Internal ISM Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ISM

Quality, Safety, and Envirnonmental Protection Management System

• Is there a procedure about issuing and treating of important company wide information?<br>ism code no. 3

  Yes

  No

  N/A

• Is there a procedure about the Control of Docuents of the Quality, Safety, and Environmental Management System? Are the QSE Manuals up to date?<br>ism code no. 6.1.2

  Yes

  No

  N/A

• Is there a procedure about the Control of Documents and Data other than part of the QSE System, and are Documents and Data controlled accordingly?<br>ism code no. 11.2.1

  Yes

  No

  N/A

• Are Records controlled as per procedure?<br>ism code no. 11.2.2

  Yes

  No

  N/A

Management Responsability

• Is the Management Commitment known to be developing and improving the company's SMS System?<br>ism code no. 3

  Yes

  No

  N/A

• Is the company's understanding of Customer Focus known? Are the company's customers and their requirements known?<br>ism code no. 12.5

  Yes

  No

  N/A

• Is the company's Health, Quality, Safety and Environmental Protection Policy known? <br>Are the main points<br>- safe ship operation<br>- safe working environment<br>known?<br>ism code no. 6.1.2

  Yes

  No

  N/A

• Are the company's Quality Objectives known/ available to all crew?<br>Is the vessel's safety committee appointed and does it carry out quality planning, including Risk Assessments?<br>Are Response Plans in case of emergency available and does all crew know where to find them?<br>ism code no. 6.1.2

  Yes

  No

  N/A

• Is everybody aware of his Function Description and its' contents?<br>ism code no. 6.7

  Yes

  No

  N/A

• Do the Officer's know about the Master's Overriding Authority and are they able to describe the main items of it?<br>ism code no. 6.1.2 & 6.4

  Yes

  No

  N/A

• Is the name of the Designated Person Ashore known by all crew?<br>ism code no. 4 & 6.1.2 & 6.5

  Yes

  No

  N/A

• Is the Safety Officer appointed by the Master?<br>ism code no. 1.2.3.1 & 5.1.1 & 5.1.4 & 8

  Yes

  No

  N/A

• Is the vessel's working language English, and is it used in all non-verbal communication?<br>Is it known that verbal communication may take placein a language bothe communication partners do understand?<br>ism code no. 6.6 & 12.5

  Yes

  No

  N/A

Human Resources

• How is the Crew's Qualification checked prior to emplyment (/by who), and how is it verified during signing on?<br>ism code no. 5.1.4

  Yes

  No

  N/A

• Are newly assigned crewmembers properly familiarised?<br>Is a Safety Familiarisation carried out for all on-signing crew?<br>Are the specific familiarizations carried out for nautical/ technical officers?<br>ism code no. 1.2.3.1 & 5.1.1 & 6.1.2 & 6.3 & 6.5

  Yes

  No

  N/A

• Is the Drug- and Alcohol Abuse Policy known to everybody and is the "limit" clearly understood?<br>ism code no. 3

  Yes

  No

  N/A

• Are the regulations regarding working and resting times for seamen clearly understood and are records kept accordingly and true? (Comparison with Log Books/ Bell Book)<br>ism code no. 1.2.3.1 & 5.1.4 & 8.2

  Yes

  No

  N/A

• Are SOLAS Training Manual and Fire Operational Booklet available in mess room and are the ship specific chapter filled out?<br>ism code no. 1.2.3.1 & 8.1

  Yes

  No

  N/A

Infrastructure and Work Environment

• Procedure about entering tanks and other confined spaces?<br>ism code no. 1.2.2

  Yes

  No

  N/A

• Procedure about Hot Work?<br>ism code no. 1.2.2

  Yes

  No

  N/A

• Maintenance of Ship, Engine and Equipment<br>ism code no. 1.2.2

  Yes

  No

  N/A

• Is the procedure about Risk Assessments known? Are Risk Assessments carried out?<br>ism code no. 1.2.2

  Yes

  No

  N/A

Purchasing

• Internal Requisitioning?<br>ism code no. 7

  Yes

  No

  N/A

• Receiving goods and reporting?<br>ism code no. 7

  Yes

  No

  N/A

Service Provisions

• Are Standing Orders/ Night Orders being issued, properly signed and controlled?<br>ism code no. 5.1.3

  Yes

  No

  N/A

• Are checklists available and followed for the preparation for arrival and for departure? Is the Master aware of Go-/ NoGo Situations?<br>ism code no. 5.1.4 & 7

  Yes

  No

  N/A

• Is voyage planning carried out in accordance with the procedure, containing all necessary data, from berth to berth?<br>ism code no. 1.2.3.1 & 5.1.4 & 7

  Yes

  No

  N/A

• Are the nautical officers aware about the procedure for navigation in restricted waters?<br>ism code no. 1.2.3.1 & 5.1.4 & 7

  Yes

  No

  N/A

• Are the nautical offiers aware about the procedure for navigating in heavy weather?<br>ism code no. 1.2.3.1 & 5.1.4 & 7

  Yes

  No

  N/A

• Are procedures in regard to Loading and DIscharging Operations avalable and understood?<br>ism code no. 5.1.4 & 7

  Yes

  No

  N/A

• Are procedures in place in regard to treatment and supervision of cargo?<br>ism code no. 5.1.4 & 7

  Yes

  No

  N/A

• Are Master and deck Officers aware about the procedure regarding the carriage of Dangerous Cargo?<br>ism code no. 5.1.4 & 7

  Yes

  No

  N/A

• Is everybody aware about the procedure regarding Environmental Protection (MARPOL V 2013)?<br>ism code no. 5.1.4 & 7

  Yes

  No

  N/A

• Is the BWMP available and is Ballast Water Management being carried out?

  Yes

  No

  N/A

• Is the table of shipboard working arrangement clear, up to date, and in compliance with work/ rest time calculations?<br>ism code no. 1.2.3.1 & 7

  Yes

  No

  N/A

• Is a Bunkering Procedure in place and is it being rigurously followed?<br>Is the relevant Checklist being worked through?<br>ism code no. 2.2 & 8.1

  Yes

  No

  N/A

• Is the Garbage Management Plan available updated and important information displayed as required? Is it known to all crew?<br>ism code no. 1.2.3.1 & 5.1.4

  Yes

  No

  N/A

Monitoring and Measuring

• Are vessels and Engine Operational Data being properly recorded? (Log books, GLSM, etc)<br>ism code no. 1.2.3.1 & 5.1.4 & 10.2.4

  Yes

  No

  N/A

• Are technical inspections by superintendent being carried out twice a year?<br>ism code no. 9.2 & 10.2.2 & 10.2.3

  Yes

  No

  N/A

• Date of last visit by a technical inspector:

  Date

• Are Lifesaving- and Firefighting Appliances regularly insected, and is the Safety Officer aware about the requirements of carriage?<br>ism code no. 1.2.3.1

  Yes

  No

  N/A

• Are technical Officers aware about the Critical Equipment on board? Can they show a list of critical equipment? Can they describe/ show how to classify critical equipment?<br>ism code no. 10.3

  Yes

  No

  N/A

• Is critical equipment regularly checked and are records available? (See GLSM PMS)<br>ism code no. 10.3

  Yes

  No

  N/A

Internal Audits

• Is the procedure regarding Internal Audits known by the Master and Senior Officers?<br>ism code no. 12.3

  Yes

  No

  N/A

• When was the last internal Audit carred out? ism code no. 12.1

  Date

• What was the result of the last internal Audit? Have all Non Compliances been closed out properly and all corrective and preventive actions been done?<br>ism code no. 12.5

  Yes

  No

  N/A

Control of Non Conformity

• Is everybody on board aware, that deficiencies have to be reported?<br>ism code no. 12.8

  Yes

  No

  N/A

• Date of the last PSC: ism code no. 9.1

  Date

• Place and Result of the last PSC ism code no. 9.1

• Date of the Last Flag State Inspection ism code no. 4 & 6.1.3 & 6.4

  Date

• Place and Result of the last Flag State Inspection ism code no. 4 & 6.1.3 & 6.4

• Is the class status of the vessel valid?<br>ism code no. 1.2.3.1

  Yes

  No

  N/A

• Are damages and claims properly reported and followed up?<br>ism code no. 10.2.2 & 10.2.3

  Yes

  No

  N/A

• Date of last MLC inspection ism code no. 7

  Date

• Place and Result of the last MLC inspection ism code no. 7

Analysis of Data

• Are senior Officers aware, that deficiencies detected by external surveyors have to be reported by using the GLSM Safety Management Reporting.<br>Are Non Conformities, Accidents, Occurrences and Serious Incidents properly reported?<br>ism code no.

  Yes

  No

  N/A

Improvement

• Is the Term "Corrective Action" clear and known by all Officers?<br>ism code no. 9.2

  Yes

  No

  N/A

• Is the term "Preventive Action/ Action to prevent recurrence" known to all Officers?<br>ism code no. 9.2

  Yes

  No

  N/A

• Are Drills and Trainings to Prepare for Emergency Situations carried out as required and logged accordingly?<br>ism code no. 1.2.3.1 & 5.1.1 & 5.1.4 & 8

  Yes

  No

  N/A

• Has the Emergency Telephone Number been tested successfully? ism code no. 8.3

  Date

• Who answered the Emergency Call? ism code no. 8.3

Certification Verification and Control

• Is a valid Copy of the Document of Compliance (Company) available?<br>ism code no. 3

  Yes

  No

  N/A

• Is the Letter according ISM Code 3.1 available (Declaration of Company)?<br>ism code no. 3.1

  Yes

  No

  N/A

• Are the results of the external audits available and satisfactory?<br>ism code no. 9.1

  Yes

  No

  N/A

• External ISM Audit carried out on: ism code no. 9.1

  Date

Environmental Protection

• Are environmental objects and program available?<br>ism code no. 3 & 8.3

  Yes

  No

  N/A

• Are environmental aspects available?<br>ism code no. 3 & 8.3

  Yes

  No

  N/A

• Are environmental targets available and understood?<br>ism code no. 3 & 8.3

  Yes

  No

  N/A

Remarks

• The Master is fully conversant with the SMS?<br>ism code no. 5.11

  Yes

  No

  N/A

• The Chief Engineer is fully conversant with the SMS?<br>ism code no. 6.4

  Yes

  No

  N/A

• The Chief Officer is fully conversant with the SMS?<br>ism code no. 6.4

  Yes

  No

  N/A

• Is all crew sufficiently conversant with the relevant items of the SMS System Safe Working Practices and ISM Requirements?<br>ism code no. 6.5

  Yes

  No

  N/A

• Have the log books been reviewed including related documentation in Audit report and via Log Book entry?<br>ism code no. 7

  Yes

  No

  N/A

• Have the Gas Detecion Devices been calibrated annually?<br>ism code no. 7

  Yes

  No

  N/A

• (If applicable) Have all Non Compliances and Observations from previous Audits been duly dealt with?<br>ism code no. 12.6

  Yes

  No

  N/A

• Has the Planned Maintenance System been controlled?<br>ism code no. 10.1

  Yes

  No

  N/A

• Further Remarks:

Remarks

• Remarks

Completion of Audit

• The internal ISM audit has been completed. Audit Participants as per attached Audit Participants List.

• Date/ Time of Completion

  Date

• Auditor's Signature

  Sign

• Captain signature

  Sign