船岸安全檢查表.doc

1、船/岸安全檢查表ship/shore safety check list船名： 泊位： 港口： ships name： berth no.： port： 靠泊時間： 離泊時間： time of arrival: time of depart： 填表說明：為了安全作業(yè)，對所有的問題均應肯定地做出回答，可在相應的方格內清楚地標上“v”記號。如果不能作肯定的回答，則應說明理由，并就所應采取的相應的措施在船舶與油碼頭之間達成協(xié)議。對認為不適用的任何問題，就在備注欄中注明。“船舶”和“油碼頭”欄目下的方格，是供雙方各自填寫檢查結果的。在“代碼”欄目中標有字母a、p或者，分別表示如下意義：a任何議定的程序

2、和協(xié)議，均應以書面方式寫明在本檢查表的“備注”欄中，或者互相認可的其他表式中，無論哪一種方式，都應要求雙方簽字。p在否定回答的情況下，未經(jīng)港口主管當局的準許，不可進行作業(yè)。r表示對不超出聲明中時間間隔需要重復檢查的項目。表a散裝液體貨物的一般要求part a- bulk liquid general 通用檢查內容bulk liquid - general船舶ship油碼頭terminal代碼code備注remarks1船舶是否已經(jīng)系泊牢靠？r2應急鋼絲拖纜是否已經(jīng)正確放置？are emergency towing wires correctly positioned?r3船岸之間的安全通道是否

3、符合安全要求？is there safe access between ship and shore?r4船舶是否保持自航移動能力？is the ship ready to move under its own power?pr5船上是否有了有效的甲板現(xiàn)場值班？船/岸是否都有充分的監(jiān)督？is there an effective deck watch in attendance on board and adequate supervision of operations on the terminal and on the ship?r6船/岸之間的系統(tǒng)使用是否正常？is the agree

4、d ship/shore communication system operative?ar7是否已經(jīng)說明并理解船岸/所應使用的應急信號？has the emergency signal to be used by the ship and shore been explained and understood?a8是否已經(jīng)議定了貨物、燃油和壓載水的裝卸程序？have the procedures for cargo, bunker and ballast handling been agreed?ar9是否已經(jīng)認識并了解擬裝卸貨物中有毒物質所具有的危險？have the hazards as

5、sociated in the cargo being handled been identified and understood?10是否已經(jīng)議定了緊急停止（作業(yè)）程序？has the emergency shutdown procedure been agreed?a11船岸雙方的消防水帶和消防設備是否已經(jīng)正確放置并隨時可用？are fire hoses and fire fighting equipment on board and ashore positioned and ready for immediate use?12貨物和燃油的軟管或輸油臂狀況是否良好、裝配是否符合要求并適

6、合于預定的用途？are the cargo hoses in good condition and correctly connected with shore pipes for designed use?13船岸雙方的排水孔是否已經(jīng)堵塞嚴密、集液容器是否已經(jīng)安置就位？are scuppers effectively plugged and drip trays in position both ship and shore? r14不使用的貨物和燃油軟管接頭是否已經(jīng)用盲板妥善封閉并上緊全部螺栓？are unused cargoes and bunker connected property

7、 secured with blank flanges fully bolted?15不使用的通海閥和舷外排出閥是否保持關閉并明顯地系牢？are sea and overboard discharge valves, when not in use, closed and visibly secured?16所有貨艙和燃油艙艙蓋是否保持關閉？are all cargo and bunker tank lids closed?17是否采用已議定的油艙透氣系統(tǒng)？is the agreed tank venting system be used?ar18p/v閥和/或高速排氣裝置的效用，是否已經(jīng)用提

8、升校驗設施（如裝置有）驗明正常？is the operation of the p/v system been verified? 19手電筒是否屬于認可類型？are hand torches of an approved type?20便攜式vhf/uhf無線電對講機是否屬于認可的類型？are portable vhf/uhf transceivers of an approved type?21船上主要的無線電發(fā)射天線是否已經(jīng)接地、雷達是否已經(jīng)關閉？are the ships main radio transmitter aerials earthed and radars switche

9、d off?22便攜式電器設備的電纜是否已經(jīng)與電源斷開？are electric cables to portable electrical equipment disconnected from power? 23生活區(qū)所有的外部艙門和舷窗是否都保持關閉？are all external doors and ports in the accommodation closed?r24窗式空調機是否都已經(jīng)斷開電源？are window-type air conditioning units disconnected?25有可能吸入貨物蒸汽的空調系統(tǒng)進氣口是否已經(jīng)關閉？are air condit

10、ioning intakes that may permit the entry of cargo vapors closed?26使用廚房設備和其他炊事用具的規(guī)定被切實遵行?are regulations of kitchen being observed?r27是否切實遵行吸煙安全規(guī)定？are smoking requirements being observed?r28是否切實遵守明火安全規(guī)定？are naked fire regulations being observed?r29是否已做了應急逃生的安排？is there provision for an emergency esca

11、pe?30船上和岸上是否有足夠的人員以備處理緊急情況？are there sufficient personnel on board and ashore to deal with an emergency?r31船/岸管路接頭是否符合要求的絕緣措施？are the joints of ship/ashore hoses meeting the insulation requirements? 32是否已經(jīng)采取保證泵房充分通風的措施？are efficiency measures for pump room ventilation used?r33船舶如果能夠以封閉方式進行裝載，是否已經(jīng)約定封

12、閉式作業(yè)的有關要求？have the requirements for closed operations been agreed?r34蒸汽回收管路是否已連接？is the vapour return line been correctly connected?35如果蒸汽回收管路已經(jīng)連接了，是否已經(jīng)議定了操作參數(shù)？is operating parameter for vapour return line been agreed?36是否在室外放置有船舶應急防火控制圖？are the ships emergency fire control plans located externally?聲 明declaration我們