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CEYLON SHIPPING CORPORATION LTD.

REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

Ref. No.: ……………………………………..


Vessel: Port: Year Built:

Date of Inspection from: To: Last Inspection:

Inspected By:

Rank Name Of Senior Officers Date Joined

Master

Chief Officer

Radio Officer

Chief Engr

Second Engr

Elect.Engr

01. SUMMARY OF INSPECTION

Description Maximum Previous Present


MAIN ENGINE 10
PERFORMANCE AUXILIARY ENGINE 10
DK/BRIDGE EQMNT 10
MAIN ENGINE 10
MAINTENANCE AUXILIARY ENGINE 10
DK/BRIDGE EQMNT 10
BRIDGE 10
ACCOMODATION 10
GENERAL APPEARANCE ENGINE ROOM 10
DECK 10

TOTAL POINTS 100

GRADING POINTS : A>80, B>(70-79), C>(60-69), D>(50-59), E<49


GRADED AS :

Page 1 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

02 DECK DEPARTMENT DEFECT LIST

TECHNICAL SUPERINTENDENT'S SUMMARY

Tech. Superintendent (T.S.) to list down all Deck Deficiencies for monitoring. The form Non-
Conformity Report (NCR) and Deficiency/Defect Report (D/R) for Deck Deficiencies should be
attached immediately after this page.

Master should revert by Mail/Fax on monthly basis to TS and DPA, the work progress. In their message,
the Prefix D01…D10 should be used to indicate the respective items.

SUMMARY OF DECK DEFICIENCIES OR NON CONFORMITY

A) Total nos. of forms for deck deficiencies :

B) Total nos. of deck deficiencies/non conformity :

C) Completion date of this vessel inspection :

Master's first report :

Master's second report :

Master's final report :

(MUST BE SUBMITTED WITHIN 3 MONTH OF COMPLETION OF VESSEL INSPECTION)

D) After the Master's final report, T.S. to close out this part of the Vessel Inspection Report with
the following:

Last date of Master's report (attach report) :

Number of completed deck deficiencies :

Number of outstanding deck deficiencies :

Tech. Superintendent's remarks with respect to outstanding deck deficiencies:

Page 2 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

03 ENGINE DEPARTMENT DEFECT LIST

TECHNICAL SUPERINTENDENT'S SUMMARY

Tech. Superintendent (T.S.) to list down all Engine Deficiencies for monitoring. The form Non-
Conformity Report (NCR) and Deficiency/Defect Report (D/R) for Engine Deficiencies should be
attached immediately after this page.

The Master in consultation with Chief Engineer should revert by Mail/Fax on monthly basis to
TS and DPA, the work progress. In their message, the Prefix E01…E10 should be used to
indicate the respective items.

SUMMARY OF MACHINERY DEFICIENCIES OR NON CONFORMITY

A) Total nos. of forms for machinery deficiencies :

B) Total nos. of machinery deficiencies/non conformity :

C) Completion date of this vessel inspection :

Chief Engineer's first report :

Chief Engineer's second report :

Chief Engineer's final report :

(MUST BE SUBMITTED WITHIN 3 MONTH OF COMPLETION OF VESSEL INSPECTION)

D) After the Chief Engineer's Final Report, T.S. to close out this part of the Vessel Inspection Report with
the following :

Last date of chief engineer's report (attach report) :

Number of completed machinery deficiencies :

Number of outstanding machinery deficiencies :

Tech. Superintendent's remarks with respect to outstanding machinery deficiencies :

Page 3 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

DECK - 01 : SHIP'S RECORDS


Superintendent to check physically if the charts are corrected and recorded on the charts. Chart Correction Log
is not acceptable.
DESCRIPTIONS IN ORDER NOT IN ORDER REMARKS
Ship's Statutory Certificates
Competency Certificates
Cargo Gear Certificates
SMS Manuals
Stability Booklet/Grain Loading Manual
Cargo Securing Manual
SOPEP Manual
Garbage Management Manual
SOLAS Training Manual
Crew Article/Crew Agreement
Master's Standing Order
Master's Night Order Book
Official Log Book
Deck Log Book
Cargo Record Book
Register of Controlled External Documents
Navigational Charts Corrected to NM No.
List of Lights and Fog Signals Corrected to NM No.
List of Radio Signals Corrected to NM No.
Chart Correction Log
Compass Deviation Card and Last Calibration Date:
Radar log
Engine Movement Book
Garbage Record Book
Communication Log
GMDSS Log Book

Page 4 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

Chronometer Log
Ship Personnel Training Record
Medical Log Book
Medical Supply/Receipt Log
Maintenance & Repair file
Survey File
Deck Store Inventories
LSA and FFA Inventories
Lashing Gears Inventories
Sounding Record Book
Arrival/Departure Condition Book

General Remarks:

Page 5 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

DECK - 02 : NAVIGATIONAL EQUIPMENT PERFORMANCE


DESCRIPTION GOOD SAT. POOR REMARKS
Radar, Type:
Radar, Type:
ARPA Radar, Type:
Echo Sounder, Forward
Echo Sounder, Aft:
VHF DSC-1
VHF DSC-2
Gyro Compass :
Auto Pilot System:
Inmarsat C
Magnetic Compass:
MF/HF DSC
AIS
SSAS
Lifeboat VHF Walkie Talkies
GMDSS VHF
GMDSS Console:
Main and Emergency Power System
Battery Charger
GMDSS Reserve Power Cert
Emergencies Batteries/Emergency Generator
DSC internal test
2182 Watch Receiver
Weather Facsimile Recorder
E.P.I.R.B. Sets
Public Addressor System
Power telephone System
Talk Back System (Fwd and Aft)
Bridge Walkie Talkies
Engine Room Walkie Talkies
Loadicator(Class approved)
Navtex :
Navigation Satellite System
G.P.S.
S.A.R.T.

General Remarks:

Page 6 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

DECK - 03: EQUIPMENT - OPERATIONAL CONDITION


* Where possible, equipment to be operated for superintendent's inspection.
DESCRIPTION GOOD SAT. POOR REMARKS
Cargo Gears
Cargo Blocks
Derricks
Cranes
Hatch Cover Hydraulic System
Hatch Cover Roller/Eccentric Chains
Hatch Cover Packing
Cargo Hold Condition
Accommodation Gangways
Date Wire Renewed :
Date Blocks Overhaul:
Heeling pump system :
Fwd
Mooring System Midship
Aft
Bow Thruster KW :
Stern Thruster KW :
Hold bilge tested :
Ballast tested :

General Remarks:

DECK - 04 : LSA / FFA / SAFETY GEARS


* Superintendent to physically inspect/check items.
DESCRIPTIONS YES NO DATE
Lifeboats, davits/winches checked
Lifeboat (P) Last lowered - Date
Lifeboat (S) Last lowered - Date
GMDSS VHF with Spare Batteries
Emergency Fire Pump Tested
Fire Fighting Appliances Checked
Smoke Detector Tested
Fixed CO2 System Checked
Fixed Foam System Checked
Emergency Boat Drill Last Held
Emergency Fire Drill Last Held
Contingency plan drill last held as per schedule
Life Boat wire last renewed
Life Boat wire change(end to end)

General Remarks:

DECK - 05: GENERAL SHIPBOARD SAFETY


Page 7 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

DESCRIPTION YES/NO
Standard of personal safety awareness on board
Management of staff in ensuring sufficient rest
Check medical record to ascertain status of injury on board
Fleet Safety Update displayed / staff awareness
Hot work / enclosed space entry checklist in use
Safety signs / warning signs adequately displayed
Medical locker / first aid box in order
Stretcher in good condition
Is personnel safe to walk on deck (oil, loose gear)?
Cargo hold ladders in good order
Guard rails around unprotected opening on deck
Rotating machinery properly guarded
Emergency escape unobstructed
Safety shoes / helmet worn by staff
Safety belt / ear muffler in order
Safety goggles used when necessary
Heavy spare parts / loose gears tightly secured
Adequate lighting in work place
Safe working practices by S/staff
SHIP BOARD SAFETY MANAGEMENT ADEQUATE / NOT ADEQUATE

Superintendent's remarks on Shipboard Safety Management :

DECK- 06 : OVERALL CONDITION

LOCATIONS GOOD SAT. POOR REMARKS


Forecastle Deck
Upper Deck
Poop Deck
Catwalks
Hatch Coamings
Superstructure
Cargo Hold / Tank top
Ballast Tank Condition
Accommodation

General Remarks:

DECK- 07 : MATTERS DISCUSSED


Page 8 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

DESCRIPTION YES/NO
Shipboard SMS IMPLEMENTATION Adequate or Not?
Reading of Manuals, Instruction Books, Quality Manuals
Oil Pollution
USCG Requirements
Bridge Procedures Guide
Operational Problems Faced by Ship's Staff
Operational Problems of LSA Faced by Ship's Staff
Operational Problems of FFA Faced by Ship's Staff

General Remarks:

DECK- 08 : DAMAGES NOTED / ON RECORD

DESCRIPTION Remarks

_____________________________________ ____________________________
Tech. Superintendent (Name & Signature) Master/Ch. Engr. (Name & Signature)

SUPERINTENDENT'S REMARKS:

ENGINE - O1 : SHIP'S RECORDS


Superintendent to check if documents are maintained properly.
Page 9 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

DESCRIPTIONS IN ORDER NOT IN ORDER REMARKS


Engine Manual Complete Set
Plans & drawings
Chief Engineer's Standing Order's
Engine Log Book
Engine Movement Book
Oil Record Book
Maintenance & Survey File
Reefer Temperature Log
Test of Alarms/Safeguards Book
Class Approved Manuals
Engine Store Inventories
List of Calibration of Equipment
Calibration Log
Sounding Record Book
Register of Controlled External Documents.

General Remarks:

ENGINE - 02 : MACHINERY PERFORMANCE


* Superintendent to check machinery in running condition.
DESCRIPTION GOOD SAT. POOR REMARKS
Main Engine (port)
Main Engine (stbd)
Auxiliary Engine No.1
Auxiliary Engine No.2
Auxiliary Engine No.3
Turbocharger
Economizer
Shaft Generator
Main Air Compressors
Aux Air Compressors
Air Condition Compressors
Domestic Fridge Compressors
Emergency Fire Pump
Fire & General Service Pump
Bilge Pump
Ballast Pump
Main Sea Water Pump
Auxiliary Sea Water Pump

General Remarks:

ENGINE - 03 : OTHER FITTINGS


* Superintendent to check machinery in running condition.
DESCRIPTION GOOD SAT. POOR REMARKS
Page 10 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

Fuel Fittings & System


LO Fittings & System
FW Fittings & System
Steam Fittings & System
Electrical Fittings & System

General Remarks

ENGINE - 04: FRESH WATER GENERATOR


DESCRIPTION Rate in MT REMARKS
Rated Production Per Day.
Actual Production Per Day.
Vessel Consumption Per Day.

General Remarks:

ENGINE - 05 :TEST OF ALARMS AND SAFEGUARDS


* Superintendent to personally test trips and alarms. If unable to do so, the date last tested by ship-staffs to be
recorded.
DESCRIPTIONS TESTED YES / NO REMARKS
Main Engine System Trips
Alarms
Auxiliary Engine System Trips
Alarms
Turbocharger System Trips
Alarms
Purifiers - HFO Trips
Alarms
Purifiers - LO Trips
Alarms
Main Switch Board Trips
Alarms
Auxiliary Boiler Trips
Alarms
Ballast Pump Trips
Alarms
Bilge Pump Trips
Alarms
Remote Fans / Pumps Trips

General Remarks:

ENGINE - 06: LUBRICATING OIL CONDITION


DESCRIPTION LAST SEDIMENT WATER VISCOSITY
TESTED
Page 11 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

Main Engine (Port)


Main Engine (Stbd)
Auxiliary Engine No.1
Auxiliary Engine No.2
Auxiliary Engine No.3
Shaft Generator
Emergency Generator
M/E Reduction gear
Windlass
Steering Gear
Stern Tube
Deck Crane
LO Supplier
Test kit on board

General Remarks:

ENGINE - 07: FUEL OIL

DESCRIPTION SP. GRAVITY VISCOSITY REMARKS


Main Engine
Auxiliary Engine

General Remarks:

ENGINE - 08 : LSA / FFA


* Superintendent to physically inspect/check items.
Sl.No. DESCRIPTIONS YES NO DATE
Emergency Generator Tested
Emergency Fire Pump Tested
Emergency Fuel Shutdown Tested
Emergency Air Compressor Tested
Smoke Detector Tested
Fire Fighting Appliances Checked
Life Saving Appliances Checked
Fixed CO2 System Checked
Fixed Foam System Checked

General Remarks:

ENGINE - 09 : SHIPBOARD SAFETY


DESCRIPTION YES/NO
Page 12 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

Standard of personal safety awareness on board


Management of staff in ensuring sufficient rest
Fleet Safety Update displayed / staff awareness
Hot work / enclosed space entry checklist in use
Safety signs / warning signs adequately displayed
Is personnel safe to walk on deck (oil, loose gear)?
Engine room ladders in good order
Rotating machinery properly guarded
Emergency escape unobstructed
Safety shoes / helmet worn by staff
Safety belt / ear muffler in order
Safety goggles used when necessary
Heavy spare parts / loose gears tightly secured
Adequate lighting in work place
Engine room floor plates in place
Safe working practices by S/staff
SHIP BOARD SAFETY MANAGEMENT ADEQUATE / NOT ADEQUATE

General Remarks:

ENGINE - 10 : MATTERS DISCUSSED


DESCRIPTION YES/NO
2001 Focus – ISM IMPLEMENTATION
Reading of Manuals, Instruction Books, Quality Manuals
Fuel Handling/Purification
Oil Pollution
Lub Oil Purification / Monitoring
Lub Oil Test Kit 'Toetec' Usage
Bunkering Procedures
USCG Requirements
Main Engine Performance and Monitoring
Auxiliary Machinery Perf. And Monitoring
Cooling Water Treatment Control / Condition
Boiler Water Treatment Control / Condition
Operational Problems Faced by Ship's Staff

General Remarks:

ENGINE - 11 : OVERALL CONDITION


ENGINE ROOM

Page 13 of 14
CEYLON SHIPPING CORPORATION LTD. REVISION
HEALTH SAFETY SECURITY ENVIRONMENTAL NO : 01
DATE 30.03.16
MANAGEMENT SYSTEM
ISSUED : DPA
BY ANNUAL VESSEL INSPECTION REPORT CCF 009 APPROVED : TM

LOCATIONS GOOD SAT. POOR REMARKS


Control Room
Top Platform
Middle Platform
Main Platform
Shaft Tunnel
Steering Gear Room
Workshop
Purifier Room/space
E/R Tank tops
E/R Bilges

General Remarks:

ENGINE - 12 : OVERALL CONDITION


MACHINERY
LOCATIONS GOOD SAT. POOR REMARKS
M/E Top Section
M/E Middle Section
M/E Bottom Section
Auxiliary Engines
Auxiliary Machinery

General Remarks:

ENGINE - 13 : DAMAGES NOTED / ON RECORD


DESCRIPTION Remarks

____________________________________ _________________________________
Tech.Manager (Name & Signature) Master (Name & Signature)

SUPERINTENDENT'S REMARKS:

Page 14 of 14

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