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To be completed monthly . G=good , f= fair , p= poor , * = Latest date , 0 = quantity. For all conditions except “ good” , please clarify in “remarks” –page 4



THE VESSEL: JOHN G.R.

DATE: 31, JANUARU, 2009

 

TO BE COMPLETED MONTHLY. G= Good, F = Fair, P= Poor, * = latest date, 0 = quantity. For all conditions except “ GOOD”, please clarify in “REMARKS” –page 4

ITEM

Condition

Date of

REMARKS

         

Give Latest

Give

Requis. No./dAte

RCVD/ Closed

 

G

F

P

Last Check

Date (*)

Quantity (0)

Or other action

Yes

No

A

LIFE SAVING EQUIPMENT

     

 

 

 

 

   

A.1

LIFEBOATS

     

 

 

 

 

   

 

Hull / Internal

     

31.12.2008

In water:No.1,2

05.11.2008

 

 

   

 

Brakes / Motors/Davits/ Winches

     

31.12.2008

Tested: 26.01 2009

Motors 0 1

 

   

 

Wire Falls

     

31.12.2008

Renewed: 18.01.2007

End to end:18.07.2009

Certif.Exp*: 18.01.2012

 

 

   

 

Ladders

     

31.12.2008

Checked: 19.01.2009

2 pieces

 

   

 

Food rations

     

31.12.2008

Exp: May,2013 -60 pcs,

Apr. 2013 -10 pcs

Pieces 0 : 70

 

   

 

Drinking Water / Tanks

     

31.12.2008

Renewed: 30.01.2009

Liters 0 : 200

 

   

 

Parachute / Signals

     

31.12.2008

Expiring: March, 2011

Signals0 : 8 pcs

 

   

 

Red Hand Flares

     

31.12.2008

Expiring: March. 2011

Flares 0 :12 pcs

 

   

 

Orange Smoke Signals

     

31.12.2008

Exp.:July,11, May,09

Signals 0: 4 pcs

 

   

 

Fire Extinguishers

     

31.12.2008

Recharged: Aug, 2008

Exting. 0 : 2 pcs

 

   

 

Engines / Propellers / Rudder

     

31.12.2008

Good condition.

 

 

   

 

Painters / Lifelines

     

31.12.2008

Good condition

 

 

   

 

Fuel Tank

     

31.12.2008

Good condition

Full by: 100 %

 

   

 

Air bottles / Water Spray N/A

     

N/A

 

N/A

 

   

 

All other Equipment

     

31.12.2008

Checked 31.01.2009

Imm.Suits 0: 33 pcs

 

   

ITEM

Condition

Date of

REMARKS

 

30.04.2006

         

Give Latest

Give

Requisition No.

Received /closed

 

G

F

P

Last Check

Date (*)

Quantity (0)

Or other action

Yes

No

A.2

OTHER LIFESAVING

     

 

 

 

 

   

 

Liferaft –PORT

     

31.12.2008

Serviced *: Aug. 2008

2 pcs

 

   

 

Hydrostatic Release – PORT

     

31.12.2008

Expiring: March,2009

2 pc

 

   

 

Life raft–STBRD

     

31.12.2008

Serviced *: Aug. 2008

2 pcs

 

   

 

Hydrostatic Release –STBRD

     

31.12.2008

Exp.*:March,2009, August, 2010

2 pc

 

   

 

Life raft /–FWD

     

31.12.2008

Serviced *: Aug. 2008

1 pc

 

   

 

E.P.I.R.B / Hydrostatic Release / Bracket

     

31.12.2008

Battery Exp*:Feb. 2011 Hydr.Rel.*: Sept.,2009

1 pc 1 pc

 

   

 

Lifebuoys (incl. Quick release)

     

31.12.2008

Good condition

Pieces0 : 11 pcs

 

   

 

Man Over Board self ingiting liht / smoke

     

31.12.2008

Exp.*:May.,2011

Pieces0 : 2 pcs

 

   

 

Lifejackets

     

31.12.2008

Lights exp.Sept.10

Pieces0 : 50 pcs

 

   

 

Thermal Suits

     

31.12.2008

Expiring*: N/A



Pieces0 : 40 pcs

 

   

 

Line-throwing Apparatus

     

31.12.2008

Exp*.Sept. 2011

 

Pieces0 : 4 pcs

 

   

 

Hand Flares (on Bridge)

     

31.12.2008

Exp.*Febr. 2010

Pieces: 6 pcs

 

   

 

Parashute Signals (on Bridge)

     

31.12.2008

Expiring*: June, 2011

March, 2011

Signals: 8 pcs

4 pcs

 

   

 

Lifeboat VHFs

     

31.12.2008

Exp.*:May,12- 1pc Jan,11-2pcs: Aug.13-1 pc..

Spare batt: VHF: 3 pcs

 

   

 

Signaling Lamp (ALDIS LAMP)

     

31.12.2008

Spare lamp 0: on bridge

AC +24 V

 

   

 

Emergency Lighting

     

31.12.2008

Good condition

2 pcs

 

   

 

Medical Oxygen Breathing Cylinder

     

31.12.2008

Exp.:August, 2010

4 pcs

 

   


ITEM

Condition

Date OF

REMARKS

       

LAST

Give Latest

Give

Requisition No.

Received /closed

 

G

F

P

CHECK

Date (*)

Quantity (0)

Or other action

Yes

No

B.

FIRE FIGHTING EQUIPMENT

     

 

 

 

 

   

 

Engine Room Fire Pump (s)

     

31.12.2008

Good condition

Pressure: 7kg/sm2

 

   

 

Emergency Fire Pumps

     

31.12.2008

Good condition

Pressure: 7kg/sm2

 

   

 

Deck Fire Main / Hydrants

     

31.12.2008

Good condition

 

 

   

 

Fire Hoses / Nozzles

     

31.12.2008

Good condition

21/21 pcs

 

   

 

Fire / Foam Applicator

     

31.12.2008

Refilled: Aug. 2008

1 pc

 

   

 

Foam Tank(s) System

     

N/A

 

 

 

   

 

Fixed Fire Ext. System Co2 – m/e, paint

locker, cargo holds

     

31.12.2008

Hyd.test: 10.08.2005

Checked level: 29.07.2007

 

 

   

 

Fire / Smoke Detectors

     

31.12.2008

Good condition

 

 

   

 

Portable Fire Extinguisher- Foam

     

31.12.2008

Refilled: Aug..2008

Exting.0 : 18 pcs

 

   

 

Portable Fire Extinguisher- Dry Powder

     

31.12.2008

Refilled: Aug..2008

Exting.0 : 18 pcs

 

   

 

Portable Fire Extinguisher- CO2

     

31.12.2008

Refilled: Aug..2008

Exting.0 : 1 pc

 

   

 

Emergency escape breathing device

     

31.12.2008

Last Serv*: Aug..2008

Masks0 : 8 pcs

 

   

 

Firemen’s Outfits

     

31.12.2008

Last Serv*: Aug..2008

Outfits 0: 5 pcs

 

   

 

Self contained breathing device

     

31.12.2008

Last Serv*: Aug. 2008

Mask0: 5 pcs

 

 

   



ITEM

Condition

Date of

REMARKS

         

Give Latest

Give

Requisition No.

Received /closed

 

G

F

P

Last

Check

Date (*)

Quantity (0)

Or other action

Yes

No

C.

GENERAL SAFETY EQUIPMENT

     

 

 

 

 

   

 

Emergency / General Alarm Batteries

     

31.12.2008

Checked *: 26.01.2009

V = 24

AH = 300

 

   

 

Emergency Generator

     

31.12.2008

Checked*: 26.01.2009

 

 

   

 

Fuel Oil Tanks’ Quick Closing Valves (Ensure no air/hydraulic operating medium leakages)

     

31.12.2008

Checked *: 29.01.2009

 

 

   

 

Fire screen doors and bulkhead insulation/penetrations

     

31.12.2008

Checked *: 29.01.2009

 

 

   

 

Vent/ Boiler Fan & F/O Pump Shutdowns

     

31.12.2008

Checked *: 30.01.2009

 

   

 

Nitrogen System

     

N/A

 

 

 

   

 

Engine room fire dampers including all workshop/ store rooms, ventilator dampers

     

31.12.2008

Good condition

 

 

 

   

 

Accommodation and funnel dampers

     

31.12.2008

Good condition

 

 

   

 

Pump room dampers

     

N/A

 

 

 

   

 

Main deck dampers

     

31.12.2008

Good condition

 

 

   

 

Forecastle dampers

     

31.12.2008

Good condition

 

 

   

Safety Equipment Certificate

Issue date: 05-th SEPTEMBER, 2006

Expiration date: 17-th NOVEMBER,2010

REMARKS: CHIEF OFFICER: V. BERDIKOV MASTER: V. IVANOV

Signature: Signature:

 

 

                             

 

 


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