Title Page

  • Site conducted


  • Conducted on (Start)

  • Prepared by

  • Location
  • Name of ship

  • IMO Number

  • Temination on (finish)

  • General picture on ship along side

  • According to HKC and EU SRR requirements

  • 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
  • Picture of the Sample

  • Sample Number:


  • Primary classification

  • Second Classification

  • Secondary Classification

  • Secondary Classification

  • Name of Location

  • Hazardous Materials? (Y/N) - If yes specify

  • Hazard Materials

  • Description and Specify:

  • Hazourdous Material

  • Note:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.