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1、船名.泊位.到港A组普通散装液货船舶装卸 区代号备注A1.船舶系泊是否安全？A2.应急拖缆是否放置正确？A3.船岸之间有否安全通道？A4.船能否靠自己动力移泊？PA5.船上是否派有甲板值岗人员？船岸双方是否作出适当的监督？A6.船岸之间通讯联系是否已协商好？AA7.货物、燃料油和压载水的装卸程序是否协商妥当？AA8.应急关闭程序是否已商定？AA9.船岸救火管和灭火设备是否备好并能立即使用？A10.装卸货物、燃料油的软管是否完好，装配是否妥当？ 检查装卸索具证书。A11.船岸双方是否有效地堵住甲板排水孑L滴漏盘是否已 放好？A12.不使用的货物和燃油管系接头包括船尾排出管系是 否安装妥当？A13
2、.不使用的海水阀和舷外排出阀是否关闭或用绳子捆 扎好？A14.所有的货舱和燃油舱是否都盖好？A15.舱柜通风系统的使用是否已协商好？AA16 .允许使用的喷灯是否已保管好？A17.VHF/UHF接收仪是否是便携式的？A18.船上的主发讯机天线是否接地，雷达是否关闭？A19.便携式电气设备的用缆是否与主电源分离？A20.船中舱室的外部门的出入是否关好？A21 .船尾舱室通向货舱甲板的外部门和出入口是否关 闭？A22.有可能吸入货物蒸气的空调系统入口是否已关闭？A23.窗式空调装置是否已撤离？A24.是否遵守吸烟规定？A25.是否按规定使用厨房和其他佐餐设备？A26.是否遵守明火作业规定？A27.
3、是否有应急逃脱的可能，性？A28.船岸双方是否有足够的急救人员？A29.在船岸之间的连接处是否有合适的隔离？.停泊港.A30.是否采取措施保证泵间的足够通风？日期到港时间填写说明：有关安全操作的所有问题必须作肯定的回答，填入空格内口；如果不能作肯定回答的必须说明 理由，并且船岸双方应采取适当的预防办法达成协议，在实际操作中，有些必须注意的事项在上表 中未列出，可填入备注一栏。“船舶”和“装卸区”一栏内的空格口，由有关当事人进行检查填写。在“代号一栏内字胃“A”和“P”的含义：A表示记载程序和协议需要双方当事人签署。P表示对操作持否定回答时，如没有港口当局的允许，就不能进行。SHIP/SHORE
4、 SAFETY CHECKLIST船/岸安全梭查表Ships Name:Voyage No.:船名： 航次：Port/Berth:Date/Time of Arrival:港口/码： 到建日期/畤：二INSTRUCTIONS FOR COMPLETION填舄明：The safety of operations requires that all questions should be answered affirmatively by clearly ticking 0 the appropriate box. If an affirmative answer is not possible,
5、 the reason should be given and agreement reached upon appropriate precautions to be taken between the ship and the terminal. Where any question is considered to be not applicable, then a note to that effect should be inserted in the remarks column.安全作棠要求所有冏题Ji肯定予以回答，亚以打勾se於逾富空格；如非舄肯定回答，雁截原因，且船岸在探取逾
6、富注意事上we成嫁 Bo任何冏题言忍舄不逾用畤，在偷志主稠w予以明。A box in the columns ship” and terminal” indicates that checks should be carried out by the party concerned.在“船方”典“岸方”稠上之空格表示有罩位w检查之项目。The presence of the letters A, P or R in the column Code” indicates the following:在“代碣”稠上所出现之字母A, P或R之意羲明如次：A - any procedures and
7、agreements should be in writing in the remarks column of this Checklist or other mutually acceptable form. In either case, the signature of both parties should be required.w以害面之程序或嫁Be於本检查表之偷主稠上或其他经燮方同意之格式上，不何*重方式燮方代表w箓署之。P - in the case of a negative answer, the operation should not be carried out w
8、ithout the permission of the Port Authority. 回答如舄否定，未经港口富局同意不得作棠。R - indicates items to be re-checked at intervals not exceeding that agreed in the declaration.表示在馨明所嫁BN畤内吊复检。PART “A” - BULK LIQUID GENERAL第A部份-液货船一般项目General一般项目一S岸d C代Remarks偷主1Is the ship securely moored? 液货船是否牢牢地繁好？SRStop cargo at
9、: 液货停止： Disconnect at: 拆装卸臂：一 Unberth at:融礁荫：kts wind vel.筋囤速。kts wind vel.筋囤速。kts wind vel.笛国*速2Are emergency towing wires correctly positioned? w急盼融翻索正碓地定位？R3Is there safe access between ship and terminal?液皆船/翌卸液皆祜固之安全通道良好？R4Is the ship ready to move under its own power?液宵船在自行之勤力下可弓畤移勤？ 一一_PR5 Is
10、there an effective deck watch in attendance on board and adequate supervision on the terminal and on the ships?液货船上留有足豹人作有效之甲板常值，液货船及装卸液货站均有遒常 既督？R6 Is the agreed ship/terminal communication system operative?一一M船/装卸液站麝羲之通信可操作?AR7 Has the emergency signal to be used by the ship and terminal been expl
11、ained and understood?一一至否已固明亚瞭解船岸使用之BB信一?A8 Have the procedures for cargo and ballast handling been agreed?-液M及操作程序棠朋意？AR9 Have the hazards associated with toxic substances in the cargo being handled been identified and understood?-一一是否已字碓言忍瞭解寒奘卸液宵中有害一佳随有毒之物暨？10 Has the emergency shutdown procedure
12、been agreed? 暴急停止程序翘同意？A11 Are fire hoses and fire-fighting equipment on board and ashore positioned and ready for immediate use?一船上及崖上面！有之消防皮及消防殳俺是否定位且随藤可供使用一?_一RPART “A” - BULK LIQUID GENERAL （cont）第A部份-液货船一般项目（）General一般项目方船Drns_1IB代Remarks偷言主12 Are cargo hoses/arms in good condition, properly ri
13、gged and appropriate for the service intended?一一面有液皆救管凄卸液皆臂情况良好且建妥常亚己晶用？._.13 Are scuppers effectively plugged and drip trays in position, both on board and ashore?仕上及岸方之所有排水孔塞住，滴油池定位？口R14 Are unused cargo connections properly secured with blank flanges fully bolted? 已使用之液皆速接奘詈已以盲板封死？口15 Are sea and overboard discharge valves, when not in use, closed and visibly secured?一 一一不使用之通海及排出船外已窗W固定聚密？16 Are all cargo and bunker tank lids clo
