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Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 1 of 62

Vessel : Success Dalia XLVIII Date : 31-03-2024 Ship File Office File

Master : Ihwan Asrul Chief Officer : Hery Wibowo


Chief Engineer : Jufrianto Second Engineer : Nizamu Taufik
Bosun : M. Rizal

Inspection
ITEM Pages
frequency
External shell plating Every 1 month
Decks and deck fittings Every 1 month
Superstructure Every 1 month
Cargo gear Every 1 month
Chain locker Every 3 months
Mooring equipment Every 1 month
Accommodation Every 1 month
Cleanliness and sanitation Every 1 month
Engine Room Every 1 month
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 2 of 62

INSTRUCTIONS

This report shall be completed every month and sent to technical and marine superintendent of the vessel. The report should have detailed to show
the amount of work carried out in the month. There should always be supporting pictures inserted in the report.
Ship side pictures need not be included every month; however they should be available in every alternate month report.

Pictures: The resolution of each picture should be only 96 dpi.

The following principles must be satisfied:


RESULT :
This column shall indicate an assessment of condition and is graded in the following (5) categories:
GRADE 1 = GOOD CONDITION
GRADE 2 = SATISFACTORY CONDITION
GRADE 3 = SLIGHTLY BAD CONDITION, EASY TO REMEDY
GRADE 4 = BAD CONDITION, POSSIBLE TO REMEDY DURING VOYAGE OR AT NEXT PORT BY CREW.
GRADE 5 = VERY BAD CONDITION NEEDS IMMEDIATE REPAIR BY REPAIR TEAM

REMARK :
This column is intended for any remarks related to the mentioned item.

WORK DONE :
This column is to be used for recording work carried out on the items mentioned. The following codes are to be used for indicating the nature of
the work carried out:
01 INSPECTED BY SHIP STAFF
02 INSPECTED BY CLASS SURVEYOR
03 OVERHAULED
04 PARTLY RENEWED (INSERT IN REMARKS DETAILS)
05 RENEWED
06 CLEANED/GREASED
07 DESCALED
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 3 of 62

TIME:
This column is to indicate the time that the work described in the above column took place. The format to be used is: MONTH/YEAR, e.g. 01/05

APPENDIX 1:
1. Size of picture should not more than 96dpi.

How to set pictures into 96dpi

1. Select Object/Photo
2. Choose Format Tab
3. Right click on Compress Pictures
4. Apply to all pictures in document
5. Change resolution into Web Screen
6. Then choose OK

2. Each pictures must have a proper description at bottom photograph, clear and show good maintenance followed onboard
3. Old pictures cannot be added into this section.
4. All the pictures should be taken with date when picture are taken. Digital camera onboard should be set the date on so it can appear on
photograph.
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 4 of 62

EXTERNAL SHELL PLATING

WORK
ITEM CHECK POINTS RESULT REMARKS DATE
DONE
• To check surface of plating for pitting, corrosion and
TOPSIDES rust. 31-Mar-
G1 GOOD 01
(port, starboard) • To check for damage/defect requiring immediate 24
repair.

• To check surface of plating for pitting, corrosion and


rust. 31-Mar-
BOOTOPPING G1 GOOD 01
• To check for damage/defect requiring immediate 24
repair.

DRAFT MARKS, 31-Mar-


• The condition to be checked. G1 GOOD 01
NAME 24

31-Mar-
SEAMS & BUTTS • The condition to be checked. G1 GOOD 01
24

UPPER EDGE OF 31-Mar-


• The condition to be checked. G1 GOOD 0101
SHEER STRAKE 24
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 5 of 62

DECKS & DECK FITTINGS

WORK
ITEM CHECK POINTS RESULT REMARKS DATE
DONE
• To check surface of plating for pitting and
corrosion, to check for deformation due to
31-Mar-
FORECASTLE DECK excessive wastage. G1 GOOD 01
• To check for damage/defect requiring immediate 24
repair.
• To check surface of plating for pitting and
MAIN DECK corrosion, to check for deformation due to
31-Mar-
(INCLUDING MAST excessive wastage. G1 GOOD 01
HOUSES, TANK DOME) • To check for damage/defect requiring immediate 24
repair.
• To check surface of plating for pitting and
corrosion, to check for deformation due to
BRIDGE AND BOAT 31-Mar-
excessive wastage. G1 GOOD 01
DECKS
• To check for damage/defect requiring immediate 24
repair.
• To check surface of plating for pitting and
corrosion, to check for deformation due to
FUNNEL AND POOP 31-Mar-
excessive wastage. G1 GOOD 01
DECKS
• To check for damage/defect requiring immediate 24
repair.
• To check for wastage, leakages, corrosion/painting,
TANK MANHOLE 31-Mar-
condition of rubber channels, gaskets, cleating, if G1 GOOD 01
ENTRANCE COVERS 24
applicable.
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 6 of 62

• To check for correct pressures, clean filters,


DECK MACHINERY 31-Mar-
leakages, adequate operation condition of brakes G1 GOOD 24
01
(WINCHES etc.)
and controls, couplings included.

SUPERSTRUCTURE

WORK
ITEM CHECK POINTS RESULT REMARKS DATE
DONE

• To check (front, side and aft) surface of plating, 31-Mar-


BRIDGE BULKHEAD G1 GOOD 24
01
local wastage/leakages.
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 7 of 62

• To check (front, side and aft) surface of plating, 31-Mar-


POOP BULKHEAD G1 GOOD 24
01
local wastage/leakages.

FUNNEL (including • To check (front, side and aft) surface of plating, 31-Mar-
G1 GOOD 24
01
Insignia) local wastage/leakages.

MASTS (FOREMAST,
• To check (front, side and aft) surface of plating, 31-Mar-
RADAR, ANTENNA G1 GOOD 24
01
local wastage/leakages.
POST)
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 8 of 62

CARGO GEAR

WORK
ITEM CHECK POINTS RESULT REMARKS DATE
DONE

• Hydraulic pipes / Brakes / Paint condition 31-Mar-


DERRICKS, WINCHES G1 GOOD 01
• Couplings, Wastage 24

TOPPING, RUNNER, • Wear condition, Ropes lubrication 31-Mar-


G1 GOOD 01
SLEWING WIRES • Certificates 24

BLOCKS, HOOKS, • Wear, Wastage 31-Mar-


G1 GOOD 01
ETC. • Grease 24

• Paint condition, SWL clearly marked 31-Mar-


BOOMS G1 GOOD 01
• Wastage, Damages 24

• Working condition, Brakes condition 31-Mar-


MACHINERY G1 GOOD 01
• L.O. Cooler / L.O. Filters condition 24

SAFETY DEVICES
• Working condition 31-Mar-
AND LIMIT G1 GOOD 24
01
SWITCHES
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 9 of 62

CHAIN LOCKER (3 MONTHS)

WORK
ITEM CHECK POINTS RESULT REMARKS DATE
DONE
• To check for leakages, amount of mud, bleaching 24-Mar-
BOTTOM G1 GOOD 24
01
plate.
24-Mar-
SIDES • To check for wastage, corrosion. G1 GOOD 24
01
CHAIN SECURING 24-Mar-
• To check condition of pin. G1 GOOD 24
01
ARRANGEMENT

MOORING EQUIPMENT

WORK
ITEM CHECK POINTS RESULT REMARKS DATE
DONE
18-Mar-
ROPES • To check the condition and adequacy. G1 GOOD 24
01

ANCHORING 18-Mar-
• To be in working order. G1 GOOD 24
01
DEVICES
ANCHORS SECURING 18-Mar-
• To be in working order. G1 GOOD 24
01
ARRANGEMENTS
18-Mar-
BRAKE BANDS • To check renewal dates are recorded. G1 GOOD 24
01

FAIRLEADS / 18-Mar-
• To be in working order. G1 GOOD 24
01
PEDESTAL ROLLERS
REELING OF WIRES 18-Mar-
• To check direction to be correct. G1 GOOD 24
01
IN DRUMS
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 10 of 62

ACCOMMODATION

WORK
ITEM CHECK POINTS RESULT REMARKS DATE
DONE
FISH, MEAT, • To check emergency exit arrangements, lights
20-Mar-
VEGETABLE, LOBBY protective covers, temperature controls, G1 GOOD 24
01
& DAIRY ROOMS thermometers, alarms.

• To check emergency exit arrangements, lights


DRY PROVISION 20-Mar-
protective covers, temperature controls, G1 GOOD 24
01
STORE
thermometers, alarms.

20-Mar-
LINEN STORES • To check for adequacy. G1 GOOD 24
01

• To check for cleanliness, condition of floors & 20-Mar-


CABINS G1 GOOD 24
01
furniture, etc.

• To check for cleanliness, condition of floors & 20-Mar-


PUBLIC ROOMS G1 GOOD 24
01
furniture, etc.
BATHROOMS & 20-Mar-
• To check for cleanliness, condition of fittings, etc. G1 GOOD 24
01
TOILETS
INTERIOR • To check for cleanliness, painting, condition of 20-Mar-
G1 GOOD 24
01
ALLEYWAYS floors.
OFFICERS & CREW 20-Mar-
• To check for cleanliness, condition of equipment. G1 GOOD 24
01
GALLEY & LAUNDRY

GENERAL SHIP 20-Mar-


• To check for cleanliness. G1 GOOD 24
01
OFFICE
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 11 of 62

CLEANLINESS AND SANITATION

WORK
ITEM CHECK POINTS RESULT REMARKS DATE
DONE
GARBAGE • To have separate drums, coloured and labelled as per 23-Mar-
G1 GOOD 24
01
CONTAINMENT Fleet Instructions and MARPOL.
SEWAGE
• To be in good operating conditions / availability of 23-Mar-
TREATMENT / G1 GOOD 24
01
chemicals.
CONTAINMENT
ACCOMMODATION 23-Mar-
• To be in order. G1 GOOD 24
01
DRAINAGE SYSTEM

23-Mar-
GALLEY, PANTRIES • To be in order, clean and well maintained. G1 GOOD 24
01

PROVISION ROOMS, 23-Mar-


• To be in order, clean and well maintained. G1 GOOD 24
01
REFRIGERATORS

23-Mar-
HOSPITAL • To be in order. G1 GOOD 24
01

ACCOMMODATION 23-Mar-
• To be in good working condition. G1 GOOD 24
01
AIR CONDITIONING

DRINKING, WASHING 23-Mar-


• To be of good quality, clean, suitable for use. G1 GOOD 24
01
WATER
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 12 of 62

ENGINE ROOM

WORK
ITEM CHECK POINTS RESULT REMARKS DATE
DONE
ENGINE ROOM 27-Apr-
• To be in order, clean and well maintained.. G1 GOOD 24
01
PLATFORM 1

ENGINE ROOM 27-Apr-


• To be in order, clean and well maintained. G1 GOOD 24
01
PLATFORM 2

ENGINE ROOM 27-Apr-


• To be in order, clean and well maintained. G1 GOOD 24
01
PLATFORM 3

ENGINE ROOM 27-Apr-


• To be in order, clean and well maintained. G1 GOOD 24
01
PLATFORM 4

ENGINE CONTROL • Good housekeeping, electrical insulation mat in 28-Apr- 01


G1 GOOD 24
ROOM place, ism documentation and poster

27-Apr-
PURIFIER ROOM • To be in order, clean and well maintained. G1 GOOD 24
01

• All drums stored in respective shell and MSDS and 27-Apr-


CHEMICAL LOCKER G1 GOOD 24
01
face shield, eyewash, rubber gloves provided

27-Apr-
IG PLATFORM • To be in order, clean and well maintained. G1 GOOD 24
01

27-Apr-
E/R BILGES • To check the cleanliness G1 GOOD 24
01
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 13 of 62

• To be in order, clean and well maintained.


31-Oct-
PUMP ROOM • Safety harness, stretcher, intrinsically safe torch NA NA 23
NA
and portable gas meter in place

APPENDIX I

ITEMS PHOTOS

TOPSIDES
(port, starboard)
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 14 of 62

BOOTOPPING

DRAFT
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 15 of 62

MARKS, NAME

SEAMS &
BUTTS
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 16 of 62

UPPER EDGE
OF SHEER
STRAKE
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 17 of 62

FORECASTLE
DECK
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 18 of 62

MAIN DECK
(INCLUDING
MAST
HOUSES,
TANK DOME)
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 19 of 62

BRIDGE AND
BOAT DECKS
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 20 of 62

FUNNEL AND
POOP DECKS
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 21 of 62

TANK
MANHOLE
ENTRANCE
COVERS
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 22 of 62

DECK
MACHINERY
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 23 of 62

(WINCHES etc.)

BRIDGE
BULKHEAD
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 24 of 62

POOP
BULKHEAD
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 25 of 62

FUNNEL
(including
Insignia)
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 26 of 62

MASTS
(FOREMAST,
RADAR,
ANTENNA
POST)
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 27 of 62

DERRICKS,
WINCHES
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 28 of 62

TOPPING,
RUNNER,
SLEWING
WIRES
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 29 of 62

BLOCKS,
HOOKS, ETC.
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 30 of 62

BOOMS
Issued by: DMR Approved by: Marine Director SQE/Form-G-031

SQE MANAGEMENT SYSTEM FORM Sept 05, 2022


Rev/ Issue: 02/01
MONTHLY MAINTENANCE REPORT Page 31 of 62

MACHINERY

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