01. Bulk, General Cargo, Other -Condition (add Hatch Cover) Survey Report -v05

• Site conducted

  Select

Condition Survey

• Type of report

  Preliminary report

  Final report

  Follow- up report

• Ship Name:

• IMO No:

• Date survey completed

  Date

• Location

• Surveyor's name

• Survey company:

• Surveyor's ref. no.:

• Order club:

  Select American Club Skuld Gard Swedish Club Britannia Japan Club London Steam-Ship North of England Shipowner’s Standard Club

  • American Club
  • Skuld
  • Gard
  • Swedish Club
  • Britannia
  • Japan Club
  • London Steam-Ship
  • North of England
  • Shipowner’s
  • Standard Club

• Claim Incident no. (for Members' Record)

• Club ref. no. (Survey ID):

• This report, and any accompanying documentation or photographs, has been compiled for the sole use of the Club for insurance purposes only and should not be disclosed to third parties without prior written permission from the Club. 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 Club's rights under the insurance policy in the event of a dispute between the Club and the member relating to the condition of the ship.

1. SHIP & CREW PARTICULARS

1.1 Ship Particulars

• 1.1.1 Ship's name:

• 1.1.2 Ex. names:

• 1.1.3 IMO No:

• 1.1.4 Flag state:

• 1.1.5 Builder:

• 1.1.6 Year built:

• 1.1.7 Class society:

  Select ABS- American Bureau of Shipping BV- Bureau Veritas CCS- China Classification Society CRS- Croatian Register of Shipping DNV GL IR- Indian Register of Shipping KR- Korean Register of Shipping LR- Lloyd’s Register NKK- ClassNK PRS- Polish Register of Shipping RINA RS- Russian Maritime Register of Shipping Non- IACS

  • ABS- American Bureau of Shipping
  • BV- Bureau Veritas
  • CCS- China Classification Society
  • CRS- Croatian Register of Shipping
  • DNV GL
  • IR- Indian Register of Shipping
  • KR- Korean Register of Shipping
  • LR- Lloyd’s Register
  • NKK- ClassNK
  • PRS- Polish Register of Shipping
  • RINA
  • RS- Russian Maritime Register of Shipping
  • Non- IACS

• If non-IACS class state classification body

• 1.1.8 Class notations:

• 1.1.9 Ship type & brief description:

• 1.1.10 GT:

• 1.1.11 DWT:

• 1.1.12 Last docking:

  Date

• 1.1.13 Last Class Renewal:

  Date

1.2 Crew Matrix

• Add rank

  Select Master Chief Mate Chief Engineer 1st Engineer

  • Master
  • Chief Mate
  • Chief Engineer
  • 1st Engineer

• Master

• Nationality

• Certificate of Competency (STCW Code, Class, Capacity, Grade, Limitation)

• Flag state endorsement

  Yes

  No

  N/A

  NI

• Years in rank

• Years this type of vessel

• Years at sea

• Years with vessel operator

• Chief Officer

• Nationality

• Certificate of Competency (STCW Code, Class, Capacity, Grade, Limitation)

• Flag state endorsement

  Yes

  No

  N/A

  NI

• Years in rank

• Years this type of vessel

• Years at sea

• Years with vessel operator

• Chief Engineer

• Nationality

• Certificate of Competency (STCW Code, Class, Capacity, Grade, Limitation)

• Flag state endorsement

  Yes

  No

  N/A

  NI

• Years in rank

• Years this type of vessel

• Years at sea

• Years with vessel operator

• 1st Asstt / 2nd Engineer

• Nationality

• Certificate of Competency (STCW Code, Class, Capacity, Grade, Limitation)

• Flag state endorsement

  Yes

  No

  N/A

  NI

• Years in rank

• Years this type of vessel

• Years at sea

• Years with vessel operator

2. CIRCUMSTANCES OF SURVEY

• 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 time of completion, if the Master was aware of the visit, the operational status of the vessel, type of cargo being handled, if applicable, and particular observations or information the Surveyor may consider to be of interest for the Club.

• *Item not inspected (NI) during the inspection to be marked as NI (giving detailed reason for not carrying out the full inspection) in the 'Add note...'. If Not Applicable or Not Available - mark as N/A. If the answer is 'No' to a question (Failed item) - a clear-viewable/pin-point/focused/zoomed Photo (Media) to be added below the response.

Details

• 2.1 Ship's trading pattern:

• 2.2 Cargo onboard and last three cargoes

• 2.3 Master's name:

• 2.4 Company name on the ISM DOC:

• 2.5 Name of owner's representative:

• 2.6 Time under present management

• 2.7 Ballast tanks inspected - found satisfactory? (If Not Inspected - mention N/A or NI, and Reason)

  Yes

  No

  N/A

  NI

• State reason why not inspected

• If yes, state which tanks inspected

• 2.8 Cargo holds/tanks inspected - found satisfactory? (If Not Inspected - mention N/A or NI, and Reason)

  Yes

  No

  N/A

  NI

• State reason why not inspected

• If yes, state which cargo holds/ tanks inspected

• 2.9 Tightness Test of Hatch covers carried out - found satisfactory? (If Test Not done - mention N/A or NI, and Reason)

  Yes

  No

  N/A

  NI

• If Test not done - mention NI; state reason why not carried out

• 2.10 If yes, type of test carried out and equipment used (Make, Model, Cert number, Photo):

• 2.10 State reason

3. ENCLOSURE FOR ATTACHMENT OF RELEVANT DOCUMENTS

• In this section all Survey-related scanned, image, eDocuments are uploaded (e.g: pdf, jpg, png, word, excel etc file). Suggested documents: Ship's Particulars, IMO Crew List, List of Statutory and Trading Certificates with Expiry date, CLASS Status Report, Last PSC Report, Latest Monthly ISM Safety meeting, Critical Equipment List, List of LSA & FFE with Service and Expiry date, GA Plan-digital, Capacity Plan-digital, Nav & Comm equipment list, Bridge Publication List, PMS digital copy, Last DD Report, Last Hull UT Report etc. ** INSTRUCTION TO SURVEYOR: a) Upload EACH DOCUMENT AS INDIVIDUAL File; b) DO NOT make a bundle of all documents together under one big file; c) Rename each document with proper Name and sequence number - e.g: 01. Ship's Particulars 02. IMO Crew List 03. Ship's Certificates 04. CLASS Report 05. Next document.....and so on.......

  Media

4. SURVEY QUESTIONNAIRE -GENERAL (All Ship Types, except Tugs & Barges)

• For any No answers, an explanation is to be provided using the Add note function, if applicable. Photographs of all deficiencies are also to be provided.

4.1 Class and Statutory Certificates

• 4.1.1 Are the relevant class and statutory certificates valid?

  Yes

  No

  N/A

  NI

• 4.1.2 Are certificates without any conditions, recommendations, exemptions or memoranda affecting safety of life, ship, cargo or environment?

  Yes

  No

  N/A

  NI

• Additional information

4.2 Shipboard management (Section to be completed taking into consideration time under present management)

• 4.2.1 Are internal audits carried out at regular intervals and are they satisfactorily reported? Add relevant comments, if applicable

  Yes

  No

  N/A

  NI

• 4.2.2 Are safety meetings carried out at a regular interval and a protocol kept?

  Yes

  No

  N/A

  NI

• 4.2.3 Are non-conformity / accident / near accident reports raised and handled in a satisfactory manner?

  Yes

  No

  N/A

  NI

• 4.2.4 Are Masters' Reviews carried out and satisfactorily reported?

  Yes

  No

  N/A

  NI

• 4.2.5 Is a Planned Maintenance System (PMS) implemented and kept up to date?

  Yes

  No

  N/A

  NI

• 4.2.6 Does the vessel have a Critical Equipment List as required by the ISM Code?

  Yes

  No

  N/A

  NI

• 4.2.7 Is efficient access control in place?

  Yes

  No

  N/A

  NI

• 4.2.8 Are there contingency plans onboard to deal with emergencies and spills, as applicable?

  Yes

  No

  N/A

  NI

• 4.2.9 Is a muster list available, current and prominently posted in relevant areas?

  Yes

  No

  N/A

  NI

• 4.2.10 Is an adequate emergency command structure in place?

  Yes

  No

  N/A

  NI

• 4.2.11 Are fire control plans posted, properly maintained and also available externally?

  Yes

  No

  N/A

  NI

• Additional information

4.3 Crew

• 4.3.1 Are at least officers proficient in Maritime English to communicate efficiently?

  Yes

  No

  N/A

  NI

• 4.3.2 If crew is multinational is there a common language understood by all?

  Yes

  No

  N/A

  NI

• 4.3.3 Does the company have a briefing / de-briefing policy for Master/Chief Engineers prior to joining/after signing off?

  Yes

  No

  N/A

  NI

• 4.3.4 Is random or specific drug and alcohol testing carried out?

  Yes

  No

  N/A

  NI

• Additional information

4.4 Safe Working

• 4.4.1 As observed, are safe working practices, including work permit procedures, implemented and adhered to?

  Yes

  No

  N/A

  NI

• 4.4.2 Are portable oxygen and gas detection meters, appropriate to the vessel type and cargo, provided and regularly calibrated?

  Yes

  No

  N/A

  NI

• 4.4.3 Is relevant personal protective equipment and clothing, appropriate to the vessel type and cargo, provided and in use?

  Yes

  No

  N/A

  NI

• 4.4.4 Is adequate lighting provided throughout the vessel?

  Yes

  No

  N/A

  NI

• 4.4.5 Are alarms from cold stores and freezers in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.4.6 Are walkways, stairways, catwalks, ladders, platforms and handrails, as applicable, in apparent satisfactory condition throughout the vessel?

  Yes

  No

  N/A

  NI

• 4.4.7 Are mobile safety guards such as rails, lines and wires etc., provided and in use?

  Yes

  No

  N/A

  NI

• 4.4.8 Are derricks, cranes and other lifting equipment properly maintained / marked? Have periodical inspections and testing been carried out?

  Yes

  No

  N/A

  NI

• 4.4.9 Are accommodation / pilot ladders, gangway, etc. in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• Additional information

4.5 Hygienic Standard and House Keeping

• 4.5.1 Are crew galley and pantries clean and tidy? Is fitted equipment in apparent satisfactory condition? Are suitable food handling procedures in place?

  Yes

  No

  N/A

  NI

• 4.5.2 Are provision and cold stores clean, tidy and maintained to correct temperature?

  Yes

  No

  N/A

  NI

• 4.5.3 Is the general house-keeping standard, including sanitation, satisfactory?

  Yes

  No

  N/A

  NI

• Additional information

4.6 Fire Safety

• 4.6.1 Is the fire detection system in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.6.2 Are fire pumps, mains, hydrants and monitors in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.6.3 Are fire stations in tidy condition and is it evident that the firefighting equipment has been tested in connection with firefighting drills?

  Yes

  No

  N/A

  NI

• 4.6.4 Are there sufficient self-contained breathing apparatus and spare bottles?

  Yes

  No

  N/A

  NI

• 4.6.5 Are self-contained breathing apparatus in good condition sufficiently charged and cylinders within test date?

  Yes

  No

  N/A

  NI

• 4.6.6 Are emergency escape sets provided?

  Yes

  No

  N/A

  NI

• 4.6.7 Are fire extinguishers and fire hose lockers in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.6.8 Are fixed fire-extinguishing systems in apparent satisfactory condition with release instructions posted?

  Yes

  No

  N/A

  NI

• 4.6.9 Are combustible and hazardous liquids stored in designated spaces and provided with Material Safety Data sheets?

  Yes

  No

  N/A

  NI

• 4.6.10 Are acetylene and oxygen bottles stored in well ventilated and securely, signed designated places?

  Yes

  No

  N/A

  NI

• 4.6.11 Are main and emergency exits clearly marked and unobstructed?

  Yes

  No

  N/A

  NI

• 4.6.12 Is the fire integrity, including fire doors, fire dampers, shutters and bulkhead penetrations (where visible) throughout the vessel in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• Additional information

4.7 Life Saving Appliances

• 4.7.1 Are lifeboats, rescue boats and their davits, in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.7.2 Has the manufacturer or their approved representative serviced the on-load release?

  Yes

  No

  N/A

  NI

• 4.7.3 Are life rafts and hydrostatic releases properly secured / fitted and in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.7.4 Are life buoys of approved type in various locations and in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.7.5 Are life vests of approved type, properly stowed and sufficient in numbers?

  Yes

  No

  N/A

  NI

• 4.7.6 Is the medicine locker sufficiently stocked, tidy and in date?

  Yes

  No

  N/A

  NI

• 4.7.7 Are signs for safety equipment in place marked with IMO symbols and instructions written in the working language of the vessel?

  Yes

  No

  N/A

  NI

• 4.7.8 Are emergency escape route fluorescent markings fitted and in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• Additional information

4.8 Pollution Control

• 4.8.1 Are save-alls and spill containment arrangements in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.8.2 Is the vessel apparently free from any hull, bulkhead, valve or pipe-line leakage, including hydraulic lines, liable to cause pollution or affect safe operations?

  Yes

  No

  N/A

  NI

• 4.8.3 Is the vessel provided with an approved SOPEP / SMPEP and, if applicable, a VRP?

  Yes

  No

  N/A

  NI

• 4.8.4 Is sufficient oil spill clean-up equipment available as per the SOPEP / SMPEP Manual?

  Yes

  No

  N/A

  NI

• 4.8.5 Is the Oil Record Book Part I (and, if applicable, Part II) properly filled out and up to date?

  Yes

  No

  N/A

  NI

• 4.8.6 Are bunkering / oil transfer procedures in place, and if observed, adhered to?

  Yes

  No

  N/A

  NI

• 4.8.7 Is oily water separator in apparent satisfactory condition, instructions posted and 15ppm monitor calibrated? Can vessel staff demonstrate how to display the electronic data history of the OWS if so equipped?

  Yes

  No

  N/A

  NI

• 4.8.8 Is a Garbage Management Plan in place and is the Garbage Record Book up to date?

  Yes

  No

  N/A

  NI

• 4.8.9 Are appropriate procedures in place for switch over to low Sulphur fuel when trading in relevant areas?

  Yes

  No

  N/A

  NI

• 4.8.10 Is there an approved Ballast Management Plan on board and is the Ballast Water Record Book properly completed as appropriate?

  Yes

  No

  N/A

  NI

• Additional information

4.9 Bridge, Navigation and Communication

• 4.9.1 Is bridge navigation and communication equipment in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.9.2 Is there an apparent working system in place to correct nautical charts and publications?

  Yes

  No

  N/A

  NI

• 4.9.3 If applicable, have officers undergone an approved ECDIS training course and type specific familiarization?

  Yes

  No

  N/A

  NI

• 4.9.4 If fitted, is the Bridge Navigational Watch Alarm System in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.9.5 If fitted, is the Voyage Data Recorder operational?

  Yes

  No

  N/A

  NI

• 4.9.6 If VDR is fitted, is the Master aware of how to save and retrieve data in the event of an incident?

  Yes

  No

  N/A

  NI

• 4.9.7 Are regular checks on VDR operation implemented and recorded to ensure that the complete dataset is being correctly recorded? Date of last check?

  Yes

  No

  N/A

  NI

• 4.9.8 Are Bridge Procedures, Company and master’s Standing Orders in place and followed?

  Yes

  No

  N/A

  NI

• 4.9.9 Are navigation lights in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.9.10 Is passage planning properly carried out and covering berth to berth?

  Yes

  No

  N/A

  NI

• 4.9.11 Is emergency communication between bridge-engine room and bridge-steering gear room in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.9.12 Is external weather routing in use for ocean voyages? (For comment only, not considered a defect if weather routing not used.)

  Yes

  No

  N/A

  NI

• 4.9.13 Is the vessel's condition verified and recorded including trim, list, draft and intact stability?

  Yes

  No

  N/A

  NI

• Additional information

4.10 Hull and Deck

• 4.10.1 Is the visible condition of shell plating in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.10.2 Is the visible condition of deck plating in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.10.3 Are hull markings legible?

  Yes

  No

  N/A

  NI

• 4.10.4 Are vents and air / sounding pipes on deck in apparent satisfactory condition with efficient closing devices and clearly marked with the compartment they serve?

  Yes

  No

  N/A

  NI

• 4.10.5 Are deck wiring, piping and cable runs in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.10.6 Are hatch covers, coamings, stays and connections to deck plating free of cracks &/or heavy corrosion?

  Yes

  No

  N/A

  NI

• 4.10.7 Are weathertight doors and stores hatches fully operational and in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.10.8 Are windlasses, winches, rollers, fair leads, capstans, bollards and mooring lines in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.10.9 Are satisfactory emergency towing arrangements in place and in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.10.10 Are suitable vessel specific emergency towing procedures in place?

  Yes

  No

  N/A

  NI

• 4.10.11 Are visible sections of anchor cables in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• Additional information

4.11 Ballast Tanks & Void Spaces

• 4.11.1 Are tanks and void spaces inspected apparently free from significant wastage, pitting and scale?

  Yes

  No

  N/A

  NI

• 4.11.2 Is the corrosion protection (coating / anodes) in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.11.3 Is the inspected steel structure apparently free from buckling / fractures / doublers / temporary repairs / poor alignment etc.?

  Yes

  No

  N/A

  NI

• 4.11.4 Are manhole covers in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.11.5 Are tanks free from any sign of oil contamination?

  Yes

  No

  N/A

  NI

• 4.11.6 Is pipe-work passing through tanks / void spaces in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.11.7 Are ballast valves (hydraulic / manual) and actuating systems, if appropriate, in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• Additional information

4.12 Machinery Spaces

• 4.12.1 Are engine compartments, including bilges, clean tidy and free from combustible materials?

  Yes

  No

  N/A

  NI

• 4.12.2 Is main and auxiliary machinery in apparent satisfactory condition and free from significant oil or water leakages and/or temporary drains?

  Yes

  No

  N/A

  NI

• 4.12.3 Is the engine monitoring and control system fully operational and regularly tested?

  Yes

  No

  N/A

  NI

• 4.12.4 Is main switchboard protectively located and surrounded by non-conducting mat?

  Yes

  No

  N/A

  NI

• 4.12.5 Is main switchboard earth fault monitoring equipment operational and indicating a satisfactory status?

  Yes

  No

  N/A

  NI

• 4.12.6 Are self-closing devices of sight glasses on all oil tanks fully operational?

  Yes

  No

  N/A

  NI

• 4.12.7 Are self-closing devices on engine room sounding pipes fully operational?

  Yes

  No

  N/A

  NI

• 4.12.8 Are exhaust manifolds on machinery free from leaks and shielded with intact insulation?

  Yes

  No

  N/A

  NI

• 4.12.9 Are FO / LO pipes and flanges adequately shielded?

  Yes

  No

  N/A

  NI

• 4.12.10 Are FO / LO purifiers and FO heaters / LO coolers and filters in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 4.12.11 Are engine spares properly stored and secured?

  Yes

  No

  N/A

  NI

• 4.12.12 Does there appear to be sufficient spare parts?

  Yes

  No

  N/A

  NI

• 4.12.13 Are ER pipe systems, sea suction and overboard valves free from apparent deterioration, leaks, temporary repairs and cement boxes?

  Yes

  No

  N/A

  NI

• 4.12.14 Are ER gratings in place secured and in a clean and safe condition?

  Yes

  No

  N/A

  NI

• 4.12.15 Is the steering gear free from hydraulic leaks and in apparent satisfactory condition? Are instructions and equipment for emergency steering provided?

  Yes

  No

  N/A

  NI

• Additional information

5. SURVEY QUESTIONNAIRE - Bulk, General Cargo and Other

• For any No answers, an explanation is to be provided using the Add note function, if applicable. Photographs of all deficiencies are also to be provided.

5.1 Cargo spaces - General

• 5.1.1 Are cargo hold coatings in apparent satisfactory condition and free from defects which could impair cargo worthiness?

  Yes

  No

  N/A

  NI

• 5.1.2 Does the vessel have the necessary class and flag state certification for the intended cargo?

  Yes

  No

  N/A

  NI

• 5.1.3 If fitted, is the fixed firefighting system in cargo spaces in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 5.1.4 Are bilge wells clean?

  Yes

  No

  N/A

  NI

• 5.1.5 Are bilges regularly sounded and proper logs maintained?

  Yes

  No

  N/A

  NI

• 5.1.6 Are bilges and water leakage alarms routinely function tested and results logged?

  Yes

  No

  N/A

  NI

• 5.1.7 Are bilge non-return valves routinely checked for operation?

  Yes

  No

  N/A

  NI

• 5.1.8 Are manhole covers in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 5.1.9 Is the steel structure in the cargo spaces apparently free from defects (e.g. cracks, fractures, mechanical damage, deep pits, localized corrosion, heavy dents, doublers, scale etc.)?

  Yes

  No

  N/A

  NI

• 5.1.10 Is the pipe work in the cargo spaces in apparent satisfactory condition and suitably protected against mechanical damage (e.g. air pipes, sounding pipes, bunker and ballast lines, etc.)?

  Yes

  No

  N/A

  NI

• 5.1.11 Is natural and forced ventilation in cargo spaces in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 5.1.12 Are ladders and any permanent / temporary railings in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 5.1.13 Are the reverse/back & all sides of all Air pipes and Sounding pipes in all cargo holds free from excessive corrosion or leak? [If found problem - mention the hold number and location in 'Add note...']

  Yes

  No

  N/A

  NI

• Additional information

5.2 Lifting appliances

• 5.2.1 Are cranes / derricks in apparent satisfactory structural condition?

  Yes

  No

  N/A

  NI

• 5.2.2 Is SWL clearly marked on crane / derrick jib and loose gear?

  Yes

  No

  N/A

  NI

• 5.2.3 Are crane wires and sheaves in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 5.2.4 Are crane / derrick safety devices apparently operational and regularly tested?

  Yes

  No

  N/A

  NI

• 5.2.5 Is slew bearing wear being regularly monitored, e.g. by grease sampling or rocking test?

  Yes

  No

  N/A

  NI

• 5.2.6 Are the holding down bolts and slewing ring apparently free of significant corrosion?

  Yes

  No

  N/A

  NI

• 5.2.7 Is loose gear apparently free from excessive wear and corrosion?

  Yes

  No

  N/A

  NI

• 5.2.8 Are crane / derrick electrical / hydraulic systems in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 5.2.9 Are crane access ladders and platforms in apparent satisfactory condition and allow for safe access?

  Yes

  No

  N/A

  NI

• 5.2.10 Are lifting appliance maintenance records kept?

  Yes

  No

  N/A

  NI

• Additional information

5.3 Cargo securing

• 5.3.1 Are cell guides, if fitted, in apparent satisfactory structural condition?

  Yes

  No

  N/A

  NI

• 5.3.2 Are fixed lashing points and timber deck stanchions in apparent satisfactory condition and free from excessive wear / corrosion? (e.g. twist lock sockets, D-rings, timber stanchions)

  Yes

  No

  N/A

  NI

• 5.3.3 Is loose lashing and securing equipment including twist locks in apparent satisfactory condition and free of excessive wear / corrosion?

  Yes

  No

  N/A

  NI

• 5.3.4 Are the twist locks, lashing and securing equipment of the same type and number as specified in the approved Cargo Securing Manual?

  Yes

  No

  N/A

  NI

• 5.3.5 Are lashing equipment maintenance records kept?

  Yes

  No

  N/A

  NI

• 5.3.6 Are electrical container sockets in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 5.3.7 Is electrical power supply permanently installed from the engine room?

  Yes

  No

  N/A

  NI

• 5.3.8 If reefer containers are carried, are spare parts carried on board?

  Yes

  No

  N/A

  NI

• 5.3.9 Is there an appropriate procedure for monitoring reefer container temperatures?

  Yes

  No

  N/A

  NI

• Additional information

5.4 Safety and Operational tests

• 5.4.1 Engine room bilge high level alarms.

  Yes

  No

  N/A

  NI

• 5.4.2 Emergency fire pump with two fire hoses on separate hydrants.

  Yes

  No

  N/A

  NI

• 5.4.3 Emergency power sources and emergency lighting.

  Yes

  No

  N/A

  NI

• 5.4.4 Engine room remote stops and shutdowns.

  Yes

  No

  N/A

  NI

• 5.4.5 Cargo hold bilge suction test.

  Yes

  No

  N/A

  NI

• 5.4.6 Hydro test of ballast spaces surrounding the cargo area.

  Yes

  No

  N/A

  NI

• 5.4.7 Water ingress alarm unit for cargo spaces.

  Yes

  No

  N/A

  NI

• Additional information

6. HATCH COVERS

• If a weathertight integrity test cannot be carried out, a detailed inspection of all hatch covers and associated fittings must be carried out, with photographs to determine the vessel's cargoworthiness. This can be added in the Additional Information section.

6.1 Hatch Covers

• Has a weather tightness test of hatch covers been carried out? [If not carried-out/not Tested - mark 'NI' or 'N/A' with reason for Not Inspecting/Testing in the 'Add note...']. A 'No' response/answer is when 'Failed'.

  Yes

  No

  N/A

  NI

  Yes - Separate Report

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• DISCLAIMER: The surveyor shall endeavour to mark the exact location of any leaks/issues on the electronic template. However, due to software limitations, there is the possibility of dislocation or auto-realignment of the layout of texts or locations depicted on the electronic template while reporting, in the finally produced 'Report'. Due to this software function limitation, if any scanned drawn plan or similar is included/attached/presented, this will take precedence as the primary evidence of the locations of any leaks/issues. In sucs cases, the electronic version to be treated as 'indication' only (not as 'exact location').

• State the type of Weather Tightness Test is being carried-out (Ultrasonic Test is required, unless otherwise agreed with the club)

  Ultrasonic

  Hose test

  Chalk

• 6.1.1 Mention all those Hatch Numbers the Tests carried-out for ? [from Forward of the Ship to Aft in sequence with comma (,) and 'space']

• 6.1.2 Hatch cover type for this ship?

  Select

• 6.1.3 Ultrasonic equipment (Manufacturer, Type, Model, Serial, Cert number, Date last calibrated)

• Manufacturer, Type, Model, Serial?

• Transmitter & Receiver details, Certificate number? [Add Media/Photos of Equipment & Certificate]

• Date equipment last calibrated?

  Date

• 6.1.4 Initial measurements with open hatch? (Minimum preferred OHV is 40dB)

• Open hatch value (OHV): (To be uniform over the tested area)

• 10% of OHV (dB):

• 6.1.5 Fail/Pass criterion Based on the Test conducted on all Hatches Failed or Passed? <br>(In accordance with the pass/fail criteria generally adopted by IACS:<br>If the dB reading is more than 10% of OHV the hatch cover is not considered weather tight and corrective action needs to be taken)

  Pass

  Fail

  N/A

• 6.1.6 Measurements with closed hatch where reading > 10% OHV

• Position/approximate location, dB reading on Hatches

• 6.1.7 Surveyor's General Comment on observation regarding hatch covers and weather tightness test, Measurement Readings Remarks, etc

• 6.1.8 Below the following each Hatch cover section - please upload image of hatch cover drawing for each hatch cover tested with relevant information such as: Location of linear and spot leaks with measurements. Schematic drawing with cross joints number of pontoons, ventilation, drains, and access hatches etc. Drawing/ image to be marked with hatch cover number (counting from fwd.) and OHV. Images reflecting the general condition of hatch covers and parts to be included.

• Surveyor: By Tapping the below Green "+" button HATCH COVER Number would appear in sequence

• Surveyor to insert positions of cross joints etc. Indicate areas where leakage (>10% OHV) by X.
  Note to Surveyor: In order to mark the leak location(s) - please use 'Enter' and 'Space Bar' on your keyboard to make the below page to your desired size like a Hatch Cover area, and can write/show the location (e.g: xxxxxxxxxx or the value). Please mark FWD on the top middle of the page and AFT at the bottom middle of the below page. Tap green (+) symbol to add Hatch cover.

Hatch Cover

• ************ HATCH COVER TEST LOCATIONS RESULT MARKING SHEET ************ Upper side of the diagram drawn below is Forward side & Lower side is the Aft side of the HATCH COVER

• Test Report for this Hatch

  Attached as media

  Drawn above

• Max observed reading for this Hatch

• Observed reading unit

  %

  dB

• PASSED

  FAILED

• 6.1.9 Are all cargo hatch covers and coamings, including landing pads, in apparent satisfactory structural condition?

  Yes

  No

  N/A

  NI

• 6.1.10 Confirm no apparent indications of water or oil leaks in the cargo holds?

  Yes

  No

  N/A

  NI

• 6.1.11 Are access hatches and coamings in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 6.1.12 Are hatch cover panels apparently correctly aligned?

  Yes

  No

  N/A

  NI

• 6.1.13 Are compensation bars, landing pads, cleats and cross joint wedges in apparent satisfactory condition and properly adjusted?

  Yes

  No

  N/A

  NI

• 6.1.14 Are rubber gaskets in apparent satisfactory condition? Are any repairs correctly performed (paying particular attention to corner pieces)?

  Yes

  No

  N/A

  NI

• 6.1.15 Are side and cross joint drain channels and non-return devices in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 6.1.16 Can hatch covers be closed / opened with undue delay?

  Yes

  No

  N/A

  NI

• 6.1.17 Is the chain pull / hydraulic system in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 6.1.18 Are hatch cover hinges in apparent satisfactory condition?

  Yes

  No

  N/A

  NI

• 6.1.19 Can main and access hatch covers be safely secured in the open position?

  Yes

  No

  N/A

  NI

• 6.1.20 Is a Hatch Cover Manual onboard and in a language understood by the crew? State hatch cover manufacturer.

  Yes

  No

  N/A

  NI

• 6.1.21 Are hatch covers without any signs or remnants of Ramnek tape, foam, or use of other extra sealants?

  Yes

  No

  N/A

  NI

• Additional information, if any

• If was Not allowed by the Ship with possibility to 'Fail' if is/was Tested, and thus marked 'No'; explain the cause in the 'Add note...'. A 'No' response/answer is when 'Failed'.

• Give reason for Not Inspecting/Testing 'N/A'

• Give reason for Not Inspecting/Testing 'NI'

EXECUTIVE SUMMARY

Inspection Summary

• After finishing the Survey, based on the surveyor's overall professional judgement of the ship, the surveyor completes the below 'Survey Summary' 'Rating' (Grading) of 10 categories.
  
  Grade 1 (Excellent): No Rating issue for that category.
  Grade 2 (Good): With a few number of Rating issues in sub-categories (opens more fields).
  Grade 3 (Fair): With some number of Rating issues in sub-categories (opens more fields).
  Grade 4 (Poor): With many number of Rating issues in sub-categories (opens more fields).
  Grade 5 (Very poor): Have too many number of Rating issues in sub-categories (opens more fields).
  
  Numbers in the Main 10 categories: 1, 2, 3, 4, 5 are Ratings (Grades).
  When Grade of 3 or 4 or 5: Brief explanation must be given in the 'Add note...'.; No 'Attach media'.
  
  Numbers in the Sub-categories: How many issues, defects, fails, missing, short, lacking etc (numerical values/numbers) ?

• SHIPBOARD MANAGEMENT

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• Shipboard Management Deficiencies (issue, defect, problem, error, omission, missing, lacking, short, non-compliance etc) -How many?

  More than 10

  10 or less

• Documentation

• Drugs/alcohol Testing

• ISM/MLC

• Non Conformity

• PMS

• Procedures

• Other (Define in 'Add note')

• SAFETY AND SECURITY

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• Boarding -Access/Ladders, Lighting and equipment

• Gas Detection equipment

• Lifting Gear(s)

• Mooring Ropes condition/use

• PPE

• Safe Storage & Securing

• Safe Working practice

• ISPS

• Other (Define in 'Add note')

• FIRE SAFETY

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• Emergency Lighting and exits

• Fire Doors/dampers

• Fire Equipment

• Fire Plan

• Gas monitoring equipment

• MSDS availability

• Smoke detection/alarm system

• Other (Define in 'Add note')

• LIFE SAVING APPLIANCES

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• SCBA/CABA

• Equipment not marked

• Life Boat/Life Raft related

• Maintenance

• Other (Define in 'Add note')

• POLLUTION AND ENVIRONMENTAL AWARENESS

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• Ballasting record/procedure

• Bunkering procedure

• Oil leaks with potential pollution issues

• Oil Record Book

• Oily Water Separator

• Save alls/vents not marked/plugged

• SOPEP

• Garbage Management and Record

• Other (Define in 'Add note')

• NAVIGATION

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• Bridge Equipments

• Bridge Procedures & Handover of Watches

• Compass Error Correction

• ECDIS and Training

• Notices to Mariners

• Passage Planning

• Position fixing

• Publications

• Other (Define in 'Add note')

• APPARENT STRUCTURAL CONDITION

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• Working Access/Lashing bridges

• Anchoring equipment

• Ballast tank coating/anodes/access

• Draught (Draft) Marks

• Fairleads/rollers

• Hatch coaming and pontoons

• Hatch/Tank Coatings

• Paint Coatings/Corrosion

• Shell deck plating/corrosion/indentation

• Watertight doors/seals

• Other (Define in 'Add note')

• MACHINERY

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• Machinery Space Bilges and Records

• Cranes/Lifting Gears (machinery space)

• Electrical

• Lagging

• Leaks & Spills

• Malfunctioning Equipment(s)

• Safety guards/floor plates

• Winches/anchoring equipment

• Other (Define in 'Add note')

• CARGO WORTHINESS

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• Cargo Space Bilge system

• Cleats

• Hatch coamings/vents

• Hatch Drains

• Hatch Packing

• Hatch Covers/Pontoons/RoRo Doors

• Leaking of Hatch Cover(s)

• Inert Gas System (if applicable)

• Lashing fittings/equipment

• Manifold and Sampling procedures

• Other (Define in 'Add note')

• MAINTENANCE AND HOUSEKEEPING

  Grade 1 (Excellent)

  Grade 2 (Good)

  Grade 3 (Fair)

  Grade 4 (Poor)

  Grade 5 (Very poor)

• Cleanliness -Accommodation

• Cleanliness -Galley

• Cleanliness -Machinery/Equipments

• General Maintenance

• Infestation

• Provision Stores/Fridge Rooms

• Other (Define in 'Add note')

Surveyor's Summary Comments

• Surveyor's general comments and summary - Advise particularly on the subject(s) which give rise to the most concern regarding safety of crew, vessel or cargo:

LIST OF DEFECT(s)

• This report, and any accompanying documentation or photographs, has been compiled for the sole use of the Club for insurance purposes only and should not be disclosed to third parties without prior written permission from the Club. 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 Club's rights under the insurance policy in the event of a dispute between the Club and the member relating to the condition of the ship.

• Instruction:
  After the Inspection Report is fully input in iAuditor for all 'No' answer(s) in the Part A, B, C, D questionnaire - the iAuditor software generates a list of 'Flagged (Failed) items' in PDF Report automatically. Such 'Flagged (Failed) item(s)', if any, is/are summarised at the top/beginning of the SURVEY REPORT; and those are considered as 'Deficiency(ies)'.
  
  Items that/those might not be covered in the 'Flagged (Failed) item(s)' is/are included here manually by the Surveyor as 'Defects(s)' as per their observation. Dedicated 'Defect List' [LIST OF DEFECT(s)] is prepared by the Surveyor only IF ADDITIONAL DEFECT(S) is/are found outside/not covered by the Template/Checklist questionnaire. These are in addition to any other areas of concern, found or observed or raised by the attending Surveyor, outside the template - based on the Surveyor's overall professional judgement of the ship.
  
  If any such defect(s) is/are observed, (unless 'No visible additional Defect observed') - 'Defect List' [LIST OF DEFECT(s)] is prepared by the Surveyor - preferably by TYPING, on the iAuditor or in PDF electronic form. Before leaving the ship a PRINT is taken (or handwritten in good quality capital letter). The Surveyor is strongly advised to sign, and get signature and stamped by the Master (for Receipt only). The Master (and any Owners' rep onboard) gets a COPY.
  
  Disclaimer:
  A defect list as signed by the Master may not be exhaustive; additional defects may be added (or some may be removed) depending on the review by the Surveyor and the Club upon completion of the 'Full/Final Report' of findings. 'Flagged (Failed) item(s)' + 'Defect(s) would constitute 'Deficiency(ies)' which would be needed to 'Rectify' by the Members after the Report is supplied to them.
  
  If a 'List of Defect(s)' not prepared (either no additional defects observed or for any other reason) - then, before leaving the ship, the Surveyor to sign, and get signature and stamped by the Master (for Receipt only) on the PDF paper-printed questionnaire worked-forms used as working checklist on all pages. The Master (and any Owners' rep onboard) gets a COPY. Later the Surveyor may complete the full/final 'Defect list' electronically IF ADDITIONAL DEFECTS were observed while onboard. 1 defect mentioned in 1 box; not many defects in one box.
  
  Note:
  Media/photos may not be added/included in this Defect List.
  Media/photos of 'Flagged (Failed) items' and 'Defect item(s)' is/are added in Part E PHOTOGRAPHS section's 8.8 Photo Appendix-H (Defect, Deficiency, Issues items).

• Tap the Green "+" button here-below to get DEFECT Sequence Number

DEFECT

• Nature of Defect / Deficiency / Remark

• NOTE
  If the defects are not rectified - the Club is entitled to reject claim(s) for compensation or reduce any amount payable to the Members under the Association's Rules, and also to terminate the period of insurance depending on the given recommendations.

Sign Off

• Ship's Master's Name (CAPT ...) and Signature (For receipt only or Surveyor's attendance witness only)

  Sign

• Owner's representative Name (with title) and Signature

  Sign

• Surveyor's Name (with title) and Signature

  Sign

8. PHOTOGRAPHS

8.1 Photo Appendix-A (General Condition - Deck, Hull, Ballast, FPk, APk, Void Spaces etc)

• Add media

  Media

8.2 Photo Appendix-B (Cargo - General, Hold, Lashing, Cranes etc)

• Add media

  Media

8.3 Photo Appendix-C (SOPEP/SMPEP/Spill containment etc)

• Add media

  Media

8.4 Photo Appendix-D (LSA, FFA, Safe Access/Walkways, Steps, Safety etc)

• Add media

  Media

8.5 Photo Appendix-E (Moorings, Anchoring, Fender etc)

• Add media

  Media

8.6 Photo Appendix-F (Engine Room, Floor plates, Leaks, E/R Bilges, illumination)

• Add media

  Media

8.7 Photo Appendix-G (Navigation Bridge, Accommodation, Lighting & Other Areas)

• Add media

  Media

8.8 Photo Appendix-H (Defect, Deficiency, Issues items)

• Add media

  Media

8.9 Photo Appendix-I (Hatch Cover, Channels, Coamings, Joints, Drainage, Condition; Test etc)

• Add media

  Media

• Survey has been completed fully?

  Yes

  No