18
Pag.1 UPDATED ON File No. D 200A/B 0A 0B 1A CSR (Continous Synopsis Record) 1B 2 3 4A - Record of condition of LL assignment - DWT/LL assignment document 5 5A 5B 6 7 8 9 10 10A 10B ISSC (Intern.Ship Security Certificate) 11 MLC - Maritime Labour Certificate 12 CVC (Cert. Vessel Compl. HSEMS) 13 14 15 16 17 18 > 1.025 T/M3 (Ancona Aframax Only) 1 3 Suez Canal Tonnage 4 Panama Canal Tonnage 5 Safe Manning 6 Cert. Of Compl. - TVEL 7 Port State Control Reports (last three years. Complete collection in file nr. 9) Deratting Exemption 9 Pharmacy/Potable water cert. 10 Passengers Transport cert. 11 Disch. Cert. - Libya 12 Disch. Cert. - Syria 13 Disch. Cert. - Algeria 14 15 Disch. Cert. - U.A.E. 16 Disch. Cert. - Kuwait 17 Turkish Straits Transit 18 19 Tecnico Sanitaria ,, ,, 20 Autoriz. Sanit. Conf. Alim. ,, 21 1 2 3 4 MSC. 1/Circ. 1462 IMO List of certificate EPIRB ARES CAS (if applicable) CAP (if applicable) File Name FILE B VESSEL'S CERTIFICATES Content Condition Evaluation Report Safety Equipment Safety Radio/Suppl. "R" Sewage International Tonnage Certificate of Registry Declaration of Company (when app.) Declaration of DPA Verbale di Collaudo GMDSS Shore Based Maintenance SMC D.O.C. (copy) CCC (Cert. Company Compl. HSEMS) Cargo Gear Lift Tech. Dept. Safety Construction Unatt. Machinery Space VESSEL'S CERTIFICATES FILE A Master's Office Class Certificate IOPP & Supplement Servizi di bordo (Ital. Ship only) E.S.P. Requirement table Load Line ABOVE MUST BE CUSTOMIZED & INCREASED 3A Tech. Dept. 2 1 Tech. Dept. Radio License Structural Survey Reports 4B 22/02/2018 Location Office Ship Pos. Vessels' Certificates Record - Attachements Master's Office Master's Office Hull Special/Int. Surv. Program FILE INDEX TANKER AND BULK ENHANCED SURVEY PROGRAM TANKER AND BULK 19 Loading condition with density 8 2 Disch. Cert. - Saudi Arabia Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

FILE INDEX - Premudasqems.premuda.net/INDEX_FILES.pdf · Pag.1 UPDATED ON File No. D 200A/B 0A 0B 1A CSR (Continous Synopsis Record) 1B 2 3 4A - Record of condition of LL assignment

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Page 1: FILE INDEX - Premudasqems.premuda.net/INDEX_FILES.pdf · Pag.1 UPDATED ON File No. D 200A/B 0A 0B 1A CSR (Continous Synopsis Record) 1B 2 3 4A - Record of condition of LL assignment

Pag.1

UPDATED ON

File No.

D 200A/B 0A0B1A

CSR (Continous Synopsis Record) 1B23

4A- Record of condition of LL assignment- DWT/LL assignment document

55A5B6789

1010A10B

ISSC (Intern.Ship Security Certificate) 11MLC - Maritime Labour Certificate 12CVC (Cert. Vessel Compl. HSEMS) 13

1415161718

> 1.025 T/M3 (Ancona Aframax Only)

1

3Suez Canal Tonnage 4Panama Canal Tonnage 5Safe Manning 6Cert. Of Compl. - TVEL 7Port State Control Reports(last three years. Complete collection in file nr. 9)Deratting Exemption 9Pharmacy/Potable water cert. 10Passengers Transport cert. 11Disch. Cert. - Libya 12Disch. Cert. - Syria 13Disch. Cert. - Algeria 14

15Disch. Cert. - U.A.E. 16Disch. Cert. - Kuwait 17Turkish Straits Transit 18

19Tecnico Sanitaria ,, ,, 20Autoriz. Sanit. Conf. Alim. ,, 21

1234

MSC. 1/Circ. 1462 IMO List of certificate

EPIRBARES

CAS (if applicable)CAP (if applicable)

File Name

FILE B

VESSEL'S CERTIFICATES

Content

Condition Evaluation Report

Safety Equipment

Safety Radio/Suppl. "R"

SewageInternational Tonnage

Certificate of Registry

Declaration of Company (when app.)Declaration of DPA

Verbale di CollaudoGMDSS Shore Based Maintenance

SMCD.O.C. (copy)

CCC (Cert. Company Compl. HSEMS)Cargo GearLift

Tech. Dept.

Safety Construction

Unatt. Machinery Space

VESSEL'S CERTIFICATES

FILE A

Master's

Office

Class Certificate

IOPP & Supplement

Servizi di bordo (Ital. Ship only)

E.S.P. Requirement table

Load Line

ABOVE MUST BE CUSTOMIZED & INCREASED

3A Tech. Dept.

2

1

Tech. Dept.

Radio License

Structural Survey Reports

4B

22/02/2018

LocationOffice Ship

Pos.

Vessels' Certificates Record

- Attachements

Master's

Office

Master's

Office

Hull Special/Int. Surv. Program

FILE INDEX

TANKER AND BULK

ENHANCED SURVEY PROGRAM

TANKER AND BULK

19Loading condition with density

8

2

Disch. Cert. - Saudi Arabia

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

Page 2: FILE INDEX - Premudasqems.premuda.net/INDEX_FILES.pdf · Pag.1 UPDATED ON File No. D 200A/B 0A 0B 1A CSR (Continous Synopsis Record) 1B 2 3 4A - Record of condition of LL assignment

Pag.2

56

D 218 123

567

12A2B2C34

C.O.F.R. (East Coast) 5C.O.F.R. (West Coast) 6ITOPF 7Hull/Machinery Insurance 8War Risk Insurance 9Crew Insurance 10I.T.F. (or equivalent decl.) 11

LOF 12

International Carrier Bond (ICB) - USA 13AScac Code 13BEcon. Op. Reg. & Ident. Number (EROI) 14

Anchorage Dues (Italy) 15Light Dues (all countries) 16

Bunker C.L.C/2001 ( B. Card incl.)

Certificate of Entry P & I

Company dedic. instruction (WIN-TEC)

VOID

4 Ins. Dept.

Ops Dept.

Master's

Office

TANKER AND BULK

3A Tech. Dept.

Sealed env. - LL/DWT Certificate n. __

SIGCO Entry

C.L.C. - Conv. 1992 ( B. Card incl.)

Various abt. ESP

3B Tech. Dept. Master's

Office

5 Tech. Dept. Master's

Office

150lt. Foam Ext. Hydrotest Cert.150lt. Charge renew

Lifeboat - weighting test

Hydro Release Sys. Ren.

50lt. Foam Ext. Hydrotest Cert.

Hydrostatic Release Sys. Test

B/A Charging Check Cert.

6 Tech. Dept. Master's

OfficeCert. of test steel wires

Cert. of test for anchor/chainCert.s chains/rings/hooks etc.

TESTS

VESSEL'S CERTIFICATES

Rescue Boat wire certificate

"Serie Generale n. 84" italian/work.lang.Sealed env. - LL/DWT Certificate n. __

Magnetic Compass overhaul

SART Battery

9 lt.Foam Ext. Hydrotest Cert.9 lt. Charge renew

O2 B.tls Charging Check Cert.

CO2 Ext. Weight. Test Cert.

Cert. of Seag. Vsl. Lanterns

CO2 Ext. Press. Test Cert.

ABOVE MUST BE CUSTOMIZED & INCREASED

B/A HydroTest Cert.

Rep.of Saf. Equip. Survey

CO2 plant Weight. Test. Cert.

Sealed env. - LL/DWT Certificate n. __

Master's

Office

GMDSS VHF Radio battery

Free Fall - wire Cert.

Liferafts Revision

CO2 plant Press. Test. Cert.

Extinguishing Foam Test

O2 Bottles Hydro Test Cert.

50lt. Charge renew

Lifejacket's light battery

EPIRB Battery

Magnetic Compass inspection

Lifeboat - wire Certificate

ABOVE MUST BE CUSTOMIZED & INCREASEDTANKER AND BULK

TANKER AND BULK

Thickness Report

Italian Flag Instruction and Circular

SAFETY

TANKER

VESSEL'S CERTIFICATES

Free Fall - weighting Test

Class statement of issue DWT/LLMULTIPLE DEADWEIGHT

Log of DWT/LL changes

4

VESSEL'S CERTIFICATES

INSURANCE, CLC Wrecks Conv. 2007 (B. Card incl.)

CUSTOM,

COUNTRIES DUES

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.3

1Report Of Survey 2Authorization For C. Eng. 3Cont. Machinery Survey 4Corr. IN/OUT Office for Class 5Corr. IN/OUT Class 6Schematic plan (hull/machine) 7Various ref. Class 8

O 006A

O 041AO 001O 007

O 002O 007

O 003O 007

I.S.M. Audits (for S.M.C.)

HSE Class Society Audit (HSE Cert.)

O 006B

D 008D

D 008A 3D 008B 4D 008C 5D 007 6

Non conformity and deficiencies from

ClientD 009B

10

Port State Control (see File 2) 1Flag State Inspections 2

3C.O.C. (see File 2) 4Insurance Survey 5

D 009A(if required, to be used and attached to any of the above inspection)

Attestazione di conformità deposito munizioni

From/To

TANKER AND BULK

NON COMPLIANCE AND NON

CONFORMITIES

Port State Control

EXTERNAL INSPECTIONS

9

Other N.C.'s/Non Compl.from extern.

1

Cert. of Bow Chain Stoppers

Closure of N.C.

Non Compliance Report 2

Corr. Act. After Ext. Insp. from ship

INTERNAL

4

6

Corrective Action

Non Conformity from Ship to Office

Corrective ActionVsl. Safety Inspection Report

O

Vsl. Tech. Inspection Report2

7

Non Compliance Report 3

1

3 - Deficiences List

Closure of N.C.

Preventive Action

9

Flag State Inspection

U.S.C.G. C.O.C. (ex TVEL)

8B

- Office

Terminal Reports

- Closure of N.C.

- Deficiences List

CORRISPONDENCE

- Internal HSEMS Audit

Terminal VettingInsurance Survey

- Deficiences List

Corrective Action

Saf. Supt.

Insur. Dept.

Tech. Dept.

Non Conformity report direct from Office to Ship

- External Parties

HSE Dept.

- Deficiences List

6 Tech. Dept. Master's

Office

TESTS

INTERNAL INSPECTIONSAND

TANKER AND BULK

VESSEL AUDITS

9A VETTING INSPECTIONS

Corrective Actions from Ship

- Ship

HSE Dept. HSEMS Files

Cabinet

Closure of N.C.

Cert. of Foam Exting. 9 lt.Cert. of B/A Bottles

ABOVE MUST BE CUSTOMIZED & INCREASED

HSEMS Vessel Internal Audit Report (by Company)Non Conformity Reports

HSEMS Files

Cabinet

EXTERNAL

- HSE Code Verification

EXTERNAL

- Non Conformity Reports - Closure of N.C.

Master's

Office

Quarterly Report (Status)

HSEMS Files

Cabinet

ABOVE MUST BE CUSTOMIZED & INCREASED

2

INTERNAL

TANKER AND BULK

TANKER AND BULK

Commercial/Ops.Insp.Report

Tech. Dept.7

8A005

- Non Conformity Reports

TANKER AND BULK

CLASS REGISTER

Vetting Dept. HSEMS Files

Cabinet

Vetting Reports

- Internal inspections - External Audit

Non Compliance Report 1

Vetting by Major

1

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.4

D 009AD 009B

23

O 024

D 001 HSAE Meeting Report 1

D 001A Crew Safety Meeting Report 2

D 002 Master's Review of HSEMS 3

O 022 Conf. Letter for HSEMS rev. 4

O 038 Files/Doc. Verific. In Office

D 027 Files/Doc. Verific. On Board

D 213 Master Navigational's Audit Report 6

D 005 Safety Officer Inspection Check List 7

D 005A Navigatio Officer Inspection Report 89

O 018A 1

O 018B 2

O 019A 3

O 019B 4

O 019C 5

Quality Objectives follow up

(including all relevant evidences)

Enviromental Objectives follow up(including all relevant evidences)

D 030A Fam.upon emb.(Deck and Eng. Ratings) 1D 030B Fam.upon embarkation (Passengers) 2D 030C Exemption of Quest. for the familiariz. 3D 031 4D 032 5D 033 6D 034 7D 035 8D 038 9D 030D Garbage management staff training 10D 030E Cranes operator familiarization 11D 036AD 036B

D 039 1O 039A 2O 039B 3

D 019A Crew Matrix

D 019B

D 019C

123

D 201A 4D 201B 5D 201C 6D 201D 7D 202 8

9

Projects Work Flow

Design. Rappr. Sicurezza

Visita medica marittimi da medico

Design. Servizi Prevenzione

HSEMS Files

Cabinet

Crew Certificates Summary - Mandatory

Crew Licenses & Training Certificates

Design. Resp. Sicurezza

Design. Respon. Gest. Amianto

TANKER AND BULK

Master's Review

N.A.

Master Office

Rapp. soprall. Medico competente

TANKER AND BULK

H.S.E.M.S. ACTIVITIES

TANKER AND BULK

Crew Dept.

Certif. Ass. amianto

7

12

Quest.-fam. of HSEMS requir. (Officers)

Env.Objectives (achievement review)

Questionnaire-Ship's familiar. (Eng.Off.)

Fam.upon embarkation (Engine Off.)Questionnaire-Ship's familiar. (Deck Off.)

Domanda per famigliari (Italian Ship)

Fam.upon embarkation (Deck Off.)

Record for Fam.of Officers (Deck and Eng)

Application Form for Visitors

Report of Failure, Accident, Incident Near Misses

D 006

CLOSED REPORTS

D

6

Communication to /from D.P.A.

Env.Objectives (targetting/setting)

Closing of report of incident

Report of Failure, Accident, Incident Near Misses

1

Corr. Act. After Ext. Insp. from ship

2

OPEN REPORTS

1

006

Quality Objectives (targetting/setting)

Various corr. TO/FROM Vetting Dept.Vetting Sharing InformationComp. Analys. & Act. after Vett. Insp.

5

11

11(

B)

Quality Objectives (achievement review)

HSEMS Files

Cabinet

10

(A)

- Correspondence

SICUREZZA NELL'AMBIENTE DI

LAVORO A BORDO

LEGGE 271 - Italian Ships only

12

13

CREW QUALIFICATION

TANKER AND BULK

9A

TANKER AND BULK

Communication to/from D.P.A.

CREW EVALUATION

Minimum Safe Certificate (copy)

CREW FAMILIARIZATION

HSEMS Files

Cabinet

HSE Dept.

HSE Dept.

HSE Dept.

Evaluation Form (Chief Off./Second Eng.)

Personal Eval. Form (crew)

HSEMS Files

Cabinet

N.A.

Conferimento Medico

HSEMS Files

Cabinet

Safety Meeting Report

10 (B)

10 (C)

COMPANY OBJECTIVES

Evaluation Form (Master/Chief Eng.)

Verbale Riunione Periodica

Vetting Dept. HSEMS Files

Cabinet

TANKER

Crew Dept.

N.A.

Crew Certificates Summary - Additional

REPORT OF INCIDENT, NEAR MISS

& FAILURE

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.5

101112

D 016 1D 015A 2D 196 Marine Injury Report 3D 145 Hospital and Sick Bay Check List 4D 014 Protective Clothing Assignment 5

CG 2692 6

Den.mal.e rich.v.med.durante l'imbar.-Mod.Mal 1 7Den.di infortunio e richiesta visita med.-Mod.14N 8

9

D 015B 10D 015C 11D 015D 12

D 017A 1D 017B 2D 017C 3

D 004A

D 004B

D 004C - With requested attachment

D 004C

D 004C

D 004D

D 050 1D 051 2

D 052B Report of drill With attached:

- Dedicated SOPEP check list- Initial notificat. (SOPEP Form 1)

D 053 Tech. Advisor Notificat. Drill 4D 054 D.P.A. Notificat. Drill 5

Emergency Proced. ExerciseWith attached:

- Action to control (VRP Form)- Initial notificat. (VRP Form )

D 055 VRP Drill Annual Summary 7

8

D 028A 1

- Releted report D 028B Landed Material Register 3

D 029A Pro-Forma Invoice

O 034

Handing Over Form - Cargo/Safety Off.

6 - With requested attachment

2

- Releted corrisp. With office

6 - Ship Yard Records

4

5

Pre-employment drug and alcohol test

For Non-Italian Crew

ANTIPOLLUTION - SOPEP -

ANTIPOLLUTION - V.R.P. -

Tech. Dept.

HSEMS Files

Cabinet

Crew Dept.

Handing Over Form - Navigator Off.

Returned on board

Relaz. Tec. Sulla valut. Rischio

Sign Off Form (illnes/injury)

Authorization for medical attention/ExaminationDeclaration of Accident - Mod B1

Crew Health Monthly ReportHygiene Inspection

On Board Drills Record (Monthly)

OFFICE DRILL (EGA) INVOLVING SHIP

14

TANKER AND BULK

CREW HEALTH

13

16

18

DRUG AND ALCOHOL TESTS

17

TANKER AND BULK

ON BOARD HANDING OVER

TANKER AND BULK

DRILL ON BOARD

15

TANKER AND BULK

Schede rilevazione infortuni

HSEMS Files

Cabinet

Drills and Training Schedule (Yearly)

Handing Over Form - Master

Master Unann. alchool test

HSEMS Files

Cabinet

HSEMS Files

Cabinet

Tech. Dept. HSEMS Files

Cabinet

Handing Over Form - Ch.Eng.

Handing Over Form - Engine Officer

- With requested attachment

- With requested attachment

TECH. SERVICES

ON BOARD AND SHORE

HSEMS Files

Cabinet

1

Purch Dept. Order

3

6

HSE Dept.

4

5Handing Over Form-Deputy Safety Off.

2

- Releted corrisp. With office- Service Notification Request

Dry Dock report

- Landed Material Notification

3

- With requested attachment

Varia

N.A.

TANKER AND BULK

Piano sicurezza

Crew Policy

Mgr. Company Unann. Drug/alcohol

- With requested attachment

Service on board register

For Italian Crew

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.6

D 214 7

E 067A Pending Requisition List (Deck)

E 068 Spare Parts Requisition Form34

Ditto for Partial Delivery 56789

E 067B

E 068 Spare Parts Requisition Form34

Ditto for Partial Delivery 56789

Oil Lubricant Receipt 11

E 067C 1

E 069 Consumable Requisition FormDitto + Purch. Order 3Ditto + Purch. Order + Del. Note 4Ditto for Partial Delivery 5

E 067C 1

E 069 Consumable Requisition FormDitto + Purch. Order 3Ditto + Purch. Order + Del. Note 4Ditto for Partial Delivery 5

D 065A 1E 024A 2E 024B 3E 024C 4E 024D 5D 065D 6D 064A Cargo sample inventory 7D 216 8

910

1

1

VESSEL REQUISITIONS

2

Breathing App. Compr. Air Quality Check

AMOS (Electr. Form)

1

Monthly Chemical Inventory

2AQP (Electr. Form)

2

Pending Consumable Requisition List

Monthly Gas Bottles Inventory

2

1

Ditto + Purch.Order

AMOS (Electr. Form)

AQP (Electr. Form)

Ditto + Purch.Order + Del.NoteDitto + Purch.Order

21 (A)

TANKER AND BULK

(Spare Parts - Deck) Only for vessels without AMOS PMS

Only for vessels without AMOS PMS

Monthly Inv. Portable Radios UHF

Monthly Lubricants Inventory

Cargo

Control

Room or

Deck Office

Engine

Control

Room

HSEMS Files

Cabinet

Cargo

Control

Room or

Deck Office

Single machinery Card

Monthly F. Oil Inventory

Pending Consumable Requisition ListN.A.

(not for Vessels using Amos W PMS and Purch. System)

Montly Consumable

Engine

Control

Room

AQP (Electr. Form)

Pending Requisition List (Engine)

AQP (Electr. Form)

(C)

(ENGINE)

18

19 (B)

(ENGINE)

CONSUMABLE

19 (A)

TANKER AND BULK

VESSEL REQUISITIONS

19 (D)

TANKER AND BULK

SPARE PARTS

TANKER AND BULK

VESSEL REQUISITIONS

Single machinery CardDECK

Monthly Paint Inventory

Tech. Dept.

Tech. Dept. HSEMS Files

Cabinet

Engine

Control

Room AMOS (Electr. Form)

TANKER AND BULK

(DECK)

Cargo

Control

Room or

Deck Office

19

Tech Dept.

Saf. Supt.

Admin. Dept.

N.A.

INVENTORIES

N.A.

(DECK)

20

TANKER AND BULK

INVENTORIES

CONSUMABLE

TANKER AND BULK

TANKER AND BULK

(CONSUMABLE)

Cargo Sample

Tech. Dept.

21 (B)

INVENTORIES

VESSEL REQUISITIONS

SPARE PARTS LUB. OIL

(Spare Parts - Engine)

Ditto + Purch.Order + Del.Note

N.A.(not for Vessels using Amos W PMS and Purch. System)

AMOS (Electr. Form)

ENGINE

Steward Inventory

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.7

D 090D 091 1D 092 2D 093 3D 093A 3AD 094 4D 095 5 Collision 5D 096 6 Stranding or Grounding 6D 097 7 Fire 7D 098 8 Flooding of Compartments 8D 099 9 Man Over Board 9D 100 10 Search and Rescue 10D 101A 11A Unexpected List of ship 11D 101B 11B Unex. List during cargo ops 11D 102 12 Explosion 12D 103 13 Heavy Weather Damage 13D 104 14 Helicopter Operations 14D 105 15 Medical Matters Injury 15D 106 16 Stowaways and Drug Search 16D 107 17 Piracy and Robbery 17D 108 18 Jettisonning of Cargo 18D 109 19 Oil Spill 19D 110 20 IGS Failure during Disch.Ops 20D 111 21 Break Away from jetty 21D 112 22 Salvage 22D 113 23 Abandoning Ship 23D 114 24 Emission of Toxic Vapours 24

D 070D 071 1D 071A 1AD 072 2D 073 3 Preparation for Arrival in Port 3D 074 4 Pilotage 4D 075 5 Passage Plan Appreisal 5D 076 6 Navigation in Coast Waters 6D 077 7 Navigation in Ocean Waters 7D 078 8 Anchoring & Anchor Watch 8D 079 9 Navigation in Restr.Visibility 9D 080 10 Navig.H.vy Weath./Tropical 10D 081 11 Navigation in Ice 11D 082 12 Changing Over the Watch 12D 083 13 Calling the Master 13D 084 14 Watch-keeping in Port 14D 085 15 Cold Weather Precautions 15D 086 16 At Sea Daily Bridge Check 16D 087 17 Vessel Posit. Contr. at Anchor 17D 088 18 Fire Fight. Night Saf.ty Patrol 18D 089 19 Anchor Dragging 19

D 020 Sea Passage Plan 1D 020A Sea Passage Plan (ECDIS) 1AD 021 Port Passage Plan 2D 021A Port Passage Plan (ECDIS) 2AD 022 Ship-Shore Master/Pilot Exch. 3D 023 Shore-Ship Pilot/Master Exch. 4D 024 5D 025 6D 026B 7

D 026 1D 026A 1A

2345

ChartCo info/communications 6

0 Bridge Check List Index

Chart Correction Certificate

Pilot Card

1 Famil. with Bridge Equipment

3 Gyro Compass Failure

4 Engine Telegraph Failure

Communications In/Out (Off/Suppl)

2 Preparation for Sea

1 Main Prop.Machinery Failure

THIS FILE MUST BE INTEGRATED WITH THE ONE SUPPLIED BY

CAIM AND THAT MUST BE SEPARATELY STORED

Chart Room

ECDIS Management CardAstronomical Observation Log

Delivery ReceiptsOutfit Material Req.

2 Steering Gear Failure

Emergency Check List (Index)Chart Room

3A ECDIS Failure

Electronic Chart Correction Certificate

25

24

TANKER AND BULK

EMERGENCY CHECK LIST

HSE Dept.

BRIDGE ACTIVITIES

BRIDGE CHECK LIST

N.A.

TANKER AND BULK

CHART & PUBLICATIONS

MANAGEMENT

22

23

TANKER AND BULK

Chart Room

Chart Room

1A Famil. with ECDIS Equipment

N.A.

N.A.

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.8

D 010

D 011A

D 011B

D 011C

D 011D Steam and Elect. C/Pump perf.

D 011E Framo and Elect. C/Pump perf.

D 012

(A) D 130D 131A Ship/ Shore Check List (for Tanker) 1D 131B Ship/ Shore Check List (for Bulk) 1D 132A Pre-Arrival Meeting (for Tanker) 2D 132B Pre-Arrival Meeting (for Bulk) 2D 133A Deck Pre-Arrival Ch. List (for Tanker) 3D 133B Deck Pre-Arrival Ch. List (for Bulk) 3D 134A Deck Departure Ch. List 4D 135A COW Check List (Pre Arrival) 5D 135B COW Check List (Before Operation) 6D 135C COW Check List (During Operation) 7D 135D COW Check List (After Operation) 8D 136A Cargo Plant Pre-Arr. C. List (Tanker) 9D 137A Change over fm Oil to Dry Cargo 10D 137B Change over fm Dry Cargo to Oil 11D 138 Underwater Check List 12D 139 Fumigations Check List (Bulk) 13

14C 037 15

D 150D 151 1D 152 2D 153 3D 154 4D 155 5D 156 6D 157 7D 158 8D 159 9D 160 10D 161 11

1213

D 164 14D 165 15D 166 16D 167 17D 168 18

19D 170 20D 171AD 171B Cargo/ballast on line computer testD 172 22D 173 23D 174 24D 175 25D 176 26D 177 27D 178 SAAB Vs. Manual test comparison 29D 179 SAAB / UTI Comparison test 29D 180 COW/Butterworth maintance test 30D 181 31

D 212 Record of Oxygen in Cargo 12

Cargo Hose Crane Emergency TestCargo Sea Chest Valve test

RECORDS

Framo C/P Performance Rep.

Pump Room Bilge H/Level Alarm

Ballast Lines Pressure Test

Index

Index

Pump Room - Cargo Pumps Mon.

Cargo/Ball./Marpol/COW manual valves contr.

COW Line Pressure Test

Tk. Wash. & Tk. Cl. Equipment

THIS FILE MUST BE INTEGRATED WITH THE ONE SUPPLIED BY

CAIM AND THAT MUST BE SEPARATELY STORED

Cargo Heating Coils Test

CHECK LIST

Emergency Hydr. Pump test

Steam C/Pump performance

Key Meeting Report (cargo operations)

ODME System Test

Cargo Pumps Emr.cy Shut-down test

Ballast Tanks Space test

Ballast Vent valves test

Hydraulic System Check

High/Highest Level Cargo Tanks Test

F.O./MGO Line Pressure Test

Cargo

Control

RoomCargo Lines Pressure Test

MARPOL (Stripping) Lines Pres.Test

21

Foam/Fire Lines Pressure Test

Wilden Pump Working test

Cargo/Ballast stripping remote control valves

Electr. C/Pump performance

Tank's hatches tightening test

25

RECORDS OF TEST AND

CARGO PLANT MANAGEMENT

HSE Dept.

26

CARGO SYSTEM MANAGEMENT

N.A.

ONLY FOR TANKER

TANKER AND BULK

CHECK LIST

27

27

(B)

TANKER AND BULK

RECORD OF DECK

CHECKS

27

CARGO PLANT MANAGEMENT

Cargo

Control

Room or

Deck Office

IGS

ONLY FOR TANKER

Cargo

Control

Room

Chart Room

Tech. Dept. Cargo

Control

Room

N.A.

Stress Loading Computer test

PV Breaker System Check

ABOVE MUST BE CUSTOMIZED & INCREASED

Press/Vac valve test and maintenance

Cargo/Ball. Valves Pressure test

N.A.

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.9

3E 056 IGS Log 4D 059 V.O.C. Emission Record 5

6

D 040A Record of STS operations 1

D 040B Notification of STS operation

D 040C STS Operation - inv. pers.& duties

D 140A/G STS Transfer Check List (fm 1 to 5/6/7)

D 131A Ship / Shore Check List (for Tanker)

Risk Assessment

C 036A Cargo Plan for tanker - load./unload.- C 036B Cargo Plan for bulk - load./unload.- C 036C Cargo Plan for bulk - load./unload.-

Sailing condition (computer print out) 2C 036E Stowage Plan (for bulk) 3C 036F Stowage plan (for tanker) 3C 036G Stowage plan (for tanker) 3

D 190A 1

D 190B 2

D 190C 3

D 190D 4

5

6

7

8

9

10

D 193 Monthly Cargo Holds Bilge Monit.(B) 11

Bilge Water Analysis 12

BW MUST BE SPLITTED FOR EACH

COUNTRY INDICATING IN THE

RELATED POSITION OF FOLDER FILEINDEX THE COUNTRY COVERED

E 050 Bunker loading plan

E 051A Bunker loading plan calculation (IFO MGO)

D 131C Ship/Shore Check List for Bunker

E 015 ER 5 - Bunkering

E 064 Key meeting report (for bunker)

Bunker Receipt

C 045 Marpol Annex VI note of Protest

E 051B Bunker loading plan calculation (Lubeoils) 2

E 054 3

Company Policy and requestedservices interval for instrument

E 060A List of Port. fixed Analyz. Meas.& Test Instr. 2E 060B/C List of Port. gas detector Instr. 3E 061A

Report of shore calibrationE 061A

Report of shore calibrationE 062A 6E 062A 7E 063 8

Meas. & test inst.cards (deck)

27 N.A. Cargo

Control

Room

CARGO PLANT MANAGEMENT

(D)RECORDS OF STS OPERATIONS

Shore Calibration Record

E.R. ref.and precisions instrument list

2

4

5

Ballast Water Handling Records

1

1

Shore Calibration Record

B.W. Country dedic. Form 2

Loading/unloading sequence (stress

Ballast Water Record of events

Ballast water officer training

Bunker sample inventory

Meas. & test inst.cards (eng)

ALL FORMS RELATED TO BUNKERING OPERATIONS HAVE TO BE COLLECTED

ALL TOGETHER

Other Documents

condition from computer)

1

28

BALLAST WATER AND CARGO

BILGE MANAGEMENT PLAN AND

RECORDS

BUNKER MANAGEMENT

ONLY FOR TANKER

29

TANKER AND BULK

REFERENCE METER

(A)

MEASURING INSTRUMENTS AND

EQUIPMENT MANAGEMENT

ONLY FOR TANKER

Engine

Control

Room

N.A.

(B)

(C)

28

28

TANKER AND BULK

TANKER AND BULK

N.A.

(C)

Cargo

Control

Room

HSEMS

Cabinet

B.W. Country dedic. Form 1

CARGO MANAGEMENT

OPERATIONAL LOG BOOK

TANKER AND BULK

Ballast Water Reporting LogCargo

Control

Room or

Deck Office

B.W. Country dedic. Form 3

Meas.and test inst.on board-deck

Tech. Dept.

ANALYZER

Cargo

Control

Room or

Deck Office

Meas.and test inst.on board-eng

N.A.

N.A.

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.10

D 060A 1D 060BD 060DD 060ID 060L

D 060E 3D 060F 3

D 060H 3D 061A Cargo Space Monit. - Summary (tanker) 4D 061C Cargo Space Monit. - Summary (bulk) 4D 061B 5D 061D 5D 062A 6D 062B 7D 063 Pump Room Monitoring (tanker) 8D 189 Water Ingress System Test (bulk) 8

12312

luboils567

D 041 1D 042 2D 043A 3D 043B 4D 044 5D 045A 6D 045B 7D 046 8D 047 9D 048 Lockout/Tagout Permit 10D 049 Chemical clean. Work Permit 11

12

E 020A

E 020B

(A) E 020CE 020D

E 049

(B) E 048

2

3

4

5

6

E 047A 6E 047 7

E 055

(C) E 057

E 058

E 059

E 030A 1

Bunker Analysis

Air Compressors Monthly Log

Ballast T. Plan (Custumized)

Engine

Control

Room

Underwater Work Permit

Cargo Space Monit. - Individ. (tanker)Cargo Space Monit. - Individ. (bulk)

Crude Oils

Void S. Monitoring - Summary

Paints / Solvents

Other liquid cargoCoal

Fuel oil and D.O.(bunker) &

Aloft & Outboard Permit

Engine Voyage Report

M.E. Performance Data

M.ly record of Luboil analysis onboard

Electric. isol. cert. work permit

2

Hot Work Permit

Enclosed space entry Permit

4

1

Ballast T. Plan (Custumized)

Chemicals

Sea Water Crew Insp. Permit

Tech. Dept.

ENGINE REPORTS

Coating Cond.Rep. (Fore peak/Aft peak)

Engine Voyage Report

Luboil analysis (from supplier)

ABOVE MUST BE CUSTOMIZED & INCREASED

Coating Condition Report (Tanker)

Ballast Space Monit.-Summary

Ballast T. Plan (Custumized)

Antifouling Protection Report

Other dry cargo

Ballast Space Monit.-Individ.

Ops. Dept.

Monthly battery log

Coating Condition Report (Bulk)

Tech. Dept.

Purifiers Monthly Log

Turbine Driven Cargo Pump Log

TANKER AND BULK (WHEN

APPLICABLE)

33ENGINE REPORTS

WORK'S PERMIT

TANKER AND BULK

TANKER AND BULK

TANKER AND BULK

30

MATERIAL SAFETY DATA SHEETS

33

33

32

VARIOUS LOG

ENGINE REPORTS (VOYAGE

REPORT)

31

Engine

Control

Room

34

TANKER AND BULK

TANKER AND BULK

ANALYSIS

HSEMS Files

Cabinet

COMPARTMENT'S MONITORING Tech. Dept.

HSE Dept.

Tech. Dept.

Pump room Entry Permit

M.E. Cooling water Analysis

Engine Voyage Report

Notific. of lub. Sample delivery

Products

Engine

Control

Room

Void S. Monitoring - Individual

Cold Work Permit

HSEMS

Cabinet

Boiler Water Analysis

Other

CO2 Room Work Permit

Engine Voyage Report Engine

Control

Room

Cargo

Control

Room or

Deck Office

Cathodic Protection Report

DD/GG Cooling water Analysis

Antifouling Protection Report

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.11

E 032A M.E. Insp. thru Scav. Port - Report 2E 032B M.E. Ins. thru Scavening Port - R. 3E 033A Crankshaft Deflection 4E 033B Crankshaft Deflection 5E 033D Crankshaft Deflection Measur. 6E 034A Crankgear Clerance 7E 035A Check. of recipr. Parts - M.E. 8E 035B Checking of recip. Parts 9E 036A Cyl. Liner,Piston Ring Groove 10E 036B Cyl. Liner, Piston Ring Groove 11E 036C Cyl. Liner, Piston Ring Groove 12E 037A M.E. Liner Maintenance 13E 039 M.E. Power Characteristics 14E 040A Exhaust Valve Maintenance 15E 040B Exhaust Valve Maintenance 16E 041A Overhaul of Exh. Valve Spindle 17E 041B Overh. of Exh. Val. Housing Seat 18E 041C ME Exhaust valve condition report 18AE 042A Piston Rod 19E 043A Piston and Piston Rings Meas. 20E 044A Checking of M.E. Hydr. Tigh. 21E 045 Clearance of Bearings - M.E. 22E 021 M.Bear.Edge check & Crankcase Insp. 23E 036E Piston rod stuffing box measurement 24

E 022A/B Run. Hrs Monthly Record 1E 031A Aux. Engines Perf. Data Sheet 2E 033C Crankshaft Deflection ( D-G ) 3E 033D Crankshaft Deflection Measur. 4E 038A Maintenance report of D -G 5E 046 Clearance of Bearing D/G 6E 028 Camshaft Bearings Clearences 7E 029 A/E Gear Clear. & Wat. Limit Rep. 8

E 023A 1E 023B 2E 023C

E 023D 4

E 026B 1

(A) E 027B 2

E 026A 3

E 027A 4

E 025 1E 025 2O 033 3D 149 4

E 000E 001 1E 002 2E 003 3E 004 4E 005 5E 010E 011 11E 012 12

Ship Defect List (Engine Dept)

Tech. Dept.

Waste Disposal Material Check List

M.ly Sched. Rep/Maint. Carr. Out

Engine

Control

Room

COLLECTION OF SPECIFICATION OF REPAIRS SENT TO THE TECH.

DEPT STARTING FROM THE LAST DRY-DOCK

ECR 2 - Prepar. for Depart.

3

ECR 3 - Passage to Port Mode

Machinery Run.Hrs.Deck M.R.

THIS FILE MUST BE CUSTOMIZED

M.ly Sched. Rep/Maint. to be Carried out

M.ly Sched. Rep/Maint. Carried out

ECR 1 - Prepar.for Arrival

ENGINE DEPT.

Ship Defect List (Deck Dept)

AUXILIARY MACHINERY

(Engine Room and Deck)

Engine

Control

Room

ER 2 - Loc. Contr. of Prop. Sys.

M.ly Sched. Rep/Maint. to be Carr. Out

HSEMS Files

Cabinet

Specification of Repairs

ER 1 - Rem. Contr. Pr. Sys. Fail.Engine Check List Index

N.A.

ECR 4 - Relieving the Watch

Eng. Control Room C. L. Index

RUNNING HOURS

RUNNING HOURS

TANKER AND BULK

Machinery Maintenance CardP.M.S. (PRINT OUT OR CD)(IN CASE OF ELECTRONIC PMS)

Machinery Run.Hrs.Engine M.R.

DD / GG

PMS Events Calendar

Tech. Dept

TANKER AND BULK

TANKER AND BULK

DRY-DOCK PREPARATION37

(B)

Tech. Dept HSEMS Files

Cabinet

Engine

Control

Room

ECR 5 - Passage fm manned to unm.

MAINTENANCE CARDS

TANKER AND BULK

ENGINE ROOM CHECK LIST

REPORTS

36

38

TANKER AND BULK

34

35

37

MAIN ENGINE

MAINTENANCE MANAGEMENT

Tech. Dept.

PLANNED MAINTENANCE

Engine

Control

Room

REPORTS

THIS FILE MUST BE CUSTOMIZED

DECK DEPT.

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.12

E 013 13E 014 14

E 071 1E 072 2E 073 3E 074 4E 075 5E 076 6E 077 7E 078 8E 079 9E 080 10E 081 11E 082 12E 083 13E 084 14E 085 15E 086 16E 087 17E 088 18E 089 19E 090 20E 091 21E 092 22E 092A 23E 093 24E 094 25E 095 26E 096 27E 097 28E 098 29E 099 30E 100 31E 101 32E 102 33E 103 34E 104 High Level Alarm 98% - Bunker Tanks 35E 105 Engine Room Emergency Bilge Suction Valve Test Records 36E 106 Local Protection Water Mist System for Engine Room 37

D 013 1D 065F 2

D 066 3D 067 4D 068 5D 069A 6D 069B 7

89

101112

D 197A 1D 197B 2D 198 3

4Riepilogo IPSEMA (Italian Crew) 5

D 199 Personal Accounting Detail (Italian Crew) 6Cash advance and phone cards 7

For working and resting hours the dedicatedrecord book should be used("Record book of working or resting hours")

Fm: HSE Dept.

To: HSE Dept.

ER 3 - Black Out Resolution

Em.cy Fire/pump test

Lifeboat Engine test (all)

2

Eng.Bilge Separ. Test RecordEm.cy Steering Gear Test

U.M.S. Alarms test record

1(Eng. Dpt. corr. included)

Fm: OPS./ COMM. Dept.

To: OPS./ COMM. Dept.

Cargo Pumps H/Temp. Test

Fire Detec. Sys. Test

E/R bilge H/L Alarm Test

Weekly Freon Leakages Tests

Aux. Boiler Alarm T. (all boiler)

Abstr. Of Outgoing Sat/rdf Tfc

Em.cy starting air compressor

General Cash Statement Slop Chest Inventory

Hydraulic Tension Device High Press.

Steering Gear Alarm Test

Main Engine Alarm Test

P/Room vent.Fun test record

Em.cy D/Generators Test

Quick closing F/Gas Suct. Valv.

CORRISPONDENCE WITH

COMPANY

Master Office

M.ly Report for Purchase & Meals

Aux. D/G tripp test (all gen.)

Ball. Pumps H/Temp. Test

Deep fryer test record

ER 4 - Rep/Maint. Wks. on M.E.

Lettera credito Prel. Equip.

CATERING COMPANY

Lift Alarms Record

Man blocked in freezer room

E/R funnel dumpers (and purifiers)

M/E Fuel leak detection test

N.A.

Somm. to night watches

Engine Fuel Pumps Stop test

Sost. Vino all'equipaggio

Slop Chest Account

Crew Dept.

Wages Account Details (Italian Crew)

Sum.ry Of Outgoing Sat/rdf Tfc

Account Details (Italian Crew)

Aux. Eng. Gen. Test (all gen.)

Engine

Control

Room

N.A.

41VESSEL'S ACCOUNTING

As applicable

Main start. air compr. (all main)

TANKER AND BULK

Prelievo Cambusa C/NAVE

TANKER AND BULK

(A)

42

VESSEL'S ACCOUNTING: TO

PREMUDA

Engine L/Oil Pumps Stop test

Lifeboat engine test - rescue b.

Engine

Control

Room

DD/GG MGO leak detec. Test

Expl. Area proof light cond. test

Master's

Office

(Deck Dept.)

Crew Overtime & Extra Works

Food Account Summary

Master's

Office

TANKER AND BULK

40

39

38

Account Details (Non-Italian Crew)

TANKER AND BULK

ENGINE PLANT TESTS AND

CHECKS RECORD

ABOVE MUST BE CUSTOMIZED & INCREASED

Incinerator Unit Alarm Test

Sew. Sys. Alarm & Maint. Test

Ventilation stop test

Crew Dept.

Presences

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.13

ADMINISTRATIVE DEPT.

4

5

6

Fm: OPS./ COMM. Dept.

Fm: Safety Supt.

Air Courier Directory 1

Bunker Alert 2

Various abt bunkering 3

D 057 1D 057 Adv. Notice of Arrival (24 Hrs) 2D 057 Adv. Notice of Arrival (Changes) 3

Chief Eng.

Office

As applicable

To: Technical Dept.

Master's

Office

From - To

Fm: Catering Company

To : Manning Office

Fm: Technical Dept.

To : Catering Company

Fm: IT Dept.

1

To : Company Crew Dept.

3

1

To: IT Dept.

Fm: Company Crew Dept.

To: Administrative Dept.

4

2

To: IT Dept.

2

3

3

Fm: Purch./Forw. Dept.

To: Safety Supt.

1

4

3

Fm: Technical Dept.

Fm: Safety Supt.

To: Safety Supt.

2

1

2

To : Purch./Forw. Dept.

Fm: Insurance Dept.

Master's

To: Insurance Dept.

CORRISPONDENCE WITH

COMPANY

FOR BUNKERING

Chief Eng.

Office

TANKER AND BULK

Fm: Purch./Forw. Dept.

Tech. Dept.

Vetting

Dept.

SAFETY SUPT.

(VISWA LAB)

(Engine Dept.) To : Purch./Forw. Dept.

Fm: Administrative Dept.

TECH. DEPT.

CORRISPONDENCE WITH

COMPANY

IT - COMMUNIC. DEPT.

OPS - COMMERC. DEPT.

(Deck Dept.)

OPA 90

PURCH. - FORW. DEPT

44 (A)

44 (B)

CORRISPONDENCE

45

PURCH. - FORW. DEPT

TANKER AND BULK

INSURANCE

From - To

TECH. DEPT.

OPS. - COMMERC. DEPT.

43

From - To

COMPANY CREW DEPT.

MANNING AGENT

CATERING COMPANY

(Engine Dept.)

(Deck Dept.)

TANKER AND BULK

CORRISPONDENCE WITH

MANNING - CREW

TANKER AND BULK

IT - COMMUNIC. DEPT.

44 (C)

42

Master's

Office

SAFETY SUPT.

From - To

Delivery notes / Invoices

(B)

HSE DEPT.

From - To

Fm: IT Dept.

To: OPS./ COMM. Dept.

TANKER AND BULK

Master's

Office

Crew Dept.

CORRISPONDENCE WITH

COMPANY

As applicable

Chief Eng.

Office

Provisions Requests

Fm: Manning Office

TANKER AND BULK

Office

As applicable

Adv. Notice of Arrival (96 Hrs)

To: Technical Dept.

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.14

D 058 456

C 034A 1C 034B Transport History (Bulk) 1C 001 2C 002 3C 013 4C 035 Details of Discharge (tanker only) 5

6

C 004 1C 007 2C 009 3C 005 4C 006 5C 014 6

C 001C 002C 003 Notice of ReadinessC 004 Ullage ReportC 005 Pumping LogC 006 Crude Oil Washing ReportC 007 Dry Tank CertificateC 008A Statement of Facts - tankerC 008B Statement of Facts - bulkC 009 ROB and OBQ ReportC 013C 014C 015 Cargo Heat Up StatementC 015A Cargo Heating LogC 015A Cargo Heating Log (Tankers with central bulkead)C 016 Off Hire StatementC 017 Delivery StatementC 018 Redelivery StatementC 019 Deadfreight ReportC 020 Moran Shipping ag. - AMS Initial reportC 021 Letter of ProtestC 021A Sea ProtestC 021B Sea ProtestC 022A Master Protest Upon ex. B/LC 022B Master Protest Upon ex. B/LC 023 Free Water Before Disch.C 024 Free Water After LoadingC 025 Accep. of Manifolds Press. Rec.C 026 Loading RateC 027 Discharging RateC 028 Deadfreight Claim

Ops. Dept.

Dry Tank certificate

From/To Agents

OCIMF Vessel Particulars Questionnaire

Pumping Log

Master's

Office

HISTORY

COMMERCIAL VOY HISTORY

N.A.

Cargo

Control

Room or

Deck Office

Detail of loading

ALL ABOVE FORMS ARE COPIES OF THE ONES IN FILE 49

NRC/AMPD notice for light.

V.E.F.

Doc. requirement for Vetting

Commun. to/from USCG

All above must be copies

Cow Report

ROB and OBQ

Ullage Report

Details of Loading (only for tanker)

N.A.

Voyage abstract

From/To Chartereres

Port log

Vetting

Dept.

Vetting

Dept.

Master's

Office

TANKER AND BULK

V.R.P.

Tech. Dept.DRAWINGS & PUBLICATIONS

ATTACHED TO S.O.P.E. PLAN &

V.R.P.

47

ONLY FOR TANKER

TANKER AND BULK

46

CHARTER PARTIES

Master's

Office

45

MUST BE CUSTOMIZED

48 (B)

CHARTER PARTIES

ONLY FOR TANKER

VESSEL'S PARTICULARS - V.P.Q.

48 (A)

REPORT

ONLY FOR TANKER

49

(ENVELOPE)

Vessel

Archive

C/P Transport History (Tanker)

From/To Ops Dept.

Voyage abstract

Port log

VEF

All tlx - fax - msg

Cargo

Control

Room

Commun. to/from QI

Ship's Particulars

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.15

C 029 Low Loading RateC 030 Shortage of CargoC 031 Delay on Cargo Doc. DeliveryC 032 Delay on Free PratiqueC 033 Insufficient Cargo ConnectionsC 035 Details of DischargeC 036D Pre Stowage Plan (Bulk)C 036E Stowage Plan (Bulk)C 036F Cargo Stowage Plan (tanker)C 036G Cargo Stowage Plan (tanker)C 038 In Port Bunker Cons. details (B)C 039 Cargo Holds Bilge Report (B)C 040 Loading/Unload. Summary (B) C 041A Stevedores' Damage ReportC 042 Mutual Waive of RecourseC 043 Draft SurveyC 043 Tank Washing ReportE 053A Engine Consumables ROBD 194A Cargo oper. Hrly monitoring

(with Hrs Stress Condition Report)(Computer Print out attached)

D 194B Cargo oper. Hourly monitoring (with Hrs Stress Condition Report)(Computer Print out attached)

C 010 1C 011 2C 012 3

2-1920

123456789

101112

1

(Italian Vessel only)

3

4

5

Ops. Dept.

Agent Evaluation Reports

1

Lettera approvazione

ALL THE ABOVE DRAWINGS MUST EVIDENCE THE

ADMINISTRATION APPROVAL (STAM OF THE DELEGATED

CLASSIFICATION SOCIETY)

TUTTI I DISEGNI DEVONO EVIDENZIARE L'APPROV.

DELL'AMMINISTRAZIONE (TIMBRO DELLA SOC. DI CLASSIFICA

DELEGATA)

AMVER Mess. (see also e-mail archive)

SISTRAM Messages (if appl.)

Other Message

2

OF THE ABOVE FORMS ONLY THE ONES USED DURING THE VOY

MUST BE FILED

Terminal Vetting Report

TANKER AND BULK

51 (A)

49

EVALUATION

PORT SERVICESHSEMS

Cabinet

Master's

Office

Tech. Dept.

Tech. Dept.

SHIP REPORTING SYSTEM FOR

SEARCH AND RESCUE

Chart Room

DISEGNI VISTATI PER ART. 35 DEL

R.d.S. (Italian vessels only)

51 (B)

52

APPROVAZIONE ALLOGGI

EQUIPAGGI (Italian Vessels only)

Vessel

Archive

TANKER AND BULK

TANKER AND BULK

Ops. Dept.

N. A.

Master's

Office

Isol. Termoac. e tagliafuoco

Note illustrative alle sistemaz.

50

TANKER AND BULK

Various

Piano Alloggi/Ponte Comando

Piano Alloggi/Ponte Coperta

AUSREP Messages (if appl.)

Piano Alloggi/Ponte C

Forniture e montaggi paglioli

Piano Alloggi/Ponte A

ARES Mess. (see also e-mail archive)

Varia

Class (R.O.) approval letter with list of all drawings

General arrangement

Harbour Service Evaluation

Piano Alloggi/Ponte B

Schema int. Freon22/Condiz.

Drawings according to the above list

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.16

Various 6

123456789

101112131415161718

123456789

10111213141516

123

1234

D 211A Deck Department 1D 211B Engine Department 2

Peru

Brazil

France

Argentina

Russia

Marine Accident Investigation Branch

Marine Guide NoticesMarine Information Notices

Chart Room

Safety Supt.

(electronic.

collected)

HSEMS

Cabinet

Company Information Sharing Bulletin

South Africa

Company Information Sharing

Chile

Navarea IV (North West Atl.)Navarea V (West Atlantic)

Navarea XV (South East Pac.)

Navarea II (East Atlantic)

Australia

Lessons to be Learned from Ext. Sources

Temporary and preliminery noticies

India

Navarea IX

Marine Shipping Notices

Safety Supt.

(electronic.

collected)

53(A)

Japan

United Kingdom

HSEMS

Cabinet

Chart Room

Chart Room

TEMPORARY AND PRELIMINARY

NOTICIES

New Zealand

Navarea III (Mediterranean)

Navarea VII (South East Atl)

52

N. A.

53 (B)

TANKER AND BULK

TANKER AND BULK

N.A.

NAVITEX - NAVIGATIONAL

WARNINGS

NAV AREAS

N. A.

TANKER AND BULK

DELEGATION LETTERS HSEMS

Cabinet

Intertanko Weekly News

54 (D)

53 (C)

Hydrolants (Atlantic/Medit)

Navarea VI (South West Atl)

Navarea XIV (South West Pac.)Navarea XIII (North West Pac.)

Navarea X (Australia, N. G.)

Navarea I (NE Atlantic)

Navarea XII (North East Pac.)

USASpain

Chart RoomN.A.

USA

ONLY FOR TANKER

SHARED INFORMATION

HSEMS

Cabinet

N.A.

HSEMS

Cabinet

Sitreps/Nav. Wings Inmarsat C

Safety Alert Bulletin from IMT

Navarea VIII (Indian Ocean)

Navarea XVI (East Pacific)Hydropacs (Pac. Ind. Ocean)

54 (A)

HSE Dept.

INTERTANKO WEEKLY NEWS

55

TANKER AND BULK

54 (C)

54 (B)

SAFETY ALERT BULLETIN

ONLY FOR TANKER

MCA MARINE NOTICE

HSE Dept.

Pakistan

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.17

O 017 Delegation Letter (Office) 1

O 023

O 006C

O 041B

O 026AO 026B

O 016A

O 016C

O 016D 1O 016D 2

1ENV 203 2

34

O 016B 56

1

Designazione al Comando 1Nota Informativa + dichiarazione int. 2Crew list (vistati) 3Regolarizzazione imbarchi/sbarchi 4Convenzione arruolamento da regolariz. 5Convenzione arruolamento regolariz. 6

Letter of Appoint. personale Russo 7

Letter of Appoint. personale Ucraino 8

Letter of Appoint. personale Ceco 9

Letter of Appoint. personale Indiano 10

Letter of Appoint. pers. Cubano/altro 11

Copie lettere sbarco pers. Ital. per Cap. 12

Estratti Giornale di Bordo 13

Comunicazione e lettere accomp.da/per Capitaneria/autorità consolare

1

HSEMS Company Internal Audit Check List

14

FLAG STATE DOCUMENTATION-

Italian Ships only

N.A.

HSE Dept. N. A.

HSEMS Files

Cabinet

HSE Dept.

HSEMS

Cabinet

ENVIRONMENTAL REGISTER

TANKER AND BULK

INTERNAL

OHSE Dept.

Customer FocusN. A.

Board Management Review

62 N.A.

HSE Dept.

61 MANAGEMENT OF CHANGE

60

TANKER AND BULK

Environm. Aspects Id. and Ev.

N. A.

Environmental Meeting

Customer Complain

Register of Ident. Environm. As.

Significant aspects control

ENV 206

Closure of N.C.

O 011 MANAGEMENT OF CHANGE

Brain Storm Session/Record

56 Brief. of Master/Ch. Eng by Comp.

59 (C)

COMPANY INTERNAL MEETINGS

(VARIOUS HSEMS)

EGA MEETING AND DRILL

HSE Dept. N. A.

HSE Dept.

Action Plan and Register

EGA Meeting

Master/C.E. Comp.Eval. Monthly Meet.

HSE Code Verification (internal audit)

Quarterly Company Meeting

59 (B)

004

59 (A)

BOARD MANAGEMENT REVIEW

TANKER AND BULK

Ops. Dept.

N. A.

HSEMS

Cabinet

HSE Dept.

COMPANY INSPECTION AND

AUDIT (INTERNAL AND EXTERNAL)

BRIEFING OF MASTER AND CHIEF

ENG.

1

58 CUSTOMER FOCUS

63 MLC 2006 MLC Resp. Master's

Office

D 195B Register of Crew Complaint MLC 2006

55

57

HSE Dept.

Non Conformity Reports

N. A.

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17

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Pag.18

2

3

MLC Statement 4

DMLC part I 5

DMLC part II 6

Reports of MLC 2006 Flag Administration Inspection

1

2

3

4

5

TM Merchant Shipping Notices

TM Technical Notice

Merchant Shipping Act (Cap234)

Subsidiary Legislation

65 Safety Dept HSEMS Files

Cabinet

7

D 009B Company analysis and actions after MLC inspection

63 MLC 2006 MLC Resp. Master's

Office

MLC 2006 - Docs Conf. of ReceiptD 195A

D 009A Corrective actions from ship after external inspection

1

2

3

4

TANKER AND BULK

MALTA MARITIME AUTHORITY

NOTICES

(Malta flag ships only)

TM Publication ref MLC 2006 5

D 195 On Board Complaint

64 MATERIALS ASBESTOS FREE

DECLARATIONS

Purch. Dept. HSEMS Files

Cabinet

IACS 130

Annex 1

IACS 130

Annex 2

IACS 130

Annex 2

Declaration of Conformity Construction

Declaration of Conformity of Supplies

Declaration of Conformity of Installations

IACS REC.130 - Procedures for verifying that materials are asbestos

free

O 051 Asbestos Free Statement List

Ref.: OP-ORG-07 File nr. INDEX HSEMS 0-015A-03/17