訪船

• Ship Name

• IMO No

• Conducted on

  Date

• Surveyor's name

• Location
  Address

Hull

• Is the general condition , visual appearance and cleanliness of the hull satisfactory?

  Yes

  No

  N/A

• Is the hull free of oil staining, extensive coating breakdown or excessive marine growth?

  Yes

  No

  N/A

• Are hull markings clearly indicated and correctly placed?

  Yes

  No

  N/A

Internal Spaces

• Are public spaces, including smoke rooms, mess rooms, sanitary areas, food stores, food handling spaces, refrigerated spaces and galleys and pantries clean, tidy and in a hygienic condition?

  Yes

  No

  N/A

• Are laundries free of accumulations of clothing and would constitute a fire hazard?

  Yes

  No

  N/A

Certification and documentation

• Certificate of Registry

  Yes

  No

  N/A

• Continuous Synopsis Record

  Yes

  No

  N/A

• Document of Compliance

  Yes

  No

  N/A

• Safety Management Certificate

  Yes

  No

  N/A

• IOPP Certificate, Supplemented by Form A or B

  Yes

  No

  N/A

• Is the vessel free of conditions of class or significant recommendations, memoranda, or notations?

  Yes

  No

  N/A

• If the vessel is subject to Enhanced survey program, is the report file adequately maintained?

  Yes

  No

  N/A

• Is a thickness measurement report available

  Yes

  No

  N/A

• 緊急演練部署表(EMERGENCY MUSTER LIST) 已經船長審閱並簽名和附上日期, 確認MUSTER LIST是否符合船上配置<br>Emergency Muster Lists Are Approved & Signed By master With The Date. Confirm whether MUSTER LIST meets the configuration on board.

  Yes

  No

  N/A

Drills, Training and Familiarisation

• 訓練及演練依規定時間進行並保留相關之完整記錄及相片<br>Training And Drills Are Carried Out On Schedule,<br>also Keep Integrity Records & Photos Onboard.

  Yes

  No

  N/A

• Are drills for emergency procedures being carried out?

  Yes

  No

  N/A

• Are lifeboat and fire drills regularly held?

  Yes

  No

  N/A

• Is regular training in the use of life-saving equipment being undertaken?

  Yes

  No

  N/A

• Are pollution clean-up drills regularly held to determine that the shipboard pollution plan is up-to-date and efficient and are there records?

  Yes

  No

  N/A

Shipboard Oil and Marine Pollution Emergency Plans

• Is an approved MARPOL Shipboard Oil Pollution Emergency Plan(SOPEP) or Shipboard Marine Pollution Emergency Plan(SMPEP) provided?

  Yes

  No

  N/A

• Does the plan include a description of the equipment, its location, a plan for the deployment and specific duties for handling small spill?

  Yes

  No

  N/A

• Is the IMO contact list up to date , is the master aware of port contact procedures and has a contact list been made for this port?

  Yes

  No

  N/A

• 手提式/可移動式滅火裝備的檢查證書在有效期限範圍 Is Inspection Certificate Of Portable Fire Extinguishers In Valid? 註 請填寫該檢查證書的有效期限: DATE<br>Please Fill In The Expiry Date Of Certificate : Date

  Yes

  No

  N/A

• 機艙固定式滅火裝備的檢查證書在有效期限範圍<br>IS INSPECTION CERTIFICATES OF ENGINE ROOM FIXED FIRE EXTINGUISHER IN VALID? 請填寫該檢查證書的有效期限: DATE<br>PLEASE FILL IN THE EXPIRY DATE OF CERTIFICATE: DATE

  Yes

  No

  N/A

• 依據 MSC.1/CIRC.1432 製定的 LSA/FFA，確認 週/月/季/半年/年/5年的檢查項目已依規定完成並簽名。<br>According To LSA/FFA Which Followed Msc.1/ciric.1432, All Weekly / Monthly / Quarterly /yearly / 5 yearly Inspection Items Carried Out & signed.

  Yes

  No

  N/A

• 手提式/可移動式滅火裝備容器及滅火人員裝備氧氣鋼瓶 HYD TEST的檢查證書在有效期限範圍<br>Are Portable Fire Extinguisher Containers And fireman’s Outfit Air Bottles’ Hydraulic Test certificate In Valid?

  Yes

  No

  N/A

ESD-PD Required

• 消防訓練手冊<br>如果船隻提供SOLAS訓練手冊，請確認是否包含有關使用消防員裝備的說明，包括呼吸器的使用，以及系統製造商建議的受保護空間重新進入程序。 Fire-fighting Training Manual<br>if Ship Provide SOLAS Training Manual, Please Check If<br>include Instructions On The Use Of Fire-fighters' Outfits,<br>including Breathing Apparatus, And The Protected Space<br>re-entry Procedure Recommended By The Manufacturer Of the System.

  Yes

  No

  N/A

• 訓練手冊(TRAINING MANUAL)內所有資料，確認都是本輪設備的資料，並同時用中英文對照描述<br>All Training Manual Contents Are Corresponded To Vessel’s Equipments And Describe In Both English And Chinese

  Yes

  No

  N/A

• 緊急拖曳手冊(EMERGENCY TOWING BOOKLET)為中/英文敘述。<br>並依規定分別放置於駕駛台、甲板辦公室及船艏水手長庫房(各一本)<br>Emergency Towing Booklet Is Written In Both<br>english And Chinese, Placed In Bridge , Deck Office<br>and Bousn Store(one Copy For Each Place).

  Yes

  No

  N/A

• 水手長倉庫是否狀況良好。<br>Is Forecastle Store In Good Condition?

  Yes

  No

  N/A

• BOUSN STORE 內的DE-WATER系統周圍沒有放置堆積物<br>De-ballast System In Bosun Store Is Free From Sundries.

  Yes

  No

  N/A

• 文具儲藏室是否狀況良好。 Is Stationery Storage Room In Good Condition.

  Yes

  No

  N/A

• 健身房是否狀況良好 Is Gym In Good Condition.

  Yes

  No

  N/A

• 備品庫房是否狀況良好 Spare parts Store In Good Condition.

  Yes

  No

  N/A

Deck

• 主甲板是否狀況良好? Is Main deck in good condition ?

  Yes

  No

  N/A

• 艙蓋是否狀況良好? Is Hatch cover in good condition ?

  Yes

  No

  N/A

• 貨艙蓋間隙橡膠是否狀況良好? Is Hatch cover rubber seal in good condition ?

  Yes

  No

  N/A

• 貨艙蓋油壓缸是否狀況良好? Is Hatch cover cylinder in good condition ?

  Yes

  No

  N/A

• 壓載水艙是否狀況良好? Is Ballast tank in good condition ?

  Yes

  No

  N/A

• 貨艙狀況是否狀況良好? Is cargo hold in good condition ?

  Yes

  No

  N/A

• 確認貨艙左右艙口圍各標有C.C.的MARK，該MARK 需使用與艙口圍不同顏色的油漆(建議使用白色/或紅色)<br>Confirm C.c.mark Is Shown Each Side(p &s ) Of Hatch<br>coaming ,this Mark Is In Different Color With Hatch<br>coaming Paint.( Recommend White/red).

  Yes

  No

  N/A

• 領港梯以及旋梯是否狀況良好? Is accommodation & pilot assist ladder in good condition ?

  Yes

  No

  N/A

• Are pilot boarding and access arrangements satisfactory?

  Yes

  No

  N/A

• 住艙外牆油漆是否狀況良好? Is accommodation painting in good condition ?

  Yes

  No

  N/A

甲板部檢查負責人: 大副 DECK PART PIC: C/O

• 確認全船所有庫房，住艙的出入口門，沒有破損/嚴重銹蝕，能保持正常關閉並確認沒有使用繩子將門綁住。 (NOTE：此條的本意 : 不得使用繩子將門綁住). 如果是因為工作需要, 要在工作結束後恢復原狀. <br> All Door Of Stores & Accommodation Entrance Are not Damage / Serious Corrosion And Keep Close normally/ not Tied By Ropes. If Tied ropes for work, need to close the door after finish working.

  Yes

  No

  N/A

• 全船A60防火門的自閉器(SELF CLOSING DEVICE)作動平順/能將防火門保持關閉 (NOTE : 建議參閱船上 FIRE CONTROL PLAN，圖上會標示哪些門裝有自閉器(SELF CLOSING DEVICE)<br>All Self Closing Device Of“a-60”class Fire-proof Door Act Smoothly/keep Fire-proof Door Close.（note:advice Refer To The Ship Fire Control Plan, Self Closing Device To Be Displayed On Plan）

  Yes

  No

  N/A

• Are bunker pipelines tested annualy?

  Yes

  No

  N/A

• 主甲板消防管路含膨脹接頭正常 Fire Piping Includes Expansion Joints on the main deck Without Leaking

  Yes

  No

  N/A

• 位於主甲板上的電纜管/電線管與接線箱沒有龜裂及銹蝕 Electric Cable Pipe Duct/junction Box On Main deck Without Crack And Corrosion

  Yes

  No

  N/A

• 位於主甲板左/右兩舷及舵機房與小艇內的防滑步道依規定舖設 <br>Are Non-slip Surface In Steering Gear Room, Lifeboat<br>and On The Main Deck Both Sides Provided Properly?

  Yes

  No

  N/A

• 甲板上各踏板沒有破洞/鏽蝕 Platform / Steps Without Any Broken holes/corrosion

  Yes

  No

  N/A

• 甲板上各壓水艙,空艙，油艙，通風浮子(FLOAT DISC)沒有破裂, 導桿正常 <br>Ballast Tanks，void Space ,oil Tanks: Floating Disc In air Vent Without Damage, Pin Of Floating Disc In Air Vent Without Distortion<br>

  Yes

  No

  N/A

• 甲板上各燈具/照明裝備外觀/護蓋等沒有破損,嚴重銹蝕及護蓋遺失<br>All Lighting Equipment With Protecting Covers Are In Normal Condition And Without corrosion/missing

  Yes

  No

  N/A

• 甲板上各繩梯外觀及屬件正常/沒有腐蝕<br>All Rope Ladders And Accessories Are In Normal Condition/without Corrosion.

  Yes

  No

  N/A

• Is the condition of the scupper plugs satisfactory and are scuppers effectively plugged?

  Yes

  No

  N/A

• 甲板上欄杆沒有損壞/變形<br>All Handrails On Deck Are In Normal condition/without Damaged / Dent

  Yes

  No

  N/A

• 甲板上各 SOUNDING PIPE 正常沒有破損(洞)<br>All Sounding Pipes With Caps Are In Normal<br>condition/without Broken.

  Yes

  No

  N/A

• 甲板上各 SOUNDING PIPE 的蓋子依規定裝置<br>All Sounding Caps Are Fitted Properly.

  Yes

  No

  N/A

• 進港前位於甲板上各油櫃 ESCAPE HEAD、加油管/接頭圍板(COAMING)內已完成清潔，排水孔已塞上<br>Confirm All Tank’s Escape Head、coaming For Bunker Hose/ Connector Clean And Scupper Plugged.

  Yes

  No

  N/A

• 甲板上所有鋼索(WIRE)沒有長刺(索絲)<br>All Wires On Upper Deck Without Thorn

  Yes

  No

  N/A

• 位於甲板上的各閥(例如: TOP SIDE TANK 的排放閥)沒有咬死/或緊澀的情形<br>Are All Upper Deck Valves（for Example: Top Side Tank Discharging Valve）able To Be Operated Smoothly?

  Yes

  No

  N/A

• 甲板上/含住艙四周通風裝置正常/沒有鏽蝕及龜裂<br>Are Air Vent Heads On Deck /in Normal condition/ without Corrosion And Crack

  Yes

  No

  N/A

• 甲板上/含住艙四周通風裝置(備)開關指示明確清楚<br>Are Vent/damper Shut/open Direction Mark Clear?

  Yes

  No

  N/A

• 各水密門/水密艙蓋的橡皮沒有沾有油漆牛油<br>Are W/T Door Packings Free From Paints And Grease?

  Yes

  No

  N/A

• 住艙各層防火門的自閉器(SELF CLOSING DEVICE)作動平順/能將防火門保持關閉<br>Can Fire Protecting Door Be Closed And Self-closing Device Work Properly?

  Yes

  No

  N/A

• 住艙各層的門/門框,水密門正常/沒有鏽蝕,破損<br>Are Watertight Doors And All Cabin Doors In normal Condition / Without Corrosion?

  Yes

  No

  N/A

• 住艙區及住艙區外圍四周所有緊急照明燈具的標誌(紅點/或紅色”E”字) 合乎規定要求明確清楚<br>Are “E” Red Mark For All Emergency Lights In Cabin Area Clear?

  Yes

  No

  N/A

• 住艙(包含走道、餐廳及船員房間等)照明裝置正常而且都裝有燈罩<br>Do Accommodation Area Have Well Illuminated Lighting And Fitted With Covers?

  Yes

  No

  N/A

• 大二檯及其他鋪有塑膠地板的地方,其塑膠地板沒有脫落/遺失的情況<br>Do Plastic Floor Tiles In Officer Mess Room And Crew Mess Room Find Lose Or Tear-off?

  Yes

  No

  N/A

• 廚房鋪有磁磚地板的地方,磁磚沒有脫落/遺失的情況<br>Do Ceramic Floor Tiles In Galley Find Lose Or<br>tear-off?

  Yes

  No

  N/A

• 住艙所有的公共廁所裡都備有毛巾，肥皂，衛生紙<br>Towels Soaps And Toilet Papers Are Fitted Out For All Accommodation Washing Room.

  Yes

  No

  N/A

• 廁所馬桶沒有漏水/沖水閥關不死的狀況<br>Do Toilet Flushing Valves Find Leaking ?

  Yes

  No

  N/A

• 廁所馬桶沖水正常<br>do Toilet Flushing Valves Work Properly ?

  Yes

  No

  N/A

• 電纜線外皮不能有油漆<br>Cable Sheath Is Free From Paint.

  Yes

  No

  N/A

• 乾衣室裡的加熱器/加熱元件上沒有放置手套，衣物<br>Are Heaters/heating Elements In Dry Room Free From Gloves And Clothing.

  Yes

  No

  N/A

• 氧氣及乙炔瓶間(庫房)已完成清潔. 氧氣及乙炔管路沒有鏽蝕, 管路上的閥沒有緊澀/或咬死<br>Gas Bottle Room Is Clean And Piping Is Free From<br>corrosion.

  Yes

  No

  N/A

• 氧氣、乙炔管路確認分別安裝防回火防爆裝置<br>Anti-flashback And Anti-explosive Device Is Settled For Gas Air Pipe Line.

  Yes

  No

  N/A

• 氧氣及乙炔瓶已依規定分別放置，照明裝置為防爆燈具，確認燈泡沒有損壞<br>Are Oxygen And Acetylene Gas Bottles Stored In Regular? Are Lights Anti-explosive? Confirm Lamps In Good Condition.

  Yes

  No

  N/A

• 肉庫、魚庫的呼叫警報作動正常(包括視覺警燈)<br>Do Alarms In Refrigerating Room Keep Working Properly?(including Visual Alarm Light)

  Yes

  No

  N/A

• 肉庫,魚庫及蔬菜間等各冷藏室的照明裝置正常,而且都裝有燈罩<br>Are All Light In Refrigerating Rooms In Order And Fitted With Cover?

  Yes

  No

  N/A

• 肉庫,魚庫及蔬菜間的地板上沒有直接放置生鮮食物。(生鮮食物與地板間舖/墊有木質柵板).<br>no Fresh Food Be Put On The Refrigerating Room<br>floor Directly (wooden Grid Should Be Set Between<br>fresh Food And Floor)

  Yes

  No

  N/A

• 凍庫門把手和橡膠密封墊是否正常<br>Are The Door Emergency Release Handle Device And Gasket Of Refrigerating Room In Normal Condition

  Yes

  No

  N/A

Garbage Mangement

• Does the vessel have garbage mangement plan and has garbage been handled and disposed off in accordance with MARPOL?

  Yes

  No

  N/A

• Garbage station keep in clean condition

  Yes

  No

  N/A

• 垃圾經由焚化爐焚化處理，已完整紀載於垃圾記錄簿,並且負責輪機員需簽字<br>Garbage Disposed By Incinerator Is Integrity recorded On Garbage Record Book And In Charge engineer Must Sign.

  Yes

  No

  N/A

• 食用油處理已完整紀載於垃圾記錄簿<br>Disposal Of Cooking Oil Is Integrity Recorded On Garbage Record Book

  Yes

  No

  N/A

• 垃圾記錄簿依規定記載,並持有垃圾收受記錄和證明<br>Garbage Record Book Is Recorded According To<br>regulation Including All Shore Receipts And certificate.

  Yes

  No

  N/A

• 垃圾經由焚化爐焚化處理，已完整紀載於垃圾記錄簿,並且負責輪機員需簽字<br>Garbage Disposed By Incinerator Is Integrity<br>recorded On garbage Record Book And In Charge<br>engineer Must Sign.

  Yes

  No

  N/A

• 垃圾桶依規定標示正確的顏色並均配有金屬材質垃圾桶蓋<br>Dustbins Are Colored Correctly According To regulation And All With Metal Cover.

  Yes

  No

  N/A

• 垃圾桶/垃圾存放區有張貼垃圾管理計畫<br>Garbage Management Plan Is Posted On dustbin/garbage Collection Area.

  Yes

  No

  N/A

• 駕駛臺，廚房，大/二檯及機艙控制室有張貼垃圾管理計畫<br>Are Garbage Management Plan Posted In Bridge galley Room And Officer/crew Mess Room?

  Yes

  No

  N/A

• 食用油處理已完整紀載於垃圾記錄簿<br>Disposal Of Cooking Oil Is Integrity Recorded On Garbage Record Book

  Yes

  No

  N/A

• 廚房有張貼食用油收集記錄.<br>Is Cooking Oil Collected Record Posted In Galley room?

  Yes

  No

  N/A

• 廚房有張貼，可拋海垃圾在拋海前要先通知大副<br>Is “notify C/o Before Disposing The Disposable<br>garbage “ Posted In Galley Room?

  Yes

  No

  N/A

Engine room

• 主機狀況是否良好? Is main engine in good condition ?

  Yes

  No

  N/A

• If the vessel class notation allows UMS operation, are main engine bearing temperature monitors, or the crankcase oil mist detector, in good order?

  Yes

  No

  N/A

• Are hot surfaces, particulaarly Diesel engines, free of any evidence of fuel,diesel and lubricating oil?

  Yes

  No

  N/A

• 發電機狀況是否良好? Is generator in good condition ?

  Yes

  No

  N/A

• 鍋爐狀況是否良好? Is boiler in good condition ?

  Yes

  No

  N/A

• 主空壓機是否狀況良好? Is main air compressor in good condition ?

  Yes

  No

  N/A

• 住艙空調是否狀況良好? Is accommodation air condition in good condition ?

  Yes

  No

  N/A

• 淨油機狀況是否良好? Is purifier keep in good condition ?

  Yes

  No

  N/A

• Are purifier rooms and fuel and lubricating oil handling areas ventilated and clean?

  Yes

  No

  N/A

• 焚化爐是否狀況良好? Is incinerator in good condition ?

  Yes

  No

  N/A

• 幫浦是否皆狀況良好? Are all pump in good condition ?

  Yes

  No

  N/A

• Is the emergency fire pump in good condition ?

  Yes

  No

  N/A

• Are machinery spaces and steering compartments clean and free from obvious leaks and is the overall standard of housekeeping and fabric maintenance satisfactory?

  Yes

  No

  N/A

• 應急逃生通道隔熱才是否完好? 門是否能自動關閉? 逃生設備如繩索, 手電筒依規定放置? Is the insulation of the emergency escape route intact? Can the door close automatically? Are escape equipment such as ropes and flashlights placed according to regulations?

  Yes

  No

  N/A

機艙部檢查負責人: 輪機長ENGINE PART PIC: CHIEF ENGINEER

• 緊急發電機油櫃滿足”供應應急配電盤所有設備負荷運轉至少18個小時所需的柴油存量”並在應急柴油存儲櫃上標示註記<br>Does Emergency G/e D.o. Tank Meet “the Mini. Volume Fuel For Emer. G/e At Least 18hrs Running Under Full load Condition”, And Already Mark On Emer. G/e D. O. tank.<br>

  Yes

  No

  N/A

• 機艙 Black Out 信號發生時,緊急發電機能自動啟動 (模擬測試)<br>does Emergency Generator Start Automatically<br>upon Main Power Supply Failure? (simulation test)

  Yes

  No

  N/A

• 請填寫該項測試進行的時間及港口名稱<br>PLEASE ADVISE LAST TIME AND PORT TEST BEING CARRIED<br>OUT: DATE & PLACE

  Yes

  No

  N/A

• 油料記錄簿依規定記載,並持有汙油/水收受記錄和證明<br>Do Oil Record Book Record Correctly In Accordance<br>with Regulation And Including Shore Receipts And<br>certificate?<br>

  Yes

  No

  N/A

• Do the sludge and bilge tanks designated in Form A or Form B of the IOPP Certificate and those listed in the Oil Record Book Part I ?

  Yes

  No

  N/A

• 經由油水分離器的船外排放操作，舷邊排放閥(OVERBOARD VALVE)的UNSEAL & SEAL 依規定完成<br>ORB記錄 (註: UNSEAL 的封條應留存備查) Has Overboard Valve’s Unseal & Seal Recorded<br>perfectly On Orb While Bilge Discharge Through Oily<br>water Separator.(note: The Seal Should Kept<br>onboard In Case Of Inspection After Unsealing) .<br>

  Yes

  No

  N/A

• 新添加燃油的含硫量已紀載於油料記錄簿<br>Does Sulfur Content Record On Oil Record Book After Bunkering.

  Yes

  No

  N/A

• 在油類記錄簿中是否根據MEPC.1/CIRC.736/REV.2之規定每週總結IOPPC ITEM 3.1 所包括的汙油櫃的油量<br>Weekly Inventory Of Oil Residues (sludge) Tanks<br>(tank Listed Under Item 3.1 In The Supplement To The<br>ioppc) According To Mepc.1/circ.736/rev.2. In The Oil<br>record Book.<br>

  Yes

  No

  N/A

• 貨艙浸水警報系統及 DE-WATER SYSTEM正常<br>Does Cargo Hold Water Ingress System And De-water System Operate Properly?

  Yes

  No

  N/A

• 貨艙浸水警報已通知公司安排檢修<br>Do You Inform Superintendent To Arrange Repair For Cargo Hold Water Ingress System?

  Yes

  No

  N/A

• 貨艙浸水警報公司已確認檢修工作的安排<br>Have The Repair Company Confirmed To Repair In Accordance With Ship’s Requirement.

  Yes

  No

  N/A

• 緊急電瓶(含無線電使用)依 SOLARS CH.11-1 & CH IV REG.13規定執行容量測試<br>Is Emergency Batteries (incl. Radio Use) Tested In<br>comply With Solars Ch.11-1 & Ch Iv Reg.13

  Yes

  No

  N/A

• 請告知上次緊急電瓶(含無線電使用)進行容量測試的時間(兩次間隔時間不得超過 12 個月)<br>Please Advice The Last Test Time For Emergency<br>batteries:（interval Inspection No Exceed 12 Months<br>） date & Place 註

  Yes

  No

  N/A

• 主機及電機 NOX TECHNICAL FILE RECORD 是否有按照規定記錄。<br>Does The Nox Technical File Record For M/e And G/e Be<br>recorded Properly.

  Yes

  No

  N/A

• 重油和柴油的油樣品依 MARPOL ANNEX VI-BUNKER SAMPLE RECORD 規定記錄,樣品應存放遠離熱源場所.<br>Dose The F.o. & D.o. Sample Properly Recorded<br>accordingly To “marpol Annex Vi-bunker Sample<br>record”.sample Stored Far Away From Heat Source.

  Yes

  No

  N/A

• 低硫重油和柴油是否按規定張貼換油切換程序於集控室,換油記錄按規定記錄機艙輪機日誌和輪機長房間記錄存檔以便檢查.<br>Dose L.S.M.G.O & L.S.M.D.O Change Over Procedure Post in The Ecr. The Such Operation Hours & Ship Position properly Recorded In The Engine Log Book & C/e Room file For Inspection.

  Yes

  No

  N/A

污水管理 (SEWAGE -CHIEF ENGINEER)

• 汙水處理系統是否狀況良好? Is sewage treatment keep in good condition ?

  Yes

  No

  N/A

• SEWAGE 排放轉換閥有“排放方向指示標誌”<br>There Is A Discharge Direction Sign For Sewage<br>discharge Change Over Vale

  Yes

  No

  N/A

• 壓載水處理系統是否狀況良好? Is BWTS in good condition ?

  Yes

  No

  N/A

Hot Work Procedures

• Is electric welding equipment in good order and are written safety guidelines available at site?

  Yes

  No

  N/A

• Is gas welding and burning equipment in good order?

  Yes

  No

  N/A

• Are flashback arresters fitted at the cylinders and at the work station and are they in good order?

  Yes

  No

  N/A

• Are spare oxygen and acetylene cylinders stored apart in a dedicated storage and is the storage in a clearly marked, well-ventilated position outside the accommodation and engine room?

  Yes

  No

  N/A

Moorings

• Are certificates available for all mooring ropes and wires?

  Yes

  No

  N/A

Mooring Equipement

• Are mooring winches in good order?

  Yes

  No

  N/A

• Do mooring winch foundations appear to be good order?

  Yes

  No

  N/A

• Do brake linings, drums and pins appear to be good order?

  Yes

  No

  N/A

• Are mooring wires ropes and synthetic tails in good order?

  Yes

  No

  N/A

• Are pedestal fairleads, roller fairleads, and other rollers well greased and free to turn and are bitts and chocks free of grooving?

  Yes

  No

  N/A

• Is mooring equipment marked with its SWL / MBL ?

  Yes

  No

  N/A

• Are all powdered mooring lines correctly reeled on drums?

  Yes

  No

  N/A

Anchoring Equipment

• Are windlasses, anchors, locking bars and cables in good working order and operating effectively?

  Yes

  No

  N/A

• Except while alongside, when locking bars are in place, were the anchors cleared and ready for immediate use during port entry?

  Yes

  No

  N/A

• Are bitter ends securing arrangements unobstructed and outside the chain locker?

  Yes

  No

  N/A

• Are chain locker doors securely battened down?

  Yes

  No

  N/A

海上人命安全公約相關規定檢查負責人: 船長 SOLAS OPERATIONAL CONTROL PIC: CAPTAIN

依據SOLAS公約CH II-1 /REG.3-9 和IMO通函MSC.1/CIRC.1331，確認船上具備下列條件 ACCORDING TO SOLAS CH II-1/REG.3-9 & IMO CIRCULAR MSC.1/CIRC.1331, CONFIRM FOLLOWING ITEMS:

• 舷梯上端平臺附近應設置救生圈一付，連接自亮浮燈、救生浮索各一具。<br>A Lifeboat With Automatic Ignite Light & Lifeline Is Seton Stage Upon Gangway.

  Yes

  No

  N/A

• 每部舷梯兩端應設置一塊標記牌，以清楚顯示安全操作和負荷限制。<br>Notice Board Is Put On Both End Of Gangway To<br>exhibit Safety Operation & Swl.

  Yes

  No

  N/A

防火裝備檢查負責人: 三副 FIRE FIGHTING MEASURES: 3/O

• FIRE CONTROL PLAN 所標示的裝備及數量是否與實際現況相同(如果有不相同，請回答下題)<br>Fire Control Plan Indicate All Equipment And<br>quantity Was Same With Actual Situation(if<br>different, Please Answer Next Question) 註

  Yes

  No

  N/A

• FIRE CONTROL PLAN 所標示的裝備及數量，與實際現況不同，已向工程師回報，並已得到工程師答覆確認<br>Fire Control Plan Indicate All Equipment And quantity Different With Actual Situation , Was reported To In Charge Engineer, And Received The Acknowledgement From In Charge Engineer.

  Yes

  No

  N/A

• FIRE CONTROL PLAN BOX (左/右舷各一)內確認放置有FIRE<br>CONTROL PLAN及最新的船員名單<br>Make Sure The Fire Control Plan & Latest Crew List Inside Fire Control Plan Box(p&s)

  Yes

  No

  N/A

• 廚房CO2 滅火器相關人員知道使用方法<br>Are Galley Personnel Familiar With Using CO2 Fire<br>extinguisher?

  Yes

  No

  N/A

• 廚房CO2 滅火器旁邊放置有該滅火器的使用操作說明<br>Has The Operation Instruction Posted Beside Of<br>galley CO2 Fire Extinguisher System

  Yes

  No

  N/A

• 船副和管輪是否熟悉固定式二氧化碳滅火系統操作方式(特別是輪機長和三副需要熟悉)<br>Are All Officer And Engineer Familiar With The<br>operation Procedure Of Fixed CO2 Fire Extinguishing System (especially C/E And 3/O)

  Yes

  No

  N/A

• 機艙固定式滅火裝備的控制系統功能正常(含 CO2 作動瓶)<br>Engine Room Fixed Fire Extinguisher ( Halon Or CO2)keep In Order

  Yes

  No

  N/A

• 固定式滅火系統二氧化碳瓶間屋頂的絕緣材完整沒有脫落破損All Insulation Material On The Top Of Fixed CO2<br>bottle Room Keep In Order /without Lagging Off

  Yes

  No

  N/A

• 適用於只裝置安全插銷(IT’S APPLICABLE TO SAFETY PIN ONLY.)<br>固定式滅火系統二氧化碳瓶，確認氣瓶上的安全插銷已移/拔除。<br>For The Fixed Fire Extinguishing System Co2 Cylinder,<br>make Sure All Safety Pins Of Co2<br>

  Yes

  No

  N/A

• 適用於裝置Safety Pin And Securing Pin (it’s Applied To Safety Pin And Securing Pin.)<br>固定式滅火系統二氧化碳瓶，確認氣瓶上的 SAFETY PIN &SECURING PIN 沒有移/拔除，都裝置在位置上。<br>For The Fixed Fire Extinguishing System Co2 Cylinder, Please Ensure That The Safety Pin Is Properly Fit On The Operation Lever & Securing Pin On The Valve Actuator.注意: 現場手動或者緊急情況釋放時，通過拔出安全銷，壓下操作桿（OPERATING LEVER）<br>Note:when It’s Released By On-site Manual<br>operation, Or, In Case Of Emergency, Press The<br>operating Lever Through Pulling Out The Safety Pin

  Yes

  No

  N/A

• 滅火人員裝備氧氣鋼瓶壓力在規定範圍內(不得低於滿瓶壓力的80%)<br>Air Bottle Pressure Is In Regulated Range (not Less Than 80 % Full)

  Yes

  No

  N/A

• 滅火皮龍沒有/不會漏水? Are Fire Hoses Free From Leaking?

  Yes

  No

  N/A

• 緊急逃生呼吸器(EEBD)均會穿戴使用<br>All Crews Are Familiar With Wearing Eebd.

  Yes

  No

  N/A

• 放置FIREMAN OUTFIT的庫房（LOCKER）有緊急照明？照明作動正常？<br>Do Fireman Outfit Lockers Provide Well Illuminated Emergency Lighting?

  Yes

  No

  N/A

• 備用手提式之滅火裝備數量/存量與規定相符合<br>Do Quantities Of Spare Kit For Portable Fire<br>extinguisher Meet Requirement?

  Yes

  No

  N/A

• 國際岸上接頭配有完整/良好的墊子和彈簧墊，螺絲及板手工具<br>International Shore Connection Equipped With One Set Of Gasket And Washer, Bolts, And Spanner Tools Completely.註<br>

  Yes

  No

  N/A

• 消防員裝備的防爆手電是否工作正常<br>Does The Fireman’s Outfit’s Anti-explosive Hand lamp<br>working Normal?<br>

  Yes

  No

  N/A

• 消防皮龍長度：是否已參考SOLAS CHII-2 REG.10 2.3.1.1之要求，所有的皮龍不少於10M,機艙區域不超過15M,甲板不超過20M,船舶寬度超過30M的船舶不超過25M The Length Of Fire Hoses: Comply With Regulation Of<br>solas Chii-2 Reg.10 2.3.1.1 ,fire Hoses Shall Have A<br>length Of At Least 10m, But Not More Than 15m In<br>machineryspaces; Not More Than 20m In Other Spaces<br>and Open Decks; Not More Than 25m For Open Decks<br>on Ships With A Maximum Breadth In Excess Of 30m.

  Yes

  No

  N/A

求生裝備: 檢查負責人: 三副LIFE SAVING MEASURES: 3/O

• 救生圈/救生艇上的船名等標示是否很清楚 <br>Are Marks On Life Saving Appliances All Clear?

  Yes

  No

  N/A

• 救生圈處於隨時取用/備用的狀態，沒有綁在架子上<br>The Lifebuoy Is Ready For Use At Any Time /stand By<br>condition,and Not Tied On Bracket.<br>

  Yes

  No

  N/A

• 救生圈自亮燈是否正常發光<br>does The Self-igniting Lights Of Life Buoy In Normal?

  Yes

  No

  N/A

• 救生筏之液壓脫鉤裝置依規定裝置<br>Do Hydraulic Release Of Liferafts Install Properly?註<br>

  Yes

  No

  N/A

• 救生艇/筏的登艇繩梯的繩子外觀正常，沒有過度損耗，連接卸扣沒有卡死及銹蝕且用手可以拆開<br>The Embarkation Ladder Of Life Boat/raft In Good<br>condition, And No Abrasive Damage, Connecting<br>shackle No Seizure Or Corrosion And Can Be<br>disconnected By Hand.

  Yes

  No

  N/A

• 救生艇/筏的操作說明圖在 24V 緊急照明是否完整清晰可見?<br>Does The Instruction Manual Under 24V Emergency<br>lighting Be Available To Read Clearly?

  Yes

  No

  N/A

• 救生艇/筏的操作說明圖表是否依規定張貼<br>Does The Operation Manual For Life Boats And Life Rafts Be Posted Well ?

  Yes

  No

  N/A

• 小艇WIRE換新時間,已使用黃色/或紅色油漆標示在小艇吊架上<br>When Boat Fall Was Renewed, The Date Was Marked With Yellow Or Red Paint On Boat Davit

  Yes

  No

  N/A

• 小艇的磁羅經沒有汽泡<br>Do Life Boat Compass Free From Air Bubble?<br>

  Yes

  No

  N/A

• 小艇內的照明正常<br>Are Illumination In Lifeboat In Normal?

  Yes

  No

  N/A

• 救生艇安全帶，鄰座顏色不相同，以示區分<br>The Color Of Neighbouring Safety Belts For Life Boat Is Different To Distinguish.

  Yes

  No

  N/A

• 小艇內座椅已確認不會搖晃<br>Do The Seats In Life Boat Be Secured Well?

  Yes

  No

  N/A

• 小艇外的反光帶無破損/或被油漆遮住(蓋)<br>are Life Boat Retro-reflective Tapes Broken Or<br>intacted?<br>

  Yes

  No

  N/A

• 小艇內的蓄電池放置在規定位置內,並已完成固定<br>Do Life Boat Engine Starting Battery Be Served In<br>place With Good Secured ?

  Yes

  No

  N/A

• 救生艇內前/後脫鉤裝置的結構支架完整良好及沒有銹蝕<br>do Life Boat Hook Bracket (fore/aft) In Order And<br>free From Corrosion.

  Yes

  No

  N/A

• 救生艇釋放拉桿沒有鏽蝕，手動釋放拉桿離合位置有分別標示<br>do Life Boat Stopper Release Handle (on-load Release<br>wire And Secure Bracket) Free From Corrosion ?<br>manual Release Handle On/off Position Is Marked.<br>

  Yes

  No

  N/A

• 確認自落式救生艇內備有一具 Sart。<br>confirm One Set Of Sart Provided Inside Of The Free<br>fall Life Boat.

  Yes

  No

  N/A

• 駕駛臺兩舷救生圈之手動釋放裝置正常? 裝置都在有效期內，自燃燈測試正常<br>manual Release Of Lifebuoy On Bothsides Bridge<br>wing In Normal Condition / Work Properly. Device<br>all In Valid Date. Self Igniting Light Tested Normal.

  Yes

  No

  N/A

• 救生衣及浸水衣的反光帶沒有破損、遺失、掉落<br>are Retro-reflective Tapes On Life Jackets And<br>immersion Suit Free From Damage Or Missing?<br>

  Yes

  No

  N/A

• 浸水衣是否正常，沒有破損，拉鏈能輕鬆地上下拉動<br>does The Immersion Suit In Normal Condition,<br>without Damage, Zipper Slide Up And Down Easily?

  Yes

  No

  N/A

• 逃生通道張貼的逃生標誌，離地面高度是否不超過30公分<br>does The Imo Symbol In Escape Routes Not More Than<br>30cm<br>

  Yes

  No

  N/A

航海書籍、刊物及藥品檢查負責人: 二副CHARTS AND PUBLICATIONS PIC: 2/O

• 是否海圖/航海書籍/第三者出版刊物皆備全<br>Whether Charts, Publications And Third<br>party Documents all prepared ? 註

  Yes

  No

  N/A

• 公司已確認安排欠缺的海圖/航海書籍/第三者出版刊物(含授權船長就近採購)<br>Company Has Confirmed Arrangement Of Supply<br>charts, Publications And Third Party Documents.

  Yes

  No

  N/A

• 航次計劃已包含 SOLARS CH.V. REG.34 要求填寫的資料<br>Does The Voyage Plan Contain All Information As<br>required By Solars Ch.v. Reg.34 ?

  Yes

  No

  N/A

• 藥品及裝備記錄完整(合乎船旗的規定)<br>Do Medicine And Equipments Record Integrity<br>(complied With Flag State’s Regulations)

  Yes

  No

  N/A

• 過期藥品有送岸的記錄或是清單 ?<br>Does The Expired Medicine Record When It Send To Shore or list ?

  Yes

  No

  N/A

• 尚未送岸的過期藥品，放置於專門的收集容器內，容器外有”過期藥品<br>”的明顯標誌is The Expired Medicine Onboard Collected<br>in Special Container Which Marked With” Expired<br>medicine”?

  Yes

  No

  N/A

• 醫務室/病房內的照明（含床頭燈）正常<br>is Hospital’s Lighting In Normal?

  Yes

  No

  N/A

• 醫務室/病房內與駕駛臺的呼叫警報作動正常(包括視覺警燈)<br>Do The Alarm Of Hospital To Bridge Operate<br>normally (including Visual Alarm Light)

  Yes

  No

  N/A

• 駕駛台磁羅經內沒有汽泡? 照明燈泡正常 ? 磁羅經底座外殼完整良好<br>Does Bridge Magnetic Compass Free Of Air Bubble?<br>does The Bulb Light? Is Magnetic Compass Plinth In Good Condition? 註

  Yes

  No

  N/A

• 駕駛台磁羅經偏差在允許範圍內<br>does Deviation Of Bridge Magnetic Compass Within<br>limit?

  Yes

  No

  N/A

• 駕駛台磁羅經偏差已完成調整<br>Does Bridge Magnetic Compass Deviation Have Been Rectified?

  Yes

  No

  N/A

• 所有航儀裝備，航行燈情況正常<br>Are All Navigation Equipments And Nav. Lights In normal?

  Yes

  No

  N/A

• 測深儀及船速儀正常<br>Are Echo-sounder And Doppler/speed Log In Good Condition

  Yes

  No

  N/A

• 車鐘記錄器及航向記錄器正常<br>Telegraph Recorder And Course Recorder In Good Condition

  Yes

  No

  N/A

• 駕駛臺各記錄簿例如: 經線儀誤差, 雷達使用, RADIO LOG, 羅經誤差及航海日誌已依規定詳實填寫及簽字<br>Following Record Be Recorded And Signed<br>regularly? Chronometer Error Log/record, Radar Log, Radio Log, Compass Error Log/record And Deck Log.

  Yes

  No

  N/A

• 有 MF/HF 無線電通訊設備 (DSC/或NBDP) 測試記錄<br>Do MF/HF Testing (DSC/or NBDB) Record Be Taken<br>regularly

  Yes

  No

  N/A

• MF/HF 每週至少/或到澳洲港口之前以 DC 電源與岸台作連通測試<br>Have Test Mf/hf Dsc With Coast Station By DC Power Weekly/or Before Arrive Australia Ports.配雙INM-C各輪務必測試MF DSC!

  Yes

  No

  N/A

• 確認BNWAS 放置在”ON”的位置 (因裝備原因，不能放在ON位置/或<br>沒有ON 位置，請寫N/A)<br>Confirmed The Bnwas At “on” Position. .(for Device’s<br>reason,if Can Not Put At“on”position/or Without “on”position ,please Sign With N/a)

  Yes

  No

  N/A

• 船副熟悉"EPIRB"之測試操作程式<br>Are Officer Familiar With The Test Operation Of<br>“EPIRB”

  Yes

  No

  N/A

• Is the satellite EPIRB fitted, armed and labelled correctly and inspected in accordance with the manufactures requirements?

  Yes

  No

  N/A

• 駕駛台daylight Signal備有足夠備用燈泡，並有獨立充電電池供電，充電電池狀況良好<br>does Bridge Daylight Signal Have Enough Spare Bulb<br>and Good Condition Independent Chargeable battery.

  Yes

  No

  N/A

• 船長、船副熟悉航行資料記錄儀 S-VDR/VDR 的停止做動及儲存於下列的可自行取出的儲存裝置取出 CF 卡; 或<br>ARE MASTER AND OFFICERS FAMILIAR WITH THE PORCEDURE OF STOP S-VDR/VDR AND TAKE OUT OF CF CARD; OR <br>1. 取出(JRC JCY-1850/JCY-1800) CF卡，或TAKE OUT(JRC JCY-1850/JCY-1800) CF CARD, OR<br>2. 燒錄光碟 (JRC JCY-1000)或COPY THE DISK(JRC JCY-1000)<br>3. 取出硬碟HARD DISK (FURUNO VR-3000)TAKE OUT HARD DISK (FURUNO VR-3000)

  Yes

  No

  N/A

• 天文鐘是否經常核對，確保與船舶主鐘一致<br>Does The Chronometer Check Regularly And Make Sure Accordance With Ship’s Master Clock?

  Yes

  No

  N/A

• 磁羅經備品是否遠離磁性物質<br>Does The Spare Of Magnetic Compass Keep Safety<br>distance With Magnetic Material?

  Yes

  No

  N/A

• Is the gyro compass operating satisfactorly?

  Yes

  No

  N/A

• Are auto to manual steering changeover procedures clearly identified?

  Yes

  No

  N/A

• Do the magnetic compass errors recorded in he compass error book broadly agree with the deviation card?

  Yes

  No

  N/A

• The following shall be marked in the chart, where it enhances safe navigation --- Parallel Indexing ,Chart changes, Methods and frequency of position fixing, prominent navigation and radar marks, no go areas, landfall targets and lights, clearing lines and bearings, transits, heading marks and leading lights,Significant tides and currents, Safe speed and necessary speed alterations,Changes in machinery status,Minimum under keel clearance, positions where echo sounder should be activated, crossing and high density traffic areas,safe distance off,anchor clearance,abort positions, VTS and reporting points.

• Was radar parallel indexing used to monitor the position of the vessel?

  Yes

  No

  N/A

• Has GPS been adjusted to the correct datum?

  Yes

  No

  N/A

Material Safety Data Sheets (MSDS)

• Are Material Safety Data sheets on board for all cargo products being handled and all officers familiar with their use?

  Yes

  No

  N/A

• Have Material Data Safety Sheets been provided for the bunkers currently on board?

  Yes

  No

  N/A

• Are chemicals properly stowed and are Material Safety Data Sheets avaialble?

  Yes

  No

  N/A

• Are Material Safety Data sheets provided for paints, protective coatings and all other corrosive or toxic materials that are carried on board?

  Yes

  No

  N/A

電子海圖裝備: 駕駛員ECDIS EQUIPMENT: DECK OFFICER 技術類缺陷 THE DEFECTIVE OF THE TECHNIQUE

• 裝備有ECDIS的船舶，船長及船副熟悉電子海圖的操作<br>The Vessel Equiped With Ecdis, Master And Officers Are Familiar With The Operation Of Ecdis.

  Yes

  No

  N/A

• 主備用電子海圖系統聲音警報作動是否正常 。<br>Is Master / Back Up Ecdis Audible Alarm Operational?

  Yes

  No

  N/A

• Has a system being established to ensure that nautical publications and charts are on board and current?<br>

  Yes

  No

  N/A

Navigation - Policies,Procedures and Documentation

• Has the master written his own standing orders and are Bridge Orders being Completed?

  Yes

  No

  N/A

• Are deck log books and engine movement books correctly maintained and is an adequate record being kept of all navigational activities,both at sea and under pilotage?

  Yes

  No

  N/A

• No.1 HFO service tank condition

  Yes

  No

  N/A

• No.2 HFO service tank condition

  Yes

  No

  N/A

Evaluation

• Master

• Chief Officer

• Chief Engineer

• Second Engineer

signature

• Master's signature

  Sign

• Superintendent's signature

  Sign