Field Operation HSE Department

PHYSICAL SURVEY

Name of vessel : Mt. Hanlyn

Location : DPL – Dok Pantai Lamongan
Time inspection : 08.00 -13.00 WIB, 23 September 2016
By : Bambang Soegiharto, Sarwono, Doni Eka & Bagus Ardianto

Target
Status
Recommendation Photo Date Photo
DESCRIPTIONS % Remarks
/ Findings Before for After
Completed
Completion
I IDENTIFICATION – Record the following:

Name and
identification
1. Mt. Hanlyn 100%
number of the
vessel

2. Type of vessel Tanker 100%

Gross Registered 100%
3. 1745 MT.
Tonnage
Year and place of 100%
4. 1988
construction
Shipyard Hull Shin Kurshima 100%
5.
Number of vessel Dockyard
6. Port Of Registry Batam 100%
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Field Operation HSE Department
PT. Hanlyn Jaya 100%
7. Owner of vessel
Mandiri
Manager or 100%
8. operator of the Kurniawan
vessel
Classification Biro Klasifikasi
9. 100%
Society if classed Indonesia / BKI

IDENTIFICATION and CERTIFICATION – Examine the following as applicable and record their dates of issue and
II
expiration:
Certificate of
1. Permanent 100%
Registry
Safety
2 Construction 16-08-2017 100%
Certificate
Safety Equipment
3. 16-08-2017 100%
Certificate
Safety Radio and
4. Telephone 16-08-2017 100%
Certificate
International Load
Line Certificate
5. 19-06-2020 100%
(with latest annual
endorsement)
Fire Fighting
6. Appliance 11-06-2017 100%
Certificate
7. Life-raft Certificate 11-06-2017 100%
8. Hull Special 17-08-2015 100%

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Survey Status
Hull Annual
9. 28-09-2016 100%
Survey Status
Machinery Special
10. 17-08-2015 100%
Survey Status
Machinery Annual
11. 28-09-2016 100%
Survey Status
Refrigeration
12. 11-06-2017 100%
Survey Status
Last Dry Dock
13. 27-09-2016 100%
Survey Date
Cargo Gear 100%
14. Quadrennial
Survey Certificate
Cargo Gear Annual 100%
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Survey Certificate
Stability and 100%
16. Loading
Documentation
Assignment of 100%
17.
Freeboards
18. Oil Record Book 100%
Marpol / IOPP
19. 11-06-2017 100%
Certificate
20. C.L.C. Certificate 02-11-2016 100%
21. F.M.C. 100%
22. TOVALOP 100%
Port State Control 100%
23. Inspection (last
inspection)
24. Other Certificate 100%
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Field Operation HSE Department
(relating to the
particular vessel or
it’s individual
trade)

III CONDITION OF VESSEL – Report the condition of the following as applicable giving details as shown:

HULL – Describe each section of the vessels hull port and starboard side including:

1. Stern Area 70%

2. Bow Area 100%

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Field Operation HSE Department

3. Port Side 90% Finishing

4. Starboard Side 90% Finishing

5. Ramps 90%

6. Anchors 100%

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Field Operation HSE Department

List any visible damage

State of vessels
1. paintwork of 90%
coating

State of wind / 100%

2.
weather area
State of anti- 100%
3. fouling paint where
seen
Build up of Marine 100%
4.
Life where seen

State of doors,
5. ramps and anchors 90%
and chains

State of fenders
6. 100%
and sponsons

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Field Operation HSE Department

Steel Deck – All steel deck are to be inspected including poop deck and forecastle. The different levels of deck are to be
described, List:
Each deck as
1.
inspected
Any damage to the
2.
decks

Condition of deck
3. covering of 90%
paintwork

Fittings on the deck

4. 90%
and their condition
Machinery and
mechanical
5. 100%
equipment on the
decks

Condition of the
6. 100%
machinery

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Field Operation HSE Department

Whether machinery
7. was run for 100%
inspection

Loose equipment
8.
on the decks

Consumable
9. including rope, 90%
etc., on each deck

Condition of
10. 90%
Water-tight doors

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Field Operation HSE Department

Location and
condition of
11. 100%
scuttles, portholes,
windows

Condition of rails
12. 90%
and bulwarks

13. Condition of stairs 100%

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Field Operation HSE Department

Condition of cargo
14. 100%
winch platforms

Condition of cargo
15. winches and their 100%
wires

16. Condition of masts 100%

Condition of 100%
container sockets
17.
on hatch covers
and decks
Condition of 100%
18. container reefer
sockets
Condition of 100%
19.
container stools
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Field Operation HSE Department
Availability of 100%
20. container securing
equipment
Condition of 100%
21. container securing
equipment
E storage facility 100%
for container
22.
securing equipment
(racks, etc)

Condition of pipe-
work and vents in
23. 100%
area being
inspected

Condition of vent
24. 100%
covers

Condition of
25. louvers and air
intakes

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Field Operation HSE Department

Condition of valves
26. on the various 90%
decks

Condition of raised
platforms,
27. catwalks, and 90%
walkways, and
their location

Condition of all
28.
drains on deck
Condition of oil 90%
29.
containment boxes

HATCH COVERS – List each hatch cover as inspected:

Any damage 90%
1.
visible
State of covering or 90%
2.
paint-work
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Field Operation HSE Department
3. Operational status 90%
Whether open of 90%
4.
closed
How are they 90%
5.
opened and closed
Effectiveness of 90%
6. opening / closing
mechanisms

CARGO TANKS– All tanks are to be entered after ensuring that it is completely safe to so. List for each tank inspected:
Any damage and /
1.
or wastage visible

Coating of sides,
2. bottom and deck 100%
head

3. State of the coating

Normal contents of
4.
tank
Whether full or
5. empty or residue
present

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Field Operation HSE Department

Condition of tank
6. access opening and 100%
closing devices

Condition and type

7. 100%
of ladders

Condition of each
8.
landing if fitted

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Field Operation HSE Department

Location of
9. 90%
landings

Condition of pipe-
10. 90%
work in tanks

Condition of 100%
11. suction and suction
filters
Condition of tank 100%
12. heating piping and
supports

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Field Operation HSE Department

Condition of
13. sounding tubes and 80%
striker plates

Condition of
14. remote sounding 100%
fittings

COFFERDAMS – All cofferdams on vessel to be entered and inspected after ensuring it completely safe to do so. List:
1. Cofferdam entered 100%
Any damage or 100%
2.
wastage
3. Presence of water 100%
State of manhole 100%
4.
covers and seals
Coating type and 100%
5.
condition
Position and 100%
tightness of
6.
transponders if
fitted

HOLDS – All holds are to be entered and their condition reported on, List:
Each hold 100%
1.
inspected
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Field Operation HSE Department
Type of hold and 100%
2.
number of decks
Any damage and / 100%
3.
or wastage visible
Coating of the hold 100%
4. sides, bottom and
deck-head
Condition of the 100%
5.
coating
6. Type of ladders 100%
Condition of the 100%
7.
ladders
Type of landing 100%
8.
and location
State of bilge 100%
9. hatbox or
arrangement
Condition of pipe- 100%
10. work within the
holds
Condition of vents 100%
11. passing through the
hold
Condition of 100%
12.
lighting in hold
Condition of 100%
13. electrical fittings in
hold

BALLAST TANKS – ALL ballast tanks are to be entered including peak tanks if they are used for ballast after ensuring it is

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Field Operation HSE Department

safe to enter. List:

Each ballast tank

1. 80%
entered

Any damage and /

2. or wastage present 90%
in tank

3. Coating of the tank 90%

Condition of the
4. 90%
coating

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Field Operation HSE Department
90%

Condition of the
5. man-hole cover
and seal

Condition of all 90%

6. pipe-work in the
tank
Condition of
7. sounding tubes and 90%
striker plates

STORES – All stores are to be entered. Their location is to be clearly stated and whether within water-tight areas secured
by water-tight doors. List:
1. Each store entered 90%
Any damage and / 90%
2. or wastage present
in store
3. Type of store 90%

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Field Operation HSE Department
90%

The storage
4. facilities (racks,
etc)

5. The deck covering 90%

6. The deck covering 90%
Complete and full 90%
7.
list of contents
Complete and full
8. list of all 90%
consumables
Coating used in the
9. 90%
store
Condition of
10. 90%
coating

CARGO HANDLING AREAS – All cargo handling areas and control rooms are to be entered. List:
Each cargo
handling area or
1. control rooms 90%
entered and it’s
purpose
Any damage and /
2. 90%
or wastage present
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Field Operation HSE Department
Coating of the
3. 90%
surrounds
Condition of
4. 90%
coatings
Whether in use at
5. 90%
time of inspection

ACCOMODATIONS – All areas of the accommodations are to be entered. Stores are to be inspected and their contents
listed. List:

1. All areas entered 95%

Any damage and /

2.
or wastage visible
List contents and
3.
their condition

Deck covering and

4. `100%
it’s condition

Condition of
5. partitions and their 90%
surface condition
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Field Operation HSE Department

NAVIGATION AREAS AND BRIDGE – All areas of navigation on the vessel are to be inspected including the bridge, radio
room, chart room and upper navigation bridge (Monkey island). In general all equipment should be demonstrated to be both
available and in running order. Operate all lights and their alternates and ensure all are operation. List:

1. All areas entered 100%

Any damage and / 100%

2.
or wastage visible
Coatings of deck- 100%
3. head. Deck, and
sides
Condition of 100%
4.
coatings
Equipment 100%
5.
installed
6. Whether working 100%

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Field Operation HSE Department
100%

Contents of book
7.
racks

100%

8. Charts available

100%

List of navigation
assistance books,
9.
journals and
almanacs

10. Action of controls 100%

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Field Operation HSE Department
100%

Condition of all
11.
doors

100%

Condition of
aerials, radar
12.
antenna,
goniometry

Spares stowed in 100%

13.
this area
100%

Condition of radio
14.
batteries

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Field Operation HSE Department
Loose navigation
15. 100%
aids

ENGINE ROOM – All areas of the engine room are to be entered and detailed in the report. A complete listing of all
equipment would be desirable but this will not always be possible. List:
100%
All equipment
under repair of
1.
routine
maintenance

All equipment 100%

2. running at the time
of inspection
All non-operating 100%
3. equipment if
possible
All non-operating 100%
equipment is to be
4. run, if possible and
their condition
reported
All pipe-work is to 100%
be viewed for
5. leakage and
operating
capability

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Field Operation HSE Department
100%

Ship-side valves
are to be viewed
6. for leakage and
operating
capability

100%

Bilges are to be
inspected for clean
liness and for the
7. Ok
presence of water
and oil
contamination

Report any 100%

leakages whether
from pumps, tail-
8.
shafts, pipe-work,
joint, seals or other
areas
Any damage and / 100%
9.
or wastage visible

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Field Operation HSE Department

General state of all

10. areas of engine 90%
room

Clean liness of all 90%

11.
areas
12. Coating of all areas 90%
Condition of 90%
13.
coating of all areas
90%

All spare in engine

14. room and all
engine room stores

All consumable 90%

15.
stores

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Field Operation HSE Department
90%

All packing
16.
material

Condition of walk- 90%

17.
ways and platforms
Condition of rails, 90%
18.
step and stairs
90%

Condition of floor
19. plates and their
condition

ENGINE ROOM WORKSHOP – The engine room workshop it to be inspected and its status included in the report. List:
Equipment
1. 100%
installed
Equipment that 100%
2.
was operated
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Field Operation HSE Department
Defective 100%
3. equipment to be
listed

Condition of
4. 90%
workshop

5. Coating of all areas 90%

Condition of 90%
6.
coating
Heavy spare parts
in this area and
7. 100%
whether new or
used
Class 100%
recommended
8.
spares and where
located
Whether class 100%
9. spares are new or
reconditioned

ELECTICAL STORES / WORKSHOP – The electrical workshop is to be inspected and list of equipment installed made. The
electrical spare parts store is to be inspected. List:
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Field Operation HSE Department
100%

Condition of
1.
workshop and store

Coating of both 100%

2.
areas
Condition of 100%
3.
coating
Complete list of 100%
4. spare parts
available
Complete list of 100%
5. parts under over-
hull
Complete list of 100%
6. spares stored in this
area
Complete list of 100%
7.
consumables

GENERAL – Make a list of:

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Field Operation HSE Department
100%

Fire Fighting
1.
equipment onboard

100%

Safety equipment
2.
onboard

100%

Lifeboats and Life-

3.
raft onboard

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Field Operation HSE Department
Condition of 100%
4. Lifeboats and Life-
rafts
5. Condition of lights 100%
Condition of 100%
6. emergency
batteries
Condition of Radio 100%
7.
batteries

TANK SOUNDINGS – All consumable liquids are to be measured and listed as being on board. When sounding fuel oil tanks
water finding paste is to be used. List:
Each tank dipped, 100%
1. it’s content and
specific gravity
100%

Each tanks gauged,

2. it’s content and
specific gravity

All drums that are 100%

full, their contents
3.
and their specific
gravity

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Field Operation HSE Department

Observed from Health side:

1.

Observed from Safety side:

1. No inert-gas system available onboard.

Observed from Environmental side:

1.

Conclusion:

Recommendations:

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Field Operation HSE Department

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