Port Services: Wharf Inspection Checksheet for General Cargo Berths

• Conducted on

  Date

• Inspection Carried Out By

• Vessel Name:

• Vessel Arrival:

  Date

• Vessel Departure:

  Date

• Wharf

  Select No 1 No 2 No 3 No 7 BW CQ 1 Z Berth

  • No 1
  • No 2
  • No 3
  • No 7
  • BW
  • CQ 1
  • Z Berth

• Berth:

  East

  West

• Product that was transferred?

  Select Fish Fertilizer Steel Logs Bananas Live Coal Scrap Cars PKE Grain

  • Fish
  • Fertilizer
  • Steel
  • Logs
  • Bananas
  • Live
  • Coal
  • Scrap
  • Cars
  • PKE
  • Grain

• Hopper number(s)

  Select 1 2 3 4

  • 1
  • 2
  • 3
  • 4

• Bow

• Stern

• Stevedore

  Select C3 LSS Independent Fisheries

  • C3
  • LSS
  • Independent Fisheries

• Agent:

  Select Andrew Sherburd Ben Keys Craig Randall Grant Gilbert NZ Ship Peter Shanklands Sergei Shelest Alan McVicar Stark Brothers

  • Andrew Sherburd
  • Ben Keys
  • Craig Randall
  • Grant Gilbert
  • NZ Ship
  • Peter Shanklands
  • Sergei Shelest
  • Alan McVicar
  • Stark Brothers

GENERAL CHECK

• Is the wharf clear of loose materials?

  No

  Yes

• Are the walkways clear and safe?

  No

  Yes

• Comments:

• Are the parking of vehicles on the berth complied with?

  No

  Yes

• Comments:

• Has the Hi Viz bin been picked up?

  No

  Yes

• Comments:

• Is permanent signage in place?

  No

  Yes

• Comments:

• Are the Safety Markings visible?

  No

  Yes

• Comments:

• Are the Bollards free from damage?

  No

  Yes

• Comments:

• Is the wharf clear from any other hazards?

  No

  Yes

• Comments:

ENVIRONMENTAL INSPECTION

• Has the walkover with the Stevedore been completed?

  Yes

  No

  N/A

• Are hoppers swept and free of any visible lumps of product?

  Yes

  No

  N/A

• Has the wharf been swept, including all product around bollards and bottom of hoppers?

  Yes

  No

  N/A

• Has all bulk cargo been removed from slot drains?

  Yes

  No

  N/A

• Is the tip off area clean and tidy (no evidence of overspill outside of the tip off area)?

  Yes

  No

  N/A

• Is there evidence of any refuelling or maintenance spills/leaks (oil staining, etc.)? If so, has it been cleaned up properly?

  Yes

  No

  N/A

• Is load out equipment such as diggers/grabs removed from wharf?

  Yes

  No

  N/A

• Is all waste material associated with the load out removed from the wharf?

  Yes

  No

  N/A

• Any further actions required?

• This report emailed to the following:

  Select Andy H Kore U Rob P Tony K Tony S Brigid C Jack J Lyndon Mark Greame Crystal L

  • Andy H
  • Kore U
  • Rob P
  • Tony K
  • Tony S
  • Brigid C
  • Jack J
  • Lyndon
  • Mark
  • Greame
  • Crystal L

• Inspection carried out by:

• Signature of Person undertaking inspection

  Sign