Title Page
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Site conducted
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JOB NUMBER
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Conducted on (Start)
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Prepared by
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Location
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Name of ship
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IMO Number
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Temination on (finish)
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General picture on ship along side
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According to HKC and EU SRR requirements
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HKC: The “Hong Kong International Convention for the Safe and Environmentally Sound Recycling of Ships, 2009” SR/CONF/45
The IHM: Guidelines for the Development of the Inventory of Hazardous Materials Guidelines for the survey and certification of ships under the HKC, MEPC.269(68)
EU SRR: Regulation (EU) No 1257/2013 of the European Parliament and of the Council of 20 November 2013 on ship recycling and amending Regulation (EC) No 1013/2006 and Directive 2009/16/EC
Samples Gallery
- Picture of the Sample
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Picture of the Sample
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Sample Number:
Location
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Primary classification
- Hull Part
- Machinery part
- Exterior part
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Second Classification
- Fore Part
- Cargo Part
- Tank part
- Aft Part
- Superstructure
- Deck house
- Wheelhouse
- Saloon
- dining room+
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Secondary Classification
- Engine Room
- Pump Room
- Stab Room
- Cold Room
- Loundry
- Workshop
- Mess room
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Secondary Classification
- Superstructure
- Upper Deck
- Hull shell
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Name of Location
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Hazardous Materials? (Y/N) - If yes specify
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Hazard Materials
- A-1: Asbestos
- A-2: ODS
- A-3: Polychlorinated biphenilyls (PCBs)
- A-4: Perfluorooctane sulfonic acid (PFOS)
- A-5: Anti-fouling compounds and system
- B-1: Cadmium and Cadmium compounds
- B-2: Hexavalents chromium and hexavalent chromium compounds
- B-3: Lead and lead Compounds
- B-4: Mercury and mercury compounds
- B-5: Polybrominated biphenyl (PBBs)
- B-6: Polybrominated diphnenyl ethers (PBDEs)
- B-7: Polychlorinated Naphthalenes (more than 3 chlorine atoms)
- B-8: Radioactive Substances
- B-9: Certain Shortchain Chlorinated Paraffins (Alkanes, C10-C13, chloro)
- B-10: Brominated Flame Retardant (HBCDD)
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Description and Specify:
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Hazourdous Material
- A-1: Asbestos
- A-2: ODS
- A-3: Polychlorinated biphenilyls (PCBs)
- A-4: Perfluorooctane sulfonic acid (PFOS)
- A-5: Anti-fouling compounds and system
- B-1: Cadmium and Cadmium compounds
- B-2: Hexavalents chromium and hexavalent chromium compounds
- B-3: Lead and lead Compounds
- B-4: Mercury and mercury compounds
- B-5: Polybrominated biphenyl (PBBs)
- B-6: Polybrominated diphnenyl ethers (PBDEs)
- B-7: Polychlorinated Naphthalenes (more than 3 chlorine atoms)
- B-8: Radioactive Substances
- B-9: Certain Shortchain Chlorinated Paraffins (Alkanes, C10-C13, chloro)
- B-10: Brominated Flame Retardant (HBCDD)
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Note:
