Name of ship / Call Sign / Port of Registry /

Keel Laid

/ Gross Tonnage
Y = / Yes/True
N = / No/False
N/A= / Not applicable
1. /

Documentation

1.1 / An approved loading and stability information booklet is on board
1.2 / An approved damage control plan is on board
1.3 / Approved tank filling limits for cargoes with a vapor pressure greater

Than 1,013 bar at 37,8°C are on board

1.4 / A copy of the IMO-Code for chemical tankers on National Regulations

Incorporating the provisions of the Code are on board

1.5 / A cargo record book according to Helsinki Convention/MARPOL Annex II*) is on board
1.6 / An approved procedures and arrangements manual according to MARPOL Annex is on board
1.7 / Data required for the safe carriage of the cargoes are on board

This survey is carried out on behalf of the Administration and covers the requirements for the periodical survey of the IMO BCH-Code/IBC-Code and National Regulations incorporating the provisions of the relevant Code respectively.

Y = / Yes/True
N = / No/False
N/A= / Not applicable
2. /

Weather Deck and Cargo Tanks

2.1 / Cargo tanks are equipped with the following gauging devices
Wing tanks:
Center tanks:
The gauging devices have been examined and found in operable condition
2.2 / The following tanks are equipped with high level alarm at / % filling ratio
Tanks:
Manufacturers:
Type:
High level alarms were checked and found to be in order
2.3 / The following tanks are equipped with overflow controls / alarms at / % filling ratio
Tanks:
Manufacturers:
Type:
Overflow controls were checked and found to be in order
2.4 / Cargo tanks are equipped with temperature measuring / alarm*) devices
Tanks:
Manufacturers:
Type:
2.5 / Detachable piping connections are provided only at valves and expansion joints
The temperature measuring / alarm devices were checked and found to be in order
Type of the joints:
2.6 / Cargo piping is independent of other piping systems
2.7 / Pumps, valves and pipelines are identified and distinctively marked.
2.8 / Shut-off valves are equipped with open / closed indicators.

*) delete as appropriate

Y = / Yes/True
N = / No/False
N/A= / Not applicable
2.9 / Runs of cargo piping located below main deck are fitted with a stop
Valves inside the tank they serve operable from the weather deck, and
2.10 / An additional valve is fitted in the pump room in all pipes between the
Tank valve and the cargo pumps
2.11 / The cargo piping system was pressure tested and found satisfactory
Date:
2.12 / Pump discharge pressure gauges are fitted outside the pump room and in operable condition
2.13 / The discharge rate of the cargo pumps can be controlled from outside the pump room.
The arrangements are operable
2.14 / Remote stopping devices for cargo pumps are:
at tank deck level within the cargo area
Outside cargo area
The remote stopping devices were tested and found in operable condition
2.15 / Hose connections are equipped with shut-off valves.
2.16 / Approved cargo hoses are on board
Numbers:
Type:
Last test[1]:
Carried out by:
2.17 / Flame arrestors in vent opening of cargo tanks were checked and found in order
2.18 / The vent line drainage arrangements have been examined and found satisfactory
2.19 / Pressure / vacuum valves of cargo tanks are in operable condition
Relief valve setting of cargo tanks is as follows:
Cargo tank: / mbar
Cargo tank: / mbar
Cargo tank: / mbar
Remarks:
2.20 / Cargo tanks are provided with vapor return connections
Vapour return connections are equipped with shut-off valves
Y = / Yes/True
N = / No/False
N/A= / Not applicable
2.21 / Following cargo tanks are provided with “spill valves”
Tanks:
Relief setting: / mbar
2.22 / Cargo tanks are provided with operable means for measuring the pressure of tank atmosphere
2.23 / Cargo tanks are provided with a cargo heating system
2.23 / Cargo tanks are provide with a cargo heating system
The cargo heating system was tested and found satisfactory; date:
2.24 / Sampling arrangements of cargo heating systems connected to systems outside the cargo area or to the
Engine room have been examined and found satisfactory.
2.25 / Bilge pumping systems within the cargo area including pump room were checked and
Found to be in order
2.26 / Wheelhouse doors and windows, side scuttles and windows in superstructures and deckhouses
Facing the cargo area are in good condition.
3. /

Cargo Pump Room and other Cargo Handling Spaces

3.1 / The remote operation of the cargo pump room bilge system is operable
3.2 / The cargo pump room bilge system is of corrosion-resistant materials
Remarks:
3.3 / Arrangement are such as to ensure unrestricted access for a person wearing a breathing apparatus
To the cargo pump rooms
To all valves necessary for cargo handling in the cargo pump rooms
3.4 / Have permanent arrangements been fitted for hoisting of an injured or unconscious person
(tackle, eye above the stairway for fixing the tackle)
Remarks:
3.5 / Have guard railings been installed on all ladders and platform)
4. /

Inert / Padding / Drying Gas System

4.1 / The following tanks are fitted with suitable connections for inerting / padding / drying which are
In operable condition
Y = / Yes/True
N = / No/False
N/A= / Not applicable
4.2 / Sufficient inert gas to compensate for normal losses is on board
Quantity of nitrogen bottles
4.3 / Inert gas equipment / system*) has been checked and found in order
4.4 / Means are available for testing the O2 content of ullage spaces
4.5 / If applicable, sufficient drying agents to be used on air inlets to cargo tanks are on board
5. /

Ventilation Systems within the Cargo Area

5.1 / Ventilation systems including portable equipment, if any, of cargo pump rooms and service
spaces within the cargo area were checked including their ducts, shut-off devices and protection
screens and found to be in order
5.2 / Spare parts for cargo area mechanical ventilation fans are available on board
(impeller, bearings).
5.3 / Warning notices requiring the use of the ventilation systems prior to entering the spaces
are placed outside the spaces.
5.4 / For ventilating cargo tanks and surrounding spaces the following fans are available:
Type:
Number:
Capacity: / Nm3/h
Remarks:
6. /

Fire Fighting

6.1 / The following fire-extinguishing equipment for the cargo area is in operable condition:
CO2 / Halon*) system
Dry chemical powder system
Deck foam system
6.2 / Last test carried out by manufacturer:**)
CO2 / Halon*) system:
Dry powder system
Deck foam system
6.3 / The water spray system has been tested and found in operable condition.

*) delete as appropriate

**) to be carried out at intervals of 2 years

Y = / Yes/True
N = / No/False
N/A= / Not applicable
7. /

Only to be Filled in when Propylene Oxide is Permitted to be Carried

7.1 / Cargo hoses for transfer of propylene oxide are available on board
Last test: / *)
Carried out by:
7.2 / Are these marked: “For Propylene Oxide transfer Only”
7.3 / Liquid and vapour shore-connection lines are equipped with means to relieve these
Lines in a safe manner prior to disconnecting.
7.4 / Means for measuring the tank atmosphere have been checked and found to be in order
7.5 / Remote operated shut-off valve on each hose connection has been tested and found satisfactory
7.6 / Cargo tanks are equipped with operable sampling devices
7.7 / Inner parts of valves used in PO systems are made of stainless steel with not less than 11% chromium
Manufactures:
7.8 / Materials of gaskets used in PO systems:
7.9 / Approved cargo handling plans for PO transport are on board
8. /

Other Items

8.1 / The cargo sample stowage arrangements are in satisfactory condition.
8.2 / Any special arrangements to survive conditions of damage such as sliding doors, etc.
are in order (see damage control plan)
8.3 / Removable pipe lengths (spool pieces) or other approved equipment necessary for cargo
Separation are available and satisfactory.
8.4 / Bow and stern loading / unloading arrangements are in satisfactory condition, and are
Disconnected from the cargo piping system by a spool piece.
8.5 / Spray shields and drip trays, at the flanges of the loading and discharge manifold, fixes
Or portable, are in satisfactory condition
8.6 / The following devices for measuring flammable, toxic and inert vapors area available and in operable condition
For flammable vapors:
Number: / Manufacturer:
Type:
For toxic vapors:
Number: / Manufacturer:
Type:

*) to be carried out at intervals of 2 years

Y = / Yes/True
N = / No/False
N/A= / Not applicable
8.6 / For O2 measuring:
Number: / Manufacturer:
Type:
9. /

Personnel Protection Equipment)

For the protection of crew members who are engaged in loading and discharging operations, the ship has
On board protective equipment of chemical-resistant material for the chemicals to be carried.
Ship certified fit for the carriage of toxic cargoes have on board not less than three sets of safety equipment
each permitting personnel to enter gas-fitted compartments and perform work there for at least 20 minutes.
One of these sets is stored near the cargo pump room, if arranged.
The following equipment is on board:
Type / Make / Quantity
Gas protective overalls (complete)
Protective clothing (Overalls, large aprons)
Gloves with long sleeves
Boots
Tight-fitting goggles
And/or face shields
Self-contained air breathing apparatus)
Lifeline with belt (Safety line)
Explosion-proof safety lamp)
(The fireman’s outfit required by Regulation II-2/17 of SOLAS 74 is not to be taken into account.)
Remarks:
9.2 / The protective equipment is stored in easily accessible and marked special lockers outside accommodation
Spaces. (New or thoroughly cleaned protective equipment only may be kept
within accommodation spaces).
9.3 / For the purpose of supplying air to the air-breathing apparatus:
a. / A sufficient number of spare air bottles i.e not less than 6000 liters of breathing
Air per breathing apparatus, or
b. / A compressor is on board
Y = / Yes/True
N = / No/False
N/A= / Not applicable
9.4 / The air-breathing equipment has been examined and tested since the last survey as follows:
Monthly inspection by a responsible officer
Annual inspection and test by an expert (e.g. the markers)
9.5 / A stretcher, suitable for hoisting injured or unconscious persons, e.g. from the pump
Room is placed at a readily accessible location
9.6 / For escape purposes an approved emergency apparatus consisting of respiratory and eye protection
is available for every person on board, in addition to the air breathing apparatus listed under item 9.1
The following apparatus* are on board:
(Self-contained emergency breathing apparatus and / with eye protection, e.g. Dragger,
Type : Oxy 15; Auer, Type: SSR 16 BB.)
(The compressed air breathing apparatus already listed under A.9.1 is not to be mentioned under this item.)
Quantity / Pces. / Maker/Type
9.7 / The emergency respiratory and eye protection is not to be used for other purposes, e.g. cargo handling
tank cleaning etc. The equipment is marked to that effect
The equipment is stored in
9.8 / A first kit is on board which includes an oxygen resuscitation device**
9.9 / Clearly marked decontamination showers operable in all ambient conditions and an eye wash
are available on deck in convenient locations and in good serviceable condition (an eye wash
May consist, e.g. of a spray bottle).
10. /

On Waste Chemical Incinerator Ships Only

10.1 / All cargo tanks and cargo piping have been examined for corrosion. The remaining
thickness of material has been determined

*) Filter type protection is not approved

Y = / Yes/True
N = / No/False
N/A= / Not applicable
10.2 / The steel structure of the incinerators including supports and fixtures as well as bricklining
and insulation have been examined and found satisfactory
10.3 / Remote shut-down devices in waste and fuel lines for incinerators have been tested and found in order
10.4 / Fuel and waste feed lines have been tightness tested and found satisfactory
and insulation have been examined and found satisfactory
10.5 / Ventilation fans and ducting of incinerator space, incinerator blower space and for combustion
air have been examined for corrosion
10.6 / Following equipment of the incinerators have been checked and found satisfactory:
.1 Conditions of burners, control and safety devices
.2 Temperature monitoring system
.3 Gas sampling pipe from incinerator to analyzer
.4 Condition of refractory lining of furnaces at the top area and burner area
10.7 / The gas cooler of the gas analyzer have been function tested
10.8 / Sufficient supply of calibration gas nitrogen and filter materials for the gas analyzer as mentioned
In the manual is available
11. /

Electrical Equipment

Electrical equipment in gas-dangerous zones in satisfactory with respect to the following:
11.1 / Cables
.1 protective earthings (spot check)
.2 The cables are in order as far as the mechanical side is concerned
.3 Cable glands and bulkhead penetrations are in order
.4 The insulation value of the electrical installation is in order (as indicated by the ship’s
Insulation control instrument, ³ 50 k Ohm)
.5 Testing of insulation resistance of circuits (only to be made when the ship is in gas-free condition)
has been carried out
Relevant reading made by the crew have been examined and accepted
11.2 / Certified safe type equipment
.1 All control, measuring and communication circuits are in satisfactory and operative
condition (intrinsically safe type)
.2 All lights are in satisfactory and operative conditions
.3 All installation materials, such as switches, sockets, branch boxes etc.,
are in satisfactory and operative condition
.4 The motors for pump room ventilators, cargo pumps etc. are in satisfactory and operative condition
are in satisfactory and operative condition
The related overload protection devices have been adjusted to the respective operation value
.5 The pressurized equipment, if any, and the associated alarms are in satisfactory
and operative condition
11.3 / Modifications / Repairs
.1 Since the last survey modifications, extensions or repairs were effected on
Electrical installations
.2 Are particulars at hand respecting modifications, extensions or repairs
.3 Have these particulars been approved by MCO,
.4 Have repairs been carried out satisfactory as far as can be seen
11.4 / Survey according to (Marpol/Annex II) has been carried out, Date
12. /

Cargo Tank Coatings