CHECKLIST & FORMS
2016-3-21
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CLASS & STATUTORY FORMS |
| S/N | Documents | Description |
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| 1 | Form Statutory | Statutory Survey Cover Page |
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| 2 | Form Class | Class Survey Cover Page |
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| 3 | Form Survey | Form Survey to be completed for all Periodical Survey |
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| 4 | Form Narrative | Description of Survey and Remarks |
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| 5 | Form Notes | Set Out Recommendations Memorandum or Information |
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| 6 | Form Docking | Docking Survey Report |
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| 7 | Form SDV | SDV Survey Checklist |
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| 8 | Form Hull (AS) | Class Survey Report (Annual Survey) |
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| 9 | Form Hull (CHT) | Class Survey Report (Cargo Hold, Tanks & Other Spaces) |
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| 10 | Form Hull (ISSS) | Class Survey Report (Intermediate Survey & Special Survey) |
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| 11 | Form Hull (THP) | Class Survey Report (Tank and Hold Protection) |
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| 12 | Form Hull (CUS) | Class Survey Report (Close Up Survey) |
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| 13 | Form Machinery 1 | Class Survey Report for Machinery-1/3 |
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| 14 | Form Machinery 2 | Class Survey Report for Machinery-2/3 |
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| 15 | Form Machinery 3 | Class Survey Report for Machinery-3/3 |
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| 16 | Form Chemical | Class Survey Report for Ships Carrying Dangerous Chemicals in Bulk |
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| 17 | Form Refrigerated | Class Survey Report (Refrigerated) |
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| 18 | Form Deficiencies | Class Survey Report (Deficiencies) |
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CHECKLIST (TO BE USED FOR INITIAL/RENEWAL SURVEY)
| S/N | Documents | Description |
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| 1 | chkLL | International Loadline Checklist |
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| 2 | raLL | Record of Condition of Assignment (Loadline) |
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| 3 | chkSC | Cargo Ship Safety Construction Checklist |
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| 4 | chkSE | Cargo Ship Safety Equipment Checklist |
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| 5 | raSE | Records of Approved Equipment for Cargo Ship Safety Equipment |
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| 6 | chkSR | Cargo Ship Safety Radio Equipment Checklist |
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| 7 | Form Radio | Safety Radio Survey Checklist (for Radio Surveyor) |
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| 8 | chkIOPP | International Oil Pollution Prevention Checklist |
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| 9 | chkIAPP | International Air Pollution Prevention Checklist |
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| 10 | chkISPP | International Sewage Pollution Prevention Checklist |
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| 11 | chkDCB | Dangerous Chemicals In Bulk Checklist |
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AUDIT
| S/N | Documents | Description |
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| 1 | Form ISM | Shipboard SMS Audit Cover Page |
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| 2 | Form ISM Info | ISM Audit Information |
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| 3 | ISM Chklist | Checklist for Shipboard Audit |
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| 4 | Form ISPS | Shipboard ISSC Audit Cover Page |
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| 5 | Form ISPS Info | ISPS Audit Information |
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| 6 | Form ISPS Chklist (Onsite) | ISPS Checklist Onsite |
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| 7 | Form ISPS Chklist (Plan Approval) | ISPS Checklist Plan Approval |
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| 8 | Form DOC | Company SMS Audit Cover Page (ISM) |
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| 9 | Form DOC Info | Company DOC Audit Information |
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| 10 | Form NCN | Non Conformity Note (ISM) |
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| 11 | Form MNC | Major Non Conformity Note (ISM) |
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| 12 | Form QAR | Audit Report (ISM & ISPS) |
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| 13 | Form STA-1 | Status of Security Implementation (ISPS)-1/2 |
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| 14 | FORM STA-2 | Status of Security Implementation (ISPS)-2/2 |
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| 15 | REC | Recommendation to Security Implementation (ISPS) |
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| 16 | Form DOC Chk | Checklist for Company Audit |
