Title Page
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Document No.
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Inspection of laid up vessels at anchor for Port Captain Walvis Bay
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Prepared by
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Location
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Vessel Name
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Date of Audit
Remarks on survey
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Remarks on Survey
Vessel Details
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Name of Vessel
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IMO Number
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Number of Vessels in raft (Cluster).
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Port of Registry
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Is this vessel the Mother vessel?. If not, then NA
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Is a log of inspections kept on the mother vessel?
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If monitored : Name of Mother vessel.
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Is there safe access to the vessel.?
Certificates
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Valid certificate of Registry.
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Date cert of registry expires or did expire.
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Valid ship station Licence. If not Mother Vessel then NA
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Date ship station licence expires or did expire.
Classification
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Classification Society
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Is Classification modified to : Laid Up Vessel?
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Is there proof of classification?
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Are classification surveys up to date?
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Is there a record of surveys.?
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Notes on Classification
Manning
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If this Is either the Mother ship or a manned ship is it manned as per safe manning certificate?
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If this is either the mother ship or a manned ship is a valid crew list provided?
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Date of Crew List
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If crew not signed onto this vessel onto which vessel are, they signed on to?
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Is this the Mother vessel If Not then NA
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Is registry still valid?
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Is crewing according to safe manning certificate?
Insurance certificates verified
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Is there a valid Hull and War risk certificate.?
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Date Hull and war risk expires or did expire.
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Is there a valid certificate of Insurance for Bunker oil pollution.?
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Date Bunker oil pollution certificate expires or did expire.
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Is there a valid Certificate of Insurance for wreck removal.?
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Date wreck removal certificate expires or did expire.
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Is there a certificate of Insurance iro crew repatriation?( If the vessel is unmanned then response is NA)
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Date Crew repatriation certificate expires or did expire
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Any other insurances?
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If other insurances state type and date of expiry.
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Remarks on Certificates of Insurance
Anchoring arrangements
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Is anchoring arrangement approved by Port Captain?
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Are all chains,stops, bits and ropes in good order?
Garbage management
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Is this vessel responsible for garbage disposal, if not then NA
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If Yes list vessels for which it is responsible for garbage disposal.
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Is Garbage record book up to date? If not mother vessel then N/A
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Date of latest Garbage record book entry
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Is there a signed certificate of safe disposal for most recent garbage discharge ,Mother Ship or manned ships , others NA
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Date of last safe garbage disposal certificate
Waste oil management
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Is this vessel responsible for waste oil disposal? If not, Mother vessel then N/A
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If Yes list vessels for which it is responsible for waste oil disposal
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Is the oil record book up to date? (If not mother vessel please provide soundings for waste oil tanks)
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Date of latest entry into oil book
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Is there a signed certificate of waste oil disposal. If not Mother vessel then N/A
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Date of latest oil disposal certificate.
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Sludge Tank Maximum Volume in m3
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Sludge Tank Retained in m3
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Date of sludge tank sounding
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Was this sounding verified by inspector.?
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Date Sludge Tank sounding verified
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Dirty Oil Tank Max Volume in m3
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Dirty Oil Tank Retained in m3
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Date of dirty oil tank soundings
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Was this sounding verified by inspector?
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Date Dirty oil tank sounding verified
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Bilge (Slop) Tank Maximum Volume in m3
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Bilge (Slop) Tank Retained in m3
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Date of slop tank sounding.
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Was this sounding verified by inspector.?
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Date Bilge (Slop) Tank Sounding Verified
Fuel ROB
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Fuel ROB at Last Report in m3
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Cubic Metres of fuel Discharged
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Discharged to
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Date Discharged
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Cubic Metres Fuel Bunkered
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Fuel Recieved from
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Date Fuel Recieved
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Fuel ROB in m3
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Date of ROB readings.
Firefighting equipment
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Is this the Mother ship?
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Is fire pump operational?
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Are the fire mains of the vessel connected to the fire main of the mother ship?
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Are fire extinguishers maintained by a competent authority and up to date. If not mother vessel then N/A
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Date of expiry for fire extinguishers
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Is there a valid fire inspection certificate for fixed fire extinguishing system? If the vessel is not manned the response is NA
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What is type of fire extinguishing system?
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Date of expiry for Fire Extinguishing system certificate
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Valid certificate of Service for SCBA and bottles if Mother Ship or manned ship , otherwise NA
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Date of expiry SCBA and bottles certificate
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Notes on Fire Fighting Equipment
210 Litre Drums on deck
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Was a report on number of drums on deck submitted?
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No of Drums with Lube Oil ?
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No of drums with Lube oil at last inspection.?
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No of drums with Gear oil
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No of drums with Gear oil at last Inspection
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Number of drums with Hydraulic oil.?
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Number of drums with hydraulic oil at last Inspection.?
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No of drums with waste oil ?
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No of drums with waste oil at last Inspection?
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Number of drums containing chemicals ?
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Number of drums containing chemicals at last Inspection ?
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Number of drums containing used cooking oil ?
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Number of Drums containing used cooking oil at last Inspection ?
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Number of drums containing cleaning agent ?
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Number of drums containing cleaning agent at last Inspection ?
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No of drums or bags containing garbage ?
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Number of drums or bags containing garbage at last Inspection ?
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Number of empty drums ?
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Number of empty drums at last Inspection ?
Apparent condition of vessel
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General appearance.
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Decks.
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Accommodation.
Engine Room
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Cleanliness.
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Obvious maintenance.
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Tank tops free of oil and water
Verification
Signatures
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Vessel Name, Month and Year
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% Score
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Audit pass
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Master
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Date of Master's Signature
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Surveyor
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Date of surveyor Signature
