pre-loading condition survey.pdf

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Microsoft Word - pre-loading condition survey - standard report form.doc
PRE-LOADING CONDITION SURVEY
1. GENERAL INFORMATION
1.1.
Name of vessel
1.2.
Principals’ ref. number
1.3.
DPS ref. number
1.4.
Port of survey/country
1.5.
Date of survey
1.6.1.
Type of cargo
1.6.2.
Quantity
1.6.3.
Port of loading/country
1.6.4.
Port of destination/country
1.7.1.
Name of surveyor
1.7.2
Company/place/country
1.7.3
Reference number
1.7.4.
Duration of survey
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ref. BEL/00109/AA/aa
2. DOCUMENTATION
2.1.
SHIP’S PARTICULARS
2.1.1.
Type of vessel
2.1.2.1. Type of holds
2.1.2.2. No. of holds
2.1.3.1. Type of hatches
2.1.3.2. No. of hatches
2.1.3.3. Method of opening/closing
2.1.3.4. Way of securing
2.1.4.1. Type of cargo gear
2.1.4.2. Number
2.1.4.3. SWL
2.1.5.
Built (year & place/country)
2.1.6.1. Gross tonnage
2.1.6.2. Net tonnage
2.1.6.3. Summer deadweight
2.1.7.1. Length over all
2.1.7.2. Breadth moulded
2.1.7.3. Depth moulded
2.1.8.
Port of registry
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ref. BEL/00109/AA/aa
2.1.9.
Owners
2.1.10. Operators
2.1.11. Master
2.1.12. Classification society
2.1.13. P&I
2.1.14
Additional comments if any:
2.1.15.1. Last testing of hatch covers When
2.1.15.2.
Where
2.1.15.3.
How
2.1.15.4.
By whom
2.1.15.5.
Results
OK
NOT OK
2.1.15.6.
Written evidence
YES
NO
2.1.15.7.
Copy taken
YES
NO
2.1.15.8
Additional comments if any:
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ref. BEL/00109/AA/aa
2.2.
CLASS CERTIFICATES AND DOCUMENTS
2.2.1.1. Registry
Place of issue
2.2.1.2.
Issuing date
2.2.1.3.
Expiry date
2.2.2.1. International load line
Place of issue
2.2.2.2.
Issuing date
2.2.2.3.
Expiry date
2.2.3.1. Safety construction
Place of issue
2.2.3.2.
Issuing date
2.2.3.3.
Expiry date
2.2.4.1. Safety equipment
Place of issue
2.2.4.2.
Issuing date
2.2.4.3.
Expiry date
2.2.5.1. Safety radio
Place of issue
2.2.5.2.
Issuing date
2.2.5.3.
Expiry date
2.2.6.1. IOPP
Place of issue
2.2.6.2.
Issuing date
2.2.6.3.
Expiry date
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ref. BEL/00109/AA/aa
2.2.7.1. Ship Sanitation Control
Place of issue
2.2.7.2.
Issuing date
2.2.8.1. Cargo gear annual
Place of survey
2.2.8.2.
Date
2.2.9.1. Cargo gear quadrennial
Place of survey
2.2.9.2.
Date
2.2.10.1 Last dry-docking
When
2.2.10.2
Where
2.2.11.1. Any outstanding or overdue class
recommendations as per class listings?
YES
NO
2.2.11.2.
If YES, list below:
2.2.12.
Additional comments if any:
2.3.
INTERNATIONAL SAFETY MANAGEMENT (ISM)
2.3.1.
In operation
YES
NO
2.3.2.
Issuing authority
2.3.3.
Place & date of issue
2.3.4.
Valid till
2.3.5.
Last periodic survey
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