lps - short condition survey report form - mehran explorer.docx

8/10/2019 LPS - Short Condition Survey Report Form - MEHRAN EXPLORER.docx

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Loss Prevention Survey - Short Condition Survey Report Form

SHORT CONDITION SURVEY REPORT

General Information:

Ship's Hull, Structures & Fittings:

Certification, Surveys and Record Books:

CERTIFICATE TYPE DATE OF ISSUE DATE OF EXPIRY

8. Certificate of Registry 19-JUL-2014 18-JUL-2015

9. International Tonnage 09-MAR-2009

10. International Load Line15-JUL-2014

14-OCT-2014

11. Safety Equipment Certificate 15-JUL-2014 14-OCT-2014

Vessel's name & flag: MEHRAN EXPLORER // COMOROS

IMO number & Call Sign: 7707243 // D6EZ2

Vessel type: SUPPLY VESSEL

Year & country of build: 1977 // U.S.A

Gross Tonnage: 968 (as per ITC) 469.91 (as per NATIONAL TONNAGE)

Classification Society: UNION MARINE CLASSIFICATION SOCIETY

Vessel type: SUPPLY VESSEL

1 External shell plating

Well Painted

Free from heavy corrosion

Free from heavy

indentation

2. Internal shell plating

Well Painted

Free from corrosion

3.

Are weathertight doors and stores hatches

fully operational and providing effective

sealing Yes

4.

Ballast tanks, peak tanks, cofferdams and

void spaces.

(A representative sample of each type of

ballast tank are to be inspected, it is not a

requirement that all tanks are inspected).

5. Condition of holds/cargo tanks Good

6. Superstructure & coatings Good

7.Are visible sections of anchor cables in

apparent satisfactory condition?


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12. Safety Radio Certificate 15-JUL-2014 14-OCT-2014

13.International Oil and Air Pollution

Prevention (IOPP) & (IAPP) 15-JUL-2014 14-OCT-2014

14. International Sewage Pollution Prevention15-JUL-2014 14-OCT-2014

15.Document of Compliance for Dangerous

Goods

16. Hull and Machinery Annual Survey

17. Liferaft Certificate 11-MAR-2014 10-MAR-2015

19. Firefighting Appliance Ceritficate11-MAR-2014 10-MAR-2015

20. Cargo Gear Thorough Annual Survey

21. De-Ratting Exemption CertificateON PROCESS

22.

Stability:a) Class approved stability book

b) Endorsed for change of name

c) Any structural changes made

d) Are previous voyages stability

calculations on record?

23.Procedures and Arrangements Manual on

board

Yes

24. Oil Record Book (Last entry?)

25. Last Port State Control Inspection.

26. Port State deficiencies found

27. Flag State Inspection Date & Place

28. Last DryDocking (date & location)

Pollution prevention:

29. SOPEP locker

30. Bunkering connections

31. Fuel air vents

32 Scupper plugs

33. Oil Absorbents

34. Procedure/checklist for bunkering

35. Removal of Oily waste / Manner of storage

36. Disposal receipt filed

37. Oxygen resuscitator

38.Is the ballast system fully operational and

valves are identified


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Safety:

40. Lifeboats & davits

41. Liferafts & davits

42. Condition of Lifebuoys and Lifejackets.

43. Condition of Pyrotechnics on baord.

44. Fire extinguishers with release instructions

45. Fire lines, pumps , Monitors & hydrants

46. Condition of International Shore Connection

47. Portable gas meters

48. Oxygen resuscitator

49.Emergency muster / station bill sighted on

each accommodation deck?

50.Are main and emergency exits clearly

marked with lighting system

51.Is the fire detection system in satisfactory

condition

Remarks:

This report, and any accompanying documentation or photographs, has been compiled for the sole use of Islamic P&I Club for insurance

purposes only. It should not be disclosed to any third parties without prior written permission from the Islamic P&I Club.

The information contained in this report, and any accompanying documentation or photographs, is not exhaustive as to the general

condition of the ship and should not be relied upon by members or by any other party as any assurance, representation or warranty as to

the condition of the ship and nothing herein shall prejudice the Clubs rights under the insurance policy, in the event of a dispute between

the Club and the member relating to the condition of this ship.


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SUMMARY OF FINDINGS

NO. LIST OF DEFECTS REMEDIAL ACTION REQUIRED

1.

2.

3.

4.

5.

A. Add more rows as required.

B. All deficiencies that present a claims risk to the Club are to be noted as Defects. These will have to be rectified to the

satisfaction of the Club.

Photos

When regulations and safety conditions allow, a selection of labelled, digital photographs should be taken to

show the general condition of the ship with followings particulars:

Overview of vessel, holds, tanks and deck.

Fixtures and fittings.

So far as possible, all defects and/or rectified defects.

So far as possible, tests conducted.

General comments and Masters opinion on overall condityion of the vessel:

For receipt on behalf of the vessel

Name :

Date : / /

Master :

This entire report, together with its summary of defects and / or recommendations for action (if any), has been prepared

conditional upon the clear understanding that in no circumstances whatsoever shall the Club be held responsible and/or

liable for any inaccuracy in the report, or for any act, omission or negligence. It is provided for the sole reference of the

Club and without warranty as to the accuracy of any information or advice supplied therein by the Master or Crew of thevessel.

lps - short condition survey report form - mehran explorer.docx

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