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Annual surveys/Intermediate
surveys/Docking Surveys Survey
Checklist
In accordance with the classifications survey requirements for all ships including oil tankers and bulk carriers.
[ See additional check lists for chemical tankers and gas carriers ]
Name of Ship IMO Number
           

Mark “Yes” or “No” in appropriate box for each item If an item is not applicable mark “NA” in appropriate box.
All required dates should be recorded at these surveys as dd/mm/yy
For docking survey complete sections GA to HH as applicable.

Annual survey: - to be held within 3 months before or after the anniversary date
Load Line Survey- to be held within 3 months before or after the anniversary date
Intermediate survey: - together with the 2nd or 3rd annual survey (including full requirements of the Annual Survey)
Docking survey: - to be held as required by regs. pt.1 ch. 2, sec. 3.5
In-water survey, in lieu of the drydocking between special surveys

AA General
050 Are all Statutory Certificates and the Certificate of Class valid? Yes/No

AB National Administration Requirements

050 Have the country files been checked to ascertain any flag administration requirements? Yes/No/NA

100 Have all flag administration technical and reporting requirements been complied with? Yes/No/NA

AC Manning
050 Does the ship’s complement comply with the Minimum Safe Manning Document? Yes/No/NA

100 Are the master, officers and ratings certificated as required by the STCW Convention? Yes/No/NA

AD General (Annual and Intermediate Surveys)

Confirm no modifications have been made to the ship or equipment which would affect the class or the
050 Yes/No
Certificates (any modifications are to be reported)

100 Confirm that all periodical surveys required for boilers and other pressure vessels are up to date. Yes/No

150 Confirm the CSM and CSH cycles are up to date in accordance with the current survey status. Yes/No
Confirm that the Periodical Survey of the automation and/or remote controls for the main propulsion plant are not
200 Yes/No
overdue. (see also section CA )
250 Confirm that the Periodical Survey of the inert gas system is not overdue. ( If applicable, see also section EF ) Yes/No

300 Confirm the Certificate of Class now endorsed for Annual Survey Yes/No/NA

350 Confirm the Certificate of Class now endorsed for Intermediate Survey Yes/No/NA

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AE Documentation (Annual and Intermediate Surveys) AS APPLICABLE

A.S. or I.S.
050 Certificate Expiry date Certificate issued by
endorsement date
050a *Cargo Ship Safety Construction Certificate                  

050b *Cargo Ship Safety Equipment Certificate                  

050c *Cargo Ship Safety Radio Certificate                  

050d * International Load Line or Exemption Certificate                  

050e * International Oil Pollution Prevention Certificate                  

050f * Certificate of Class                  

050g * Cargo Ship Safety Certificate (where applicable)                  

* International Safety Management Certificate) SMC &

050h                  
copy of The Document of Compliance [DOC]
* International Certificate of Fitness for the Carriage of
050i Dangerous Chemicals in Bulk or The Certificate of                  
Fitness for the Carriage of Dangerous Chemicals in Bulk
* International Ship & Port Facility Security Code
050j                  
Certificate
*International Certificate of Fitness for the Carriage of
050k                  
Liquefied Gases in Bulk
* International Pollution Prevention Certificate for the
050l                  
Carriage of Noxious Liquid Substances in Bulk
The log entries record that the following have been checked or tested and found satisfactory within twelve (12) hours before
100
departure from any port.
Steering gear (The tests included, where applicable, the operation of the main steering gear, the auxiliary
100a steering gear, remote control systems, bridge steering position, emergency power supply, rudder angle Yes/No
indicators, steering gear system power unit)
100b Communications system bridge to steering gear compartment Yes/No

100c Full movement of the rudder Yes/No

100d Visual inspection of steering linkage Yes/No

150 The log entries record that emergency steering drills have been carried out every three (3) months. Yes/No

200 The change-over procedure diagrams of steering gear are posted. Yes/No

250 All officers are reportedly familiar with steering gear change-over procedures. Yes/No

300 The approved stability/loading information is on board. Yes/No

350 For ships assigned timber loadlines the approved timber deck cargo loading and lashing plan is on board. Yes/No

400 A complete file of the enhanced survey reports and the condition evaluation report is on board [ ESP ships ] Yes/No

450 For bulk carriers the loading / unloading booklet is on board Yes/No
For bulk carriers with restrictions with the respect to the carriage of cargoes with a density of 1,780 kg/cub.m
500 Yes/No
above that a triangle is permanently marked at mid ship [ SOLAS 74/97 reg. XII/8.3 ]
For bulk carriers of 150m in length and upwards of single skin construction designed to carry solid bulk cargoes
550 having a density of 1,780 kg/cu.m above constructed before 1 July 1999 have after the implementation date given Yes/No
in SOLAS 94/97 reg. XII/3 sufficient stability and strength to withstand flooding of the foremost cargo hold
600 An approved Cargo Securing Manual for ships carrying cargo units including containers is on board Yes/No

650 A loading booklet for carriage of cargoes in bulk is on board Yes/No

700 Confirm that Asbestos was not used on board [ SOLAS 74/00 REG. II-1/3-5 ] Yes/No

* See notes section KA

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BA Hull Survey (Annual and Intermediate Surveys)

The condition of the hull and its closing appliances is satisfactory as far as could be seen, The following items
050 Yes/No
should be included as applicable (see also Appendix 1 for shell doors):
Hatchways; weather decks, casings, skylights, flush deck scuttles, deckhouses and companionways;
superstructures; windows; side scuttles; and deadlights; chutes and other openings; scuppers; sanitary discharges
100 and valves; guard rails and bulwarks; freeing ports; gangways and lifelines; and permanent fittings for timber Yes/No
deck cargoes.
Closing appliances were not tied or temporarily secured open
150 Vents and air pipes condition should be verified (Annual and Intermediate Surveys) Yes/No

200 The condition of the anchoring and mooring equipment is satisfactory, as far as could be seen. Yes/No
The watertight and weather tight doors have been examined, operationally tested (remotely and locally) and
250 Yes/No
found satisfactory.
300 The condition of the watertight bulkhead penetrations is satisfactory, as far as could be seen. Yes/No

350* The structural fire protection arrangements remain unchanged (Alterations are to be reported). Yes/No

450* The manual and/or automatic fire doors have been operationally tested and found satisfactory. Yes/No

500 The operation of the loading instrument has been verified. Yes/No

550 The freeboard marks have been verified. Yes/No

600 Special requirements for ships permitted to sail with reduced freeboards found satisfactory [ when applicable ] Yes/No

650 Navigational Arrangements examined for NAV1, IBS [ when applicable ] Yes/No

700 Hull Planned Maintainance Audit has been completed as applicable, see check list 2100 HPMS Yes/No
Hatch covers, coamings and gaskets have been checked and mechanically operated hatch covers tested and
750 Yes/No
found weathertight.
800 The collision and other watertight bulkheads have been examined as far as could be seen and found satisfactory Yes/No

850 The drainage from enclosed spaces on the freeboard deck is satisfactory Yes/No

900 The functionality of bilge well alarms to cargo holds and conveyor tunnels found satisfactory [ when applicable ] Yes/No

950 Any expansion joints in the sea water systems have been visually examined and found satisfactory Yes/No

Salt water ballast tanks

1000 The tanks where protective coating was not applied at construction or has been reported in POOR condition and Yes/No
not repaired have been examined and found satisfactory. (report tanks)

Examination and thickness measurement of structure identified as having substantial corrosion [ details to be to
1050 Yes/No
be reported ]
Note: Those tanks which may require to be internally examined at annual survey are indicated in the Survey
Yes/No
Status.
BB Dry bulk cargo ships (bulk carriers)
050 Close-up survey of cargo hold steel hatch covers, coamings and stiffeners. Yes/No/NA

100 Dewatering of forward spaces Yes/No/NA

150 For ships less than 10 years old Yes/No/NA

150a An overall survey of the forward cargo hold and an aft cargo hold, on single skin ships (annual only) Yes/No/NA

200 For ships between 10 and 15 years old Yes/No/NA

Overall survey of all cargo holds, on single skin ships, two selected on double skin ships (annual and
200a Yes/No/NA
intermediate)
Close-up survey of at least 25% of the cargo hold side shell frames, their lower end attachments and adjacent
200b Yes/No/NA
shell plating in a forward cargo hold, on single skin ships (annual only)
250 For ships greater than 15 years old† Yes/No/NA

250a Overall survey of all cargo holds (annual only) Yes/No/NA

Close-up survey of at least 25% of the cargo hold side shell frames, their lower end attachments and adjacent
250b Yes/No/NA
shell plating in a forward cargo hold and one other selected cargo hold, on single skin ships (annual only)
The close-up survey has been extended to include all other cargo holds because of the need for remedial action
250c Yes/No/NA
(details to be reported). Any necessary thickness measurement is to be reported.

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BC Oil tankers -including combination carriers - dry bulk cargo ships (bulk carriers) and chemical
tankers survey and thickness measurement of areas of substantial corrosion identified in the Survey Status or
Close-up
050 Yes/No/NA
the Executive Summary carried out satisfactorily (report area(s) and thicknesses)
For oil tankers [ including combination carriers ] and chemical tankers greater than 15 years of age , all ballast
tanks adjacent to [ i.e. with a common plane boundary ] a cargo tank with any means of heating have been
examined and found satisfactory. Thickness measurement is to be carried out where considered necessary by
100 the Surveyor Yes/No/NA
Special consideration may be given by the Surveyor to those tanks or spaces where the coatings are found in
GOOD
condition at the previous Intermediate or Special Survey
BD All ships assigned the special features notation “certified container securing arrangements”.
050 The condition of the securing arrangements is satisfactory as far as could be seen. Yes/No/NA
BE General dry cargo ships (see note 400 section KA )
050 Close-up survey of cargo hold steel hatch covers, coaming and stiffeners. Yes/No/NA

100 For ships between 10 and 15 years old† Yes/No/NA

100a Overall survey of one forward and one after cargo hold and their associated tween deck spaces (annual only) Yes/No/NA

150 For ships greater that 15 years old† Yes/No/NA

150a Overall survey of all cargo holds and tween deck spaces (annual only). Yes/No/NA
Close-up survey of at least 25% of all shell frames, including their end attachments and adjacent shell plating in a
150b Yes/No/NA
forward lower cargo hold and one other selected lower cargo hold (annual only).
The close up survey has been extended to include all other cargo holds because of the need for remedial action
150c Yes/No/NA
(details to be reported). Any necessary thickness measurement is to be reported.
*See notes Section KA

† For Intermediate Surveys see section IA

CA Machinery and Electrical Installation Survey (Annual and Intermediate Surveys)

050 The machinery and boiler spaces and essential machinery have been generally examined and found satisfactory. Yes/No/NA

100 The emergency escape routes from the machinery and boiler spaces are free of obstruction. Yes/No/NA

150 The machinery and boiler spaces are free of all visible fire and explosion hazards. Yes/No/NA
Piping systems containing fuel oil, lubricating oil or other flammable oils where fitted have been examined and
200 operated as far as practicable, special attention being paid to tightness, fire precaution arrangements, flexible Yes/No/NA
hoses and sounding arrangements and found satisfactory.
The main and auxiliary steering arrangements, including their associated equipment, alarms and control system,
250 Yes/No/NA
have been examined, operated and found satisfactory.
All the means of communication between navigating bridge, machinery control and alternative steering positions
300 Yes/No/NA
have been tested and found satisfactory.
The bilge pumping systems for each watertight compartment, including bilge wells, extended spindles, pumps
350 Yes/No/NA
and level alarms where fitted, have been examined and operated as far as practicable and all found satisfactory.
Non-metallic expansion joints in piping systems which penetrate the hull and are fitted below the deepest loaded
400 Yes/No/NA
waterline have been examined and found satisfactory.
An external examination of boilers, pressure vessels, including safety devices , foundations, controls, relieving
450 Yes/No/NA
gear, insulation, gauges and piping has been carried out as far as practicable, and found satisfactory.
The electrical equipment and cabling forming the main and emergency electrical installations have been generally
500 examined under operating conditions as far as practicable. Bonding straps for the control of static electricity and Yes/No/NA
earthing arrangements as fitted have also been examined.
The satisfactory operation of the main and emergency sources of power, including lighting systems and electrical
550 services essential for safety in an emergency mode have been verified. (Where the sources of power are Yes/No/NA
automatically controlled they have been tested in the automatic mode.)
A general examination of the following, where applicable, has been carried out and operation considered
600 Yes/No/NA
satisfactory:
600a Automation equipment, including random testing of alarm, automatic and shutdown functions Yes/No/NA

600b UMS CCS ICC or IP system (indicate those appropriate with X) Yes/No/NA
(enter detail of notation and indicate with X if PCR is
600c DP       and PCR Yes/No/NA
appropriate)
600d The DP System has been tested under operating conditions to an approved test schedule Yes/No/NA
An examination of the electrical installation in areas which may contain flammable gas or vapour and/or
650 Yes/No/NA
combustible dust, it has verified that it is in good condition and has been properly maintained
The machinery, boilers and other pressure vessels, associated piping systems and fittings are installed and
700 protected as to reduce to a minimum any danger to persons on board, due regard being given to moving parts, Yes/No/NA
hot surfaces and other hazards
Confirm that the normal operation of the propulsion machinery can be sustained or restored even though one of
750 Yes/No/NA
the essential auxiliaries becomes inoperative

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Confirm that the engine room telegraph, the second means of communication between the navigation bridge and
800 the machinery space and the means of communication with any other positions from which the engines are Yes/No/NA
controlled are operating satisfactorily
Examining, in general that the precautions provided against shock, fire and other hazards of electrical origin are
850 Yes/No/NA
being maintained
Confirm that the Machinery Planned Maintenance audit has been completed as applicable , see check list
900 Yes/No/NA
2100MPMS
Confirm that the Screwshaft Condition Monitoring and Turbine Condition Monitoring audits have been completed
950 Yes/No/NA
as applicable

DA Statutory Survey Related Items (Annual and Intermediate Services)

050* The fire control plan and duplicate have been examined and are properly posted. Yes/No/NA
All fire and/or smoke detection and alarm systems have been examined and tested, as far as practicable, and
100* Yes/No/NA
found satisfactory.
An operative test of the fire main system and each fire pump, including the emergency fire pump, has been
150* carried out separately, to demonstrate that the two required jets of water could be provided simultaneously from Yes/No/NA
different hydrants.
All fire hoses, nozzles, applicators and spanners are situated at their respective stations and in satisfactory
200* Yes/No/NA
condition.
The fixed fire fighting system controls, piping, instructions and markings are properly maintained and serviced. Yes/No/NA
250*
Date of last reported system
      Yes/No/NA
test
All semi-portable and portable extinguishers are fully charged, in their stowed position and with valid service
300* Yes/No/NA
dates.
The remote controls for stopping fans and machinery and shutting off fuel supplies in machinery spaces and
350 where fitted, the remote controls for stopping fans in accommodation spaces and means of cutting off power to Yes/No/NA
the galley are in working order.
The closing arrangements of ventilators, annular spaces, skylights, doorways and tunnel where applicable are
400 Yes/No/NA
satisfactory.
Confirming as far as practical, that no changes have been made in the structural fire protection, examining any
manual and automatic fire doors and proving their operation, testing the means of closing the main inlets and
450* Yes/No/NA
outlets of all ventilation systems and testing the means of stopping power ventilation systems from outside the
space served
500* The fireman’s outfits are complete and in satisfactory condition. Yes/No/NA
Where Lloyd’s Register is authorised to carry out the Periodic Load Line Inspection, Load Line Annual Survey
and/or SAFCON Annual or Intermediate1 Survey on behalf of the National Authority provided the AS/ITSS is
550 satisfactorily completed as appropriate in accordance with the checklist requirements then the Load Line, SAFCON Yes/No/NA
survey dates may be recommended and the certificates endorsed accordingly provided in the case of the SAFCON
the following is also dealt with:
550a manoeuvring booklet with information displayed on bridge Yes/No/NA

550b damage control plans for ships built 1/2/92 and after Yes/No/NA

600 Confirmation that the following is satisfactory: Yes/No/NA

600a structural fire protection and fire doors including remote stopping of ventilation systems Yes/No/NA

600b ventilation of machinery spaces Yes/No/NA

600c noise protection in machinery spaces Yes/No/NA

600d engineer’s alarm is audible in the engineer’s accommodation area Yes/No/NA

600e domestic gaseous fuel arrangements Yes/No/NA

600f first start arrangements Yes/No/NA

600g arrangements for escape from working spaces Yes/No/NA

1
Intermediate SAFCON surveys are mandatory for all ships operating on the Harmonised System of Survey and Certification.
* See notes Section KA

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EA Oil Tankers, including Combination Carriers (Annual and Intermediate Surveys)-

In addition to Sections AA to DA
EB Weather deck Yes/No/NA
Cargo tank openings including gaskets, covers, coamings, P/V valves and flame screens are all satisfactory as far
050 Yes/No/NA
as could be seen.
A portable instrument for measuring flammable vapour concentrations with sufficient spares and means of
100 Yes/No/NA
calibration is satisfactory.
Flame screens on vents at all bunker, oily ballast and oily slop tanks and void spaces are satisfactory as far as
150 Yes/No/NA
could be seen.
An examination of cargo, crude oil washing, bunker, ballast, stripping and vent piping systems including vent
200 Yes/No/NA
masts and headers has been carried out and all found in satisfactory condition.
An examination of cargo tank venting arrangements and secondary means of venting or over/ under pressure
250 Yes/No/NA
alarms, if fitted, has been found operational and satisfactory.
300 The condition of electrical equipment in dangerous zones is satisfactory as far as could be ascertained. Yes/No/NA

350 Access to bow arrangements found satisfactory Yes/No/NA

EC Fire Extinguishing Arrangements
Examination of the fixed fire-fighting system for the cargo pump room, confirming that the installation tests have
050* been satisfactorily completed with its means of operation clearly marked and when appropriate , checking the Yes/No/NA
operation of the remote means for closing the various openings, all found satisfactory
100* The deck foam and deck sprinkler systems were found to be operable and in satisfactory condition Yes/No/NA
ED Emergency Towing Arrangements
050 Condition of emergency towing arrangements found satisfactory Yes/No/NA
EE Cargo pump room
Confirm that no potential sources of ignition (in or near the cargo pump room) such as loose gear, excessive
050 product in bilges, excessive vapours, combustible materials, etc. have been observed and if found then Yes/No/NA
eliminated.
100 The access ladders are in satisfactory condition. Yes/No/NA

150 All electrical equipment is in satisfactory condition as far as could be ascertained. Yes/No/NA
The emergency lighting in all cargo pump rooms of tankers constructed after 1 July 2002 have been examined
200 Yes/No/NA
and found satisfactory
250 The pump room bulkheads are free of signs of oil leakage or fractures. Yes/No/NA

300 The sealing arrangements of bulkhead penetrations are satisfactory. Yes/No/NA

350 An external examination of piping systems has been carried out and all found in a satisfactory condition. Yes/No/NA

400 The cargo, bilge, ballast and stripping pumps examined as far as practicable and found satisfactory for: Yes/No/NA

400a Excessive gland seal leakage. Yes/No/NA

400b Operation of electrical and mechanical remote operating and shutdown devices. Yes/No/NA

400c Integrity of pump room bilge system and pump foundations. Yes/No/NA

450 The ventilation system is operational the ducting intact, the dampers are operable and the screens are clean. Yes/No/NA
As far as could be seen, the installed pressure gauges on cargo discharge lines and level indicator systems are
500 Yes/No/NA
operational.
EF Inert gas systems (where fitted)
050 From external examination, all components and piping found free of signs of corrosion or gas/effluent leakage. Yes/No/NA

100 Both inert gas blowers are operational. Yes/No/NA

150 The scrubber room ventilation system is operational. Yes/No/NA

200 The deck water seal filling and draining system is operational and without evidence of water carry-over. Yes/No/NA

250 The non-return valve is operational. Yes/No/NA

The operation of all remotely operated or automatically controlled valves, in particular the flue gas isolating
300 Yes/No/NA
valve(s) found satisfactory.
350 The interlocking feature of the soot blowers checked and found satisfactory. Yes/No/NA

400 The gas pressure regulating valve automatically closes when the inert gas blowers are secured Yes/No/NA
The following safety devices of the inert gas system have been checked, as far as practicable, using simulated
450 Yes/No/NA
conditions where necessary and found satisfactory:
450a high oxygen content of gas in the inert gas main Yes/No/NA

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450b Low gas pressure in the inert gas main. Yes/No/NA

450c low pressure in the supply to the deck water seal Yes/No/NA

450d high temperature of gas in the inert gas main Yes/No/NA

450e low water pressure to the scrubber Yes/No/NA

450f accuracy of portable and fixed oxygen measuring equipment by means of calibration gas Yes/No/NA

450g high water level in the scrubber Yes/No/NA

450h failure of the inert gas blowers Yes/No/NA

failure of the power supply to the automatic control system for the gas regulating valve and to the
450i Yes/No/NA
instrumentation
450j continuous indication and permanent recording of pressure and oxygen content in the inert gas main Yes/No/NA

450k high gas pressure in the inert gas main Yes/No/NA

450l Inert Gas System operated on completion of the checks listed above and found satisfactory Yes/No/NA
GA Docking Surveys Hull , Rudder and Anchors
Note: - Particular attention should be paid to any application or renewal of high resistance paint Systems to the
underwater portion of the hull. Surveyors should submit particulars of the Maker and coating material to ensure Yes/No/NA
that a suitable record is entered in the Memorandum
A satisfactory examination of the shell including bottom, side and bow plating, sea inlet boxes, keel, stern,
050 Yes/No/NA
sternframe and rudder(s) was carried out.
The clearances of rudder bearings are satisfactory. Report clearances: Yes/No/NA
100                        
                       
The sea suctions, overboard discharge valves, sea chests, strainers and their connections to the hull were
150 Yes/No/NA
generally examined and all found Satisfactory.
The propeller and fastenings, sternbush fastenings, and the gratings at the sea inlets were examined and found
200 Yes/No/NA
satisfactory.
The propeller shaft seal(s) were found satisfactory and tight and the propeller shaft(s) clearance(s) were
Yes/No/NA
satisfactory.

250
Report clearance/poker gauge readings: Yes/No/NA
                       
                       
The anchoring and mooring equipment was examined as far as practicable, the anchors and cables partially
300 Yes/No/NA
raised and. Lowered using the windlass and found satisfactory
Note: The examination of anchors, chain cables, chain lockers and the requirements for thickness measurement
Yes/No/NA
are to be dealt with at docking surveys held in connection with the special survey.
GB Docking Surveys Oil tankers (including combination carriers) 5 years old and over
A satisfactory general examination of the electrical equipment and cables in dangerous zones such as cargo
pump room and spaces adjacent to and zones above cargo tanks for defective and non-certified safe-type
050 Yes/No/NA
electrical
equipment, improperly installed
The insulation resistance of the circuits was satisfactorily tested or there is a recent record of insulation resistance
100 Yes/No/NA
testing, that is considered acceptable. (see Intermediate Survey).
Where the Administration has implemented the Harmonised System of Survey and Certification and where LR is
400 authorised to issue the Cargo Ship Safety Construction or Cargo Ship Safety Certificate confirm certificate Yes/No/NA
endorsed in respect to the date of inspection of the ships bottom. Enter date:-      
HH Docking Surveys - Paint systems
050 The condition of the paint system applied to the underwater portion of the hull is satisfactory Yes/No/NA

100 High Resistant Paint (H.R.P.) [ If applicable ] Yes/No/NA

100a Memorandum - Exists Yes/No/NA

100b Any application including touch up details reported in the narrative Yes/No/NA

100c Memorandum - Missing but applicable Yes/No/NA

100d Memorandum now added:- Yes/No/NA

150 High Resistant Paint applied to the underwater portion of the hull Yes/No/NA

150a Manufacturer:       Yes/No/NA

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150b Dry Film Thickness:       microns Yes/No/NA

200 Tin Free Anti-Fouling (TBT Free) [ If applied ] Yes/No/NA

200a Memorandum – Exists Yes/No/NA

200b Any application including touch up details reported in the narrative Yes/No/NA

200c Memorandum - Missing but applicable Yes/No/NA

200d Memorandum now added:- Yes/No/NA

250 Anti-fouling system : [ i.e. TBT / non-TBT / TBT covered with sealer coat ] Yes/No/NA

250a Certificate No : Yes/No/NA

250b Date : DD/MM/YY Yes/No/NA

250c Certificate type : [ i.e. Record/EU/IMO ]       Yes/No/NA

* See notes Section KA

IA II Additional Survey Requirements (Intermediate Surveys)

IB All ships
050 The electrical generating sets have been examined under working conditions and found satisfactory. Yes/No/NA

100 Ships of 5 years to 10 years old Yes/No/NA

Representative salt-water ballast tanks, including any protective coating, have been generally examined
100A Yes/No/NA
internally and found satisfactory. (Report tanks)
150 Ships of 10 years old and over Yes/No/NA
All salt-water ballast tanks, including any protective coating, generally examined internally and found satisfactory.
150a Yes/No/NA
(Report tanks)
150b The anchors have been partially raised and lowered satisfactorily using the windlass Yes/No/NA

200 Dry cargo ships 15 years old and over (not general dry cargo ships, see section IE) Yes/No/NA

200a An overall survey of a forward and an after cargo hold has been carried out and found satisfactory. (Report holds) Yes/No/NA
IC Oil Tankers (including Combination Carriers)
050 All tankers Yes/No/NA
Cargo, crude oil washing, bunker, ballast, steam and vent piping on weather decks, also vent masts and headers
050a Yes/No/NA
examined and found satisfactory.
The insulation resistance of the circuits was satisfactorily tested or there is a recent record of insulation resistance
050b Yes/No/NA
testing that is considered acceptable. (see Docking Survey)
100 Oil tankers over 10 years and less than 15 years old, in addition to IC 050(a) and (b): Yes/No/NA
An overall survey of combined salt-water ballast/cargo tanks, including any protective coating, has been carried
100a Yes/No/NA
out and found satisfactory. (Report tanks)
An overall survey of at least 2 representative cargo tanks, including any protective coating, has been carried out
100b Yes/No/NA
and found satisfactory. (Report tanks)
A close-up survey of all salt-water ballast tanks and 2 combined salt-water ballast/cargo tanks, including any
100c Yes/No/NA
protective coating, has been carried out and found satisfactory. (Report tanks)
Machinery and boiler spaces including tank tops, bilges and cofferdams, sea suctions and overboards have been
100d Yes/No/NA
generally examined and found satisfactory.
150 For ships greater than 15 years old, Yes/No/NA
Survey requirements are to be completed to the extent of the pervious Special Survey with testing of cargo holds
150a Yes/No/NA
and ballast tanks as deemed necessary by the attending surveyor.
ID Dry bulk cargo ships (bulk carriers) 5 years old and over
050 For ships between 5 and 10 years old Yes/No/NA
Close-up survey to establish the condition of at least 25% of the cargo hold side shell frames including their upper
050a and lower end attachments, adjacent shell plating and the transverse bulkheads in the forward cargo hold and Yes/No/NA
one other selected cargo hold, on single skin ships
050b Overall survey of all cargo holds. Yes/No/NA
The close-up survey has been extended because of the need for remedial action (details to be reported). Any
050c Yes/No/NA
necessary thickness measurements are to be reported.
100 For ships greater than 10 years old, Yes/No/NA
Survey requirements are to be completed to the extent of the previous Special Survey with testing of cargo holds
100a Yes/No/NA
and ballast tanks as deemed necessary by the attending surveyor.

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IE General dry cargo ships (see notes KA 400 )

50 For ships between 5 and 10 years old Yes/No/NA

50a Overall survey of one forward and one aft cargo hold and their associated tween deck spaces. Yes/No/NA
The close-up survey has been extended because of the need for remedial action (details to be reported). Any
50b Yes/No/NA
necessary thickness measurements are to be reported.
100 For ships between 10 and 15 years old Yes/No/NA

100a Overall survey of all cargo holds and tween deck spaces. Yes/No/NA
The close-up survey has been extended because of the need for remedial action (details to be reported). Any
100b Yes/No/NA
necessary thickness measurements are to be reported.
150 For ships greater that 15 years old Yes/No/NA
Survey requirements are to be completed to the extent of the previous Special Survey with testing of cargo holds
150a Yes/No/NA
and ballast tanks as deemed necessary by the attending surveyor.
IF Dry Cargo Ships (see notes KA 450 )
050 For ships over 15 years old Yes/No/NA

050a Overall Survey of a forward cargo hold and aft cargo hold [ details to be reported ] Yes/No/NA
JA List Tanks Examined and Reported (Annual and Intermediate Surveys) Good/Fair/Poor/NA
Structural condition Protective coating condition

Forward and aft peak tanks

           
           
           
           
Topside tanks
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
Deep tank/side tanks/centre tanks
           
           
           
           
           
           
           
           
           
           
           
           

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Water ballast tanks
           
           
           
           
           
           
           
           
           
           
           
           
           
           
Double bottom tanks
           
           
           
           
           
           
           
           
           
           
           
           
           
           
Other tanks
           
           
           
           
           
           
           
           
           

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KA Notes/Comments
050 Sections AA - LA of the checklist are to be completed at classification surveys (i.e. AS, ITSS or DS) as applicable.

Items marked thus* (i.e. Section BA items 350 and 450, Section DA items 050 – 300 and 500 and Section EC items 50 and 100) are
100
only required to be dealt with on ships to which Part 6, Chapter 4 of the Rules for Ships applies.

At annual or intermediate survey where the periodical surveys referred to in AD 100, 150, 200 and 250 (see page 1) are due or
overdue these are to be satisfactorily completed in order that the Certificate of Class can be endorsed. However where overdue
150
periodical surveys cannot be completed at the time of annual/intermediate surveys as a result of extenuating circumstances then
the following procedure may be adopted:

During attendance for all classification surveys the surveyor should review the classification status and establish that all other due
or overdue Periodical Surveys have been dealt with or have been postponed by agreement. Circumstances may exist when it is not
practical for the owners to present items for survey (e.g. port authorities do not always allow immobilisation) and, under these or
200
similar circumstances, surveyors should undertake a general examination and testing/review as required, after obtaining
confirmation from the Master or Chief Engineer that the item remains efficient, and agree to a postponement of survey for a period
not exceeding three months from the due date of survey.

250 The items which may be postponed in these circumstances without reference to the committee are:

Item Additional requirements

Main, auxiliary and domestic boilers Safety devices to be tested and safety valves to be adjusted

Steam generators Water treatment records to be reviewed

Exhaust gas economisers Safety valves to be adjusted by Chief Engineer and confirmatory

Hot water heaters statement received for record purposes

Thermal oil heaters, steam pipes ------------

CSM and CSH items (other than cargo holds and SW ballast
------------
tanks)
CSM and CSH items should not be postponed beyond the completion date of the cycle without reference to London Classification
Section or the Devolved Classification Executive. When a postponement has been agreed the items should be included on the
InterimCertificate under the heading ‘Postponement of Survey’ and listed with the report narrative. The period of postponement is
to be stated.
Owners request for postponement of surveys other than the above are to be referred to London Classification Services or Regional
300
Devolved Classification Executive.

The Regulations Part 1, Chapter 2, Section 1.1.9 require that the International Convention Certificates, listed in Section AE , 050
350 are issued by Lloyd’s Register, a National Administration or an IACS Member when so authorised. London Classification Services
should be advised when this Regulation is not complied with.

For the application of the requirements outlined in the Regulations Part 1, Chapter 3, sections 2, 3, 4 and 5, a general dry cargo ship
is defined as a self propelled ship of 500 gross tonnes or above, constructed generally with a tween deck and intended to carry solid
400
cargos. This excludes bulk carriers, refrigerated cargo ships, roll on-roll off ships and ships dedicated for the carriage of containers,
forest products (but not log or timber carriers), wood chips , cement, livestock carriers and docking / deck ships
Dry Cargo Ship:- Ship intended to carry solid cargoes [ includes container ships, reefers, forest product carriers, ro ro and cement
450
carriers

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LA LL Appendix 1 – Bow, Inner Bow, Side and Stern Doors B I S St

Approved Operating and Maintenance Manual confirmed on board and
050
satisfactory maintenance maintained (passenger ro-ro ships only – for
(a)
bow doors).
050 Operations and maintenance schedule confirmed on board (ro-ro ships
(b) only – for side shell and stern doors Note: approval not required)
Operation of doors and power units witnessed and found satisfactory.
100 Doors operated from closed to fully open state, with freedom of
movement established
Door structure and surrounding ship structure examined and found
150
satisfactory.
The door sealing arrangements including gaskets and retaining bars
200
found to be satisfactory.
The door cleating, locking and securing arrangements are complete, with
250 no evidence of alteration, have been examined and operate
satisfactorily.
The door hinging arrangements have been examined and found to be
300
satisfactory.
The local and/or remote operation of securing devices/cleats found to be
350
satisfactory.
All equipment associated with the opening, closing and securing of the
400 doors, that is wire ropes, chains, sheaves, rollers, guides, shackles etc.
examined and found to be satisfactory.
500 The tightness of the doors has been confirmed.
The remote control panels and associated indicator lights, closed circuit
550* television system, water leakage indicator lights and alarm systems have
been examined and found to operate satisfactorily.
The required notice boards are in place and the ships log entries
600*
confirmed.
650 Power units
The power units used for the opening, closing and securing of the doors
650a
have been found to operate satisfactorily.
The hydraulic system including pipelines and fittings has been confirmed
650b
free of leaks.
The hydraulic system (or other power systems) has been tested to
650c confirm that in the. event of system failure the hydraulically operated
securing devices remain locked.
650d All associated electrical equipment examined and found satisfactory.
It is confirmed that the Report C11 on board provides sufficient
information regarding the door arrangements as fitted, including details
700
of securing devices, remote control devices and associated indicator
lights, CCTV system, water leakage indicators and bilge system.
Confirm the bilge system for the space between the inner and outer bow
750
doors tested satisfactorily.
Confirm that the bilge system for vehicle deck(s) has been tested
800
satisfactorily.
Has this ship a special feature class notation "LA" with respect to bow
850 doors, stern doors or side doors used as cargo ramps for vehicle loading
and discharging operations?
Has this ship an optional descriptive notation (CR) in column 6 of the
900 Register of ships with respect to bow doors, stern doors or side doors
used as cargo ramps for vehicle loading and discharging operations?
If yes for 16 or 17, are the surveys required by the Cargo Gear Register
950
up to date?
*For all inward opening doors (without size restriction) and outward opening doors with a clear opening of 12m² or more, this is a
Rule requirement.

B = Bow door I = Inner bow door S = Side doors St = Stern door

Note: The above are intended to apply to doors on roll on-roll off ships but may be applied as necessary to other shell doors in 050

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The following survey has been carried out Initial/Annual/Intermediate/Docking*

     

The Certificates have been endorsed      

The following checklist parts have been completed      

Place of Dubai Date of      

Survey Survey
     
Rajiv Kumar Verma
Surveyor to Lloyd's Register EMEA

A member of the Lloyd’s Register Group

Remarks:
     

LR2100A (2005.10)