《船岸安全檢查表》

1、船/岸安全檢查表SHIP/SHORE SAFETY CHECK LIST船名： 泊位： 港口： Ship，s Name： Berth No. : Port： 靠泊時(shí)間： 離泊時(shí)間： Time of arrival: Time of depart： 填表說明：為了安全作業(yè)，對所有的問題均應(yīng)肯定地做出回答，可在相應(yīng)的方格內(nèi)清 楚地標(biāo)上“V”記號(hào)。如果不能作肯定的回答，則應(yīng)說明理山，并就所應(yīng)釆取的 相應(yīng)的措施在船船與油碼頭之間達(dá)成協(xié)議。對認(rèn)為不適用的任何問題，就在備 注欄中注明。“船舶”和“油碼頭”欄H下的方格，是供雙方各自填寫檢查結(jié)果的。 在“代碼”欄目中標(biāo)有字母A、P或R者，分別表示如下意義：A

2、任何議定的程序和協(xié)議，均應(yīng)以書面方式寫明在本檢查表的“備注” 欄中，或者互相認(rèn)可的其他表式中，無論哪一種方式，都應(yīng)要求雙方簽字。P在否定回答的情況下，未經(jīng)港口主管當(dāng)局的準(zhǔn)許，不可進(jìn)行作業(yè)。R表示對不超出聲明中時(shí)間間隔需要重復(fù)檢查的項(xiàng)目。表A散裝液體貨物的一般要求PART A- BULK LIQUID GENERAL通用檢査內(nèi)容Bulk Liquid - General船舶 Ship油碼頭Terminal代碼Code備注Remarks1船舶是否已經(jīng)系泊牢靠？R2應(yīng)急鋼統(tǒng)拖纜是否已經(jīng)正確放置？Are emergency towing wires correctly positioned?R3船岸之

3、間的安全通道是否符合安全要求？Is there safe access between ship and shore?R4船舶是否保持自航移動(dòng)能力？Is the ship ready to move under its own power?PR5678910111213141516171819船上是否有了有效的甲板現(xiàn)場值班？船/岸是否都有充分的監(jiān)替？ Is there an effective deck watch in attendance on board and adequate supervision of operations on the terminal and on the s

4、hip?船/岸之間的系統(tǒng)使用是否正常？Is the agreed ship/shore communication system operative?是否已經(jīng)說明并理解船岸/所應(yīng)使用的應(yīng)急信號(hào)？Has the emergency signal to be used by the ship and shore been explained and understood?是否已經(jīng)議定了貨物、燃油和壓載水的裝卸程序？Have the procedures for cargo, bunker and ballast handling been agreed?是否已經(jīng)認(rèn)識(shí)并了解擬裝卸貨物中有毒物質(zhì)所具有

5、的危險(xiǎn)？Have the hazards associated in the cargo being handled been identified and understood?是否已經(jīng)議定了緊急停止（作業(yè)）程序？Has the emergency shutdown procedure been agreed?船岸雙方的消防水帶和消防設(shè)備是否已經(jīng)正確放置并隨時(shí)可用？ Are fire hoses and fire fighting equipment on board and ashore positioned and ready for immediate use?貨物和燃油的軟管或輸油臂

6、狀況是否良好、裝配是否符合要求并適 合于預(yù)定的用途？Are the cargo hoses in good condition and correctly connected with shore pipes for designed use?船岸雙方的排水孔是否已經(jīng)堵塞嚴(yán)密、集液容器是否已經(jīng)安置就 位？Are scuppers effectively plugged and drip trays in position both ship and shore?不使用的貨物和燃油軟管接頭是否已經(jīng)用廳板妥善封閉并上緊全 部螺栓？Are unused cargoes and bunker conn

7、ected property secured with blank flanges fully bolted?不使用的通海閥和舷外排出閥是否保持關(guān)閉并明顯地系牢？Are sea and overboard discharge valves, when not in use, closed and visibly secured?所有貨艙和燃油艙艙蓋是否保持關(guān)閉？Are all cargo and bunker tank lids closed?是否釆用已議定的油艙透氣系統(tǒng)？Is the agreed tank venting system be used?F/V閥和/或高速排氣裝置的效用，是否

8、已經(jīng)用扌是升校驗(yàn)設(shè)施（如 裝置有）驗(yàn)明正常？Is the operation of the P/V system been verified?手電筒是否屬于認(rèn)可類型？RARAARAARAre hand torches of an approved type?2021222324252627282930313233343536便攜式VHF/UHF無線電對講機(jī)是否屬于認(rèn)可的類型？Are portable VHF/UHF transceivers of an approved type?船上主要的無線電發(fā)射天線是否已經(jīng)接地、雷達(dá)是否已經(jīng)關(guān)閉？Are the ship* s main radio tr

9、ansmitter aerials earthed and radars switched off?便攜式電器設(shè)備的電纜是否已經(jīng)與電源斷開？Are electric cables to portable electrical equipment disconnected from power?生活區(qū)所有的外部艙門和舷窗是否都保持關(guān)閉？Are all external doors and ports in the accommodation closed?窗式空調(diào)機(jī)是否都已經(jīng)斷開電源？Are window-type air conditioning units disconnected?有可能吸

10、入貨物蒸汽的空調(diào)系統(tǒng)進(jìn)氣口是否已經(jīng)關(guān)閉？Are air conditioning intakes that mey permit the entry of cargo vapors closed?使用廚房設(shè)備和其他炊事用具的規(guī)定被切實(shí)遵行？Are regulations of kitchen being observed?是否切實(shí)遵行吸煙安全規(guī)定？Are smoking requirements being observed?是否切實(shí)遵守明火安全規(guī)定？Are naked fire regulations being observed?是否已做了應(yīng)急逃生的安排？Is there provisio

11、n for an emergency escape?船上和岸上是否有足夠的人員以備處理緊急情況？Are there sufficient personnel on board and ashore to deal with an emergency?船/岸管路接頭是否符合要求的絕緣措施？Are the joints of ship/ashore hoses meeting the insulation是否已經(jīng)采取保證泵房充分通風(fēng)的措施？Are efficiency measures for pump room ventilation used?船舶如果能夠以封閉方式進(jìn)行裝栽，是否已經(jīng)約定封閉式作業(yè)的有 關(guān)要求？Have the requirements for closed operations been agreed?蒸汽回收管路是否已連接？Is the vapour return line been correctly connected?如果蒸汽回收管路已經(jīng)連接了，是否已經(jīng)議定了操作參數(shù)？Is operating parameter for vapour return line been agreed?是否在室外放置有船舶應(yīng)急防火控制圖？RRRRRRAre the ship* s emergency fire control plans locate