LNG Bunker Checklist

Code:
SHIP MAIN MANUAL FORM Revision: 0

LNG Bunker Checklist
Date: 01/01/2023
Action: F Who: C/O File Code: COH.09 Send to office? N
PART A: Planning Stage Checklist

This part of the checklist should be completed in the planning stage of an LNG bunker operation.
It is a recommended guideline for the, in advance, exchange of information necessary for the
preparation of the actual operation.
Planned date and time:
Port and Berth:
LNG receiving ship:
LNG bunker vessel:
Bunker
Check Ship Terminal Code Remarks
Vessel
Competent authorities have granted

1 permission for LNG transfer operations for the P
specific location and time.
The terminal has granted permission for LNG
2 transfer operations for the specific location and P
time.
Competent authorities' requirements are being e.g. Port byelaws.
3
observed.
e.g. Terminal regulations
4 Local terminal requirements are being observed.
All personnel involved in the LNG bunker For the For the For the
operation have the appropriate training and Ship Bunker Terminal
5 Vessel
have been instructed on the particular LNG
bunker equipment and procedures.
The ship's and LNG bunker vessel's class

6 approved bunker plan and operations
manual are available.
The ship and LNG bunker vessel have
7 A
agreed upon the mooring and fendering
arrangement.
The LNG bunker vessel has obtained the
8 necessary permissions to go alongside the
LNG receiving ship.
The bunker operation area can be sufficiently
9 A
illuminated.
Code:
Date: 01/01/2023
Bunker
Vessel
All LNG transfer and gas detection equipment For the For the
10 is certified, in good condition and appropriate Ship bunker A
vessel
for the service intended.
The procedures for bunkering, cooling down
11 and purging operations have been agreed upon A
by ship and LNG bunker vessel.
The system and method of electrical
12 insulation have been agreed upon by ship A
and LNG bunker vessel.
Restricted Area:
The restricted area has been agreed upon
13 A
and designated.
Regulations with regards to ignition sources For the For the For the
14 can be observed. Ship Bunker Terminal A
Vessel
All mandatory firefighting equipment is ready for For the For the For the
Ship Bunker Terminal
15 immediate use. Vessel
For registration of the, in the planning, involved representatives:
Ship Bunker Vessel Terminal

Name Name Name
Rank Position Position
Date Date Date
Time Time Time

Code:
Date: 01/01/2023
PART B: Planned Simultaneous Activities

(If applicable this part should be completed before actual transfer operations start)
Date and time:
Port and Bert
LNG receiving ship
LNG bunker vessel:
Bunker
Vessel
Planned simultaneous bunker operations of If applicable.

other fuels during LNG bunkering are in
16
accordance with ship's approved operational
documentation.
Planned simultaneous cargo operations If applicable.
17 during LNG bunkering are in accordance with A
the ship's approved operational
documentation.
Competent authorities have granted If applicable.
18 permission for simultaneous bunker and/or P
cargo operations whilst LNG bunkering.
Safety procedures and mitigation measures for If applicable.

simultaneous activities, as mentioned in the
19 ship's approved operational documentation, are AR
agreed upon and are being observed by all
parties involved.
Code:
Date: 01/01/2023
PART C: Pre- Tr an sf er Checklist
(This part should be completed before actual transfer operations start)
Bunker
Vessel
Part A of this checklist has been used prior For the For the For the If applicable
20 and preparatory of the actual operation. Vessel
Competent authorities have been notified of

Time notified: hrs
21 the start of LNG bunker operations as per local
regulations.
The terminal has been notified of the start
Time notified: hrs
22 of LNG bunker operations as per terminal
regulations.
Present weather and wave conditions are
23 AR
within the agreed limits.
The ship and the LNG bunker vessel are
securely moored. Regulations with regards to
24 R
mooring arrangements are observed.
Sufficient fendering is in place.
There is a safe means of access between
25 R
the ship and the LNG bunker vessel.
All mandatory firefighting equipment is ready for For the For the For the
26 immediate use Vessel
The bunker operation area is sufficiently

27 AR
illuminated.
The ship and LNG bunker vessel are able to For the For the
Ship Bunker
28 move under their own power in a safe and Vessel
R
non- obstructed direction.
Adequate supervision of the bunker operation
29 by responsible officers is in place, both on
the ship and at the LNG bunker vessel.
An effective means of communication between VHF / UHF Channel:
the responsible operators and supervisors at Language:
the ship and LNG bunker vessel has been AR
Primary System:
established and tested. The communication
language has been agreed upon. Backup System:
30
The emergency stop signal and shutdown

Emergency Stop Signal:
procedures have been agreed upon,
tested, and explained to all personnel A
31
involved.
Emergency procedures and plans and the
contact numbers are known to the persons
in charge.
The predetermined restricted area has been
32 A
established. Appropriate signs mark this
area.
Code:
Date: 01/01/2023
Bunker
Vessel
The restricted area is free of other ships,

unauthorized persons, objects and
33 R
ignition sources.
Safety procedures and mitigation measures

for the prevention of falling objects are agreed
34 R
upon and are being observed by all parties
involved.
The deck watch pays
On the ship an effective deck watch particular attention to
35
is established. moorings, fenders and
simultaneous activities.
The LNG bunker watch pays
Both on the ship and LNG bunker vessel particular attention to hoses,
36
an effective LNG bunker watch is manifold, and bunker
controls.
established.
External doors, portholes and At no time they should be
locked
37 accommodation ventilation inlets are closed R
as per operations manual.
The gas detection equipment has been
38 operationally tested and found to be in
good working order.
Material Safety Data Sheets (MSDS) for A

39
the delivered LNG fuel are available.
Regulations with regards to ignition sources R

40
are observed.
Appropriate and sufficient suitable protective

41 clothing and equipment is ready for
immediate use.
Personnel involved in the connection and
disconnection of the bunker hoses and
42 personnel in the direct vicinity of these
operations make use of sufficient and
appropriate protective clothing and equipment.
A [powered] emergency release coupling If applicable.
43 ([P]ERC) is installed and is ready for
immediate use
The water spray system has been tested and If applicable.
44
is ready for immediate use.
Spill containment arrangements are of an
45 appropriate material and volume, in position,
and empty.
The hull and deck protection against If applicable.
46
low temperature is in place.
Bunker pumps and compressors are in If applicable.
47 A
good working order.
All control valves are well maintained and
48
in good working order.
Code:
Date: 01/01/2023
Bunker
Vessel
Bunker system gauges, high level alarms and

49 high-pressure alarms are operational, correctly
set and in good working order.
The ship's bunker tanks are protected against
Intervals not exceeding
inadvertent overfilling at all times, tank content
50 R
is constantly monitored and alarms are minutes
correctly set.
All safety and control devices on the LNG
installations are checked, tested and found
51
to be in good working order.
Pressure control equipment and boil off or

52 re- liquefaction equipment is operational and
in good working order.
The vapour connections are properly If applicable.
53
connected and supported.
Both on the ship and at the LNG bunker ESD Ship:
vessel the ESDs, automatic valves or similar seconds
devices have been tested, have found to be in
54 good working order, and are ready for use. A
The both ESD systems are linked ESD LNG bunker vessel:
The closing rates of the ESDs have seconds
been exchanged.
Initial LNG bunker line up has been checked.
55 Unused connections are closed, blanked
and fully bolted.
LNG bunker hoses, fixed pipelines and
manifolds are in good condition, properly
56
rigged, supported, properly connected, leak
tested and certified for the LNG transfer.
The LNG bunker connection between the ship
57 and the LNG bunker vessel is provided with
dry disconnection couplings.
The LNG bunker connection between the
58 ship and the LNG bunker vessel has
adequate electrical insulating means in place.
Dry breakaway couplings in the LNG bunker
connections are in place, have been visually A
59
inspected for functioning and found to be in
a good working order.
Location:
The ship's emergency fire control plans are
60
located externally.
An International Shore Connection has

61
been provided.
Code:
Date: 01/01/2023
Competent authorities have been informed

that bunker transfer operations are
62
commencing and have been requested to
inform other vessels in the vicinity.
Code:
Date: 01/01/2023
PART D: LNG transfer data and simultaneous operations

(This part should be completed before actual transfer operations start)
Agreed starting temperatures and pressures
Note the agreed Physical Quantity Unit (PQU): m3 Tonnes
Ship LNG supplying bunker vessel
LNG tank:start temperature: C / F*
bar / psi*
LNG tank: start pressure:
(rel)
LNG tank: available (rest) capacity PQU
*: delete as appropriate
Agreed bunker operations
Tank 1 Tank 2
Agreed quantity to be transferred: PQU
bar / psi*
Starting pressure at the manifold:
(rel)
PQU
Starting rate:
per hour
PQU
Max transfer rate:
per hour
PQU
Topping up rate:
per hour
bar / psi*
Max pressure at manifold:
(rel)
Agreed maximums and minimums
Maximum Minimum
bar / psi*
Pressures during bunkering:
(rel)
bar / psi*
Pressures in the LNG bunker tanks:
(rel)
Temperatures of the LNG: C / F*
Filling limit of the LNG bunker tanks: %

Code:
Date: 01/01/2023
Agreed simultaneous LNG bunker I Oil bunker operations

(Note that for oil bunker operations a separate bunker checklist should be completed)
Oil bunker activity Ship Bunker vessel Terminal
Agreed simultaneous LNG bunker I Cargo operations
Cargo activity Ship Bunker vessel Terminal
Restrictions in LNG bunker I Cargo operations
Restricted activity Ship Bunker vessel Terminal

Code:
Date: 01/01/2023
Declaration
We, the undersigned, have checked the above items in Parts B, C and D in accordance with the
instructions and have satisfied ourselves that the entries we have made are correct.
We have also made arrangements to carry out repetitive checks as necessary and agreed that those
items coded 'R' in the checklist 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.
Ship Bunker vessel Terminal

Name Name Name
Signature Signature Signature
Date Date Date
Time Time Time
Record of repetitive checks

Date
Time
Initials for ship
Initials for bunker

vessel
Initials for terminal
Guideline for completing this checklist
The presence of the letters 'A' or 'R' in the column entitled 'Code' indicates the following:
• A ('Agreement').
This indicates an agreement or procedure that should be identified in the 'Remarks' column of the checklist or
communicated in some other mutually acceptable form.
• R ('Re-check').
This indicates items to be re-checked at appropriate intervals, as agreed between both parties, at periods stated in the
declaration.
• P ('Permission')
This indicates that permission is to be granted by authorities.
The joint declaration should not be signed until both parties have checked and accepted their assigned responsibilities and
accountabilities. When duly signed, this document is to be kept at least one year on board of the LNG receiving vessel.
Code:
Date: 01/01/2023
PART E: After LNG Transfer Checklist

(This part should be completed after transfer operations have been completed)
Bunker
Vessel
LNG bunker hoses, fixed pipelines and

A
63 manifolds have been purged and are ready
for disconnection.
Remote and manually controlled valves
64 A
are closed and ready for disconnection.
After disconnection the restricted area
65 has been deactivated. Appropriate signs A
have been removed.
Competent authorities have been notified
Time notified:
that LNG bunker operations have been
66
completed and have been requested to hrs
inform other vessels in the vicinity.
The terminal has been notified that LNG Time notified:

67
bunker operations have been
hrs
completed.
Report nr:
Near misses and incidents have been
68
reported to competent authorities.
Declaration
We, the undersigned, have checked the above items in Part E in accordance with the
instructions and have satisfied ourselves that the entries we have made are correct.
Ship Bunker vessel Terminal

Name Name Name
Signature Signature Signature
Date Date Date
Time Time Time

Code:
Date: 01/01/2023
Guideline for completing this checklist
The presence of the letter’s 'A' or 'R' in the column entitled 'Code' indicates the following:
• A ('Agreement').
This indicates an agreement or procedure that should be identified in the 'Remarks'
column of the checklist or communicated in some other mutually acceptable form.
• R ('Re-check').
This indicates items to be re-checked at appropriate intervals, as agreed between
both parties, at periods stated in the declaration.
• P ('Permission')
This indicates that permission is to be granted by authorities.
The joint declaration should not be signed until both parties have checked and accepted
their assigned responsibilities and accountabilities. When duly signed, this document is
to be kept at least one year on board of the LNG receiving vessel.

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Code:

SHIP MAIN MANUAL FORM Revision: 0

Action: F Who: C/O File Code: COH.09 Send to office? N

PART A: Planning Stage Checklist

Port and Berth:

LNG receiving ship:

LNG bunker vessel:

Competent authorities have granted

The ship's and LNG bunker vessel's class

Action: F Who: C/O File Code: COH.09 Send to office? N

For registration of the, in the planning, involved representatives:

Ship Bunker Vessel Terminal

Rank Position Position

Date Date Date

Time Time Time

Action: F Who: C/O File Code: COH.09 Send to office? N

PART B: Planned Simultaneous Activities

Date and time:

Port and Bert

LNG receiving ship

LNG bunker vessel:

Planned simultaneous bunker operations of If applicable.

Safety procedures and mitigation measures for If applicable.

Action: F Who: C/O File Code: COH.09 Send to office? N

PART C: Pre- Tr an sf er Checklist

(This part should be completed before actual transfer operations start)

Competent authorities have been notified of

The bunker operation area is sufficiently

The emergency stop signal and shutdown

Action: F Who: C/O File Code: COH.09 Send to office? N

The restricted area is free of other ships,

Safety procedures and mitigation measures

Material Safety Data Sheets (MSDS) for A

Regulations with regards to ignition sources R

Appropriate and sufficient suitable protective

Action: F Who: C/O File Code: COH.09 Send to office? N

Bunker system gauges, high level alarms and

Pressure control equipment and boil off or

An International Shore Connection has

Action: F Who: C/O File Code: COH.09 Send to office? N

Competent authorities have been informed

Action: F Who: C/O File Code: COH.09 Send to office? N

PART D: LNG transfer data and simultaneous operations

Agreed starting temperatures and pressures

Note the agreed Physical Quantity Unit (PQU): m3 Tonnes

Ship LNG supplying bunker vessel

LNG tank:start temperature: C / F*

LNG tank: available (rest) capacity PQU

Agreed bunker operations

Agreed quantity to be transferred: PQU

Agreed maximums and minimums

Temperatures of the LNG: C / F*

Filling limit of the LNG bunker tanks: %

Action: F Who: C/O File Code: COH.09 Send to office? N

Agreed simultaneous LNG bunker I Oil bunker operations

Oil bunker activity Ship Bunker vessel Terminal

Agreed simultaneous LNG bunker I Cargo operations