Ship’s Type of Regular Additional

Name Inspection

IMO No. Inspector(s) Master – Chief Engineer

Flag Date of
Inspection

Type Place of
Inspection

I. CERTIFICATES
No. Certificate Issue Date Expiry
Notes
Date
1 Registry
2 Radio Station License
3 Minimum Safe Manning Certificate
4 CSR No. Permanent
* All Original CSR’s from to Including Form 2 & 3 of each
Y N
No. No.
5 Certificate of
Classification
6 International Tonnage Certificate
7 International Load Line Certificate
8 Cargo Ship Safety Construction Certificate
9 Cargo Ship Safety Equipment Certificate &
Form E
10 Cargo Ship Safety Radio Certificate & Form R
11 International Oil Pollution Prevention
Certificate & Form A
12 International Ballast Water Management
Certificate
13 International Air Pollution Prevention
Certificate & Form IA
13. Fuel Oil Consumption Reports – Statement of
1 Compliance
13. MRV Assessment Statement & Verification
2 Reports
14 International Energy Efficiency Certificate &
Record
15 International Sewage Pollution Prevention
Certificate
* Sewage Discharge Rate Calculation (if
Applicable)
16 International Garbage Pollution Prevention
Certificate
17 Carriage of Solid Bulk Cargoes & Supplement
18 Carriage Dangerous Goods & Appendix
19 Document of Authorization for the Carriage of
Grain in Bulk
20 Anti-Fouling System Certificate &
Records
21 Approved Inventory of Hazardous Materials
(IHM)
Vessel Inspection Report Page 1 of 20
 22 Cargo Gear Annual
23 Cargo Gear 5 yearly
24 Document of Compliance (DOC) Copy
25 Safety Management Certificate (SMC)
26 International Ship Security Certificate (ISSC)
27 Maritime Labour Certificate (MLC)
* DMLC Part I
* DMLC Part II
P&I MLC – 2.5.2
*
Reg.
P&I MLC – 4.2
*
Reg.
28 Bunker Convention Certificate & P&I Blue Card
29 Wreck Removal Certificate & P&I Blue Card
30 P&I Policy
31 Ship’s Medical Certificate
32 Sanitation & Derating Certificate
33 Suez Canal Certificate
34 Panama Canal Certificate

II. PORT STATE CONTROL INSPECTION

Port & Country of Date MOU
Inspection
☐ Indian Black
Paris
Med Ocean Tokyo Sea
☐ Indian Black
Paris
Med Ocean Tokyo Sea
☐ Indian Black
Paris
Med Ocean Tokyo Sea

III. RADIO SERVICE REPORTS / CERTIFICATES

No. Report / Certificate Issue Date Expiry
Notes
Date

1 Shore-based Maintenance Agreement

2 LRIT Conformance Test
3 Automatic Identification System (AIS)
4 Search & Rescue Radar Transponder
(SART)
5 Ship Security Alert System (SSAS)
6 Emergency Position Indicating Radio
Beacon (EPIRB)
7 Voyage Data Recorder Performance Report
(APT)
* Voyage Data Recorder Certificate of
Compliance
8 Bridge Navigational Watch Alarm System
(BNWAS)
9 Record of Approved GMDSS Radio
Installation
10 GMDSS Safety Radio - Survey Checklist

Vessel Inspection Report Page 2 of 20

IV. FIRE FIGHTING EQUIPMENT & LIFE SAVING APPLIANCES CERTIFICATES
No. Report / Certificate Issue Date Expiry
Notes
Date
SURVIVAL & RESCUE CRAFTS
1 Lifeboat(s) Annual Service
Lifeboat(s) 5 Yearly Load Test
1.1 Rescue Boat Annual Service
Rescue Boat 5 Yearly Load Test
2 Liferaft(s) Annual Service
FIRE FIGHTING EQUIPMENT & SYSTEMS
3 Portable Fire Extinguishers Annual Service
4 CO2 System Annual Service
CO2 System Last Hydro. Test
CO2 Date Flexible Hoses Fitted / Renewed
5 Sprinkler System Annual Service
6 Foam Application System Annual Service
Foam Production Date
7 Fire Hoses Annual Service
8 Fireman Outfit Annual Service
PERSONAL LIFESAVING APPLIANCES
9 Immersion Suits Annual Service
10 Lifejackets Annual Service
11 Life Buoys Annual Service
12 EEBD Annual Service
13 Breathing Apparatus Annual Service
LADDERS
14 Accommodation Ladders Annual Service
Accommodation Ladders 5 Yearly Load
Test
15 Embarkation Ladders Annual Service
16 Pilot Ladders Annual Service
OTHERS
17 Multi-Gas Detector Calibration
18 Compass Deviation Table

V. STCW CREW DOCUMENTATION & ENDORSEMENTS.

MLC form Crew Qualification Record M-02 to be completed and submitted
together with this report.

VI. CLASS & STATUTORY RECORDS

No. Records Available Date

Y N NA
1 Classification Society Survey Status Report

Vessel Inspection Report Page 3 of 20

 Y N NA
Classification Society Survey Records & Reports

Enhanced Survey Program – ESP (Bulk Carriers & Y N NA

Tankers)
Y N NA
Continuous Machinery Survey (CMS) If Applicable

Statutory Survey Status Report (if not included Y N NA

2
with Class)
Y N NA
Statutory Survey Records & Reports

Y N NA
Record of Approved Cargo Ship Safety Equipment

Initial Record of Conditions of Assignment of Y N NA

Load Line 1966
Y N NA
Latest ISM-ISPS-MLC External Audit Reports

Y N NA
3 Stability Booklet Approved (All Ships)

Y☐ N☐ NA
4 Loading Manual Approved
☐
For Ships Constructed on/after 1 July 1998 ≥ 65 m LOA
For Ships Constructed before 1 July 1998 ≥ 100 m LOA

Y☐ N☐ NA
5 Loading / Unloading & Stowage Booklet Approved
☐
For Ships with Carriage of Solid Bulk Cargoes

Y☐ N☐ NA
6 Grain Loading Manual Approved
☐

Y☐ N☐ NA
7 Cargo Securing Manual Approved
☐

Y☐ N☐ NA
8 Damage Control Plan / booklets
☐
For Dry Cargo Ships Constructed on/after 1 February 1992
For All Cargo Ships Constructed on/after 1 January 2009

Y☐ N☐ NA
9 Damage Stability Information
☐
For All Cargo Ships > than 500 GT and 80m LOA Constructed on/after 1 January 2009
(except Tankers, Gas Carriers, Chemical Tankers, and Bulk Carriers with B-60 or B-100 freeboard)

Y☐ N☐ NA
10 Emergency Towing Booklet (Procedure)
☐
For All Cargo Ships > than 500 GT

Y☐ N☐ NA
11 Towing & Mooring Fitting Arrangement Plan
☐
For All Cargo Ships Constructed on/after 1 January 2007 > than 500 GT

Y☐ N☐ NA
12 Ship Structure Access Manual
☐
For Bulk Carriers > 20000 GT Constructed on/after 1 January 2006

13 Loading Instrument (Computer) Y☐ N☐ NA

Vessel Inspection Report Page 4 of 20
 ☐
For Bulk Carriers > 150 m LOA

Y N NA
14 Last Drydock Reports

Y N NA
Last Tail-shaft Withdrawal Reports

Last Ultrasonic Thickness Measurement Reports Y N NA

Approved
Y N NA
Material Safety Data Sheet – AFS Paint

Y☐ N☐ NA
15 Cargo Gear Book
☐

Fuel Oil Consumption Collection of Data – up to Y N NA

16
date
Y N NA
All Bunker Delivery Notes

Y N NA
Bunker Material Safety Data Sheets

Y N NA
Bunker Samples

Y N NA
Oil Analysis Reports (Every 6 Months)

CLASS & STATUTORY RECORDS (CONTINUED)

No. Records Available Date

Main Engine Technical Files, Type, Serial Y N NA

17
Numbers
Aux. Engines Technical Files, Type, Serial Y N NA
Numbers
Y N NA
Machinery Sea Trial Reports including SFOC

Y N NA
Boiler(s) Specifications / Certificate

Y N NA
Sludge Incinerator Specifications / Certificate

Sewage Treatment Plant Specs & Cert. of Type Y N NA

Approval
Y N NA
Sewage Discharge Calculation Table Approved
In case sewages are stored in a holding tank

Oil Filtering (15ppm) Equipment Cert. of Type Y☐ N☐ NA

18
Approval ☐

Oil Content Meter (15ppm Alarm) Cert. of Type Y☐ N☐ NA

Vessel Inspection Report Page 5 of 20

 Approval ☐
For ships > 10000 GT
Y☐ N☐ NA
5 yearly Calibration Certificate of 15 ppm
☐
Res. MEPC. 107(40) Equipment only

Y N NA
19 Latest ISM Internal Audit Report

Y N NA
Latest ISPS Internal Audit Report

Y N NA
Latest MLC Internal Audit Report

SOPEP Approved including required plans and Y N NA

19
inventory
Y N NA
20 Ship Security Plan approved

Y N NA
21 Ballast Water Management Plan Approved

Y N NA
22 Inventory of Hazardous Materials

Y N NA
23 Ship Energy Efficiency Management Plan – Part I

Ship Energy Efficiency Management Plan – Part II Y N NA

24
Approved
Plans & Procedures for Recovery of Persons from Y N NA
25
Water
Fire Training Manual Incl. Fire Safety Operational Y N NA
29
Booklet
Y N NA
27 Safety Training Manual

Y N NA
28 O-zone Depleting Substances Record Book

VII. BRIDGE RECORDS

No. Records Available Last
Entry

1 Y N NA
Bridge Logbook

2 Y N NA
GMDSS Logbook

3 Y N NA
Bell Book

4 Y N NA
RADAR Logbook

5 Y N NA
Night Order Book

6 Y N NA
Compass Error Log

7 Y N NA
Ballast Record Book

Vessel Inspection Report Page 6 of 20

 8 Y N NA
Medical Log

9 Y N NA
Garbage Record Book

Y N NA
10 Garbage Disposal Receipts

11 Y N NA
Monthly Drills

12 Y N NA
Last Safety Meeting

13 Y N NA
SMS Manual Review

14 Y N NA
Sounding Book

15 Y N NA
Record of Persons Onboard (Crew List)

All the above records must be scanned and sent to the Company during ISM-ISPS-MLC monthly
reporting.

VIII. BRIDGE INVENTORIES

No. Records Available Last

Entry

1 Y N NA
Nautical Publication Inventory

2 Y N NA
Charts Inventory

3 Y N NA
Cancelled Charts Inventory

4 Y N NA
Bridge Equipment Inventory / Manuals

5 Y N NA
FFE LSA Inventories

All the above Inventories must be sent to the Company during ISM-ISPS-MLC monthly reporting

IX. BRIDGE EQUIPMENT

No Items Remarks Condition Validity

. *

Adjuste
1 Magnetic Compass Y N
d
2 Deviation Card Posted Y N
Operati
3 Daylight Signal Lamp (ALDIS) Y N
ve
Availab
4 ALDIS Spare Lamp Y N
le
5 Emergency Lights Operati Y N

Vessel Inspection Report Page 7 of 20

 ve
Navigation Lights Fitted as per Operati
6 Y N
drawing ve
Fire / Smoke Detection System / Operati
7 Y N
Alarm ve
Operati
8 Water Ingress System Y N
ve
Operati
9 De-watering System Y N
ve
Operati
10 RADARS Y N
ve
11 Radars Blind Sector Card (if any) Posted Y N
Operati
12 GMDSS Radio Installation Y N
ve
All Navigation Officers can operate Ensure
13 Y N
the MF/HF d
Checke
14 EPIRB Battery Y N
d
Checke
15 EPIRB Hydrostatic Release Unit Y N
d
Operati
16 Automatic Identification System AIS Y N
ve
Operati
17 Voyage Data Recorder Y N
ve
Operati
18 Echo Sounder Y N
ve
INMARSAT Equipment Incl. SSAS & Operati
19 Y N
LRIT ve
RADAR Transponders SART Operati
20 Y N
ve
SARTs Batteries Checke
21 Y N
d
GMDSS (3) Two-Way VHF Units Checke
22 Y N
d
Two-Way VHF Units Lithium Checke
23 Y N
Batteries d
Emergency Batteries Checke
24 Y N
d
M.O.B Quick Release System Operati
25 Y N
ve
M.O.B Self Igniting Light Operati
26 Y N
ve
27 M.O.B Buoyant Smoke Signal Valid Y N
Bridge Parachute Rocket Quantit
28
y
Lifeboats Parachute Rocket Quantit
29
y
Hand Flare Quantit
30
y
31 Line-throwing Appliances Quantit
Vessel Inspection Report Page 8 of 20
 y
Bridge Life Jackets with Light & Quantit
32
Whistle y
Quantit
33 Bridge Immersion Suits
y

* Condition of each equipment / item is to be marked as GOOD FAIR POOR

X. ACCOMMODATION

No Items Remarks Condition *

.

1 General cleanliness & sanitary Checked Y N

2 Cabins cleanliness Checked Y N
3 Exits unobstructed, signs posted Checked Y N
4 Fire Doors Checked Y N
Fire Doors Self Closing Devices Checked Y N
Fire extinguishers in place as per fire
5 Checked Y N
plan
Fire extinguishers marked with service
Checked Y N
date
6 Fire man outfits & all equipment Checked Y N
7 Cylinders of breathing apparatus Checked Y N
8 Fire Control Plan in place and updated Checked Y N
9 Immersion Suits & Lifejackets Checked Y N
10 Emergency Lighting Checked Y N
11 Sanitary Facilities are clean Checked Y N
12 Muster list posted and fully understood Checked Y N
13 Dry store / cold store cleanliness Checked Y N
14 Galley / mess room cleanliness, hygiene Checked Y N
15 Shower / toilet facilities Checked Y N
16 Cooking facilities Checked Y N
17 Cockroaches / rodent / pest control Checked Y N
18 Drinking water condition Checked Y N

* Condition of each equipment / item is to be marked as GOOD FAIR POOR

XI. OUTSIDE ACCOMMODATION

No Items Remarks Condition *

.

1 FFE (Hose Box, Fire Hose & Nozzle) Checked Y N

2 Life Buoys Checked Y N
3 Lights - Emergency lighting Checked Y N
4 Ventilators (External Ventilation Trunk) Checked Y N
Ventilators “Close-Open” clearly
Checked Y N
marked
Vessel Inspection Report Page 9 of 20
 5 Fire Dampers Checked Y N
Dampers flaps are structurally sound Checked Y N
6 Funnel is not corroded Checked Y N
Dampers “Open-Close” marked Checked Y N
7 Weathertight doors Checked Y N
8 Watertight doors / gaskets Checked Y N
9 All cables are secured & insulated Checked Y N
10 Garbage Station Checked Y N

* Condition of each equipment / item is to be marked as GOOD FAIR POOR

XII. SURVIVAL CRAFTS & LAUNCHING ARRANGEMENTS INSPECTION

No Items Remarks Condition *

.

1 Lifeboat(s) structure Checked Y N

Lifeboat Engine 3 Minutes Test Done Y N
Test recorded in Logbook Done Y N
Lifeboat Inventory as required / valid Checked Y N
On-load Release Gear Checked Y N
**On-load Release Gear Properly Reset
** (Strictly observe the instruction Checked Y N
manual)
Lifeboat Davit not corroded; Loose gear
Checked Y N
not worn
Wires are serviced, changed out Last Date
Launching instructions are clearly
Checked Y N
posted

2 Liferafts are properly secured Checked Y N

Hydrostatic release unites Validity
Liferafts painters connected via weak
Checked Y N
link
Liferafts arranged to float freely Checked Y N
Life raft containers marking Checked Y N
Launching arrangement posted Checked Y N

3 Embarkation Ladders of survival crafts Checked Y N

4 Emergency Embarkation Lights Checked Y N

** One of the most detainable items during PSC Inspections.

* Condition of each equipment / item is to be marked as GOOD FAIR POOR

Vessel Inspection Report Page 10 of 20

XIII. DECK INSPECTION
No Items Remarks Condition *
.

Decks are not corroded, holed, or

1 Inspected Y N
cracked
2 Doublers fitted should have records Inspected Y N
Hatch covers not corroded, holed, or Inspected
3 Y N
cracked
4 Hatch covers correctly secured Inspected Y N
5 Hatch covers rubber Inspected Y N
6 All quick acting cleats are in place Inspected Y N
7 Cleats are not corroded or wasted Inspected Y N
8 Cleats rubber gaskets Inspected Y N
9 Non-return valves are operative Inspected Y N
Hatch Coamings not corroded, holed, or
10 Inspected Y N
cracked
Bulwarks not corroded, holed, or
11 Inspected Y N
cracked
12 Railings not corroded, holed, or wasted Inspected Y N
Cat walks not corroded, holed, or
13 Inspected Y N
wasted

Vessel Inspection Report Page 11 of 20

 14 Watertight doors & Hatches Inspected Y N
Watertight doors, Hatches correctly
15 Inspected Y N
secured
16 Rubber gaskets Inspected Y N
17 Air pipes not corroded, holed, cracked Inspected Y N
Ventilators not corroded, holed,
18 Inspected Y N
cracked
19 Ventilators / closure heads Inspected Y N
20 Fire main no leakage Inspected Y N
21 Hydraulic pipes no leakage Inspected Y N
22 **Fire Dampers are operative Tested Y N
Dampers flaps are structurally sound Inspected Y N
Fire dampers tested for open/close Tested Y N
Fire dampers open/close marked Checked Y N
Fire extinguishers in place as per fire
23 Checked Y N
plan
Fire extinguishers marked with service
24 Checked Y N
date
25 FFE (Hose Box, Fire Hose & Nozzle) Inspected Y N
26 Life Buoys Inspected Y N
27 Navigational Lights Tested Y N
28 Winches & Anchoring Devices Inspected Y N
Chain locker checked for heavy
29 Inspected Y N
corrosion
30 Windlass foundation platform Inspected Y N
31 Mooring Ropes Inspected Y N
32 Pedestal rollers Tested Y N
33 Bosun’s store organized Inspected Y N
34 Paint Locker organized Inspected Y N
35 Sprinklers in paint locker (if any) Inspected Y N
Life jackets & Immersion Suits in Bosun
36 Inspected Y N
Store
37 Fore peak tanks Inspected Y N

38 Multi-Gas Detector Tested Y N

Minimum 2 sets of Firefighters’ Radio
39 Tested Y N
Apparatus
Two two-way portable radiotelephone apparatus for each fire party for fire-fighter's communication. Those two-way
portable radiotelephone apparatuses shall be of an explosion-proof type or intrinsically safe.

** One of the most detainable items during PSC Inspections.

* Condition of each equipment / item is to be marked as GOOD FAIR POOR

XIV. ENGINE ROOM RECORDS

Last
No. Records Available
Update

*1 Y N NA
Engine logbook

*2 Oil record book updated as required Y N NA

Vessel Inspection Report Page 12 of 20
 3 Y N NA
Continuous Machinery Survey (CMS) If Applicable

Fuel Oil Consumption Collection of Data – up to Y N NA

*4
date
Y N NA
All Bunker Delivery Notes

Y N NA
Bunker Material Safety Data Sheets

Y N NA
Bunker Samples

Y N NA
Oil Analysis Reports (Every 6 Months)

Main Engine Full Technical Files, Type, Serial Y N NA

5
Numbers
Aux. Engines Full Technical Files, Type, Serial Y N NA
Numbers
Aux. Machinery Full Technical Files, Type, Serial Y N NA
Numbers
Y N NA
Machinery Sea Trial Reports including SFOC

Y N NA
Boiler(s) Specifications / Certificate

Y N NA
Sludge Incinerator Specifications / Certificate

Sewage Treatment Plant Specs & Cert. of Type Y N NA

Approval

Oil Filtering (15ppm) Equipment Cert. of Type Y☐ N☐ NA

6
Approval ☐

Oil Content Meter (15ppm Alarm) Cert. of Type Y☐ N☐ NA

Approval ☐
For ships > 10000 GT
Y☐ N☐ NA
5 yearly Calibration Certificate of 15 ppm
☐
Res. MEPC. 107(40) Equipment only

*All the above records must be scanned and sent to the Company during ISM-ISPS-
MLC monthly reporting

Please remember that a copy of the above must be kept in Chief Engineer records
regardless Master Records in Pages 3 & 4 of this report.

Vessel Inspection Report Page 13 of 20

XV. ENGINE ROOM INSPECTION
No Items Remarks Condition *
.

Tank tops, under generators & Bilges

1 Inspected Y N
clean
2 Tools are properly stored Inspected Y N
3 Emergency exits are clear & marked Inspected Y N
4 Handrails in engine room Inspected Y N
5 Engine room fire/ballast lines Inspected Y N
Floor plates oil-free, secured & not Inspected
6 Y N
slippery
7 Main fire pump suction line Inspected Y N
8 High Pressure fuel lines jacketed Inspected Y N
9 Spray shields in place Inspected Y N
10 Leakage alarm working Tested Y N
All piping is not leaked without soft Inspected
11 Y N
patch
Main engine checked for exhaust
12 Inspected Y N
leakage
Auxiliary engines checked for water Inspected
13 Y N
leakage
14 Turbo charger gas inlet insulated Inspected Y N
15 Main engine and bow thrusters Inspected Y N
16 Auxiliary Generators Inspected Y N
17 Oily Water Separator is working Tested Y N
Casing of Oil Water Separator not Inspected
Y N
wasted
Discharge line not wasted or corroded Inspected Y N
Inside discharge line is not oily or dirty Inspected Y N
No by-pass line is fitted Inspected Y N
Bilge Alarm is working Tested Y N
Vessel Inspection Report Page 14 of 20
 Automatic Stopping Device working Tested Y N

XVI. AUXILIARY MACHINERY INSPECTION

No Items Remarks Condition *
.

1 Ballast Pumps Inspected Y N

2 SW Cooling Pumps Inspected Y N
3 FW Cooling Pumps Inspected Y N
4 Fire Pumps Inspected Y N
5 FO Transfer Pumps Inspected Y N
6 Bilge Water Pumps Inspected Y N
7 Feed Water Pumps Inspected Y N
8 ME Booster Pump Inspected Y N
9 Sewage Plant Pump Inspected Y N
10 LO Purifier Inspected Y N
11 DO Purifier Inspected Y N
12 Boilers Inspected Y N
13 AC Unit Inspected Y N
14 Air Compressors Inspected Y N

* Condition of each equipment / item is to be marked as GOOD FAIR POOR

XVII. ELECTRICAL SYSTEMS INSPECTION

No Items Remarks Condition *

.

1 Control circuit relays Inspected Y N

2 Deck lights Tested Y N
3 Emergency lights Tested Y N
4 Electrical supply for navigation lights Tested Y N
5 Lights checked for proper wirings Inspected Y N
Lights in chain locker of explosion proof Inspected
6 Y N
type
Breaker panel doors & elect. motor Inspected
7 Y N
closures
8 All lights checked for covers / guards Inspected Y N
9 Elect. supply for open circuits Inspected Y N

XVIII. STEERING GEAR ROOM

No Items Remarks Condition *

.

Vessel Inspection Report Page 15 of 20

 1 Main & emergency steering gear Tested Y N
Steering gear control including all Tested
Y N
alarms
Off’s/Eng. know emergency steering Ensured
Y N
procedure
Communication device Tested Y N
Emergency Lighting Tested Y N

XIX. EMERGENCY FIRE PUMP

** Emergency fire pump

Tested Y N
1
Operation instructions Posted Y N
Crew properly trained to use it Ensured Y N
** One of the most detainable items during PSC Inspections.

* Condition of each equipment / item is to be marked as GOOD FAIR POOR

XX. LIFE SAVING APPLIANCES (GENERAL INSPECTION)

No Items Remarks Condition *

.

At least 8 life buoys marked, with

1 Checked Y N
reflective tape & becket with rope
Two life buoys c/w lifeline of at least 30
2 Checked Y N
m
3 Two lift buoys c/w self-igniting lights Checked Y N
4 Two life buoys c/w MOB lights on bridge Checked Y N
5 Life jackets properly marked Checked Y N
6 Life Jackets’ lights, whistle & reflective Checked Y N
Vessel Inspection Report Page 16 of 20
 tape
2 life jackets in bridge & 2 in engine
7 Checked Y N
room
8 Immersion Suites stowed and marked Checked Y N
2 Immersion suits in bridge & 2 in
9 Checked Y N
engine room

XXI. FIRE FIGHTING EQUIPMENT (GENERAL INSPECTION)

1 Smoke / Fire detection system Tested Y N

2 CO2 system / alarm Tested Y N
3 Flammable material and paints Inspected Y N
4 Valid foam sample test cert. Checked Y N
5 Luminescent emergency / IMO symbols Checked Y N
6 2 sets Fireman outfits Inspected Y N
7 2 sets of firefighter Radio Apparatus Tested Y N
2 sets Breathing Apparatus c/w 4 spare
8 Inspected Y N
cylinders
Fireman’s outfit and BA stored in
9 Inspected Y N
marked locker
The fire main, main fire pump and int’l
10 shore connection is in satisfactory Inspected Y N
condition
Are there any wastage, holes, soft
11 patches, leaks, or doublers on the fire Inspected Y N
main piping
Are fire station as noted in the fire
12 Inspected Y N
control plan conspicuously marked
Fire Doors and its components are in
13 Inspected Y N
satisfactory condition
Number of fire hoses as per fire control
14 plan available and in satisfactory Inspected Y N
condition
The required number of dual-purpose
15 nozzles are available on board and in Inspected Y N
satisfactory condition
16 Fire control posted & 2 in canister Inspected Y N
Number and location of fire
17 Inspected Y N
extinguishers as per fire control plan
18 Line throwing apparatus– 4 units Inspected Y N
SOLAS & Fire training manuals
19 available in mess rooms within all crew Checked Y N
reach
Oily rags, rubbish and other risks of fire
20 Inspected Y N
properly stored or disposed
Oxygen / acetylene cylinders properly
21 stored, covered, secured, and marked Inspected Y N
(not kept in crew’s quarters/Eng. Room)
22 All quick closing remote valves are Inspected Y N

Vessel Inspection Report Page 17 of 20

 connected and in satisfactory condition

* Condition of each equipment / item is to be marked as GOOD FAIR POOR

XXII. PERSONAL PROTECTION EQUIPMENT (PPE)

No Items Remarks Condition *

.

1 Hard hat / Helmet sufficient for all crew Checked Y N

Safety boots / shoes sufficient for all
2 Checked Y N
crew
3 Coveralls available for all crew Checked Y N
4 Gloves for all crew Checked Y N
5 Goggles / earmuffs available Checked Y N
6 PPE for welding / cutting works Checked Y N

XXIII. COVID-19 PRECAUTIONS

Vessel is supplied with disinfecting

1 Checked Y N
materials
Vessel is supplied with enough face
2 Checked Y N
masks
Vessel is supplied with enough medical
3 Checked Y N
gloves
Vessel is equipped with Thermometer
4 Checked Y N
gun(s)
5 Crew are aware of COVID-19 Risks Checked Y N
Crew are aware of precautionary
6 Checked Y N
measures

* Condition of each equipment / item is to be marked as GOOD FAIR POOR

Master Name & Signature :

Ship’s Stamp

Chief Engineer Name & :

Signature

Vessel Inspection Report Page 18 of 20

Important Notes:

1. This form most be submitted on monthly basis between 1 – 5 of each month.

2. Technical Managers / owners will accurately review this form and advise
accordingly.

NOTES, REMARKS AND DEFICIENCIES

Vessel Inspection Report Page 19 of 20

Vessel Inspection Report Page 20 of 20