FORM

CHECKLIST PEMBELIAN KAPAL

Existing Vessel Take Over Checklist

Instruksi / instructions :
1. Isi (Yes/No/NA) jika item tersebut telah diverifikasi
Fill (Yes/No/NA) if the item verified
2. Simpan checklist yang telah diisi
File this file after completion

Nama Kapal : Posisi Kapal :

Vessel’s Name Vessel Position

No Deskripsi /Description Yes/No/NA Remarks/Keterangan

A. Hull & General Appearance

1. Cleanliness of the hull and visual appearance satisfactory

2. Cleanliness of weather deck and deck working area clearly marking

3. Deck piping free of any leak and outfitting free of over corrosion

4. Cleanliness of accommodation and visual appearance satisfactory

5. Cleanliness of engine room and visual appearance satisfactory

B. Ship Certificates
1. Certificate of Class and Class Certificates

2. Class Survey Status

3. Continuous Synopsis Record (CSR)

4. Record of Class Surveys

5. Copy of Certificate of Nationality / Certificate of Registry

6. International Tonnage Certificate (1969)

7. International Load Line Certificate (1966)

Record of Condition of Assignment of Load Line / Survey of Load

8.
Line

9. Copy of Ship’s Radio Station License

10. Copy of International Ship Security Certificate

11. Copy of Safety Management Certificate

12. Copy of Document of Compliance Certificate

13. International Oil Pollution Prevention Certificate (IOPP)

14. International Air Pollution Prevention Certificate (IAPP)

15. International Sewage Prevention Certificate (ISPP)

16. Type approved Certificate of Sewage System

17. Cargo Ship Safety Construction Certificate

18. Cargo Ship Safety Equipment Certificate

19. Record of Approved Cargo Ship Safety Equipment

20. Cargo Ship Safety Radio Certificate

21. Record of Approved Cargo Ship Safety Radio

22. Copy of Safe Manning Certificate

23. Copy of MLC

Engine International Air Pollution Prevention (EIAPP for ME,AE, &

24.
Cargo Engine)

25. International Energy Efficiency Certificate (IEEC)

26. Anti Fouling Certificate

27. Loading Computer Certificate

28. Deratting Exemption Certificate/ Sanitary Certificate

29. Builder certificate

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CHECKLIST PEMBELIAN KAPAL
Existing Vessel Take Over Checklist

30. Tank Coating Certificate

31. Exemption Certificate (if any)

32. Suez Canal Tonnage Certificate

33. Panama Canal Tonnage Certificate

34. LRIT Certificate

35. Cargo Gear Book Including Test Certificate

36. Oily Water Separator – Approval Certificate

37. International Ballast Water Management Certificate

C. Ship Equipment Certificates

1. Cert of Inspection Fix CO2

2. Cert. of Inspection Fix Foam Tank System

3. Annually Service Portable FE

4. Service Report for SCBA - EEBD

5. Pressure Safety Valve Test

6. Pressure Vaum Valve Cert Test

7. Service Report for Liferaft

8. HRU Certificate

9. Accommodation Ladder P/S Wire Certificate

10. Fire Lines Piping System Test

11. Foam Lines Piping System Test

12. Ballast Line Piping System Test

13. Cargo Line Piping System Test

14. Bunker Lines Piping System Test

15. Tank Cleaning Lines Piping System Test

16. Compass Adjustment Certificate

17. BHC Test Cert Test

18. UTI Calibration Certificate

19. Gas Detector Certificate

20. Shore Based Maintenance Certificate

21. Medical Resuciator Certificate

22. Wire Rope Certificate

23. Mooring Rope Certificate

24. Anchor & Chain Certificate

25. BA Compresor Air Quality

26. ECDIS Certificate

27. EPIRB Test

28. SART Test

29. Inflatable Lifejacket Certificate

30. Inflatable Life Raft Inspection Certificate

31. Life Boat/ Rescue Boat Certificate

32. Annual Launching Certificate

33. 15 PPM Sensor Calibration Certificate

34. Fixed Hydrocarbon Gas Detection Calibration Certificate

35. IG Calibration Certificate

36. Cert of Compliance for Crew Accommodation

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CHECKLIST PEMBELIAN KAPAL
Existing Vessel Take Over Checklist

37. Asbestos Free Certificate

38. Vapour Emission Control System (VECS)

39. Bow Stopper Certificate

40. Pilot Ladder Certificate

41. SVDR APT

42. Calibration of cargo and ballast gauge

43. ODME Test Report

D. Ship’s Drawing
1. General Arrangement

2. Midship Section

3. Shell Expansion

4. Construction Profile

5. Capacity Plan with Deadweight Scale

6. Fire Control Plan

7. Stability & Damage Stability Booklet

8. Loading Computer Manual

E. Ship’s Manual & Records

1. Ballast Water Management Plan

2. SOPEP (Shipboard Oil Pollution Emergency Plan)

3. Oil Record Book Part I & II

4. SOLAS Training Manual

5. Latest Ultra Sonic Gauging Report

6. Latest Dry Docking Report

7. Ship’s Log book Compulsory Entries & Cargo Record Book

8. Port State Control Report of Inspection

9. VOC Plan

10. COW Manual

11. Tail shaft Monitoring Document

12. Builder List of Machinery Particulars

13. Deck and Engine Inventory List

14. Main Engine Instruction Manual

15. Main Engine Spare Parts Manual

16. Record of Running Hours M/E and A/E

17. M/E and A/E Crank web Deflections

18. M/E and A/E Cylinder Calibration Records

19. Overhaul & Maintenance Records

20. Auxiliary Engine Instruction Manual

21. Auxiliary Engine Spare Parts Manual

22. Boiler Water Treatment Records

23. Engine Room Instruction Manual

24. Main Engine Spare Parts Manual

25. Lubricating Oil Chart

26. Lubricating Oil Analysis Record

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CHECKLIST PEMBELIAN KAPAL
Existing Vessel Take Over Checklist

F. Others Document
1. Last Port clearance

2. Ship Particular

3. Spare parts list

4. CAP Survey Report (if any)

5. Last Bunker Received

6. Last 10 Port Call

7. PMS Deck & Engine Dept

8. Vessel Experience Factor

9. Last Garbage Landed Shore Receipt

10. Medical List

11. Bunker Delivery Note Last 2 years (if any)

12. FO Analysis Report

G. Cargo Handling System & Equipment

1. Verify loading limitation and characteristic of cargo pumps

2. Verify cargo line, valve and relief valve are in order

3. Verify loading computer and ODME operation

4. Verify cargo and ballast pump operation satisfactory

5. Verify IGG full operation and confirm O2 content monitor

Verify cargo and ballast tank condition (based on last cargo and
6.
ballast tank inspection)

7. Verify cargo hose handling crane in order

8. Confirm cargo operating manual available

Verify emergency cargo pump (for framo system) and wilden pump
9.
available

10. Verify measuring equipment available and calibrated

Cargo system remote, tank pressure, temperature, level sensors and

11.
gauge are in order

12. Verify emergency shut down system operable

13. Verify general store for deck department

H. Mooring Equipment

1. Mooring winch include foundation in good condition

2. Brake lining, drum and pins satisfactory

3. Pedestal fairlead, roller, and other roller are in good condition

4. Mooring rope and wire condition satisfactory

5. Spare of mooring rope and wire (if available) in place satisfactory

6. Windlass and attachment in good order

7. BHC test equipment available onboard

I. Existing Security Equipment (If Applicable)

Security related equipment (razor, security lock, locking arrangement
1.
etc) are in good order

2. Verify if any cyber security equipment fitted onboard

3. Verify all of computer and equipment password accordingly

4. Verify of all locking system (key)

J. Navigation & Communication and GMDSS Equipment

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CHECKLIST PEMBELIAN KAPAL
Existing Vessel Take Over Checklist

1. All equipment and associated systems operating satisfactory

2. Radar/ARPA/ECDIS are fully operational

Steering gear changeover, emergency arrangements,

3.
communications and alarms are satisfactory, procedure in place

4. Gyro compass in order

5. GMDSS equipment are fully operational

6. Magnetic compass satisfactory- deviation card posted

7. GPS position display correct position

8. VDR switch on without any alarm

9. AIS & SSAS are operational – verify SSAS button place

10. Speed log and echo sounder are in order

11. Publication onboard satisfactory

12. Chart and ENC available

13. Miscellaneous instrument operating satisfactory

14. VSAT / FBB / Iridium

15. CCTV DVR/NVR / Cameras

16. Number of Computers and location (i.e Bridge, CCR, ECR, Cabin)

K. Safety and LSA Equipment

All LSA / FFA (fixed / portable fire extinguishers, Fire Man Outfit &
1. BA set, EEBD, Immersion Suits, Life Rafts & HRU)servicing to be up
to date and service reports on board

2. Portable extinguishers spare charges quantity

3. Shore connection available

4. Lifeboat and rescue boat in good order

5. Pyrotechnics are available as required and up to date

L. Machinery
Verify main engine operational and satisfactory (ask last performance
1.
test)
Verify each auxiliary engine operational and satisfactory (ask last
2.
performance test)

3. Verify boiler operational and safety alarm tested

4. Ensure change over procedure FO to DO

5. Verify IG system operational and satisfactory

6. Verify cargo pump / machinery operational and satisfactory

7. Verify incinerator operational and satisfactory

8. Verify OWS operational and 15 ppm alarm function test

Ensure no connection between bilge & sludge piping system found

9.
on board

10. Verify sewage system working satisfactory

11. Fresh water generator satisfactory and water meters operative

12. Bow thruster (if any) in good order

Emergency generator, steering, fire pump, air compressor are in

13.
good order

14. Main air compressor and deck air compressor satisfactory

15. Verify LO & FO purifier satisfactory and valve operational

16. Verify AC and refrigerating system are in good order

17. All of pump are in good order without any leak

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CHECKLIST PEMBELIAN KAPAL
Existing Vessel Take Over Checklist

18. Verify engineer call alarm and UMS alarms (if applicable)

19. Ensure stern tube oil levels normal

20. Verify switchboard operating satisfactorily

21. Alternators operating in parallel – operate satisfactorily

22. Power Management System fully operational

23. Verify and check engine alarm monitoring records

24. Ensure special tools in place accordingly

25. Verify bilge system and alarm satisfactory

Verify following measurement instrument :

-ME deflection gauge
-ME indicator
26. -GE deflection gauge
-GE pmax gauge
-Stern tube wear down gauge
-Other precise gauge/instruments

27. Verify critical spare parts and spare parts availability

28. Verify foam tank and fire valve satisfactory

Verify main engine room fixed fire extinguishing system is on

29.
automatic and ready to release whether it be CO2, flexi fog etc.

30. Verify bunker ROB, fw, lubs and chemical

M. Provision & Stores

Verify if the food and drinking water are enough for single voyage to
1.
Belawan

Catatan Penting / Notes :

Dibuat tanggal / Prepared Date : / /

Owner’s Superintendent