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3 Name: IMO No:


Ship Name:

General cargo


Survey date of first attendance:

Survey date of last attendance:

Survey port:


Surveyors Ref No.:

West of England Ref No.:

This report, and any accompanying documentation or photographs, has been compiled for the sole use of the Association for insurance purposes only and should not be disclosed to third parties without prior written permission from the Association. The information contained in this report, and any accompanying documentation or photographs, is not exhaustive as to the general condition of the ship and should not be relied upon by members or by any other party as any assurance, representation or warranty as to the condition of the ship and nothing herein shall prejudice the Clubs rights under the insurance policy in the event of a dispute between the Club and the member relating to the condition of the ship.

R1.3 Name: IMO No:


West of England


1.1 1.1.1 1.1.2 1.1.3 1.1.4 1.1.5 1.1.6 1.1.7 1.1.8 1.1.9 1.1.10 1.1.11 1.1.12 1.1.13 1.1.14 1.1.15 1.1.16 1.1.17 1.1.18 1.1.19

Particulars Ship's Name: Previous Name(s): IMO No: Flag/Port of registry: Year built: Builder: Class society: Class notations:: Ship type: GT Summer DWT: Last docking Last Class Special Survey: Ships trading pattern: Masters name: Name of owners representative attending survey: Time under present management: Owners Managers (crewing, technical & operational):

R1.3 Name: IMO No:



(Describe in brief the circumstances under which the survey was carried out, such as, but not limited to, the date and the time the survey commenced and date and time of completion, if the Master was aware of the visit, the operational status of the vessel at the time, type of cargo handled if applicable, and particular observations or information the Surveyor may consider to be of interest for the Club. Please also specify ballast tanks and cargo holds/cargo tanks inspected. Areas not covered at the current inspection and the reason for not carrying out a full inspection should be stated if applicable!)

R1.3 Name: IMO No:


Overall Survey summary

Following completion of the survey, and based on his overall impression of the vessel, the surveyor should complete the overall summary below: Y N Remarks 3.1.1 3.1.2 3.1.3 3.1.4 Do you consider the vessel to be structurally sound? Do you consider the vessel to be cargo worthy? Do you consider the vessels overall safety policy to be effective? Do you consider the vessels pollution prevention equipment and documented anti-pollution procedures effective? Do you consider the vessels navigational routines and navigational equipment to be satisfactory? Has the vessel been provided with properly documented safety and operational procedures and are all key areas covered? Were officers and ratings co-operative during your visit? Was the crew able to communicate satisfactorily in a common language? From your contact with various officers during the survey, would you say that they appeared motivated, experienced and competent?



3.1.7 3.1.8 3.1.9

3.1.10 Do you believe that the vessel and its crew are receiving adequate support from shore management? 3.1.11 Do you consider that the standards of crewing and operational practices aboard this ship are satisfactory and do not need examining in greater detail?

R1.3 Name: IMO No: 3.2 List of Defects /Deficiencies A list of all defects/deficiencies noted during the survey is to be given to the owners representative or master on completion of the survey. A copy of this list, in WORD format, is to be attached to this executive summary.

R1.3 Name: IMO No: 3.3 Summary of Safety and Operational Tests The Safety and Operational Tests witnessed by the Surveyor, together with the results, are to be listed below. If due to vessel operations some tests cannot be carried out the reason needs to be entered in the remarks column. Hold hatch covers are to be tested using ultrasound equipment (state equipment type in additional information below) where this is available unless otherwise agreed with West of England beforehand. Please also note that all hatches, all bilges, all ballast tanks etc are to be tested as far as possible. If selective testing is carried out this must be clearly stated. Please note testing may have a Y or N result and should be marked accordingly as per instructions for filling out the form. Y N NI NA Results / Remarks 3.3.1 Tightness tests of weather deck hold hatch covers. State method(s) of testing in remarks column. Tightness tests of hold access hatches. Tightness tests of hold ventilators and other relevant closing appliances. Items tested to be listed in remarks column. Operation of weather deck hatch covers. Can hatches be opened/closed without undue delay? Opening/closing times to be listed in remarks column. Operation of tween deck hatch covers. Cargo hold bilge suction test Check operation of bilge non-return valves, do they prevent backflow of water into the hold(s)? Test if ship design allows. Hydro test ballast spaces surrounding the cargo area to main deck level. Cargo hold bilge high-level alarm test. Ultrasound Read above notes if ultrasound not used. Other State type

3.3.2 3.3.3


3.3.5 3.3.6 3.3.7

3.3.8 3.3.9

3.3.10 Engine room bilge high-level alarms. 3.3.11 Main fire pump on hydrant. 3.3.12 Emergency fire pump on hydrant. 3.3.13 Emergency power sources. 3.3.14 Emergency lighting. 3.3.15 Remote stops and shutdowns 3.3.16 Quick closing valves 3.3.17 Remote closing devices 3.3.18 Oily water separator 15 ppm monitor. 3.3.19 Steering gear

R1.3 Name: IMO No: 3.3.20 Emergency steering gear 3.3.21 Lowering lifeboats 3.3.22 Running lifeboat engines 3.3.23 Navigation light failure alarm 3.3.24 BNWAS alarms 3.3.25 General emergency alarm 3.3.26 Smoke/fire alarm 3.3.27 Self test of DSC radio sets 3.3.28 Test of emergency communications between bridge/engine room and bridge/steering gear compartment. 3.3.29 Main switchboard earth fault monitoring system. Additional information:

Type of ultrasound equipment used:


Surveyors comments

To included clarification of answers given above and further remarks regarding any additional observations or reservations. Particular reference should be made of any items affecting the vessels sea or cargo worthiness.

R1.3 Name: IMO No: 3.5 List of supporting documentation Class Certificates Class Listings Hatch Cover Tightness Report Crew List Etc

Surveyors name: Signature:


R1.3 Name: IMO No:


4.1 4.1.1 4.1.2


Class and Statutory Certificates Y Are the relevant certificates valid? class and statutory N NI NA Results / Remarks

Are all certificates clean, or are there any conditions, recommendations, exemptions or memoranda immediately affecting safety of life, ship, cargo or environment?

Additional information:


Shipboard Management

Questions 4.2.1 to 4.2.4 are only to be answered if the current Manager has operated vessel in excess of 3 months Y N NI NA Results / Remarks 4.2.1 Are internal audits of the Safety Management System (SMS) carried out at regular intervals and are they satisfactorily reported? Are safety meetings carried out at a regular interval and records kept? Give details of ships safety officer in remarks column. Are non-conformity / accident / near accident reports raised and handled in a satisfactory manner? Are Masters Reviews of the SMS carried out and satisfactorily reported? Is a Planned Maintenance System (PMS) implemented and kept up to date? Is efficient access control in place? Was surveyors identification checked and verified upon boarding?



4.2.4 4.2.5 4.2.6


R1.3 Name: IMO No: 4.2.7 Are there contingency plans onboard to deal with emergencies and spills, as applicable? 4.2.8 Are muster lists, general arrangement plans and capacity plans available, current and prominently posted in relevant areas? Is an adequate structure in place? emergency command


4.2.10 Have defects/deficiencies which had been identified in the vessel's last PSC survey report been dealt with properly? Date and place of last PSC inspection to be noted in remarks column. 4.2.11 Is the vessel regularly visited by a company superintendent? Note date of last visit and numbers of visits annually in remarks column. 4.2.12 Is an approved stability book on board and are stability/stress calculations being carried out as required? 4.2.13 Is an approved loading computer on board and in use? Additional information:


R1.3 Name: IMO No: 4.3 Crew 4.3.1 4.3.2 Are officers proficient in Maritime English to communicate efficiently? If crew is multinational is there a common language understood by all? List number of nationalities and common language in remarks column. Append copy of crew list to the report Did you observe any communication difficulties between crew members? (see notes on filling out the form before replying to this question) Does the company have a briefing/debriefing policy for Masters/Chief Engineers prior to joining/after signing off? Are hand over reports completed by the Master/Chief Engineers and records kept on board? Does the crew complement correspond with the Safe Manning Certificate? Actual and safe manning complements to be entered in remarks column. Are officers recruited and employed directly by the company? If supplied by crewing agents give details in remarks column. Do officers consider themselves to be permanent employees of the company? In your view are there sufficient officers and crew on board to handle both routine activities and emergencies?

N NI NA Results / Remarks






4.3.8 4.3.9

4.3.10 Was the Master aware that a P & I condition survey had been arranged? 4.3.11 Are random or specific drug and alcohol testing carried out? Additional information:


R1.3 Name: IMO No: 4.4 Safe Working 4.4.1 Are standing orders, procedures, instructions and manufacturers manuals written in a language which can be understood by the crew? Are general and emergency instructions posted and written in a language which can be understood by the crew? Are No Smoking areas on board clearly marked and were smoking regulations observed during your visit? As observed, are work permit procedures implemented and adhered to? Are portable oxygen and gas detection meters provided and regularly calibrated? Are relevant personal protective equipment and clothing, as it affects the vessel type provided and in use? Is adequate lighting provided throughout the vessel? Are locked in handles and alarms from cold stores and freezers in satisfactory condition? Is the CO2 installation protected against unauthorized release?

N NI NA Results / Remarks



4.4.4 4.4.5 4.4.6

4.4.7 4.4.8


4.4.10 Are walkways, stairways, catwalks, ladders, platforms, and handrails, as applicable, in satisfactory condition throughout the vessel? 4.4.11 Are mobile safety guards, such as rails, lines, and wires etc, provided and in use? 4.4.12 Are all derricks, cranes and other lifting equipment properly maintained and marked? (Includes engine room and provision cranes). 4.4.13 Have periodical inspections and testing been carried out on all lifting equipment? Date of last inspection to be noted in remarks column. 4.4.14 Are accommodation ladders, pilot ladders / hoists, gangways, etc. in satisfactory condition? Are means of embarkation/disembarkation being inspected & maintained in accordance with MSC.1/Circ.1331? Check monthly inspection records.

R1.3 Name: IMO No: 4.4.15 Did you observe any unsafe working practices during your visit? (see notes on filling out the form before replying to this question) Additional information:

4.5 4.5.1

Hygienic Standard and House Keeping Y Are galleys, pantries, stores and accommodation areas clean, tidy and free of fire hazards? Is fitted equipment in apparent satisfactory condition? Are the vessels sanitary systems and washrooms in a satisfactory condition? Are provision and cold stores clean, tidy and maintained at correct temperatures? Is the general housekeeping standard throughout the vessel satisfactory? N NI NA Results / Remarks

4.5.2 4.5.3 4.5.4 4.5.5

Additional information:


R1.3 Name: IMO No: 4.6 Fire Safety 4.6.1 Is the fire detection system in satisfactory condition? State type of system in remarks column. (Test 3.3.26) Are main and emergency fire pumps in good operational condition? (Test 3.3.11 and 3.3.12) Are the fire hydrants and fire main in a satisfactory condition? Are fire stations in tidy condition and fully equipped? (Hoses and nozzles should be randomly selected from fire stations for testing during tests of fire pumps.) Are fire fighting drills being carried out in accordance with SOLAS requirements? Are self-contained breathing apparatuses in good condition, sufficiently charged and cylinders within test date? Are emergency escape breathing (EEBD) provided as necessary? devices

N NI NA Results / Remarks


4.6.3 4.6.4

4.6.5 4.6.6

4.6.7 4.6.8

Are portable fire extinguishers in a satisfactory condition, correctly secured and inspections in date? Are fire hose lockers, fire hoses and nozzles in satisfactory condition and fully equipped?


4.6.10 Are fixed fire-extinguishing systems, including any fixed deck/engine room systems, in apparent satisfactory condition with operating instructions posted? List areas covered and type of system in remarks column. 4.6.11 Are all combustible and hazardous liquids stored in designated spaces and provided with Material Safety Data Sheets? 4.6.12 Are acetylene and oxygen bottles stored in separate, well ventilated and designated places? 4.6.13 Were any fire hazards noted on the vessel? (see notes on filling out the form before replying to this question) 4.6.14 Are emergency escape route fluorescent markings fitted in accordance with IMO requirements?

R1.3 Name: IMO No: 4.6.15 Are main unobstructed?




4.6.16 Is the fire integrity including fire doors, fire dampers and shutters throughout the vessel in satisfactory structural and operational condition, and are they correctly marked with open/closed position and space served? 4.6.17 Is the international shore connection readily available? 4.6.18 Are fire control plans posted, properly maintained and also available externally? Additional information:


R1.3 Name: IMO No: 4.7 Life Saving Appliances All life saving appliances must fulfill SOLAS requirements. Y N NI NA Results / Remarks 4.7.1 Are lifeboats and davits, including MOB boat(s) in a satisfactory condition, correctly stored and equipped? (Test 3.3.21) Are lifeboat engines in well maintained and easy to start? (Test 3.3.22) Has the manufacturer serviced the lifeboat on-load release and is the crew familiar with the risks of system? Are life rafts and hydrostatic releases properly secured / fitted, serviced and in satisfactory condition? Are EPIRBs correctly coded, batteries in date, and hydrostatic releases serviced? Are life buoys, lights and smoke floats of approved type, in correct locations and satisfactory condition? Are life vests, immersion suits and thermal protective aids of approved type, properly stowed and sufficient in numbers? Is the medicine locker, and hospital if provided, sufficiently stocked, tidy with medical stores in date? Is an oxygen resuscitator provided?

4.7.2 4.7.3


4.7.5 4.7.6




4.7.10 Are all signs for safety equipment in place, marked with IMO symbols and instructions written in the working language of the vessel? 4.7.11 Are lifeboat drills being carried out in accordance with SOLAS requirements? Note in remarks column date when lifeboats last lowered to the water. 4.7.12 Are distress flares and line throwing apparatus provided in accordance with SOLAS requirements and in date? Additional information:


R1.3 Name: IMO No: 4.8 Pollution Control 4.8.1 Are deck save-alls fitted as required, provided with drain plugs, and in a satisfactory condition? Are scupper plugs readily available? Is the vessel free from any hull, bulkhead, valve or pipeline leakage, including hydraulic lines, liable to cause pollution or affect safe operations? Is the vessel provided with a class approved SOPEP / SMPEP and/or, if applicable, a VRP, with an updated IMO coastal state contact listing Is oil spill clean-up equipment available? Is the Oil Record Book Part I (and, if applicable, Part II) properly filled out and up to date? Are bunkering/oil transfer procedures in place, and if observed, adhered to? Is oily water separator in apparent good condition, instructions posted and 15ppm monitor calibrated? (Test 3.3.18) Is the Garbage Record Book up to date?

N NI NA Results / Remarks

4.8.2 4.8.3


4.8.5 4.8.6

4.8.7 4.8.8


4.8.10 Are waste receptacles in good condition and made of non-combustible material (required by SOLAS Ch II-2 Reg. 4.4.2)? 4.8.11 For operations within Emission Control Areas is fuel change over written procedure onboard and are records being kept in accordance with MARPOL Annex VI Regulation 14.6? 4.8.12 Is a list of equipment containing Ozone Depleting Substances (ODS) onboard? Is an ODS record book being maintained (MARPOL Annex VI Regulation 12)? Additional information:


R1.3 Name: IMO No: 4.9 Bridge, Navigation and Communication 4.9.1 Is the bridge and navigational equipment in good order and in accordance with SOLAS requirements? Is the communications equipment in good order and in accordance with SOLAS requirements? (Test 3.3.27) Are the emergency batteries in good condition and fully charged? (3.3.13) Is the radio log being maintained correctly? Do the nautical charts and navigational publications carried onboard cover vessels trading areas and are procedures in place for their correction and up dating? If applicable (SOLAS Chap V Reg 19.2.10), is an approved Electronic Chart Display and Information System (ECDIS) fitted and is an appropriate back-up system available? If applicable, (SOLAS Chap V Reg is a Bridge Navigation Watch Alarm System (BNWAS) fitted and operational (Test 3.3.24)? Are Bridge Procedures, Company and Masters standing orders in place and followed? Are navigation lights in a satisfactory condition? (Test 3.3.23)

N NI NA Results / Remarks


4.9.3 4.9.4 4.9.5





4.9.10 Is passage planning properly carried out and covering berth to berth? 4.9.11 Is emergency communication between bridge-engine room and bridge-steering gear compartment satisfactory? (Test 3.3.28) 4.9.12 Is external weather routing in use for ocean voyages? Additional information:


R1.3 Name: IMO No: 4.10 Hull and Deck 4.10.1 Is the visible condition of shell plating satisfactory? 4.10.2 Is the visible condition of deck plating satisfactory? 4.10.3 Are hull markings legible? 4.10.4 Are ventilators and air/sounding pipes on deck in satisfactory condition with efficient closing devices and clearly marked with the compartment they serve? 4.10.5 Are weather tight doors and stores hatches fully operational and providing effective sealing? 4.10.6 Are windlasses, winches, rollers, fair leads, capstans and bollards in satisfactory condition? 4.10.7 Are visible sections of anchor cables in satisfactory condition? 4.10.8 Are the mooring ropes and wires in satisfactory condition? 4.10.9 Are heaving lines unweighted and in good/safe condition? Inspect and report any dangerous use of weights Additional information:

N NI NA Results / Remarks


R1.3 Name: IMO No: 4.11 Ballast Tanks & Void Spaces Specify number and arrangement of ballast tanks and void spaces in Additional information section. Tanks inspected are to be listed in remarks column. Y N NI NA Results / Remarks 4.11.1 Are tanks and void spaces free from significant wastage, pitting and scale? (Test 3.3.8) 4.11.2 Is the corrosion protection (coating/anodes) in satisfactory condition? 4.11.3 Is the steel structure free from buckling/fractures/doublers/temporary repairs/poor alignment/etc.? 4.11.4 Are manhole covers and seals in satisfactory condition? 4.11.5 Are tanks free from any sign of oil contamination? 4.11.6 Is pipe work passing through tanks/void spaces in satisfactory condition? Additional information:


R1.3 Name: IMO No: 4.12 Machinery Spaces Provide full details of the main and auxiliary engines in Additional information section. Y 4.12.1 Are all engine compartments, including bilges, clean, tidy and free from combustible materials? (Test 3.3.10) 4.12.2 Is all main and auxiliary machinery in good condition and free from significant oil or water leakages and/or temporary drains? 4.12.3 Is the engine monitoring and control system fully operational and regularly tested? 4.12.4 If UMS vessel is an engineers call alarm fitted and tested regularly? 4.12.5 Is the emergency generator in good condition and regularly tested? (Test 3.3.13) 4.12.6 Is the stern gland in a satisfactory condition? 4.12.7 Is main switchboard protectively located and surrounded by non-conducting mat? 4.12.8 Is main switchboard earth fault monitoring system operational and indicating a satisfactory status? (Test 3.3.29) 4.12.9 Are the machinery space lighting and emergency lighting systems adequate? (Test 3.3.14) 4.12.10 Are the quick closing valves in a satisfactory condition? (Test 3.3.16) 4.12.11 Are remote closing devices, for skylights, watertight doors etc, in a satisfactory condition? (Test 3.3.17) 4.12.12 Are remote stops and shutdowns for main engines, vent fans etc, in a satisfactory condition? (Test 3.3.15) 4.12.13 Are self closing devices of oil-level gauge glasses on all oil tanks fully operational? 4.12.14 Are self closing devices on engine room sounding pipes fully operational? 4.12.15 Are exhaust manifolds on machinery free from leaks and shielded with intact insulation? 4.12.16 Are FO/LO pipes and flanges adequately shielded?

N NI NA Results / Remarks

R1.3 Name: IMO No: 4.12.17 Are FO/LO purifiers and FO heaters/LO coolers and filters in apparent good condition? 4.12.18 Are ER pipe systems, sea suction and overboard valves free from deterioration, leaks, temporary repairs and cement boxes? 4.12.19 Are ER gratings in place, secured and in a clean and safe condition? 4.12.20 Is the steering gear free from hydraulic leaks and in satisfactory condition? (Test 3.3.19 and 3.3.20) 4.12.21 Are instructions and equipment emergency steering provided? for

4.12.22 Are adequate engine spares onboard, properly stored and well secured? 4.12.23 Is the vessel provided with a workshop and equipped with an acceptable range of tools? 4.12.24 Are reasonable quantities of consumables carried onboard (e.g. paint, grease, hydraulic oil, gaskets, packing etc.)

Additional information:

Surveyors name: Signature:



R1.3 Name: IMO No:



Cargo spaces General

Specify number/arrangement of hatches and holds in the additional information section. Y 5.1.1 5.1.2 Are cargo spaces suitable for the carriage of the nominated cargo? Are bilges clean, do non-return valves prevent backflow of water into the cargo holds and are bilge pumps in good working order? (Test 3.3.6, 3.3.7 and 3.3.9) Are the bilge-sounding procedures or system satisfactory? Is the overall steel structure free from significant corrosion, pitting, scaling, buckling, dents, fractures, wastage, doublers, temporary repairs, etc.? Are the hold coatings in a satisfactory condition? Are ladders, platforms and guard rails in the holds in a satisfactory condition? Is the hold lighting, if fitted, in a satisfactory condition? Are manhole condition? covers in satisfactory N NI NA Results / Remarks

5.1.3 5.1.4

5.1.5 5.1.6 5.1.7 5.1.8 5.1.9

Is the condition of pipe work (air, sounding, bunker, ballast, etc.) in holds or passing through the cargo spaces in satisfactory condition?

5.1.10 Are protection guards fitted in way of hold pipe work to prevent damage? 5.1.11 Is cargo spaces ventilation in satisfactory condition? State if natural or mechanical in remarks column. Additional information:


R1.3 Name: IMO No: 5.2 Hatch Covers and other Closing Appliances General

Describe type and design of hold hatch covers under Additional information. If pontoon and tarpaulin hatches are fitted check condition and complete items 5.2.11 to 5.2.14. Y 5.2.1 Are hold/hull openings and their closing appliances structurally sound and free of signs of water leakage? (Including weather deck hatch covers, chute openings, hold lighting recesses in coamings, side doors, bow and stern doors, hold entrances, emergency exits etc.) (Tests 3.3.1, 3.3.2, 3.3.3 and 3.3.4) Are weather deck & tween deck hatch cover panels/pontoons correctly aligned? Are compression bars, landing pads, cleats and cross/joint wedges in good condition? Are sealing gaskets in good condition? Are coamings and cross joint drain channels and non-return devices in good condition? Are weather deck & tween deck hatch cover opening/closing arrangements in good order? (Tests 3.3.4 & 3.3.5) Is the hydraulic system (including tween deck system where fitted) in satisfactory condition? Are hatch covers and other relevant cover or door hinges in satisfactory condition? Are means to secure covers in open position in a satisfactory condition? N NI NA Results / Remarks

5.2.2 5.2.3 5.2.4 5.2.5 5.2.6


5.2.8 5.2.9

5.2.10 Are hatches free of temporary means to provide water tightness (e.g. expanding foam, tarpaulins, ramnek tape, etc.)? 5.2.11 Are hatch tarpaulins in a satisfactory condition with sufficient onboard to provide three (3) layers on each hatch? 5.2.12 Are the tarpaulin securing satisfactory condition with onboard for each hatch? nets in sufficient

5.2.13 Are the tarpaulin side securing devices (flat bar battens, fixed side cleats, wooden wedges) available in a satisfactory condition and sufficient numbers?

R1.3 Name: IMO No: 5.2.14 Are pontoon locking bars or other equivalents means to secure the hatch pontoons (e.g. steel wire lashings) available in a satisfactory condition and sufficient numbers? Additional information:

5.3 5.3.1 5.3.2

Cargo Securing Y Are container cell guides, if fitted, in satisfactory condition? Are deck stanchions and fixed lashing points such as e.g. twist lock sockets, elephant feet, U-frames, D-rings, etc. in satisfactory condition? Is condition of lashing and securing equipment in satisfactory condition and are sufficient numbers provided? If utilized, are twist locks identified left and right? Are lashing equipment maintenance records kept? Are refrigerated container plug points in a satisfactory condition? Is an approved cargo securing manual available onboard? Are lashings carried out in accordance with the securing manual? N NI NA Results / Remarks


5.3.4 5.3.5 5.3.6 5.3.7

Additional information:


R1.3 Name: IMO No: 5.4 Documentation General cargo / bulk Y 5.4.1 If the vessel is a bulk or combination carrier, is the enhanced survey report file (ESP) maintained on board? N NI NA Results / Remarks

Additional information:

Surveyors name: Signature: