WORLD CARRIER CORPORATION S.A.

Technical Superintendent Vessel attendance repor

VESSEL: IMO NO.:

ATTENDED FROM TO

PORT OF ATTENDANCE

NAME OF ATTENDING
SIGNATURE
SUPERINTENDENT
Report Number: DATE OF REPORT ISSUE

Reason for Visit Vessel Operation

INTERNAL CIRCULATION
Attending Superintendents should personally check and witness the operation and condition
here below. The attending superintendent must report to the office every two days through em
carried out findings and any other information which is vital relevant to his inspection. This repo
and submitted to the Fleet one working week after the attending Superintendent returns

The internal circulation of this report must be complete up to the DPA within seven d
of issuance of the report.

Name Instructions Date Sig

Review and identify all pending items

Tech. Super/nt
and add to Defect/Outstanding list.

Technical Review and identify all pending items

Manager and add to Defect/Outstanding list.

Operations Review and identify all pending items

Manager and add to Defect/Outstanding list.

Review and identify all pending items

Marine Manager
and add to Defect/Outstanding list.

Review and identify all pending items

Marine Super/nt.
and add to Defect/Outstanding list.
Review and identify any remarks in
crew
Crew Manager
evaluation that require action and act
accordingly.
HSQE Manager / Verify compliance to company system
DPA requirements

TEC-04_0 (Technical Superintendent Inspection Report) Page 1 of 77

 Verify compliance to company system
General Manager
requirements

TEC-04_0 (Technical Superintendent Inspection Report) Page 2 of 77

 TEC -04

ent Vessel attendance report

IMO NO.:

L CIRCULATION
and witness the operation and condition of the items listed
t to the office every two days through email or fax of the work
s vital relevant to his inspection. This report shall be prepared
fter the attending Superintendent returns to the office.

omplete up to the DPA within seven days from the date

ce of the report.

Signature

TEC-04_0 (Technical Superintendent Inspection Report) Page 3 of 77

TEC-04_0 (Technical Superintendent Inspection Report) Page 4 of 77
 WORLD CARRIER CORPORATION S.A.

Technical Superintendent Vessel attendance repor

INSTRUCTIONS TO USERS
As per Companys Company Procedures Manual, Superintendents shall attend the vessel with the
and confirm that the vessel is well maintained and complies with Companys policy, National/Internation
Society rules and regulations. The present Attendance Report, forms part of the company ISM requireme
submitted to the Technical/Marine/Operations/Crew/HSQE Managers and General Manager within a week
Superintendents return to office.
Every entry that identifies a problem that requires follow-up actions must be annotated with
by the attending superintendent in cooperation with the Departments.

The Attendance Report is to be reviewed by the Managers who will ensure that appropriate corrective
to deal with outstanding matters. Any outstanding matters have to be dealt either on the spot if they ca
ships own means. A deadline has to be set and followed up accordingly by the Marine and Technical dep
outstanding items that require external assistance or supply will be recorded in the office Defect / Outst
deadline is to be set and followed up accordingly by the marine and technical departments.

Any non conformity identified will be recorded on applicable form CMS/004 and will be submitted to the
record them and deal with them as per Company procedures.
If any items are not available for inspection or not applicable to the specific vessel, then an entry in the
should be made stating Not Seen, Not Applicable respectively.
The Attendance Report is distributed as per distribution list and corrective actions are taken by them
duties and responsibilities. Finally the Attendance Report is then filed under the responsible Departmen

The ballast tanks of the vessels are to be inspected for vessels older than 10 years on a six months basi
less than 10 years of age on an annual basis. Cargo tanks shall be inspected during every scheduled dry
one indicative tank per year at the instruction of the office. Should the tanks not be available for inspect
same should be stated in this report In addition if the vessel operations during the visit do not allow the
operation of machinery or procedures same should be stated in the appropriate Remarks section.

CHECK LIST PRIOR TO DEPARTURE

The Superintendent is responsible to collect / copy following elements before departing from LEONs premises:
A. Collect the last ATTENDANCE REPORT FOR SUPERINTENDENTS VISIT " for the specific vessel. St
ORDER LIST recorded by the last Superintendent and copy the outstanding items in the box KEY OBSERVATIO
FROM PREVIOUS SMS AUDIT / SPECIAL ITEMS THIS AUDIT
B. Collect an updated printout of all open DEFECTS & NCRs for the specific vessel. Study the printout and dis
Department Managers the progress in relation with all the DEFECTS & NCRs. Make the appropriate notes in the bo
OUTSTANDING FROM PREVIOUS SMS AUDIT / VISIT SPECIAL ITEMS FOR THIS AUDIT
C. Collect from the DPA all current changes in ISM DOCUMENTATION as well as the updated document
pages, posters, dossiers, etc. to carry with you onboard. Make the appropriate notes in the box KEY OBSERVATION
PREVIOUS SMS AUDIT / VISIT - SPECIAL ITEMS FOR THIS AUDIT
D. Get informed from the OFFICE before departing, on any updates in International, Port State Control, Coa
etc.

E. Draft an Agenda and mention all items, to be discussed in detail in the SHIPBOARD SAFETY COMMITTEE M
F. Get informed from the ELECTRONIC PMS before departing of the current vessels status on any overdue job
well as the updated analysis as per companys KPIs and TMSA requirements (make sure to carry these copies onbo
discussion to be carried on board with the presence of Master and Chief Engineer and any comment to be recorded
Superintendent Safety Committee form.
G. Copy of overdue Job Status

H. Collect all booklets, printouts, documents, etc. as per A, B, C and D along with a blank ATTENDANCE REPOR
SUPERINTENDENTS VISIT and make sure to carry these onboard
I. DEPARTMENTAL MEETING & SUPERINTENDENT HAND OVER AGENDA discussed and completed
KEY OBSERVATIONS OUTSTANDING FROM PREVIOUS SMS AUDIT / VIST - SPECIAL ITEMS FOR THIS AUD
ATTACHMENTS TO THIS REPORT Y N NA NS C
1. Subcontractors Work/Evaluation Report(s) (to be attached if
applicable)
2. Repair Team Report (to be attached if applicable)
Page 2
3. Bunkers Survey (to be attached updated)
4. Recreation Means
5. Crew List
6. Crew Appraisal Reports
7. CMS Forms Attached
8. Other (SPECIFY)

Page 3
 TEC -04

ent Vessel attendance report

TIONS TO USERS
erintendents shall attend the vessel with the purpose to inspect
s with Companys policy, National/International and Classification
ort, forms part of the company ISM requirements and has to be
Managers and General Manager within a week after

ollow-up actions must be annotated with the action taken

h the Departments.

rs who will ensure that appropriate corrective actions are followed

have to be dealt either on the spot if they can be dealt with by the
accordingly by the Marine and Technical departments. Any
y will be recorded in the office Defect / Outstanding List and a
arine and technical departments.

e form CMS/004 and will be submitted to the DPA in order to

es.
le to the specific vessel, then an entry in the remarks section
ectively.
ist and corrective actions are taken by them for items under their
s then filed under the responsible Department for ready reference.

sels older than 10 years on a six months basis and for vessels of
shall be inspected during every scheduled dry dock and at least
Should the tanks not be available for inspection during your visit,
el operations during the visit do not allow the verification of proper
ed in the appropriate Remarks section.

RIOR TO DEPARTURE
ments before departing from LEONs premises:
TENDENTS VISIT " for the specific vessel. Study thoroughly the JOB
e outstanding items in the box KEY OBSERVATIONS OUTSTANDING
T
for the specific vessel. Study the printout and discuss with all
CTS & NCRs. Make the appropriate notes in the box KEY OBSERVATIONS
EMS FOR THIS AUDIT
MENTATION as well as the updated documents, checklists, amended
e appropriate notes in the box KEY OBSERVATIONS OUTSTANDING FROM

updates in International, Port State Control, Coast Guard Regulations,

tail in the SHIPBOARD SAFETY COMMITTEE MEETING

g of the current vessels status on any overdue job, critical equipment as
quirements (make sure to carry these copies onboard). Relevant
d Chief Engineer and any comment to be recorded in the Companys

and D along with a blank ATTENDANCE REPORT FOR

onboard
ND OVER AGENDA discussed and completed
AUDIT / VIST - SPECIAL ITEMS FOR THIS AUDIT
COMMENT

Page 4
Page 5
C
O
RP
Technical Superintendent Vessel attendance report
O REPORTS - SECTIONS
RA1 CERTIFICATES / INSPECTION
2 DOCUMENTS/PLANS
TI
3 SAFETY DOCUM AND CREW FAMILIARIZATION
O4 LOGBOOK ENTRIES
N5 CREW SAFETY AND HEALTH
S. 6 NAVIGATION
A. 7 STRUCTURAL INTEGRITY
8 CARGO AND BALLAST SYSTEMS
9 MACHINERY
10 INERT GAS SYSTEM
11 FIRE FIGHTING
12 HYD PIPES/VALVES ON DECK
13 LIFE SAVING
14 SAFETY EQUIPMENT
15 POLLUTION PREVENTION
16 RADIO EQUIPMENT- COMMUNICATIONS & COMPUTER EQUIPMENT
17 HEAVY SPARE PARTS
18 LIST OF TOOLS & INSTRUMENTS
19 CONDITION OF PORTABLE EQUIPMENT
20 CRITICAL EQUIPMENT
21 HULL PAINT CONDITION
22 CREW EVALUATION REPORT
23 VESSEL PERFORMANCE RATING
24 VESSELS PHOTOS
25 JOB LIST
SECTION - 1 CERTIFICATES - INSPECTION
Description Y N NA NS Due date Remarks
Vessels certificates file in order.
Flag State Inspection.
Port state control inspection.
Latest Survey Status on board.
Safety Radio Survey
Last Dry Dock date.
Annual survey.
Special survey.
Bottom survey.
Tail-shaft survey.
SECTION - 2 DOCUMENTS/PLANS
Item Y N NA NS Comm
Ships library index in order.
Stability booklet, associated stability plans and information.
Loading Manual/Electronic loading instrument operation manual.
Maneuvering information.
Engine, Deck & Critical Spare parts inventory in order
Engine & Deck Stores inventory in order
GMDSS log book.
Operating manuals for radio equipment.
Captains standing orders posted and followed up.
Ch. Eng. Standing orders posted and followed up.
MSDS available and properly posted.
Inert gas system instruction manual.
COW operations and equipment manual.
Ballast water management plan.
Operations manual for ODME.
Boat Drill.
Environmental Drill.
Engine Oil Record Book in order.

Page 3
Garbage Record Book.
S.M.P.E.P (list of national contacts updated.).
Procedures & arrangements manual.
Operating instructions for steering gear posted: navigating bridge and
steering gear compartment.

Fire plans: permanently exhibited, language understood by crew,

permanently stored in watertight container outside deck house.
Muster list: crew members duties shown, posted in conspicuous places,
language understood by crew.
Is and up to date VPQ available onboard?

Page 4
 TEC -04B
dent Vessel attendance report
ECTIONS Y N NA NS

QUIPMENT

RTIFICATES - INSPECTION
Remarks

DOCUMENTS/PLANS
Comments

Page 5
Q available onboard?

Page 6
 TECHNICAL FORM
Superintendents visit attendance report
Procedure: LP 07 Authorization QSE Ship File: C/E 07
SECTION - C SAFETY DOCUMENTATION AND CREW FAMILIARIZATION
Item Y N NA NS Comm
Fire drill: Crew familiar with information given in Muster List.
Determine if the appropriate crew members are:
a)Well understood the information in manuals, instructions, etc. relevant to the safe
condition of the ship and its equipment.
b)Aware of the requirements for maintenance, periodical testing, training,drills and
recording of logbook entries.
Determine if deck officers are familiar with:
a)Operation of bridge control and navigational equipment.
b)Use of nautical publications and charts.
c)Vessel maneuvering characteristics.
d)Lifesaving signals.
e)bridge procedures, instructions, manuals, etc.
f) Changing steering from automatic to manual and vice versa.
g)Preparation for arrival and departure.
h)Communications with engine room.
i) Use of VHF.
Determine if crew is familiar with:
a)Different methods of starting the emergency generator.
b)Auto/manual starting of emergency generator, blackout procedures, load sharing
system etc.
c)Starting the main and emergency bilge pumps, opening the valves,
remedies to failures.
d)Bringing emergency steering gear into operation.
SECTION - D LOGBOOK ENTRIES
Item Y N NA NS Comm
Steering gear test (12 hours before departure).
Emergency steering drills
Abandon ship (each lifeboat/rescue boat launched every 6 months).
Fire drills (every 1 month).
On-board training in use of lifesaving equipment.
Visual inspection of survival craft/rescue boat and launching appliances
(every week).
Operation of lifeboat engines (every week).
General alarm tested (every week).
Lifesaving appliances, including lifeboat equipment examined with checklist (every month).
Engine & Deck oil record book in order & entries updated.
SECTION - E CREW SAFETY AND HEALTH
Item Y N NA NS Comm
Rails, guards, protective clothing and equipment, warning signs posted.
Habitable conditions of crew accommodations.
Adequate lighting and ventilation of crew accommodations.
Crew bathrooms, water closets and sinks operating properly.
Electric outlets and fixtures in crew cabins satisfactory.
Crew accommodations clean and tidy.
Hospital space in good condition clean and tidy.
Fridge, storerooms in good condition, temperature well maintained.
SECTION - F NAVIGATION
Item Y N NA NS Comm
Daylight signaling lamp with emergency and batteries are operational.
Magnetic compasses: liquid level satisfactory, deviation table provided.
Gyrocompass repeaters readings accurate.
Emergency steering information properly posted.
Radars and ARPA operational.
Echo-sounding device operational.
Speed log operational.
Rudder angle indicators accurate.
Propellers revolution indicator operational.
GPS operational.
Automatic identification system operational.

Page 4
Check pilot ladders and hoists/pilot transfer arrangements, lighting heaving line and
life buoy with self-igniting light.
Test navigation lights: main and emergency sources, alarms, glasses,mounting.
Test ship whistle.
Weather facsimile operational.
VHF operational.
SECTION - G STRUCTURAL INTEGRITY
Item Y N NA NS Comm
General exam of hull: fractures, wastage, pitting or damage to the extent that may
impair ships seaworthiness.
Bow thruster room in order.
No leakage in tanks.
General examination of side shell from the pier: corrosion, wastage,
fractures, leakage.
Positions of deck line and load line, properly marked and painted.
Superstructure end bulkheads and openings, deck inside mast houses
and forecastle in order.
Cargo hatches and coamings tightness in order.
Check ventilators and air pipes, coamings and closing appliances.

Page 5
FORM Code:
Revision
:
dance report Date:
C/E 07
ATION AND CREW FAMILIARIZATION VIQ No.
Comments
5.14

4.5

4.4
5.2

11.42/11.50

4.28

11.43

OGBOOK ENTRIES VIQ No.

Comments
11.48

5.14
5.14
5.12
5.14
5.14

5.37
6.1

SAFETY AND HEALTH VIQ No.

Comments
5.3
12.17
12.21
12.17
12.21
12.17
12.19
12.22

NAVIGATION VIQ No.

Comments
4.10.10
4.10.5
4.10.13
4.14
4.10.16
4.10.17
4.10.18
4.10.52
4.10.22
4.28
4.10.11

Page 6
 5.7

4.10.25

4.10.12

UCTURAL INTEGRITY VIQ No.

Comments
7.2

7.6
7.7

7.7

Page 7
 TECHNICAL FORM
Superintendents visit attendance report
Procedure: LP 07 Authorization QSE Ship File: C/E 07
SECTION - G STRUCTURAL INTEGRITY
Item Y N NA NS Comm
Check watertight integrity of openings below the freeboard deck.
Scuppers in order.
Guard-rails, gangways, walkways, means of gaining access to and from crews
quarters and
Anchoring andworking
mooringspaces in order.
equipment: foundations, covers for moving parts,
brakes, wiring or hydraulic piping in order and operational.
Weather tight doors in order.
Loading program operational.
SECTION - H CARGO AND BALLAST SYSTEMS
Item Y N NA NS Comm
P/V valves operational no leakages.
Good condition of flame screens for oil tanks.
Check venting, pumping, gas-freeing system.
Check cargo, ballast, stripping systems on deck.
Test shutdown and remote control devices.
CCR Framo control system operational
CCR Ullage and level remote system operational
CCR indications remote controls and alarms operational.
CCR pressure gauges and level indicators.
Piping condition on deck satisfactory.
Valve condition on deck satisfactory.
Cargo Pump condition operational no leaks from oil or cargo seals.
Purging routine satisfactory
Ballast Pumps header tank level in order (transparent glycol in use)
Ballast Pumps Eductor performance satisfactory.
Ballast Tks and Upper Stool fixed gas detection system operational
SECTION - I MACHINERY
Item Y N NA NS Comm
Engine Room appearance good.
General exam of machinery and compartments for good maintenance.
Bilge condition, clean oil free.
Engine control room / Automation/Alarms etc operational.
Engine room telegraph, secondary means of communication,
operational.
Remote control of machinery operational.
Tail shaft without leakages. Stern tube oil satisfactory.
Ventilation for machinery spaces satisfactory.
Safe operation of Engine room, provision and hose cranes.
ECR alarms and indications, operational.
All ER safety devices operational.
Chemicals, Spares and Store rooms in order.
Engineers alarm clearly audible in accommodation.
I1 MAIN ENGINE Y N NA NS Comm
Main Engine condition and recently performance records satisfactory.
M/E auxiliary blowers, no abnormal vibration, noise or air seals leakage.
M/E pumps operational, no abnormal vibration or noise.
Exhaust gas manifolds condition/ no leakage.
M/E Condensers and Heat exchangers, good performance, no leakages.
I2- DIESEL GENERATORS Y N NA NS Comm
Operation condition, performance satisfactory.
Cleanliness, etc. satisfactory.
No oil, fuel or exhaust gas leakage.
Condensers and Heat exchangers, good performance, no leakages.
Instruments / Gauges
I3- BOILERS Y N NA NS Comm
Aux. Boiler operating condition good. Free of water, fuel or oil leakages.
Main steam valves, feed water and fuel valve isolation satisfactory.
Aux Boiler water treatment. Water test satisfactory.
Boiler safety valves lifting gear/wire in order.

Page 5
Exhaust gas boiler condition good.
Composite Boiler operational
Pressure Calibrators on board
Thermometer with Certificate
Cascade tank & water (Boiler filter tk)
I4- AUXILIARY MACHINERY Y N NA NS Comm
Sewage plant operational
Bilge separator operational.
Purifiers operational, no leakages, bilge oil free, etc.
Purifier Auto Mode Checking
F.W.Generator
M.G.P.S
M/E & G/E F.O. Auto Back Wash Filter
M/E L.O. Auto Back Wash Filter
M/E & G/E F.O. Viscometers
E/R Flowmeters
Refrigerator compressors/rooms good performance no Freon leakage.

Page 6
FORM Code:
Revision
:
dance report Date:
C/E 07
UCTURAL INTEGRITY VIQ No.
Comments

9.18
12.7
8.5

AND BALLAST SYSTEMS VIQ No.

Comments
8.35
8.61
8.32
8.21
8.22

8.43
8.44
8.53
8.21
8.23
8.2

8.2
8.2

MACHINERY VIQ No.

Comments

6.32

Comments

Comments 11.23

Comments 11.41

Page 7
Comments

11.25

11.41

Page 8
 TECHNICAL FORM
Superintendents visit attendance report
Procedure: LP 07 Authorization QSE Ship File: C/E 07
SECTION - I MACHINERY
I4- AUXILIARY MACHINERY Y N NA NS Comm
Air condition plant good performance no Freon leakage.
ECR air condition, performance satisfactory.
Main Air Compressors condition, operation, cleanliness.
Evaporator, state actual daily production
Air dryers performance satisfactory.
Service / control air compressor performance satisfactory.
Incinerator operational /function test with burning sludge, satisfactory
I5 FRAMO POWER PACK IN ER Y N NA NS Comm
Motors and hyd pumps operational no abnormal noise or vibration.
Hyd power units oil analysis results in order.
Hyd pumps no oil leakage or excessive oil consumption.
Engine driven Power Pack operational and maintained
Crew familiar with usage of Hyd power pack.
I6 PIPES / VALVES Y N NA NS Comm
Main valves isolating good.
Pipes / valves in Engine room in order, operational.
I7 ELECTRICAL Y N NA NS Comm
Starters in order, operational.
Lights gas tightness, grounded.
Emergency source and lighting, starting system, automatic operation.
Electrical wiring, gas proof lights satisfactory condition.
Main switchboard operational, all indications in order.
Lights in Engine room and in/out accommodation in order.
ECR 440v and 220v Bus indicators operational.
I8 PUMPS / HEAT EXCHANGERS / COOLERS Y N NA NS Comm
SW pumps performance good. No leaks noise or vibration.
Bilge pump tested satisfactory.
Main SW pumps operational no leaks
L.O. and F.O. pumps operational no leaks
Fire pumps operational, good performance no leaks.
Various Pumps in Engine Room operational, no leakages.
Low Sulphur Pumps operational and used when necessary
All pumps operating condition good. No abnormal noise or vibration.
I9 - STEERING GEAR Y N NA NS Comm
Heading information/compass readings in steering gear room.
Main and aux. Steering gear, control systems operational.
Communication between bridge & steering gear satisfactory.
No leakage, bilge/floors free of oil in steering gear room.
Citadel and communication equipment in order, ready for use
Check correspondence of bridge and local rudder angle indicators.
I10 PREVENTIVE MAINTENANCE SYSTEM Y N NA NS Comm
PMS status overviewed and CMS forms files updated
Machinery maintenance records and calibrations checked.
Recently Maintained machineries visual inspected and running tested.
Actual Condition checked/verified against reported PMS records
Last Superintendent Job Lists Done items inspected and verified.
I11 MISCELLANEOUS Y N NA NS Comm
Main air bottles are drained and in good condition.
ECR indications operational and accurate.
D/G & M/E Performance instrument operational.
Temperature calibrator operational and calibrated.
Pressure & vacuum calibrators operational and calibrated.
Oxy/acetylene bottles properly stored.
M/E minimum required spare parts in order.
D/G minimum required spare parts in order.
Email /CCR/ER and officers computers operational.
Crew and Officers smoking rooms in order , TV and Video operational

Page 6
Email /CCR/ER and officers computers operational.
Temp-press auto control valves
Earthing Device
SECTION - J INERT GAS SYSTEM
Item Y N NA NS Comm
Check internal condition of IGG Cone: corrosion, leakage, seizure.
IGS Blowers operational no abnormal noise or vibration.
IGG generator operational. All alarms operational.
Scrubber in order level alarm operational..
Deck water seal. Level alarm & automatic filling & draining operational.
All remotely operated or automatically controlled valves operational.
Interlocking of shoot blowers operational.
All safety devices operational.
IG O2 Analyzer operational calibrated and accurate.
Portable and fixed oxygen Analyzer, Tested and calibrated.
Inert gas plant automation operational.

Page 7
FORM Code:
Revision
:
dance report Date:
C/E 07
MACHINERY VIQ No.
Comments
11.41

Comments

Comments

Comments

Comments

Comments

11.53

Comments

Comments

Page 8
ERT GAS SYSTEM VIQ No.
Comments
8.32

8.47

5.27
8.42

Page 9
 TECHNICAL FORM
Superintendents visit attendance report
Procedure: LP 07 Authorization QSE Ship File: C/E 07
SECTION - K FIRE FIGHTING
K1 FIXED FIRE FIGHTING SYSTEMS FITTED ON BOARD
Sprink
CO2 Foam 6% Foam 3% Powder Drenc
Accommodation
Boiler Room
Oil fuel units room
Cargo Tanks
Engine Room
Cargo Pumps Rooms
Cargo Deck
Paint and Flammable liquid lockers
K2-FIRE FIGHTING (MISCELLANEOUS) Y N NA NS Comm
Emergency escape free of obstructions.
Fire detection and alarm system operational.
Test means of closing for main inlets and outlets of ventilation.
Closure of funnel and ventilation openings.
Automatic and manual fire doors operational.
Opening and closing of skylights operational.
Emergency stop of ventilation/fuel pumps.
Quick closing valves operational.
Fire extinguishers, available and ready for use.
Firemans outfit complete and in good condition, locker properly marked.
Air cylinders, including spares, suitably charged.
All breathing apparatus and EEBD in order and ready for use.
Arrangements of electrical equipment and wiring, boundary insulation.
Galleys exhaust ducts and filters in order.
K3 - FIRE MAIN SYSTEM Y N NA NS Comm
Main fire pumps operational.
Fire main line no leakage under pressure.
Hydrants, hoses, nozzles in order.
International shore connection in place.
Emergency fire pump: operational, operating instructions posted.
K4 CO2 SYSTEM Y N NA NS Comm
General examination: wastage, seizure of movable parts, piping and
valves satisfactory.
Cylinder room ventilated and boundaries gas tight sufficient lighting.
Automatic alarm working, delay device fitted, means of operation clearly
marked, release system efficient, instruction panel posted.
Cylinders not corroded.
K5 FOAM SYSTEM Y N NA NS Comm
General examination: wastage, seizure of movable parts, piping and
valves satisfactory.
Foam pump in order.
K6 SPRINKLER
Each SYSTEM gives a visual and audible alarms signal
section of sprinklers Y N NA NS Comm
automatically at one indicating unit on the navigating bridge whenever any
sprinkler
A plan of comes into operation.
the system and areas covered to be provided near the unit.
Pressure tank, air system, and fresh water system, in good condition.
Pump alarms and detection powered by two supplies.
SECTION - L FRAMO PUMPS AND HYD PIPES/VALVES ON DECK
Item Y N NA NS Comm
Ballast pumps header tank in order. No water or oil leakage.
Cargo pumps top plates visual inspected and found in order
Visual inspection of deck piping and valves incl. quick coupling stations
Bow Thruster visual inspection free from oil leakages.
Portable pump and flexible hoses condition operational /in order
No oil leaks on deck from hydraulic valves all isolating satisfactorily.
SECTION - M LIFE SAVING
M1 LIFE BOATS Y N NA NS Comm
General condition: port & stbd
Rudder, gudgeons, pins, tiller and associated fittings in good condition.
Lifting hooks and hull connection: no rot or wastage.
Bilge pump working, hoses not damaged, clean bilge.

Page 10 of 77
Lifeboats properly marked.
Check lifeboats skates.
Equipment complete and in good order.
On-load release gear system in order & maintained.
Embarkation arrangements: ladder and hand grabs satisfactory, lighting system
Launching
working with appliances: no structural
main/emergency wear, sheaves free to rotate, falls in
sources.
good condition and greased, efficient brakes, moving parts lubricated, browsing
Operating instructions for launching posted and vital parts identified using
tackles efficient.
IMO blue symbols.
Each lifeboat lowered to the embarkation position. Last date.
Lifeboat lowered to the water. Last date.
Limit switches operational.
Rescue boat lowered to the water. Last date.
Test of the engines and propellers ahead and astern: exhaust pipe, fuel
tank and engine cover satisfactory.
Lifeboats electric system in order.
Retro-reflective material in good condition.
Falls end for ended within 30 months and renewed within 5 years.

Page 11 of 77
FORM Code:
Revision
:
dance report Date:
C/E 07
FIRE FIGHTING VIQ No.

Sprinkler Water
Drench Spray

Comments
11.17
5.52

5.64

5.64
5.65
5.61
5.62
5.62
5.63

Comments
5.55
5.55

5.57
5.6
Comments

Comments

Comments

ND HYD PIPES/VALVES ON DECK VIQ No.

Comments
8.2

8.21

LIFE SAVING VIQ No.

Comments 5.37

Page 12 of 77
Page 13 of 77
 TECHNICAL FORM
Superintendents visit attendance report
Procedure: LP 07 Authorization QSE Ship File: C/E 07
SECTION - M LIFE SAVING
M2 LIFE-RAFTS Y N NA NS Comm
General exam: condition of containers, proper fitting onto the cradle.
Hydrostatic release units and float-free arrangement, weak link.
Life rafts containers properly marked.
Embarkation arrangements.
Operating instructions for launching posted and vital parts identified using
IMO blue symbols.
Fwd life raft available for immediate use.
M3 LIFEBUOYS Y N NA NS Comm
General examination and stowage.
Self-igniting lights operational.
Self-activating smoke signals valid.
Buoyant lines.
Man-overboard fitted with quick release device.
Retro-reflective material.
Lifebuoys properly marked.
M4 LIFEJACKETS Y N NA NS Comm
General examination and stowage.
Whistles in order.
Check the lights and batteries expiry date.
Retro-reflective material.
M5 IMMERSION SUITS AND THERMAL PROTECTIVE AIDS Y N NA NS Comm
General examination.
Retro-reflective material.
M6 - CHEMICAL PROTECTION AIDS Y N NA NS Comm
Poison Resistant suits
Chemical Resistant suits
Check deck Shower condition
SECTION - N SAFETY EQUIPMENT (MISCELLANEOUS)
Item Y N NA NS Comm
Distress signals expiring date
Test two-way VHF apparatus: operation on channel 16, battery charging
arrangements,
Radar expiryposition
transponders: date of and
primary batteries.
mounting, battery expiry date, test according to
manual.
Atmosphere monitoring portable equipment operational and calibrated.
Check line throwing appliances.
Test on board communication equipment.
Test general alarm system.
Test main and emergency lighting of muster and embarkation stations.
SECTION - O POLLUTION PREVENTION
Item Y N NA NS Comm
Test oily-water separating equipment and alarm.
Test ODME satisfactory.
Emergency connection of SBT to cargo system: portable spool piece provided & wall
mounted
a) COW and with notice on it.
Butterworth system: piping, pumps, valves, washing machines,
sufficient operational drive
b) Steam heater blanked during units COW
provided. Steam means
operations, heater. of communication between
deck officer and cargo control room.
Check draining of cargo pumps and lines.
SECTION - P RADIO EQUIPMENT COMMUNICATIONS & COMPUTER EQUIP
Item Y N NA NS Co
Vessels Communications and Computers overall condition-Satisfactory
Amos connect (e-mails) operational.
Satellite communications are working properly.
Server & network in good order.
Confirm vessel's network is working properly.
Confirm with Master & C/E that all computers & thin clients working in good order.
Confirm that all officers are familiar with server system.
Printers operational.
BWMAS test & crew are familiar with.
Crew internet operational.
ER Dead MN alarm test

Page 14 of 77
Crew calling operational.
ECDIS system working in good condition
Batteries and UPS in good condition.
SECTION - R LIST OF TOOLS & INSTRUMENTS
No. Tool / Instrument Quantity
Inside Micrometer For M.E. Cylinder Line
Inside Micrometer For G.E. Cylinder Line
Deflection Gauge For M.E.
Deflection Gauge For G.E.
Planimeter
Megger Tester
Clampmeter
Poker Gauge For Tailshaft
Torque Wrench (Please Specify Size)
Portable Co2 Content Meter
Digital Thermometer With Certificate

Page 15 of 77
FORM Code:
Revision
:
dance report Date:
C/E 07
LIFE SAVING VIQ No.
Comments 5.43

Comments 5.45

Comments 5.46

Comments 5.47

Comments 8.86

UIPMENT (MISCELLANEOUS) VIQ No.

Comments

10.12
10.11
5.29
5.48
10.6

LUTION PREVENTION VIQ No.

Comments

6.28

8.5
8.58

OMMUNICATIONS & COMPUTER EQUIPMENT

Comments

Page 16 of 77
OF TOOLS & INSTRUMENTS
Condition

Page 17 of 77
 TECHNICAL FORM
Superintendents visit attendance report
Procedure: LP 07 Authorization QSE Ship File: C/E 07
SECTION - Q HEAVY SPARE PARTS
TO BE REPAIRED BY
Description READY FOR USE WORKSHOP. REMA
M/E Cylinder Liner
M/E Cylinder Head complete
M/E Piston with stuff box, complete
M/E Piston Crown
M/E Exhaust valve, complete
M/E Exhaust valve seats
M/E Exhaust valve spindles
M/E Turbo charger Rotor
M/E Turbo charger Bearings BS/GS
M/E Turbo charger L.O. pumps BS/GS
M/E Turbo charger Seals BS/GS
D/G Cylinder Liners
D/G Cylinder heads complete
D/G Piston only
D/G Connecting rod
D/G Inlet valves
D/G Exhaust valves
D/G Turbocharger Rotor
D/G Turbo charger bearings BS/GS
D/G Turbo charger pumps,seals / set
SECTION - S CONDITION OF PORTABLE EQUIPMENT
GOOD WORKING REQUIRING
Description R.O.B
CONDITION REPAIRS
Submersible pumps air driven.
Submersible pumps electrical driven.
High pressure water jets
Scaling machines air driven
Scaling machines electrical driven
Portable air winch
Paint spray.
Greasing machine air driven.
Breathing apparatus compressor.
Framo portable pump
Portable air fan electrical.
Portable air fan air driven.
Portable air fan water driven.
Portable heating fan for motors.
Chain blocks manual driven.
Vacuum cleaner for ER .
SECTION - T CRITICAL EQUIPMENT TESTING
Tested and/or
a. Navigation & Communication Equipment Results Comm
inspected
Radar / ARPA (X-BAND)
Emergency Batteries for Bridge Equipment
Tested and/or
b. Machinery Equipment Results Comm
inspected
Crankcase Oil Mist Detector
Emergency D/G & Emergency Batteries
Steering Gear
D/G Emergency Shut Down
Boilers Emergency Shut Down
Tested and/or
c. Fire Fighting Equipment Results Comm
inspected
Emergency Fire Pump
Fire Detection & Alarm System
Quick Closing / Pump & Fans
Tested and/or
d. Safety Equipment Results Comm
inspected
Lifeboats including Lifeboats Engine
Emergency Lighting
Ships Whistle
Tested and/or
e. Cargo Equipment Results Comm
inspected
Page 2 of 77
Cargo Tanks High Velocity P/V Valves
PV Breaker
IG System and Related Alarms
Cargo Tanks High High (98%) Level Alarm
e1. Cargo Hoses Length Size Pressure Continuity visual
1
2
3
4
5
Tested and/or
f. Environmentally Critical Equipment Results Comm
inspected
OWS and Monitor
ODME
Sanitary Vacuum System
Waste Oil Incinerator

Page 3 of 77
FORM Code:
Revision
:
dance report Date:
C/E 07
HEAVY SPARE PARTS
REMARKS

ON OF PORTABLE EQUIPMENT
REMARKS

ICAL EQUIPMENT TESTING

Comments

Comments

Comments

Comments

Comments

Page 4 of 77
 Comments

Comments

Page 5 of 77
 TECHNICAL FORM
Superintendents visit attendance report
Procedure: LP 07 Authorization QSE Ship File: C/E 0
SECTION - U HULL PAINT CONDITION
Values as per first Coating Markings Area in Photos
"COLUMN" of Figure 1. Area % Rust scale Condition Progress Available
A. Forecastle
Bosun'store
Upper Deck
Mast
Machinery
Hydraulic Piping
Vents
B. Fwd deck
Upper Deck
Deck Piping
Hydraulic Piping
Vents
Fittings/PV/Catwalk
Manholes
C. Main deck fwd
Upper Deck
Deck Piping
Hydraulic Piping
Machinery
Fittings/PV/Catwalk
Deckhouses
Vents
Side Railing
Manholes
D. Manifold area
Upper Deck
Crane
Deck Piping
Hydraulic Piping
Fittings/PV/Catwalk
Hose Rest
Manholes
E. Main deck aft
Upper Deck
Deck Piping
Hydraulic Piping
Machinery
Fittings/PV/Catwalk
Vents
Ladders
Side Railing
Manholes
F. Accom.House
Upper Deck
Balconies
Bulkheads
Doors/Fixture
Masts
Side Railing
G. Poop deck
Deck
Machinery
Hydraulic Piping
Aft blkhd
Vents
COMMENTS:

Page 6 of 77
Page 7 of 77
RM Code:
Revision:
ance report Date:
C/E 07
HULL PAINT CONDITION
Values as per Figure 2.

FIGURE 1
SR LR TS HS
0 0 0 0
0.1 1 1 1 2

0.2 1 1 2 2

0.3 1 2 2 3

0.5 2 2 3 3

1 2 3 3 4

2 3 3 4 4

5 3 4 4 5

10 4 4 5 5

25 4 5 5 6

33 5 5 6 6

50 5 6 6 6

FIGYRE 2
SR SPOT RUST
LR LIGHT RUST
TS THIN SCALE
HS HARD SCALE

Page 8 of 77
Page 9 of 77
 TECHNICAL FORM
Superintendents visit attendance report
Procedure: LP 07 Authorization QSE Ship File: C/E 07
SECTION - V CREW EVALUATION REPORT
PERFORM LEADER-
CREW NAME RANK SKILLS
ANCE
BEHAVIOR
SHIP
CO-OPERATION ENGLISH TOPIC

1
2
3
4
5
6
7
8
9
10
TOPICS FOR RANDOM INTERVIEW WITH SEAGOING
SCORING
PERSONNEL
1. UNDERSTANDING OF SAFETY AND ENVIRONMENTAL EXCELLENCE 5 EXCELL
2. UNDERSTANDING OF DUTIES AND RESPONSIBILITIES 4 ABOVE EXPE
3. CARGO OPERATION ISSUES / PRECAUTIONS 3 SATISFAC
4. SAFETY AND FIRE PRECAUTIONS 2 FAIR
5. OTHER (specify) 1 UNSATISFA
If score is less than
SAFETY MEETING HELD ONBOARD WITH THE PRESENCE OF THE ATTENDING PERSONNEL If Yes
TRAINING NEEDS IDENTIFIED: List any seafarers who appeared in need of additional training, also describing th
they were found to be in need.
Were there any training needs identified on board?
Name of seafarer RANK Area / subject in which training is req
1
2
3
4
5
6
PROPOSAL TO MANAGEMENT/DPA FOR IMPROVEMENT
1
2
3
4
5
6
7
8
9
10
11
12

(Attending Personnel signature) (Masters signature) (Vessels st

Page 10 of 77
FORM Code:
Revision
:
dance report Date:
C/E 07
EW EVALUATION REPORT
TOPICS / NOTES

SCORING RATE
5 EXCELLENT
4 ABOVE EXPECTATIONS
3 SATISFACTORY
2 FAIR
1 UNSATISFACTORY
If score is less than 1, give details.
If Yes please attache copy
d in need of additional training, also describing the area / subject in which
ound to be in need.
ds identified on board?
Area / subject in which training is required

EMENT/DPA FOR IMPROVEMENT

(Masters signature) (Vessels stamp)

Page 11 of 77
 TECHNICAL FORM
Superintendents visit attendance report
SECTION - W VESSEL PERFORMANCE RATING
Check Item RATING Remarks
1 Compliance with ISGOTT guidelines.
2 Security & Ship Safety Management.(CMS)
3 Communications with Terminal (English).
4 Attendance of Moorings
5 Condition of Mooring Wires/Ropes/Winch
6 Condition of Gangway/Accom Ladder
7 Attendance of Gangway / Manifold
8 Recording of Ullages/Pressures etc.
9 Running Gear: Cranes or Derricks.
10 General cosmetic appearance.
11 Integrity of segregated (SBT) ballast tanks.
12 Condition of Accommodations
13 Appearance of Engine Room
14 Cargo Pump Performance
15 Cargo Eductor Performance
16 Deck Lighting
17 Stripping Pump Performance
18 Condition of Manifold, Flanges, Reducers.
19 Cargo Heating Performance
20 Condition of Hydraulic System
21 Pre-Loading / Discharge Plan
22 Execution of Loading / Discharge Plan
23 Inert
CrudeGas
Oil System Performance
Wash (COW) Performance Tank
24 Cleaning Performance (delete as
25 applicable)
Execution of Vapour Line Operations
26 Condition of Cargo Pipelines
27 Cargo Pipeline Valve Operation
28 Execution of Stripping Operations
29 Execution of Pipeline Draining
30 Condition of Pumproom.
31 Cargo Control Room: Gauges, Valves.
32 Tank Gauging System: On Deck.
33 Tank Gauging System: Remote.
34 High Level & Overflow Alarms
35 Manifold Pressure Gauges
36 Pollution Prevention / Fire Preparedness
37 Availability/Validity of cargo documents
38 Crew Performance overall
39 Vessel performance overall

Total: 0

Scoring

390 312 80th percentile and above Very Good 10

Lowest number (RED) indicates a defic

procedures will apply and an OBS or NCR w
Highest rating (BLUE) is normally
Page 12only
of 77give
loading and discharge operation. In
Equipment(s)/System(s) relevant proce
312 234 60th percentile and above
234 156 40th percentile and above
156 78 20th percentile and above
Good 8 Lowest number (RED) indicates a defic
procedures will apply and an OBS or NCR w
Fair 6 Highest rating (BLUE) is normally only give
loading and discharge operation. In
Poor 4 Equipment(s)/System(s) relevant proce

78 39 Below 20th percentile Very Poor 2

Number values have been weighted roughly in proportion to the importance of each item. If N/A is hi
signify that equipment is not fitted. If equipment is fitted, but was not used for this cargo, then scor
if the equipment is in apparent good order. If the equipment is obviously in poor condition, then scor

Page 13 of 77
FORM Code:
Revision
:
dance report Date:
EL PERFORMANCE RATING
Remarks

Scoring

Lowest number (RED) indicates a deficiency (Defect report

procedures will apply and an OBS or NCR will be issued by the DPA.
Highest rating (BLUE) is normally only given after witnessing both Page 14 of 77
loading and discharge operation. In case of Critical
Equipment(s)/System(s) relevant procedures will apply).
n to the importance of each item. If N/A is highlighted this should
d, but was not used for this cargo, then score 2 nd highest number
ent is obviously in poor condition, then score 4 th highest number.

Page 15 of 77
 TECHNICAL FORM
Superintendents visit attendance report
SECTION - X JOB ORDER LIST
No. CATEGORY JOB ORDER TITLE JOB ORDER INSTRUCTIONS

10

11

Page 16 of 77
12

13

14

15

16

17

18

19

20

21

22

23

Page 17 of 77
24

25

26

27

28

29

30

31

32

33

34

35

Page 18 of 77
36

37

38

39

40

41

42

43

44

45

46

47

Page 19 of 77
48

49

50

51

52

53

54

55

56

57

58

59

Page 20 of 77
M Code:
Revision:
ce report Date:
JOB ORDER LIST
RESPONSIB
JOB ORDER INSTRUCTIONS LE
DUE DATE

Page 21 of 77
Page 22 of 77
Page 23 of 77
Page 24 of 77
Page 25 of 77
 TECHNICAL FORM
Superintendents visit attendance report
SECTION - X VESSELS PHOTOS
1 Looking from Bridge top to fore deck
2 Looking from Bridge top to aft
3 Bridge top
4 Bridge
5 Battery Room
6 Funnel
7 Port Lifeboat
8 Starboard Lifeboat
9 Officers Messroom
10 Crew Messroom
11 Ship's Office
12 Galley
13 Provision Store
14 Cold Store (Dairy or Vegetable)
15 Freezer Store (Meat of Fish)
16 Cargo Control Room
17 Safety Locker
18 CO2 or Foam Room
19 Air Condition Room
20 Aft Mooring Winches
21 Main Deck Port Aft
22 Main Deck Starboard Aft
23 Provision Crane / Derrick
24 Steering Gear
25 Emergency Fire Pump
26 Boiler Front
27 Engine Room from top looking down
28 Main Engine Cylinder Heads
29 Main Engine Fuel Pump Level
30 Purifier Room
31 Generators
32 Framo Power Pack
33 Hydraulic Remote control Pump station
34 Engine Room Bottom Port Side
35 Engine Room Bottom Starboard Side
36 Oily Water Separator
37 Accommodation Front looking from Mid-ships
38 Ship deck side Port Aft
39 Ship deck side Port Fwd
40 Ship deck side Midship Port
41 Ship deck side Midship Starboard
42 Ship deck side Starboard Aft
43 Ship deck side Starboard Fwd
44 Cargo Manifold Port
45 Cargo Manifold Stbd
46 Manifold Crane
47 Bunker Manifold Port
48 Bunker Manifold Starboard
49 Port Gangway
50 Starboard Gangway
51 Forecastle looking aft to Main Deck
52 Forecastle Space
53 Windlass Port
54 Windlass Starboard
55 Pump Room Top

Page 26 of 77
56 Pump Room Bottom
57 Cargo Pumps
58 One Cargo space (to be named)
59 One Cargo space (to be named)
60 One Cargo space (to be named)
61 One Cargo space (to be named)
62 One Cargo space (to be named)
63 One Cargo space (to be named)
64 One Ballast space (to be named)
65 One Ballast space (to be named)
66 One Ballast space (to be named)
67 One Ballast space (to be named)
68 Other (to be named)
70 Other (to be named)

Page 27 of 77
FORM Code:
Revision
:
dance report Date:
SELS PHOTOS CHECK

Page 28 of 77
Page 29 of 77
1 2

3 4
5 6

7 8
9 10

11 12
13 14

15 16
17 18

19 20
21 22

23 24
25 26

27 28
29 30

31 32