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SHIP/SHORE SAFETY CHECKLIST

Ship’s Name ……………………    
Berth …………………… Port …………………..
Date of Arrival …………………… Time of Arrival …………………..

PART ‘A’ – BULK LIQUID GENERAL – PHYSICAL CHECKS

  Bulk Liquid  – General Ship Terminal Code Remarks
1 There is safe access between the ship and shore.      

R

 
2 The ship is securely moored.     R  
3 The agreed ship/shore communication system is operative.      

A    R

System  …………….…………. Backup system  …………….
4 Emergency towing-off pennants are correctly rigged and positioned.      

R

 
5 The ship’s fire hoses and fire- fighting equipment is positioned and ready for immediate use.      

R

 
6 The terminal’s fire-fighting equipment is positioned and ready for immediate use.      

R

 
7 The ship’s cargo and bunker hoses, pipelines and manifolds are in good condition, properly rigged and appropriate for the service intended.        
8 The terminal’s cargo and bunker hoses/arms are in good condition, properly rigged and appropriate for the service intended.        
9 The cargo transfer system is sufficiently isolated and drained to allow safe removal of blank flanges prior to connection.        
10 Scuppers and ‘save alls’ on board are effectively plugged and drip trays are in position and empty.      

R

 
11 Temporarily removed scupper plugs will be constantly monitored.        
12 Shore spill containment and sumps are correctly managed.      

R

 
13 The ship’s unused cargo and bunker connections are properly secured with blank flanges fully bolted.        
14 The terminal’s unused cargo and bunker connections are properly secured with blank flanges fully bolted.        
15 All cargo, ballast and bunker tank lids are closed.        
  Bulk Liquid  – General Ship Terminal Code Remarks
16 Sea and overboard discharge valves, when not in use, are closed and visibly secured.        
17 All external doors, ports and windows in the accommodation, stores and machinery spaces are closed. Engine room vents may be open.      

R

 
18 The ship’s emergency fire control plans are located externally.        

Location ……………….…….

If the ship is fitted, or required to be fitted, with an Inert Gas System (IGS) the following points should be physically checked:

 

  Inert Gas System Ship Terminal Code Remarks
19 Fixed IGS pressure and oxygen content recorders are working.      

R

 
20 All cargo tank atmospheres are at positive pressure with oxygen content of 8% or less by volume.      

P    R

 

 

PART ‘B’ – BULK LIQUID GENERAL – VERBAL VERIFICATION

 

  Bulk Liquid  – General Ship Terminal Code Remarks
21 The ship is ready to move under its own power.      

P   R

 
22 There is an effective deck watch in attendance on board and adequate supervision of operations on the ship and in the terminal.      

R

 
23 There are sufficient personnel on board and ashore to deal with an emergency.      

R

 
24 The procedures for cargo, bunker and ballast handling have been agreed      

A    R

 
25 The emergency signal and shutdown procedure to be used by the ship and shore have been explained and understood      

A

 
26 Material safety data sheets (MSDS) for the cargo transfer have been exchanged where requested.        
27 The hazards associated with toxic substances in the cargo being handled have been identified and understood.        

H2S Content ……….………….

 

Benzene Content.………….

28 An International Shore Fire Connection has been provided.        
29 The agreed tank venting system will be used.      

A    R

 

Method ………………………….

  Bulk Liquid  – General Ship Terminal Code Remark
30 The requirements for closed operations have been agreed.      

R

 
31 The operation of the P/V system has been verified.        
32 Where a vapour return line is connected, operating parameters have been agreed.      

A      R

 
33 Independent high level alarms, if fitted, are operational and have been tested.        
34 Adequate electrical insulating means are in place in the ship/shore connection.        
35 Shore lines are fitted with a non- return valve or procedures to avoid

‘back filling’ have been discussed.

       
36 Smoking rooms have been identified and smoking requirements are being observed.      

A      R

Nominated smoking rooms:

…………………………………..…

37 Naked light regulations are being observed.      

A      R

 
38 Ship/shore telephones, mobile phones and pager requirements are being observed.      

A      R

 
39 Hand torches (flashlights) are of an approved type.        
40 Fixed VHF/UHF transceivers and AIS equipment are on the correct power mode or switched off.        
41 Portable VHF/UHF transceivers are of an approved type.        
42 The ship’s main radio transmitter aerials are earthed and radars are switched off.        
43 Electric cables to portable electrical equipment within the hazardous area are disconnected from power.        
44 Window type air conditioning units are disconnected.        
45 Positive pressure is being maintained inside the accommodation.        
46 Measures have been taken to ensure sufficient mechanical ventilation in the pump room.      

R

 
47 There is provision for an emergency escape.        
48 The maximum wind and swell criteria for operations has been agreed.      

A

Stop cargo at: ………………………. Disconnect at: ………………………. Unberth at:     ……………………….
  Bulk Liquid  – General Ship Terminal Code Remarks
49 Security protocols have been agreed between the Ship Security Officer and the Port Facility Security Officer, if appropriate.      

A

 

If the ship is fitted, or required to be fitted, with an Inert Gas System (IGS) the following statements should be addressed.

  Inert Gas System Ship Terminal Code Remarks
50 The IGS is fully operational and in good working order.      

P

 
51 Deck seals, or equivalent, are in good working order.      

R

 
52 Liquid levels in pressure/vacuum breakers are correct.      

R

 
53 The fixed and portable oxygen analysers have been calibrated and are working properly.      

R

 
54 All the individual tank IGS valves (if fitted) are correctly set and locked.      

R

 
55 All personnel in charge of cargo operations are aware that in the case of failure of the Inert Gas Plant, discharge operations should cease, and the terminal be advised.        

 

If the ship is fitted with a crude oil washing (COW) system, and intends to COW, the following statements should be addressed.

 

   

Crude Oil Washing

 

Ship

 

Terminal

 

Code

 

Remarks

56 The Pre-Arrival COW checklist, as contained in the approved COW manual, has been satisfactorily completed.        
57 The COW check lists for use before, during and after COW, as contained in the approved COW manual, are available and being used.      

R

 

 

If the ship is planning to tank clean alongside, the following statements should be addressed.

 

  Tank Cleaning Ship Terminal Code Remarks
58 Tank cleaning operations are planned during the ship’s stay alongside the shore installation.  

Yes/No*

 

Yes/No*

   
59 If ‘yes’ the procedures and approvals for tank cleaning have been agreed.        
60 Permission has been granted for gas freeing operations.  

Yes/No*

 

Yes/No*

   

* Delete Yes or No as appropriate

 

PART ‘C’ – BULK LIQUID CHEMICALS – VERBAL VERIFICATION

 

  Bulk Liquid  Chemicals Ship Terminal Code Remarks
1 Material Safety Data Sheets are available giving the necessary data for the safe handling of the cargo.        
2 A manufacturer’s inhibition certificate, where applicable, has been provided.      

P

 
3 Counter measures against accidental personal contact with the cargo have been agreed.        
4 Sufficient protective clothing and equipment (including self-contained breathing apparatus) is ready for immediate use and is suitable for the product being handled.        
5 The cargo handling rate is compatible with the automatic shutdown system, if in use.      

A

 
6 Cargo system gauges and alarms are correctly set and in good order.        
7 Portable vapour detection instruments are readily available for the products being handled.        
8 Information on fire-fighting media and procedures has been exchanged.        
9 Transfer hoses are of suitable material, resistant to the action of the products being handled.        
10 Cargo handling is being performed with the permanent installed pipeline system.      

P

 

 

PART ‘D’ – BULK LIQUEFIED GASES – VERBAL VERIFICATION

 

  Bulk Liquefied Gases Ship Terminal Code Remarks
1 Material Safety Data Sheets are available giving the necessary data for the safe handling of the cargo.        
2 A manufacturer’s inhibition certificate, where applicable, has been provided.      

P

 
3 The water spray system is ready for immediate use.        
4 There is sufficient protective equipment (including self-contained breathing apparatus) and protective clothing ready for immediate use.        
5 Hold and inter-barrier spaces are properly inerted or filled with dry air, as required.        
6 All remote control valves are in working order.        
7 The required cargo pumps and compressors are in good order, and the maximum working pressures have been agreed between ship and shore.      

A

 
8 Re-liquefaction or boil off control equipment is in good order.        
9 The gas detection equipment has been properly set for the cargo, is calibrated and is in good order.        
10 Cargo system gauges and alarms are correctly set and in good order.        
11 Emergency shutdown systems have been tested and are working properly.        
12 Ship and shore have informed each other of the closing rate of ESD valves, automatic valves or similar devices.      

A

 

Ship          ……….………….

 

Shore          ……….………….

13 Information has been exchanged between ship and shore on the maximum/minimum temperatures/ pressures of the cargo to be handled.      

A

 
14 Cargo tanks are protected against inadvertent overfilling at all times while any cargo operations are in progress.        
15 The compressor room is properly ventilated; the electrical motor room is properly pressurised and the alarm system is working.        

 

DECLARATION

 

We, the undersigned, have checked the above items in Parts A and B, and where appropriate, Part C or D, in accordance with the instructions and have satisfied ourselves that the entries we have made are correct to the best of our knowledge.

 

We have also made arrangements to carry out repetitive checks as necessary and agreed that those items coded ‘R’ in the Check List should be re-checked at intervals not exceeding _____ hours.

 

If to our knowledge the status of any item changes, we will immediately inform the other party.

For Ship

For Ship

For Shore

For Shore

 

Name………………………………….. Rank…………………………………… Signature……………………………… Date……………………………………. Time……………………………………

 

Name………………………………… Position……………………………… Signature……………………………. Date…………………………………… Time……………………………………

 

Record of repetitive checks:

 

 

Date:

             
 

Time:

             
 

Initials  for Ship:

             
 

Initials  for Shore:

             

 

    Company ………………………
    Terminal ………………………
    Date ……………………….
The Master SS/MV …………………..    
Port ……………………    

Dear Sir,

Responsibility for the safe conduct of operations while your ship is at this terminal rests jointly with you, as master of the ship, and with the responsible terminal representative. We wish, therefore, before operations start, to seek your full co-operation and understanding on the safety requirements set out in the Ship/Shore Safety Check List which are based on the safety practices that are widely accepted by the oil and tanker industries.

We expect you, and all under your command, to adhere strictly to these requirements throughout your vessel’s stay alongside this terminal and we, for our part, will ensure that our personnel do likewise, and co-operate fully with you in the mutual interest of safe and efficient operations.

Before the start of operations, and from time to time thereafter, for our mutual safety, a member of the terminal staff, where appropriate together with a responsible officer, will make a routine inspection of your ship to ensure that elements addressed within the scope of the Ship/Shore Safety Check List are being managed in an acceptable manner and that individual questions can be answered in the affirmative. Where corrective action is needed, we will not agree to operations commencing or, should they have been started, we will require them to be stopped.

Similarly, if you consider that safety is being endangered by any action on the part of our staff or by any equipment under our control, you should demand immediate cessation of operations.

Please acknowledge receipt of this letter by countersigning and returning the attached copy.

    Signed …………………………..

Terminal Representative

Terminal Representative on duty is: ……………………    
Position or Title: …………………..    
Contact Details: ……………………    
    Signed ………………….Master
    SS/MV  
    Date/ Time ………………………….

 

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