Title Page

  • Barge Name

  • IMO Number

  • Type of Barge

  • Member Name (Surveyor To Leave This Blank, NorthStandard Survey Team Will Add This)

  • Take a Picture of the Barge (for context)

  • Location of Survey

  • Date of Survey

  • Survey Company Name

  • Surveyor's Name

  • Surveyor's Email Address

  • Surveyor's Mobile Telephone Number (Include full international dialing code)

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.

  • The surveyor must read and understand the instructions prior to commencing the survey

Barge Particulars

  • Builder (of Barge)

  • Year Built

  • Class Society

  • Flag Administration

  • Gt

  • Class Notations

  • Last Docking

  • Last Class Renewal

  • Company Name on ISM Document

  • Time Under Present Management

Trading Pattern

  • Trade1 - What cargo is onboard?

  • Trade2 - Last 3 cargoes?

  • Any Additional Comments Regarding Trading Pattern

Crew

  • TankBargeCrew1 - Is the Barge Manned?

  • TankBargeCrew2 - Is the Barge Manned IAW Safe Manning Certificate?

  • TankBargeCrew3 - Are the crew qualified and Competent for their roles?

  • Any Additional Comments (If required)

Barge Management

  • TankBargeBM1 - Is a Planned Maintenance System implemented and kept up to date?

  • TankBargeBM2 - Are there contingency plans onboard to deal with emergencies and spills, as applicable?

  • TankBargeBM3 - Is there a stability manual available and are all relevant personnel familiar with the limitations imposed by it?

  • TankBargeBM4 - Are stability records maintained by responsible person?

  • TankBargeBM5 - Are records maintained for ballasting operations

  • TankBargeBM6 - Is a Cargo Securing Manual or Cargo Loading Manual available onboard?

  • TankBargeBM7 - Are accidents or incident reports raised and handled in a satisfactory manner?

  • TankBargeBM8 - Are suitable diagrams available for all piping systems onboard?

  • TankBargeBM9 - Are relevant cargo carriage guidelines/regulations available onboard?

  • TankBargeBM10 - Are relevant cargo carriage guidelines/regulations available onboard?

  • TankBargeBM11 - Are procedures in place for handling dangerous goods?

  • Any Additional Comments (If required)

Safe Working

  • TankBargeSW1 - As observed, are safe working practices, including enclosed space entry followed onboard?

  • TankBargeSW2 - Are portable oxygen and gas detection meters, appropriate to the vessel type, provided and regularly calibrated?

  • TankBargeSW3 - Are relevant personal protective equipment and clothing provided and in use?

  • TankBargeSW4 - Is there a suitable safe means of access to the barge?

  • TankBargeSW5 - Are there suitable guard rails provided and in use?

  • TankBargeSW6 - Are "No Smoking" areas clearly marked, and were these regulations observed during visit?

  • TankBargeSW7 - Is CO2 installation, if fitted, protected against unauthorized release?

  • TankBargeSW8 - Are emergency procedures in place and available/displayed onboard?

  • Any Additional Comments (If required)

Hull & Deck

  • TankBargeH&D1 - Is the visible condition of the external shell plating apparently satisfactory?

  • TankBargeH&D2 - Is the visible condition of the weather deck apparently satisfactory?

  • TankBargeH&D3 - Is the condition of the superstructure apparently satisfactory?

  • TankBargeH&D4 - Is the condition of the coatings apparently satisfactory?

  • TankBargeH&D5 - Are all hull markings clearly legible?

  • TankBargeH&D6 Are boarding ladders, gangways, accommodation ladders and platforms in apparent satisfactory condition?

  • TankBargeH&D7 - Are towing points, bollards, fairleads, windlasses, capstans, tow bridle, mooring ropes and wires in apparent satisfactory condition?

  • TankBargeH&D8 - Are anchors and visible sections of anchor chain in apparent satisfactory condition?

  • TankBargeH&D10 - Are weathertight/watertight doors and hatches fully operational and providing effective sealing?

  • TankBargeH&D11 - Are vents and air/sounding pipes on deck in satisfactory condition with efficient closing devices and clearly marked with the compartment they serve?

  • TankBargeH&D12 - Is there sufficient lighting fitted and operational including navigation lights and signals?

  • TankBargeH&D13 - Are derricks, cranes and other lifting equipment properly maintained/marked? Has periodical inspections and testing been carried out?

  • Any Additional Comments (If required)

Hygienic Standard and House Keeping

  • TankBargeHY1 - If fitted, are crew galley and pantries clean and tidy? Is fitted equipment in apparent satisfactory condition?

  • TankBargeHY2 - If fitted, are provision and cold stores clean, tidy and maintained to correct temperature?

  • TankBargeHY3 - Is the general house-keeping standard satisfactory?

  • Any Additional Comments (If required)

Fire Safety

  • TankBargeFS1 - Are fire extinguishers of approved type, properly stowed, regularly serviced and sufficient in numbers?

  • TankBargeFS2 - Are oxygen and acetylene bottles fitted with flashback arrestors and stored in well ventilated designated places?

  • TankBargeFS3 - Are suitable means of isolating machinery spaces available and in apparent suitable condition?

  • TankBargeFS4 - Is the fire detection system in satisfactory condition?

  • TanksBargeFS5 - Are combustible and hazardous materials stored in designated spaces and provided with Material Safety Data Sheets?

  • TankBargeFS6 - Are main and emergency exits unobstructed?

Life Saving Appliances

  • TankBargeLSA1 - Are lifebuoys of approved type, properly stowed and sufficient in numbers?

  • TankBargeLSA2 - Are life vests of approved type, properly stowed and sufficient in numbers?

  • TankBargeLSA3 - Are life rafts and hydrostatic releases properly secured / fitted and in apparent satisfactory condition?

  • TankBargeLSA4 - Are immersion suits of approved type, properly stowed and sufficient in numbers?

  • TankBargeLSA5 - Are sufficient first aid boxes / medical stores available onboard?

  • TankBargeLSA6 - Are signs for safety equipment in place marked with IMO symbols and instructions written in the working language of the vessel?

  • Any Additional Comments (If required)

Machinery

  • TankBargeMCY1 - Are all machinery spaces/ compartments including bilges clean, tidy and free from combustible materials?

  • TankBargeMCY2 - Is all machinery in apparent good condition and free from significant oil or water leakages and/or temporary drains?

  • TankBargeMCY3 - Is all machinery exhaust lagging intact and free from leaks?

  • TankBargeMCY4 - Are machinery space pipe systems, sea suction and overboard valves free from apparent deterioration, leaks, temporary repairs and cement boxes?

  • TankBargeMCY5 - Is there suitable means in place for shutting down machinery in an emergency?

  • TankBargeMCY6 - Are all bilges fitted with functioning high-level alarms?

  • TankBargeMCY7 - Are regular tests carried out on machinery emergency shutdowns?

  • TankBargeMCY8 - Is the machinery space adequately lit?

  • TankBarge9 - Is there an operational emergency lighting system in place?

  • TankBargeMCY10 - Is the ballast system fully operational?

  • TankBargeMCY11 - Are all valves clearly identified?

  • TankBargeMCY12 - Are all pipelines marked according to the International pipe color code system?

  • TankBargeMCY13 Are battery spaces free from sources of ignition and provided with sufficient ventilation?

  • TankBargeMCY14 - Is the switchboard fully operational and regularly tested?

  • TankBargeMCY15 - Are machinery space gratings in place, secured and in a clean condition?

  • TankBargeMCY16 - Are reefer power sockets in satisfactory condition?

  • Any Additional Comments (If required)

Ballast Tanks & Void Spaces

  • TankBargeBTVS1 - Ballast tanks and void spaces

  • TankBargeBTVS2 - Are manhole covers in apparent satisfactory condition?

  • TankBargeBTVS3 - Is the means of access in an apparently satisfactory condition?

  • TankBargeBTVS4 - Are the internal bulkheads, frames, stringers, brackets and stiffeners apparently free from structural damage?

  • TankBargeBTVS5 - Is the internal structure apparently free from significant wastage, pitting and scale?

  • TankBargeBTVS6 - Is the internal coating in apparently satisfactory condition?

  • TankBargeBTVS7 - Are anodes fitted and in apparent satisfactory condition?

  • TankBargeBTVS8 - Are the inspected tanks / void spaces free from any sign of oil contamination?

  • TankBargeBTVS9 - Is pipework passing through tanks / void spaces in apparent satisfactory condition?

  • Any Additional Comments (If required)

Cargo Tanks & Systems

  • TankBargeCT1 - Are cargo tanks suitable for the carriage of nominated cargoes? Is tank coating in apparent satisfactory condition?

  • TankBargeCT2 - Is the structure in cargo tanks apparently free from significant corrosion, pitting, scaling, buckling, dents, fractures, wastage, doublers, temporary repairs etc.?

  • TankBargeCT3 - Is the plating under suction bell mouths in apparent satisfactory condition?

  • TankBargeCT4 - Are cargo pumps and stripping arrangements fully operational including associated monitoring, alarms instrumentation and controls?

  • TankBargeCT5 - Are cargo pump emergency stops properly located and regularly tested?

  • TankBargeCT6 - Is the condition of pipework within or passing through in apparent satisfactory condition?

  • TankBargeCT7 - Are deck cargo piping, manifolds and relevant deck equipment suitably marked and in apparent satisfactory condition?

  • TankBargeCT8 - Are reducers, removable U-bends and cargo hoses in apparent satisfactory condition?

  • TankBargeCT9 - Are spill trays and save-alls in apparent satisfactory condition and free from cargo?

  • TankBargeCT10 - Are all electrical appliances suitable for use in hazardous areas?

  • TankBargeCT11 - Are pumps and shaft bearings in apparent satisfactory condition and free from leaks?

  • TankBargeCT12 - Is pump control area clean, tidy and free from cargo?

  • TankBargeCT13 - Is pump control area suitably ventilated?

  • TankBargeCT14 - Is the cargo heating system operational and well maintained?

  • TankBargeCT15 - Are manifolds fitted with drain lines and purge points with valve and cap?

  • TankBargeCT16 - Has a SIRE and / or CDI vetting inspection been carried out recently?

  • TankBargeCT17 - Are P.V. valves and / or vapor return lines fitted, operational and in apparent satisfactory condition?

  • TankBargeCT18 - If fitted, is inert system fully operational and in apparent satisfactory condition with records maintained?

  • TankBargeCT19 - Have all pipelines, cargo hoses, reducers and couplings been pressure tested recently and marked with date?

  • Any Additional Comments (If required)

Tank Cleaning

  • TankBargeTC1 - Is the tank cleaning system in apparent satisfactory condition and fully operational?

  • TankBargeTC2 - Are suitable procedures and plans provided and followed for tank cleaning?

Closing Appliances

  • TankBargeCA1 - Are closing devices, associated gaskets and securing arrangements on the freeboard deck in apparent satisfactory condition?

  • TankBargeCA2 - Are vapor locks fitted, calibrated and operational?

  • TankBargeCA3 - Are air locks, if applicable, operational and in apparent satisfactory condition?

  • Any Additional Comments (If required)

Cargo Control

  • TankBargeCC1 - Are cargo monitoring indicators, controls and panels in apparent satisfactory condition?

  • TankBargeCC2 - Are records kept of cargo operations?

  • TankBargeCC3 - Is the tank gauging system operational?

  • TankBargeCC4 - Are safety guidelines regarding static hazards in place and strictly adhered to?

  • TankBargeCC5 - Is oil discharge monitoring equipment fitted and apparently operational?

  • TankBargeCC6 - Are suitable arrangements in place for cargo sampling?

  • TankBargeCC7 - Is suitable cargo information available?

  • TankBargeCC8 - Are plans / procedures in place for loading and discharging of cargo?

  • TankBargeCC9 - Are there procedures in place for barge / shore information exchange including emergency shutdown procedures?

  • Any Additional Comments (If required)

Safety Tests

  • TankBargeST1 - Relevant cargo high level alarms

  • TankBargeST2 - Remote cargo pump stops and shutdowns

  • TankBargeST3 - Decontamination showers and eye baths on deck (operational under all ambient weather conditions?)

  • Any Additional Comments (If required)

Executive Summary

  • Following the completion of the survey, and based on the surveyor's overall impression of the vessel, the surveyor is requested to rate the following areas (1=excellent 2=good 3=fair 4=poor 5=very poor)

  • Shipboard management:

  • Why have you scored this a 5?

  • Safety:

  • Why have you scored this a 5?

  • Fire safety:

  • Why have you scored this a 5?

  • Life saving appliances:

  • Why have you scored this a 5?

  • Pollution and environmental awareness:

  • Why have you scored this a 5?

  • Navigation:

  • Why have you scored this a 5?

  • Apparent structural condition:

  • Why have you scored this a 5?

  • Machinery:

  • Why have you scored this a 5?

  • Cargo worthiness:

  • Why have you scored this a 5?

  • Maintenance and housekeeping:

  • Why have you scored this a 5?

Media

  • Please upload any PDF documents

Signatures

  • Master's Signature (For receipt only)

  • Surveyor's Signature

  • Final Question - Confirm that this report is complete and that you have conducted a peer review within your own survey company (once you click 'Yes' and then press complete below, this will notify NorthStandard P&I that this survey is complete and automatically send them a notification that the survey report is ready to view). NOW PRESS COMPLETE

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