SMS Manual (Rev: 2022/01/01) <S-111004-07CHK>

Oil Spill Checklist Page 1 of 2

Section I - 【Ship Situation at Time of Incident】
Date / Time of incident - - Time: ST ( UT)
Ship's position: - N / S - E / W
In port / Terminal name:
Section II - 【Weather and Sea Conditions】
Wind direction / Force: / Weather:
Tidal stream: Tide: Ebb / Flood
Section III - 【Immediate Response of OOW / D/O】
1. Sound emergency alarm signal Time:
2. Report to Master and C/O Time:
3. Inform C/E and D/Eng. Time:
4. Suspend cargo operations and oil replenishing / transfer work Time:
5. Notify terminal / barge / loading master Time:
6. Close all manifold valves under the instructions of C/E or C/O Time:
7. Check all scupper plugs are closed □
Section IV - 【Grasping the Situation】
1. Investigate source of oil spill □
2. Type of spilled oil: Quantity of spilled oil:
3. Spill type Onboard / Overboard
4. In case of overboard spill, the impact on terminal / fishing facilities Y/N
5. Shore assistance required Y/N
Section V - 【Emergency Station】
1. Order oil pollution prevention station Time:
2. Refer to SOPEP and the other related applicable manual (E.g: VRP/ NT- □
VRP, PC SOPEP etc.)
3. Designate staging area:
Section VI - 【Navigation &Maneuvering (If applicable)】
1. Prepare M/E for maneuvering / give S/B Eng. Time:
2. Switch to hand steering □
3. Navigate to bring oil spill side to the weather side □
Section VII - 【Roll Call and Check Communication】
Team Time Present / Missing Crew Injured Crew
Listed (Name) (Name)
Command Team /
On-scene Leader /
Mobile Team No.1 /
Mobile Team No.2 /
Back-up Team /
Engine Room Team /
LNG Team /
SMS Manual (Rev: 2022/01/01) <S-111004-07CHK>
Oil Spill Checklist Page 2 of 2
Section VIII - 【Reporting to Applicable Parties】
1. Report to company’s 24 hours emergency contact number Time:
2. Harbor master / Terminal Time:
3. QI / As per SOPEP / SMPEP Time:
4. VTIS / Marine safety agency Time:
5. Local agent Time:
6. Others Time:
Section IX - 【Ventilation Control】
1. Actions taken to prevent ingress of flammable gases into Acc. & machinery □
spaces
Section X - 【Oil Spill Prevention】

1. Eliminate / Restrict source of oil spill □

2. Lower the level of the overflowing tank by transferring to the other empty / □
slack tank
3. Transfer remaining oil in the pipeline to another space / tank □
4. Prepare wilden pump □
5. Recover and collect spilled oil □
6. Consider opening of surface valves / manhole □
7. Adjust trim (If required) □
Section XI - 【Hazardous Cargo Monitoring – Applicable vessels】
1. Monitor hazardous gases by gas detector □
2. Monitor cargo tank pressure □
Section XII - 【Lifeboat Preparation】
1. Prepare lifeboat(s) / ready stretchers and first-aid kits □
2. Readiness for lowering of lifeboat(s) Time:
Section XIII - 【Collection of Samples of Spilled Oil】
1. Place of oil sample taken:
2. Date and time of oil sample taken:
Section XIV - 【Preparation of Records and Documents】
1. Save S-VDR / VDR data □
2. Take photographs (Use IS camera) □
3. Carry out drug and alcohol test □
4. Prepare appropriate documents as advised by company □
5. Entries in log book as applicable □