HSEMS VESSEL'S AUDIT REPORT

NAME OF VESSEL: F 0\.J (L. vJ \l'l D TYPE OF VESSEL: -----------------

IMO NUMBER: 94.\955� FLAG:

PLACE OF INSPECTION:

DATE COMPLETED:

INSPECTION REPORT NO

0/'l.SAN S. �C\'!..6-A

��- \)ec-Q.0-\5

0-\ /A. 5 -----------------

VESSEL'S ACTIVITY

DURING INSPECTION:

NAME OF COMPANY

REPRESENTATIVE INSPECTING

ANO REPORTING: A� "!l�\ �'"'-��SU-t� 6\ls:v::.:y;

NAME OF MASTER:

NAME OF CH.ENG.:

�\c.cLé AL�AHOt-116

G1AN�IE�O t\s�AilE'LLO

NAME OF CHIEF MATE: b9-\<:.oQ..y ?\t.OSV..J�t-lov

NAME OF 2N° ENG.:

TYPE OF INSPECTION: Planned

Additional

Follow up

Others

AUDITED DEPARTMENTS: 1. u�CÀ(_

2. EN�ÌNE 3. koTEL 4.

1:8]

D

D D

Note : - The Audit Report is to be completed and discussed with Master and Chief Engineer.

- A copy is to be kept onboard. The originai copy is to be filed by the Company.

Ref OP-ORG-08 File nr 8 A

Pag. 1 of 16

HSEMS-0-005-1 0107

Pag. 2 of 16

ISM ISO 9001 ISO

CHECK LIST-HSEMS (ISM-ISO 9001/2000 - ISO 14001) y N NA REMARKS 14001

2 SAFETY ANO ENVIRONMENT AL POLICY & OBJECTIVES

4.1 The Company Safety, Quality and Environmental Policy 1s

y posted

Meet1ngs of Safety, Quality, Antipollution and Enviromental y Comm1ttee are held in accordance w1th HSEMS Manual (every .1:-<0'-�T.�. ) The minutes of the meetmgs are available on board

Enwonmental ObJect1ves are known on board? y DOCUMENTATION

The updated HSEMS documents (Manual, Company's 11 4.5 Manuals, Procedures, Work1ng lnstruct1ons, Company v

Circulars, etc ) are available as specified by the relevant l

distribution lists

A copy of the DOC is available on board y The statutory and class certificates relevant to the sh1p are available o n board and m due course of vahd1ty:

Exp. Date

SAFCON Certificate �5-J�t-flOA.S y SAFEQU Certificate ��-MA'(- 9-0{? IOPP Certificate �s-.:rur- e.O\� LOAD UNE Certificate �s- :r" t - 2.0{� ISM Certificate �2>- :Jrul, 2.Q2.o SAFRAD Certificate C� -Jut- Q.O�� Cargo Gear Register 2.9- :ra.���.. e. CA G Class Certificate

Mandatory Conventions, IMO publications, rules, regulations y and the relevant list are avallable

Apphcable codes, gu1delines, standards and the relevant list y are available

Techn1cal manuals, guidance books, drawings, user's manuals '( (together with the relevant lists) are available

Manuals, documents and instructions requested by compulsory y reqUirements or by the Company (e.g .. Stability and load1ng manuals, Gram 1oad1ng manual (if applicable), Sh1pboard 011 pollution emergency plans, etc ) are available

Correspondence relevant to the HSEMS 1s available

- Deck department '( - Eng1ne department

Periodic verificatlon of documents kept m files is carned out y Obsolete documents are disposed of

3 4.1 COMPANY RESPONSIBILITIES ANO AUTHORITY

Ali Officers and crew are aware of the Company Health, y Safety, Quality and Enwonmental Policy

The sh1pboard personnel are given adequate information on v the Company strategy for implementation and mamtenance of 1 the Health, Safety, Quality and Enwonmental Policy

Objecttves of the ISM Code and of the Safety, Quality and v 1 4.1 Enwonmental Management System (HSEMS) are understood l

by the Master and Sen1or Officers

�� iooof the of the sy 1s

)

Ref.: OP-ORG-08 File nr 8 A HSEMS·Q-005-10/07

ISM ISO 9001 ISO

14001

4

5 4.1

6 4.1

4.1

4.1

4.1

Ref.: OP-ORG-08

CHECK LIST-HSEMS (ISM-150 9001/2000 - ISO 14001)

OESIGNATEO PERSON(S)

The Master and the semor Officers are aware of the name(s) of the Company Designated Person(s) Ashore

Communicatlon between the sh1p and the DPA are ava1lable

The updated telephone numbers of the DPA(s) and their back up are ava1lable to the 1nterested persons on board

DPA contaci details are posted as required

MASTER'S RESPONSIBILITY ANO AUTHORITY

The Master's role 1n the 1mplementat1on of the safety, env1ronmental protection and quality policy of the Company is clearly defined and understood

The Master 1s aware of h1s respons1b1hty for rev1ewmg the HSEMS and reporting deficiencies t o shore based management (e g through HSEMS reporting procedures, including accident reports. hazardous occurrence reporbng, internai HSEMS auditing, non conformity report1ng, review of the HSEMS and review of the HSEMS documentation)

The Master has delegated some of his duties W ritten communication are available

The Chief Engineer has delegated some of his duties. Written communication are ava1lable

Appropnate orders and instructions (standlng orders, night orders, etc.) are issued by the Master and by the Chief Engmeer

The Master Standing Orders have been s1gned by ali Deck Officers

The Chief Engmeer Standing Orders have been signed by ali Engme Officers

The motivat1on of the crew in the implementat1on of the HSEMS is achieved (e.g. by interviewing the officers and crew, eather formally and anformally, by holding HSEMS meetings with the crew, by induction of the crew members a t embarkation, etc.).

MASTER QUALIFICATION ANO COMPETENCE

The Master level of qualification complies with the rules estabhshed by the Company for the command of the specific ship type and trade (e.g. prev1ous experience on ship type, appropriate training, possess1on of appropriate certificate of competency or endorsement accord1ng to STCW, observance of charterers' requirements)

The Master 1s fully conversant w1th the Company's HSEMS

MANNING

The crew list is available; the ship is manned to the mimmum safe manning certificate

Supernumerary crew members are provided? ( .. . . .... . . ..... .... .. ...... ... .... Watch keeping personnel are fit for duty

. .)

Drug and Alcohol Policy is properly posted

Ali Offlcers and crew are aware of Drug and Alcohol Polices

Drug and Alcohol tests are carried out on board when required

The watch keeping personnel is provided with at least the m1n1mum rest penods prescribed by the STCW Code

File nr 8 A

Pag. 3 of 16

y N NA REMARKS

y '( y y

'(

y

'{ v l

v l

y y v l

y

y

y y 1-loS '{ y y '( '(

HSE MS·Q-005-1 0/07

Pag. 4 of 16

ISM ISO 9001 ISO

CHECK LIST-HSEMS (ISM-ISO 9001/2000 - ISO 14001) y N NA REMARKS 14001

Watch schedules are posted where they are easily accessible '( The jom1ng crew members have the necessary training and proper seafarer's identifìcation including licenses, special Ì' qualifìcat1on certificates and Record books as required by lnternat1onal Conventions STCW 95 .

Each person employed on board have an official ldent1fication v and Record- Book, containing any cert1ficates of spec1al l qualificat1on 1ssued by the Marrtme Authorithy

The documentat1on and data (mcluding experience training, y med1cal fitness and competency in assigned dut1es) relevant

te ali seafarers are maintamed and readily accessible aboard

Cert1ficates and documentat1on cf competence for Officers and y crew aremaintained on board as reqwred by STCW 95 Each person employed on board is In possession cf a physical '( examination certificate attestmg the med1cal fitness for duty

The Medicai Log is kept up-to-date y FAMILIARIZATION

Records are available te ensure that ali new personnel and/or

4.18 personnel transferred te new ass1gnments are familiarised with y the sh1p and w1th their duties before being assigned te such dUtleS

Master/Ch1ef Engineer handover reports are available y Questionnaires or forms for familiarisation cf officers &crew

y 4.18 members, duly filled in. are avallable,all crew members have signed the On board Fam1hanzat1on form

4.18 Suffic1ent t1me has been allowed for the fam1liansat1on. wh1ch y was carried out in a language understood by the crew member

4.18 TRAINING

The in-serv1ce tram1ng 1S conducted according te an approved y tra1ning program

The 1n-service training is registered in an approved training y record book

In case cf oli tanker. the senior personnel has spec1al familiarisation tra1mng as reqUired; the relevant evidence is y kept

The Cadet record books are kept up-to-date IJoT �€( �El> IJDT C.W6cC�; The Cadet progress 1s recorded by Master/Ch.Engineer ,..,O"T c� e �"er �e� c,.,tlc;. Appraisal forms are used for ali crew '{ ,.toìo� boAilb

4.5 COMMUNICATION

The nationality cf Officers and crew 1s spec1fied on the crew list y Master and Senior Officers are fluent and conversant in y Enghsh

Crew members have a sufficient knowledge cf english

accord1ngly w1th the1r duties l ranks y

The ab1hty cf the crew te commumcate m the common y sh1pboard working language 1n norma l and emergency s1tuations 1s tested through drills and exercises

UNDERSTANDING OF RELEVANT RULES

The Officers have knowledge cf regulations pertinent te the1r '{ duties and they are able to find those regulations

Ref. · OP-ORG-08 File nr 8 A HSEMS-0-005-1 0/07

Pag. 5 of 16

ISM liSO 90011 1 ���1 l CHECK LIST-HSEMS (ISM-ISO 9001/2000 - ISO 14001) l y l N NA1 CERTIFICATES ANO SERVICE RECORD

Rank Rank Certificate Other Certificates Sailed this ship Salled this

before company before

M aster

Chief Officer ,-C \'t-2nd Officers �� 3rd Officers ?,� Chief Engineer k' �(/"\ 2nd Engineers /� �

'

3rd Engineers cv V' 4th Engineers

_.,

Pump Man

Qualified lifeboat man

ISM ISO 9001 ISO

CHECK LIST-HSEMS (ISM-ISO 9001/2000 - ISO 14001) y N NA REMARKS 14001

7 9 DEVELOPMENT OF PLANS FOR SHIPBOARD

OPERATIONS

Deck Department

Gangways are properly rigged and lighted NA A lifebuoy with lifehne is fitted near the gangway '( A fire pian is located at the gangway and outs1de the entrance y to the accomodation

Ali personnel are weanng saf.eqUip.when & where required '{ Suffic1ent crew are on board at ali t1mes

- to attend moonngs y - to attend cargo operat1ons

- to deal with emergencies

The preplanning nav1gat1on forms or book are available and y duly filled in

The latest radio Navigation Warnings and local area weather y reports are available

The ship's manoeuvring characteristics are displayed on the y bndge

The auto/manual steenng changeover procedure is displa1ed '( on the bndge

The P1lot 1nformation card is available and regularly used y A Port Log 1s maintained recording ali port activities '{ Enclosed spaces entries and worl< permits duly filled are v

available l

Tankers

Cargo/ballasi plans have been prepared for current operations " OPlS No Q. and agreed between ship and shore l

Cargo handhng 1s carned out as per agreed plans y Suitable pipeline diagrams are available where necessary y The "Ship/shore check list• (with chemical supplement, for y chem1cal vessels only) is filled in and the relevant prov1sions are observed

Procedures are ava1lable for cargolballasUbunker transfer y Bulk Carriers

The "Ship/shore check lisr is filled in and the relevant !IlA prov1s1ons are observed

Cargo characterist1cs are available �

Ref.: OP-ORG-08 Fìle nr. 8 A HSEMS-0-005-10/07

Pag. 6 of 16

ISM ISO 9001 ISO

CHECK LIST-HSEMS (ISM-ISO 900112000 -ISO 14001) 14001

y N NA REMARKS

Products hazards and first a1d mstruct1ons are posted m #JA the crew accommodatlons

Records are ava1lable for·

- hold bilges soundings

- bilge water analysis �A - hold hatch cover inspection

- cargo holds inspections

Environmental

Activities conform to the pian arrangement of the management '( system

Enwonmental Management System properly implemented, '( ma1ntamed and effect1ve

Engine Department

Ali personnel are wearing safety equipment when and where y required

Ali emergency exits from eng1ne room are clearly marl<ed '( Contro l systems 1n case of fire in the E R are clearly marl<ed· '( - extinguishing system (specify the type . ... f.9.A.M ......... )

- dampers on ventilation ducts

- eng1ne room ven!llators and exhausters

- fuel pumps, separators and valves

- bo1ler's fans and burners

- eng1ne room compartment doors (watert1ght, etc )

In the steering gear room '( - the emergency changeover procedure is displayed

- the rudder angle 1nd1cator 1s clearly v1sible at the

emergency steering pos1!1on

- the access is not obstructed

- the ant1sk1d floor 1s provided

The emergency generators are provided with starting '{ operating mstructions

The control systems of the emergency generator fu el y valves and ventilation dampers are clearly marked

Enclosed spaces entries and work permits duly filled are ava1lable v t-! c. Noi Safety procedures are followed when using portable

\

welding/burning equipment

Electnc and gas weld1ng eqUipment are in good condition y Spare oxygenlacetylene bottles are stowed 1n a well y ventilated position and separated

SUitable Pollution Prevent1on Notices are posted y During bunkering and fuel transfer:

- diagrams are properly displayed '< - check lists are used

- anti-pollutlon scupper plugs are in use

- sp1ll conta1ners and grat1ngs are fitted under bunker manifolds and fuel tanks vents

Unused bunker manifolds are blanked and fully bolted y Exposed decks are free from oil / oily materia! y Ali Ships

EqUipment and means are readily available to deal with small '( oil spill

Ali crew are familiar with the locatlon of the sa1d eqUipment '{ The Oil record book Part l (Machinery spaces) is up to date v o�ç. Noi The Garbage Disposal Log Book is up-to-date l

Ref.: OP-ORG-08 File nr. 8 A HSEMS-0-005-10/07

Pag 7 of 16

ISM ISO 9001 ISO

CHECK LIST -HSEMS (ISM-ISO 9001/2000 -ISO 14001) y N NA REMARKS 14001

Who 1s respons1ble for the safe custody of drugs

(specify . ........ . t\ .. �.�.1.?..� ........................ ) y

A pharmacy and narcotics inventory 1s available and up to date y Records of pharmacy requis1tions are maintained

The hospital equipment is regularly checked to ensure y correct functioning

8 EMERGENCY PREPAREDNESS

Procedures are 1n piace to ensure crew co-ordination 1n y performing functions vital to safety or prevention of pollution

Tests and dnlls required by SOLAS and by Flag State y requirements have been carried out and are duly recorded

The Maritime regulation requirement for weekly emergency v drills and tra1ning sessions as well as for lowering of each l

lifeboat to the water every 3 months are complied with

Date of most recent fire drill· 2.( -t-lov-2-o�s Date of most recent abandon drill o8- r-Jw- Q.o {S

y Date of most recent rescue boat lowered at sea: oS- ...lo-�-2oll S't"\)) ٠Date of most recent hfeboat lowered at sea: � \- od:.-<u� po�� Date of most recent m an overboard dnll: 28-NOV- 2..o� GMDSS tests have been carried out and duly recorded y The updated Sh1pboard Oil Pollut1on Emergency Pian

(SOPEP) and Vessel Response Pian (VPR) is available v l

Tests and drills required by lhe SOPEP have been carried '( out and duly recorded.

Date of most recent dnll· 2. �-N cv- tl..<V.� y The emergency plans are approved by the Admimstrat1on y IMO safety symbols are displayed y Muster hsts l Emergency instructions are updated y Emergency lighting at the embarkat1on stations and over y lhe sides (embarkation area) are 1n position and switched on

Each crew member is provided with the emergency personal v safety card l

PREPAREDNESS EVALUATION

- check at least TWO operations and ONE Officer

Deck Department Operation Rank and name Rank and name Rank and name

Load calculator operation

Change from Auto-pilot to manual steenng gear !:V Change over to emergency steenng 0'-J f\� Emergency stops locations '7"' \. IVV

Use of the breathmg apparatus and protective clothing ::>-' r/' Calibration of Gas and Oxygen analysers 7<...1 Actions for lowering of lifeboats or life-rafts ' a" Fam1liansation with bridge apparatuses -,0 Knowledge of instructions and procedures <..' (navigational, cargo, emergency, health, etc) et''

Familiansation w1th GMDSS apparatuses v ODME operation (tankers only)

Ref.: OP-ORG-08 File nr. 8 A HSEMS-0-005-10/07

Pag. 8 of 16

Engine Oepartment Operation Rank and name Rank and name Rank and name

Local manoeuvnng of the Mai n engine V. Knowledge of fixed fire extinguishing systems operation ()v Position of emergency stop locations r� ).l Emergency generator start�ng >"\ Emergency fire pump starting )(-Lifeboat engine starting YJ Knowledge of Company instructions and procedures b� -(bunkering, etc )

,.., Bilge water separator operatton (' Famtltanzatton wtth the engtne room machtnery cv-and systems

ISM ISO 9001 ISO

14001

13

10 9

10

16

13

13

Ref.: OP-ORG-08

CHECK LIST-HSEMS (ISM-ISO 9001/2000 - ISO 14001)

REPORTS ANO ANAL YSIS OF NON-CONFORMITIES,

ACCIOENTS, HAZAROOUS OCCURANCES

The communtcatton and reporting procedures specified in

the HSEMS are ìmplemented

The shtp recently had accidents (damage to the shtp or

personnel injury, pollutton) or incurred 1n hazardous situations (near mtsses)?

- damage to ship and her

machinery o date . . . . . . _ .

- personnel �njury o date ... .. ... . . . .. . . . . �q, - hazardous sttuations o date . . .. .. . . . . \f."�\.!. - pollutton o date ..... ··(!) .........

Responsibility for review and authority for disposition of

non conformtttes on board are defined

The communications and reports from the ships are available and duly filled

The Company has investtgated the situations and instructions to the Command have been provided

Description of accepted non conformities are recorded

MAINTENANCE OF THE SHIP ANO EQUIPMENT

The matntenance system includes systematic plans &actions destgned to address ali those items and systems covered by class and statutory 'survey and ensure that the Vessel's condition is satisfactonly maintatned at ali ttmes

Are maintenance problems reported to the Company?

( . . . . . . ... . . .. . .. .. ) Penodicity of Company inspections is in accordance with the HSEMS Manual

Date of last Company's tnspectton of the shtp .S�.A1.G.c:. . ..SAF.�:u' .. J.��.P€4f"ìoN - A.� -\)Q..C_Q..().(S"' Copy of the inspection reports or lists of non-conformrttes are avatlable

Are any Superintendent's dispositton outstanding?

Are any Safety Dtsposttton outstandtng?

Are there any Condtttons of Class outstanding?

Are any Flag State Disposttion outstanding?

Are any Port State Dtsposttton outstanding?

Communications from the ship's command to the Company,

when non conformities have been corrected, are available

File nr. 8 A

\ Q>-' C)'"

y N NA REMARKS

v l

)l � .'òi C/()-

ò Q; 0 �

- oJ �-.)

'(

'{

'"(

'( y v

l

'(

'(

y f./O

,..! �{s1�d.\'è1

'(

HSEMS-0-005-1 0107

Pag 9 of 16

ISM ISO 9001 ISO

CHECK LIST-HSEMS (ISM-ISO 9001/2000 -ISO 14001) 14001

y N NA REMARKS

Engine, Deck Machinery, Mooring Equipment

4.16 The inspection and ma1ntenance records are up-to-date and v properly filed l

4.10 lntervals for maintenance and inspections are established and v observed l

The mach1nery maintenance 1s complying w1th the y manufacturers' recommended running hours

Service records are available for speciallst machinery items y 16

(e.g. machmery alarms and shut down devices, oily water separator 1nstrument and controls, tank sounding equipment and tapes, etc )

10 The UMS alarms are regularly tested '( The analyses of lube oil (main/aux. engines, stern-tube), water '-(

10 and fuel oil are regularly carried out; the relevant reports are available

The Ch1ef Officer and 2nd Engmeer's Daily Work Books y (or computer print outs) are available

13 Evaluation is made if corrective action is to be taken by y the crew or if suppor! from shore is needed

14 Commun1callons from sh1ps concerning the implementation of v

correction actions are filed l

The work list is maintained duly updated (the dry-dock repair y 1tems are hsted and forwarded to the Company)

6 The documentation relevant to spare parts and materia! y provided and to be prov1ded on board 1s properly filed

Period1c functional tests of the stand-by arrangements. y 10 eqUipment and systems that are not 1n continuous use, are carried out and recorded in the log book

Eng1ne room bilges are free from oil and materials and should \.{ be dry

The sewage treatment plani is functiomng regularly y 10

Moonng ropes are regularly inspected and their visible part '{ appears in good condition

10 Winch and windlass brake linings and hinge pins are

regularly inspected and they appear 1n good condition '(

10 Anchors and chains are regularly inspected and their v visible part is in good condit1on

l

Decks in mooring area are pamted w1th non-sk1d pamt y 10 Safe working load-SWL is clearly marked on lifting equip. y

Pilot ladder and/or hoisting mechamsm 1s duly maintained y Tankers

No cargo leakage are visible on the deck '{ ,.)o CA Q. '-O Lc:r"IC4 Spill conta1ners and gratings are fitted under cargo manifolds y Unused cargo line manifolds are blanked and fully bolted y The generai cond1tions of the cargolballast pump-room are y satisfactory

The cargo l ballast pump-room bilge h1gh leve! alarm is y working and bilges should be dry

The Oil Record Book part Il IS duly filled in and up to date y PN valves appear in good condition y Records are ava1lable for testing of:

y - pump controls, alarms and trips

4.16 - PN valves

- cargo PIPIOQ - 1nert gas p1p1ng

Ref.: OP-ORG-08 File nr 8 A HSEMS-0-005-1 0/07

Pag. 10 of 16

ISM ISO 9001 ISO

CHECK LIST-HSEMS (ISM-ISO 9001/2000 - ISO 14001) y N NA REMARKS 14001

Ship's Structure

4.16 The inspection and maintenance records are up-to-date and '{ properly filed

4.14 Communications from ships concerning the implementation of y correct1on acttons are filed

4.10 lntervals for matntenance and inspections are established and y observed

The generai conditions of the pa1nt room 1s satisfactory y The condition of fuel and ballasi vents as well as of hand rails '( 1s sattsfactory

Life-Saving Appliances

4.10 The SOLAS tra1n1ng Manual on lifesaving appliances and

y survival IS available and dtstributed correctly

The instructtons for the lifesaving appliances and fire fighting y equipment maintenance are available

4.10 The Maintenance log-book 1s available and duly filled in '{ During the generai examination of the ship, the following

v- t �A\ , or-l appliances have been visually examined and found 1n good (/v'\' condtlton:

) (ba, - lifeboats and lowering arrangements (operating instructtons tlc,�

4.10 are displayed) �--i - life-rafts and related hydrostatic releases

</ - life-buoys and relevant lights or smoke signals s t\'

- lifeboat / life-raft embarkation ladders

- pilot ladders

Fire-Fighting Equipment

4.10 The SOLAS fire training manual is available and distributed y correctly

4.10 The fire-fighting equipment is regularly inspected, records of '{ the inspections are available

The hoses and their nozzles are 10 good condition '( The portable fire extanguishers are provided with operat1ng y instructions wntten 1n language(s) understood by the crew

The emergency fire pump 1s· y - operational

- provtded wtth operattng instructions

Operating instruct are posted next to fixed firefight. systems y Breathtng apparatus are ready for immedtate use

Vent trunk fire flaps & tunnel dampers are clearly marked '{ Accommodation ventilation motors stops are clearly marked y Emergency escape breathing devtces are available y Bridge Equipment

The followtng navtgational equipment are operationally and in order y (Indicate what eqUipment is avatlable and working)

- magnetic compass

- gyro compass

- radars/ARPA

- auto-pilot

- GPS

- NAVTEX

- echo sounders

- speed l distance indicator

- rudder angle, RPM, variable pitch and bow

- anemometer

Ref .. OP-ORG-08 File nr. 8 A HSEMS-0-005-10107

ISM ISO 9001 ISO

14001

4.16

4.11

4.11

4.5

4.5

4.10

4.5

4.5

4.5

4.10

4.18

4.10

12 4.17

4.13

4.13

4.6

6

Ref.: OP-ORG-08

CHECK LIST-HSEMS {ISM-ISO 9001/2000 -ISO 14001)

- ALDIS lamp

- VHF rad1o eqUipment

- Satellite EPIRB (with relevant free float arrangement)

- Radar transponders

The service records for the naVIgation equipment {magnetic

compass, gyro compass, radar, auto-p1lot, echo sounders, speed distance indicator(LOG)) and the position fixing (GPS) eqUipment are ava1lable

The magnetic compass deviat1on book is up to date

The magnetic compass deviat1on table 1s posted

The nautica! charts are corrected up to latest Notice to Manners rece1ved

The other Nautica! Publications (Pilots, Gu1de to Port Entry, Llst of Llghts and Fog s1gnals) are ava1lable in the latest ed1t1on and corrected

Communlcation Equipment

The equipment for communicat1on (GMDSS, VHF equipment, ALDIS lamp) is regularly tested

lnmarsat Enhanced Group Calling (EGC) for marine safety informat1on 1s used? In the affirmat1ve, the relevant procedures are ava1lable?

GMDSS aenals are earthed 1n port

The lists of rad1o signals are corrected and up to date

The lifeboat VHF Radios are regularly tested and the results record ed

Ali responsible crew is trained in the use of the lifeboat radio VHF

The condit1on of the emergency batteries is regularly checked

COMPANY VERIFICATION, REVIEW, EVALUATION AND

AUDIT

Date of yst Company's aud1t of the ship ( �Q. /A2.. 2o�4 . ) Penodic1ty of audit is in accordance with the HSEMS Manual

Company's audits reports or list of non-conformities are ava1lable

Are there any non conform1ties not closed out? ( .. .. . .. .. ...... )

Commumcation from the ship's command to the Company,

when Corrective Actions have been carried out, are available

The report of the last audit from Certification Body and the

hst of non-conformities are available / (specify the date of the last audit: �CL/A. 'L Q.o.l.� . . .... ................ ) Master Navigation audits are regularly carned out

PURCHASING

The Company procedure for requiring to purchase products

and services is 1mplemented

Requisit1on from ship (spare parts, matenals and stores) are tlmely ISSUed

Purchasing requirements contain data clearly describing the

producVserv1ce ordered, such d1cuments are reviewed

and approved by authorised personnel

Records of ali purchase orders/requests are maintained

Filenr 8 A

Pag.11of 16

y N NA REMARKS

y

'{

't "(

y

y

y

y y v

y v

l

y

y

y y

y

y

y

'( '{

y

HSEM$-0-005-1 0107

Pag. 12 of 16

ISM ISO 9001 ISO

CHECK LIST-HSEMS (ISM-ISO 9001/2000 -ISO 14001) y N NA REMARKS 14001

REMARKS

Purchased products. materials and goods are inspected upon

arrivai aboard;

y • results of inspection are recorded and communicated ashore

• claims from the ship's command are communicated in

writing to the Main Office

4.15 Materials and spare parts are adequately identified and y properly stored

4.11 CONTROL OF INSPECTION, MEASURING ANO TEST

EQUIPMENT

The Company procedure to control, calibrate and maintain the

equipment used to demonstrate the conformance of the ,J service to the contractual requirements is implemented

The measuring equipment: �€6 lA�� - are identified and handled, preserved and stored in order to

maintain the accuracy and fitness for use '{ .SAçE-ì'( - are calibrated in compliance with appropriate procedures \ tJ!o.\>2C't;�tJ - are calibrated at prescribed intervals, aga1nst certified

equipment having known valid relationship with

international or national recognised standards

- display a suitable indicator of the calibration status

- are provided with calibration records

SECURITY MATTERS

Authorised visitors on board are logged '{ Crew members are aware of the instructions against piracy y and armed robbery

Stowaway search are conducted and results recorded y The access control to and from the vessel is in compliance with v the requirements

l

T�� Auèi.l �A.S Cl.O�l:luc.le.'t::, �\,)�;,_.� :\)ìsclo(A.f-S.it-�G- c\'E�AìiotJS i� -n<c ?oiLì o� GNsAt-1, S. f!...o�EA.. \\te e-5we(L.A '- a.o�lli"\•01-.l of' "'\4Ce ,JE.SSEL'.S �ULL Acc.()��ol)A"t:otJ .At.IÙ €G)o.!�Ì?t'\€fJ( l<;, �o�.

�ASE;� ON tSV\�G'Nc.S'S. �Où�"h A.�� "�,(.€ b�l-{6t-l\S. C-\(�6l:l Ot-l A IU-.�>�ook �p..::. ç ç:.ou.o.....s t o.l� 1-\ A: N 90 ì t.>TS. A Q..� \ ..::> � s 9-€ Q o il-\Eb � �) \.l.a,�AQ...»Où� OCCù\�� 9§-�0�T.s. N� o�/�o�S GM.d' No C5"/a.o�.s- wé��

�oT o.<.OSE�

Ref.: OP-ORG-{)8 File nr. 8 A HSEM5-0-005-10/07

Pag. 13 of 16 4) :D6LcG.A\ìoN L6TTe�t.s weQ..o- �o'"'w\:) ì.tJ ?I..Ac..é ��..��

lS�oG.l> A S. �6� CoH'?AN'( P�cc..e;�u (l.E<S · 5) 6tJS..Ìt-JE �M vJAS C.LsAt-l Mlb TÌl:>'!' · J

6J �c�ìA\!:.LE: �AS. i)ET6c.:ro�� -Nclt6. F&_,Nb i._, �O(t�\N� c.otJ'l>i"l·\otl· cee-Ti ç:;c.Aì€$ AtJb t-t#rì tJiEf./ANC!é R...éOOQ...� ��(t6 iN1�LACG ANl! ltJ oQ...\:)€�j

't) ALM�I ..so� or -rox.ic. s.As. \U�6S STO� WE�6 E:��P-S�. �eG?�I�lìtON wAl c'll-eA'Tc"t>j �) \-tos?�'r�\.. vJAS ç:out-�� c.t..éAIJ ,o6.Wl> \l�'1'· t,).)€6�'! CNé�t-LsT 'N/lo.� �IJI...Y �;l..Lcb u?j '

9) IT � Ac; E;vl�ENc.t T�AT Sec-"t-ìotJ � o� T\(E \-AS.T 4 (Fc->9-) E NC.I..-OS&\) S9A<l€ 6Nì�'1 ?6-IL...._a� ç:oR-t-\ 1>-4�A >N,..:!. f-1�;-C..OI'-'çlt....€\e� (Ne. O· J

,) A.C) l\ w AS oe.Se�\Jt� \�A "t "- \'\�tlG G-A��A�€ COL..Lée-T"ìo.._, A t-l\) Ùi.S.?CSAL ?csìe�S 1\.-\é •ot.ù KEG-U\...A,.ÌOt.J'' G-Açt�Ae � CVOSìE�� \)��\...� s�Eù \W •c.. A\""-" we�c 'ù t si)�..AvEò C o�s 1\ ) -..t.�) h W/>..5. E\Jt"i)EtJCe 't\.-\AT ""1"\-tEe,� �6�(7 t-JO roQ... ..... NUI-4�6(t, r\LS

Nu\.4�69- O-MA {1-.éç:e�G t-�C..6 (foo\Eit \,..çol'l-o\A't\o,..,) oN "'�G c.o.....Pt.ere:b C'o�tl�f.J'( çO�l-o\ "��LL�T \N"-TE.Il- \-l.�wl>'-Ìt-�6- l-oG" ( O�S. Q.)_

.ù\)�W' T\-tE \WI{;�tJAl. \SH Au�-., "T\-l€ SEA\�C... SA�G"l'( lN��6c.TÌoN \)l A<;.. c...,._ it.Q.\€Ù 0\:J\

Ref.: OP-ORG-08

N C. Q...Ar\�E�: i (o�o�&) o� s �� s 6 i:l ·. 2.. (1"w o')

Filenr.8A HSEMS-0-005-1 0/07

Pag. 14 of 16

Ref · OP-ORG-08 File nr. 8 A HSEMS-0-005-1 0/07

Pag. 15 of 16

Ref.: OP-ORG-08 File nr. 8 A HSEM$-0·005-10/07

Pag. 16 of 16

Rei.: OP-ORG-08 File nr. 8 A HSEM$-0-005-10/07

Officer Matrix Report Date: Dee 09, 2015

Vessel: Four Wind Flag: ltaly

IMO: 9419553 Operator: PREMUDA S.P.A.

Years In Servlce - As of Dee 09, 2015 Speclallsed

Cert. Admln. Tanker Tanker Radio With In Tanker Ali Watch Months Engllsh Rank Natlonality Com p. lssulng Country Ace ept Cert. Training Qual. Operator Rank Type Types Officer Tour Pro f. Master Italia n M aster ltaly Yes Oli Advanced Yes 21.2 11.4 19.0 36.0 - 2.5 Good

11/2

Chief Officer Russia n Chìef Russlan Federation Yes Oli Advanced Yes 0.2 0.7 10.1 10.1 - 1 .5 Good Mate 11/2

2nd Officer Russia n oow Russlan Federation Yes Oli Advanced Yes 1.8 2.6 6.9 9.9 4.7 1.3 Good (Oeck) 11/1

2nd Offlcer Italia n oow ltaly Yes O il Advanced Yes 7.0 0.4 5.4 5.4 2.2 0.0 Go od (Deck) 11/1

Chief Engineer Italia n Ch1ef ltaly Yes O il Advanced N/A 16.7 12.7 32.2 32.2 1.0 Good Eng 11112

2nd Engineer Italia n Chief ltaly Yes Oli Advanced N/A 15.0 2.2 12.3 13.3 - 1 .5 Go od Eng 111/2

3rd Engineer Russia n OOW Russlan Federation Yes Oli Advanced N/A 4.4 0.6 3.3 3.3 3.0 1.0 Go od (Eng) 111/1

4th Engineer Russia n oow Russlan FederaUon Yes Oli Basic N/A 3.0 1 . 1 2.0 2.0 1.1 1.3 Good (Eng) 111/1

Operator's Comments two 2/0s on board instead of one 210 and 1 3/0. One of them is performing 3/0 duties.

Page 1 of 1 @casa coM