Approver: Director,Marine Services

Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

Briefly enter Voyage Instructions received or to be performed to: Completed

DATE:

Voyage from / to -Bunkers and Fresh Water sufficient for voyage per SMS

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

In preparing the attached Voyage Plan the

following corrected, current publications were -Provisions,stores, spares sufficient
consulted: (√ those used)

-U.S. Coast-other port stateSailing Directions -Outward clearance from agent received

-Local VTS Manual -Crew on board verified

-Tide Tables -Stowaway /contraband search carried out

-Tidal Current Tables - Check for "Trading Exclusion Areas"(by C/P or Insurance)

-Radio Navigational Aids - Charts

-Light List -Largest scale available in use
-Notice to Mariners -Corrected to latest NTM, navigational warnings,T&P notices
-Guide to Port Entry or equivalent -Complete coverage of voyage and surrounding areas available
- IMO Routeing -Routeing hazards identified and marked

-ECDIS (as applicable) : Confirm checks CL-021/ Contingency planning

- Temp/ Prelimary / Navtex messages
for ECDIS & power failure

- Weather Forecasts. Routeing advice Pilot and Port Information

-Applicable regional notices consulted and incorporated -Pilot boarding area marked
Ballast Water Exchange Planning included ?
-VHF / AIS procedures
National restrictions considered

Go to tab FORM - Part 3 if approaching USA

LRIT Performance Weather Reports
Emission Control Areas Included? -Local forecasts
Above publications were each corrected through
-Weather Routeing Organisations.
Notice to Mariners number (enter NTM no.)
Local Agents
Have Charterers been requested for routeing advisory service?
Vessel tracklines are laid out on chart numbers: -Berthing requirements
-Tug meeting area,number, size, power, towing lines
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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

-Change in condition from port information manual

Additional Voyage Information
1. Verify all courses, especially in TSS/ narrow channels comply with the COLREG/ local regulation
2. Always ensure vessel navigates outside territorial water limits of area excluded by C/P and/or war risk
3. Advise the Company in advance, if vessel expected to breach IWL
Read and Understood
Ch.Officer: Watch Officer: Watch Officer:
The current version of this document can be found in the Company’s electronic Management System. Whenever this document is revised, it is the responsibility of the user to ensure that the edition being used is valid.

Record distribution: Original (Ship) Record retention: 1 Year

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

Completed by: Verified/Approved by :

Vessel condition

- draught , air -draught

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 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

- underkeel clearance / approved squat tables/

diagrams referred to

- vessel stability and loading condition

Manoeuvring Data

-Consideration of squat

-Calculation of wheelover points

-No Go Areas marked
-Margins of safety
-Tracks
-Wheelover positions ( where applicable)

-Parallel Index references

-Required speed at different points marked

-Vessel traffic system calling points marked

-Tidal Streams anticipated

-Crew call out position(s)

-Tug meeting point(s)

-Last abort position
-Alternative /Emergency tracks/anchorages
-Contingency planning in restricted waters
-Traffic separation and routeing schemes used
If the propellar is not fully submerged at any time
during the voyage, call Page
up the15 ship
of 22supdt for briefing
 Approver: Director,Marine Services
Revision: 20
Valid from: 13/07/2018
Doc. No.: FM-104

If the propellar is not fully submerged at any time

during the voyage, call up the ship supdt for briefing

Pre-Dep Meeting held ?

Revision Meeting held?

Master:
sure that the edition being used is valid.

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 Revision: 22
Valid from: 03/12/2018
VOYAGE PLANNING ABSTRACT Doc. No.: FM-104

CAUTION : ALWAYS VERIFY THE UNITS OF SOUNDINGS ON EACH CHART IN USE

This document may be substituted by a

Shee Enter Y=Yes Where the GPS is used as

m.v. Draught F / A
t No: N=No shou
BRIDGE
CHAR TEAM
ALTER COURSE / WAY POINT TRACKLINE FIX METHOD CURRENT
T NO.
ETD:
Ref No Min Posn. Mark 'Visual', Mark 'Flood'

M Engine

applicable
Delete as
status
Bearing Dist to UKC Dist Plottin

CMG
SOG Radar', 'GPS', Slack','Ebb'

True
Distance or ETA next (allow for To Go g
(knts) squat) (Total) Interva
Lat/Long W/P Celestial,other & Set/Drift
l '
ETA: Master OOW
Pilot
Helmsman
Lookout

Master OOW
Pilot
Helmsman
Lookout

Master OOW
Pilot
Helmsman
Lookout

Master OOW
Pilot
Helmsman
Lookout

Master OOW
Pilot
Helmsman
Lookout

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 Revision: 22
Valid from: 03/12/2018
Doc. No.: FM-104

Master OOW
Pilot
Helmsman
Lookout

Master OOW
Pilot
Helmsman
Lookout

Master OOW
Pilot
Helmsman
Lookout

The current
Master OOW
version of this Pilot
document can Helmsman
be found in
the Lookout
Company’s
electronic
Management
System.
Whenever this
document is
Read and Understood:
revised, it is Ch.Officer: Watch Officer: Watch Officer:
the
responsibility
of the user to
ensure that
the edition
being used is
valid.

Record
distribution:
Original (Ship)

Record
retention: 1
Year

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 Revision: 22
Valid from: 03/12/2018
LANNING ABSTRACT Doc. No.: FM-104

This document may be substituted by a Company-approved electronic software

Where the GPS is used as a means of vessel-fixing, performance accuracy

should be verified frequently
PLAN
MASTER'S INSTRUCTIONS: Special
procedures , hazards of special concern , REVISION
squat , VTS and TSS compliance, fishing and /
other traffic density, contingency actions, UPDATE
main engine change-activation, local weather,
environment damage avoidance measures.
Refer publications (Sailing Directions,
U.S.Pilots, etc)

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 Revision: 22
Valid from: 03/12/2018
Doc. No.: FM-104

Master:

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 Revision: 22
Valid from: 03/12/2018
Doc. No.: FM-104

Comply with Asian Gypsy Moth

Is your vessel arriving from an AGM
1 Asian Gypsy Moth No Yes documents in SMS (RF-051, RF-
areas?
307, RF-079, RF-080)

Comply with:
Are you going to discharge Ballast 1- SMS SP-150 Ballast Operations
2 Ballast Water Discharge No Yes
in US coastal Waters? 2- SMS SP-082 Ballast Water
Management

Comply with:
Does your vessel know where this
3 Biofouling Management Plan No Yes SMS SP-211 Biofouling
plan is?
Management Plan
1- Send Advance Notification in:
SMS FM-105 HVSC forms - Los
Alternate Marine Power – Will ship power be connected to Angeles
4 No Yes
Californian Ports AMP? 2- Record power exchange timing
3- Seek Terminal requirements form
the port agent

1- Comply with LSFO changeover

and ECA documents in SMS (SP-
084, SP-228, RF-472, BN-028, RF-
Low sulphur Heavy Fuel Does your vessel pass through 071, RF-804)
5 No Yes
Exchange Emission Control Area (ECA)? 2- Record of change over to be
kept
3- Record of method of calculation
for time of change over to be kept.

1- Comply with California Air

Emission Control documents in
SMS (RF-071, RF-082, RF-268)
California Air Emission Does your vessel pass through
6 No Yes 2- Record of change over to be
Control Californian waters?
kept
3- Record of method of calculation
for time of change over to be kept.

Will your vessel discharge any

other effluent in US waters, such as Comply with VGP documents in
7 Vessel General Permit (VGP) No Yes
Economizer BlowDown, GreyWater, SMS (SP-056, RF-286)
Sewage, etc?

Ask HSEQ for enrolling the ship for

8 Response Plan Will your vessel call any US port? No Yes
NTVRP if hasn't been done yet.

1- Ask HSEQ for enrolling the ship

for CANTVRP if hasn't been done
California Response Plan and Will your vessel call any Californian yet.
9 No Yes
Forms port? 2- Marine Invasive Species
Program Annual Vessel Reporting
Form.

Western Alaska Alternative Will your vessel pass 200 nm from Consult Docmap Regional Notices
10 No Yes
Planning Criteria Alaska coast and Aleutian Islands? RF-2008

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 Revision: 22
Valid from: 03/12/2018
Doc. No.: FM-104

Consult your QI (Witt O'Brien's or

Response Plan for other Will your vessel call any other State ECM Maritime Services) if any
11 No Yes
States in the US? other Oil Spill Response Plan is
needed

QI and Salvage Marine Did your ship already conducted

Consult document RF-1367 and
12 Firefighting (SMFF) annual annual Remote Assessement Yes No
conduct the exercise
exercise Exercise?

Ask HSEQ to enroll for WCMRC for

Will your vessel call East or West
13 Vessels calling Canada No Yes West coast or ECMRC for East
coast Canada?
coast

No-Discharge Zone (NDZ) for

Vessels calling Puget Sound, Puget Sound, Washington. in which Consult DOCMAP Regional notices
14 No Yes
Washington all sewage discharges, whether RF-2494 & RF-014
treated or untreated are prohibited.

Add to the items if above is not conclusive

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