition:
125. 1 MESS ROOM 8. 126. 1 PROVISION 9. 127. 2 COMMON TOILET 0. 128. 2 RECREATION ROOM 1. 129. 2 MEETING ROOM 2. 130. 2 CLIENT ROOM 3. 131. 4. 132. 5. 133. 6. 134. 7. 135. 8. 136. 9. 2 2 2 2 2 2
20
VESSEL NAME
CONDITION SURVEY
MACHINERY SPACES 137. 1 BOW THRUSTERS . 138. 2 STERN THRUSTERS . Number: 139. 3 DIESEL GENERATORS . Brand & Type: KW or KVA : Condition? Brand & Type: 140. EMERGENCY 4 . GENERATOR KW or KVA: Condition? Brand & Type: 141. SEWAGE 5 TREATMENT . PLANT Holding Tank Capacity: Condition? Number: 142. 6 AIR COMPRESSOR . Brand & Type: Capacity: UMS or Manual AMS Control Room available? 143. ENGINE 7 CONTROL . SYSTEM Machinery alarm system condition? (minimum required LO low press alarm for M/E,A/E, Bow thrusters Engine should be test)
21
VESSEL NAME
CONDITION SURVEY
MACHINERY SPACES Gauging Indicator Condition: 144. 8 SWITCHBOARD . Rubber mats: Mega Test record available? Number: Maintenance record available? Bracket: Condition: Number: EMERGENCY 146. 1 BATTERIES FOR 0. LIGHTING Maintenance record available? Bracket: Condition: Brand & Type: 147. 1 BILGE PUMP 1. Capacity: Condition: Brand & Type: 148. 1 GS PUMP 2. Capacity: Condition? Brand & Type: 149. 1 FIRE PUMP 3. Capacity: Condition? Driven by? 150. FIFI 1 PUMP (FIRE 4. MONITOR) Brand & Type: Capacity: Condition? Brand & Type: 151. 1 EMERGENCY FIRE PUMP 5. Capacity: Condition?
145. EMERGENCY 9 . BATTERIES FOR RADIO
22
VESSEL NAME
CONDITION SURVEY
MACHINERY SPACES Brand & Type: 152. 1 BALLAST PUMP 6. Capacity: Condition? Brand & Type: 153. OILY 1 WATER 7. SEPARATOR Capacity: Controlling System Condition? Brand & Type: 154. 1 AIR CONDITIONING 8. Central or Independent unit? Condition? Brand & Type: Permanent or Portable? 155. REFERIGERATOR 1 / 9. FREZER Alarm available in front of room? if permanent system) Door Seal Condition? Space Cleanliness? For Main Engine in safe arrangement? For Auxiliary Engine in safe arrangement? 156. ROTATING 2 PARTS 0. SAFETY GUARDS For Pumps in safe arrangement? For Compressor in safe arrangement? For Winches in safe arrangement? Silencers available? 157. SPARK 2 ARRESTORS 1. FUNNELS Silencers Certificate available? Independent spark with wire mesh available?
23
VESSEL NAME
CONDITION SURVEY
MACHINERY SPACES Engines: Thrusters: 158. 2 EMERGENCY STOPS 2. Generators: Fans: Air-Condition: Operation by Pneumatic or Direct with wire? Condition? Engine room bilge high level alarm condition? 160. 2 BILGES 4. Thrusters room bilge high level alarm condition? Others Compartments bilge high level alarm condition? 161. ALL 2 PIPEWORK COLOUR 5. CODED Brand & Type: 162. SEWAGE 2 TREATMENT 6. PLANT Holding Tank Capacity: Condition? 163. SAFETY 2 WARNING 7. NOTICES 164. HELLI-PAD 2 8. CERTIFICATION
159. EMERGENCY 2 FUEL 3. SHUTOFFS
24
VESSEL NAME
CONDITION SURVEY
CRANES
1 TYPE OF CRANE Main Hook 2 MAXIMUM RADIUS/LOAD Aux. Hook Whip Hook Main Hook 3 MINIMUM RADIUS/LOAD Aux. Hook Whip Hook 4 5 6 7 SWL MARKED LIMIT SWITCHES LOAD INDICATOR ANGLE INDICATOR CERTIFIED IN DATE (MIGAS CERTIFICATE) RECORD OF MAINTENANCE COMMUNICATION MIGAS Certificate
11
Issued Date: Validity
9
10
OPERATOR CERTIFIED
Required/Intl 3 years Normally
12
EMERGENCY STOP
25
VESSEL NAME
CONDITION SURVEY
CRANES
Last Changed
13
MAIN HOOK WIRE Size: Last Changed
14
AUX. HOOK WIRE Size: Last Changed
15
TOPPING WIRE Size:
ENTER OTHER DETAILS AS REQUIRED BELOW WITH COMMENTS ON ITEMS ABOVE Survey Report on Ships Lifting Appliances
TESTED DURING INSPECTION
Date of Survey :
Load Test for Lifting Appliances (Derrick Crane + Deck Crane) :
MOORING SYSTEM
26
VESSEL NAME
CONDITION SURVEY
Certificate for SWL: Test date: Lining Break Condition: Hydraulic Pipe Line Condition: Powered by (electric/hydraulic): 1. MOORING WINCH NO. 1 Wire Size & Condition: Anchor weight: Anchor Rack: Anchor Condition: Fairlead type & Condition: Tension meter: General Condition: Certificate for SWL: Test date: Lining Break Condition: Hydraulic Pipe Line Condition: Powered by (electric/hydraulic): Wire Size & Condition: Anchor weight: Anchor Rack: Anchor Condition: Fairlead type & Condition:
2.
MOORING WINCH NO. 2
27
VESSEL NAME
CONDITION SURVEY
Tension meter: General Condition:
Certificate for SWL: Test date: Lining Break Condition: Hydraulic Pipe Line Condition: Powered by (electric/hydraulic): 3. MOORING WINCH NO. 3 Wire Size & Condition: Anchor weight: Anchor Rack: Anchor Condition: Fairlead type & Condition: Tension meter: General Condition: Certificate for SWL: Test date: 4. MOORING WINCH NO. 4 Lining Break Condition:
28
VESSEL NAME
CONDITION SURVEY
Hydraulic Pipe Line Condition: Powered by (electric/hydraulic): Wire Size & Condition: Anchor weight: Anchor Rack: Anchor Condition: Fairlead type & Condition: Tension meter: General Condition: Certificate for SWL: Test date: Lining Break Condition: Hydraulic Pipe Line Condition: Powered by (electric/hydraulic): 5. MOORING WINCH NO. 5 Wire Size & Condition: Anchor weight: Anchor Rack: Anchor Condition: Fairlead type & Condition: Tension meter: General Condition:
29
VESSEL NAME
CONDITION SURVEY
Certificate for SWL: Test date: Lining Break Condition: Hydraulic Pipe Line Condition: Powered by (electric/hydraulic): 6. MOORING WINCH NO. 6 Wire Size & Condition: Anchor weight: Anchor Rack: Anchor Condition: Fairlead type & Condition: Tension meter: General Condition: Certificate for SWL: Test date: Lining Break Condition: Hydraulic Pipe Line Condition: Powered by (electric/hydraulic): Wire Size & Condition: Anchor weight: Anchor Rack: Anchor Condition: Fairlead type & Condition:
7.
MOORING WINCH NO. 7
30
VESSEL NAME
CONDITION SURVEY
Tension meter: General Condition:
Certificate for SWL: Test date: Lining Break Condition: Hydraulic Pipe Line Condition: Powered by (electric/hydraulic): 8. MOORING WINCH NO. 8 Wire Size & Condition: Anchor weight: Anchor Rack: Anchor Condition: Fairlead type & Condition: Tension meter: General Condition: CATENARARY CALCULATION SOFTWARE MANUAL
WEATHER LIMITATION
31
VESSEL NAME
CONDITION SURVEY
MAIN TOWING GEAR Type: Towing plate condition: Weld connection: Safety Pin: Diameter:
166. . 2
165. .
TOWING BRACKET
Length: Condition: Certificate: SWL/ No.:
CHAFFING CHAIN
167. .
SHACKLES
Condition: Certificate: Delta Plate/Shackle:
168. .
4 DELTA PLATE
Condition: Certificate: Diameter: Length:
169. .
BRIDLE WIRES
Hard Eyes/thimble on both edges: Condition: Certificate: Diameter: Length:
170. .
PENNANT WIRE
Hard Eyes/thimble on both edge: Condition: Certificate:
32
VESSEL NAME
CONDITION SURVEY
Type: Diameter:
171. .
TOWING ROPE
Length: Condition: Certificate: Type: Diameter:
172. .
SPARE OF TOWING ROPE
Length: Condition: Certificate:
EMERGENCY TOWING GEA R Type: Position (At Stern/Bow): Single/double plate: Towing plate condition:
173. 1 TOWING BRACKET .
33
VESSEL NAME
CONDITION SURVEY
EMERGENCY TOWING GEA R Weld connection: Safety Pin:
Diameter: 174. 2 CHAFFING CHAIN . Length: Condition: Certificate: SWL/No: 175. 3 SHACKLES . Condition: Certificate: Delta Plate/Shackle: 176. 4 DELTA PLATE . Condition: Certificate: Diameter: Length: 177. 5 BRIDLE WIRES . Hard Eyes/thimble on both edges: Condition: Certificate: Diameter: Length: 178. 6 PENNANT WIRE . Hard Eyes/thimble on both edge: Condition: Certificate:
34
VESSEL NAME
CONDITION SURVEY
EMERGENCY TOWING GEA R Type: Diameter: 179. EMERGENCY 7 TOWING . ROPE/WIRE Length: Condition: Certificate: Type: 180. 8 PICK UP LINE . Diameter: Length: Condition: 181. NORWEGIAN 9 PICK UP . BUOY Condition:

OTHER DECK FITTINGS: (CRANE, CRANE TRACKS, MOORING WINCH, DAVITS, BUILDINGS, HANDRAIL, FAIRLEADS ETC)
TANK CONDITION Coating:

182. .
INTERNAL CONDITION
1
Steel Framing: Bulkhead:
TANK NO.
35
VESSEL NAME
CONDITION SURVEY
TANK CONDITION Water inside/Dry: Coating:

183. .
INTERNAL CONDITION
2
Steel Framing: Bulkhead: Water inside/Dry: Coating:
TANK NO.
184. .
INTERNAL CONDITION
3
TANK NO.
185. .
INTERNAL CONDITION
4
TANK NO.
186. .
INTERNAL CONDITION
5
TANK NO.
187. .
INTERNAL CONDITION
6
TANK NO.
188. .
INTERNAL CONDITION
7
TANK NO.
189. .
INTERNAL CONDITION
8
Steel Framing: Bulkhead:
TANK NO.
36
VESSEL NAME
CONDITION SURVEY
TANK CONDITION Water inside/Dry:
190. .
37
VESSEL NAME
CONDITION SURVEY
This report is intended for the sole use of the person or organisation to whom it is addressed and no liability of any nature whatsoever shall be assumed to any other party in respect of its contents. As to the addressee, neither the Company nor the undersigned, shall (save as provided in the companys conditions of business dated 1st October 2003) be liable for any loss or damage whatsoever suffered by virtue of any act, omission or default (whether arising by negligence or otherwise) by the undersigned, the company or any of its servants.
Signed by:
Countersigned by:
38
VESSEL NAME
CONDITION SURVEY
APPENDIX A
DEFICIENCIES LIST
NO. LIST OF OBSERVATION
REMARKS
39
VESSEL NAME
CONDITION SURVEY
APPENDIX B
PHOTOGRAPHS SECTION
40
VESSEL NAME
CONDITION SURVEY
APPENDIX C
COPIES OF CERTIFICATES
41
VESSEL NAME
CONDITION SURVEY
APPENDIX D
BARGE LAY-OUT
42
VESSEL NAME
CONDITION SURVEY
APPENDIX E
CLOSE OUT DEFICIENCIES LIST
43

Conditional Survey

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Conditional Survey

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CONTENTS

main towing gear ..................................................................................................... 32

PETRONAS CARIGALI SDN BHD

OPERATOR CONTACT PERSON

PETRONAS CARIGALI SDN BHD

CONTINUATION SHEET AND ANY RELEVANT INFORMATIONS

PETRONAS CARIGALI SDN BHD

PETRONAS CARIGALI SDN BHD

PETRONAS CARIGALI SDN BHD

RADIO OFFICER MEDIC CRANE OPERATOR CHIEF ENGINEER I

PETRONAS CARIGALI SDN BHD

FRESHWATER 1 TANK CAPACITY Type:

1 FRESH WATER MAKER

Capacity: Production per day:

PETRONAS CARIGALI SDN BHD

35. 36. 37. 38. 2.

ENTER OTHER DETAILS AS REQUIRED BELOW WITH COMMENTS ON ITEMS ABOVE

NAVIGATION AND COMMU NICATION EQUIPMENT

RADAR 1 (For ships > 300 GT)

Brand/Type: Condition : Brand & Type : Condition : Number :

PETRONAS CARIGALI SDN BHD

Brand & Type : Condition :

COMPASS DEVIATION 7 CARD

Issued Date: Number :

Brand & Type :

54. 7. 55. 8. 56. 9.

WHISTLE BINOCULARS NAVIGATION CHARTS

Operational? No. & Condition: Chart No.

PETRONAS CARIGALI SDN BHD

Adequate? Main Engine: Thrusters: Main Engine:

Thrusters: Steering Gear:

TELECOMMUNICATION EQUIPMENT yes no

60. . 61. . 62. .

64. . 65. . 66. . 67. . 68. . 69. 0. 70. 1.

RADIO 9 COMMUNICATION TOWER CCTV WEATHER MONITORING 1 SYSTEM

ENTER OTHER DETAILS AS REQUIRED BELOW WITH COMMENTS ON ITEMS ABOVE.

PETRONAS CARIGALI SDN BHD

Approved by: Dated? Number :

FIXED FIRE DETECTION 4 SYSTEM

Control Panel : Detector Heads : Condition after test? Number :

SMOKE DETECTORS Detector Heads : Condition after test? Type :

FIXED FIRE 6 Alarms : EXTINGUISHING SYSTEM Local/Remote Control: Accommodation :

PETRONAS CARIGALI SDN BHD

SAFETY & LIFESAVING EQUIPMENT Next Service:

FIREMANS OUTFITS 9 (Minimum 2 required)

Number: Condition: Type & Capacity: Spare Cylinder: Test Date:

SELF CONTAINED AIR 1 BREATHING APPARATUS

OXYGEN 1 RESUSCITATION EQUIPMENT.

Capacity: Test date: Brand & Type :

MULTI GAS DETECTOR

85. 5. 86. 6. 87. 7. 88. 8. 89. 9. 90. 0.

Capacity : Expiry Date:

PETRONAS CARIGALI SDN BHD

96. 2 LIFE JACKETS 6

97. 2 WORK VEST 7.

Condition: Ships name marked? Brand/Type:

Work on 406 MHz? Check Battery / 3 yrs life Brand/Type: Expiry:

99. SARTS 2 (>300~<500 = 1, 9. >500=2)

Check Battery / 3 yrs life

PETRONAS CARIGALI SDN BHD

ENTER OTHER DETAILS AS REQUIRED BELOW WITH COMMENTS ON ITEMS ABOVE

107. 2 CARGO DECK .

PETRONAS CARIGALI SDN BHD

108. BULWARKS 3 & . HANDRAILS 109. 4 SHELL PLATING .