Instructions to Maritime Cook Islands Inspector
1. Section A, 1-3: The vessels Master should complete Section A 1-3 prior to the inspection and have it available, in soft copy, for the inspector
to audit and include in the final form. This will shorten the inspection process considerably.
2. Deficiency List: A copy of any deficiencies that are issued shall be listed on the Deficiency List (survey from 85) and given to the Master upon
completion of the inspection.
3. Photographic Record: A Photographic Record shall be submitted with the completed Inspection form of images relevant to the inspection –
including inter alia general view of the hull and accommodation.
4. Submitting Inspection and Photographic Record: The completed Inspection Form (84A) Deficiency List (85) and Photographic Record
shall be submitted in PDF format to the Maritime Cook Islands Technical Office [email protected], with the vessel’s Maritime Cook Islands
Fleet Manager and [email protected] in copy.
PART A : GENERAL INFORMATION
(To be completed by Master)
Name of Ship Type of
IMO No. Year of Registration in CI
Year Built Ship’s Classification
Gross Tonnage Net Tonnage Official Number
DPA Contact details ( as listed and available on board)
Name Phone
Address Email
Name of Company Representative on Phone
Email
Name of Inspector CIFSS number
Date / Place inspection
Deficiencies by PSC closed
5. Policy Of Unsafe Vessels: If at any time, in your professional opinion, a vessel flying the Cook Islands Flag is considered to be unseaworthy
or a risk to the marine environment, you must issue notice to the vessel owners that the registration and other certification is suspended until such
time as the deficiencies have been rectified.
Such suspension shall be immediate and the ‘Letter of Suspension’ can initially be issued electronically with subsequent forwarding of the original
notice in due course. Copies must be sent to the Technical Director
[email protected].
Where the certification has been suspended the vessel must undergo an inspection by a Cook Islands Approved Surveyor prior to re-instatement on
the register and the appropriate certification reissued.
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In such a case you will be required to keep the following records:
1. Advice from Surveyor / RO / Flag State of the vessel’s condition and/or potential threat to the environment
2. Notice by the Registrar
3. Subsequent inspection/survey reports
4. Re-instatement documents (if applicable)
1. SHIP DOCUMENTS
(To be completed by Master) EXPIRY ISSUED Type of cert (F=Full;
YES NO N/A
DATE BY I=Interim; S=Short term)
Original Certificates on-board? Required annual, intermediate or
periodic surveys completed
International Tonnage Certificate
Passenger Safety Ship Certificate
Cargo Ship Safety Contruction Certificate
Cargo Ship Safety Equipment Certificate
Cargo Ship Safety Radio Certificate
International Loadline Certificate
International Oil Pollution Prevention Certificate
International Sewage Pollution Prevention Certificate
International Air Pollution Prevention Certificate
Engine International Air Pollution Prevention
Certificate
International Pollution Prevention Certificate for the
Carriges of Noxious Liquid Substances in Bulk
Certificate of Fitnes for the Carrigage of Dangerous
Chemicals in Bulk
Certificate of Fitness for the Carriage of Liquiefied
Gases in Bulk
Safety Management Certificate
Document of Compliance
International Ship Security Certificate
Continuous Synopsis Record
Civil Liability Convention
Civil Liability Bunker Convention
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International Anti-Fouling Systems Certificate
Radio Station Licence
Conformance Test Report LRIT
Certificate of Registry
AIS Compliacne Report
Safe Manning
International Energy Efficiency Certificate
SSAS test Report
Wreck Removal
MLC
2. MANUALS AND RECORD BOOKS
(To be completed by Master) YES NO N/A REMARKS:
Are the following on-board?
1. Oil Record Book – Machinery
2. Oil Record Book – Cargo
3. Garbage Management Plan
4. Garbage Record Book
5. Cargo Securing Manual
6. Cargo Gear Record Book
7. Ballast Management Plan
8. Intact Stability Book
9. Trim and stablity book
10. Damage Control Booklets
11. Bulk Carrier Booklet / Grain Loading Manual
Shipboard Oil Pollution Emergency Plan or
12.
Shipboard Marine Pollution Emergency Plan
Manual for onboard maintenace of life saving
13.
appliances
14. Evacuation plan
15. Fire fighting plan
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REMARKS: Enter latest edition on board where
3. PUBLICATIONS YES NO N/A
applicable
(To be completed by Master)
1. SOLAS (Latest Edition)
2. MARPOL
3. STCW (Latest Edition)
4. IMDG Code
5. IMSBC Code
Code o Safe Practices for Timber Deck Cargos (Latest
6.
Edition)
7. International Code of Signals (Latest Edition)
8. IAMSAR Manual (Latest Edition)
9. ICS Tanker Safety Guide (Chemicals) (Latest Edition)
10. ICS Tanker Safety Guide (Liquified Gas) (Latest Edition)
11. Medical Publications
12. Maritime Labour Convention
13. IBC Code hemical Tankers (built after July 1986)
14. BCH Code Chemical Tankers (built before July 1986)
15. Compilation of Maritime Cook Islands Circulars
PART B: SAFETY MANAGEMENT SYSTEMS (SMS) YES NO N/A REMARKS
Is the SMS written in a language understood by the crew?
Is there a computerized PMS on board?
Is there a schedule for drills and training?
Procedures for Internal Audit & Management Review?
Procedures in place for contacting the company in an emergency?
Are the crew wearing the appropriate PPE
Are there records of crew familiarization?
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Ship reports nonconformities as required by SMS?
Company takes corrective action when appropriate?
Risk Assessment recorded?
PART C: SECURITY YES NO N/A REMARKS
1. Was there a gangway watch?
2. Was identification requested upon boarding?
3. Are visitors escorted to the senior officer on duty?
4. Are crew aware of the current security level?
5. Are Restricted Areas marked?
6. Are security drills conducted and recorded?
Was the Ship Security Officer familiar with terminal
7.
security procedures and local contact information?
PART D: DRILLS AND RECORDS YES NO N/A REMARKS
1. Are weekly, monthly, quarterly and annual
inspections held and recorded?
2. Are weekly emergency, response and training drills
conducted and recorded?
3. Are Fire Drills carried out and recorded?
4. Radio Log Book properly maintained?
5. Required daily, weekly and monthly tests of the
GMDSS including reserve power testing
6. Emergency generator tested and recorded?
7. Fire and Abandon Ship drills carried out
PART E: MARITIME LABOUR CONVENTION 2006 – STCW YES NO N/A REMARKS
1. Original of Maritime Labour Certificate or
Declaration on board?
2. Original of Declaration of Maritime Labour
Compliance (DMLC Part I, II)
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3. Ship Manned according to the approved safe
manning document.
4. Records of seafarers’ work and rest hours?
5. No seafarer under the age of 18 has been
employed or engaged, or has been working, as
the ship’s cook
6. Documentary evidence of the ship cook being
instructed on board in matters of environmental
protection and catering health and safety
7. Copy of license or certificate for the operation of
a private seafarer recruitment and placement
service
8. Copies of seafarers’ employment agreements –
Payments in accordance MLC 2006.
9. Are the crew familiar with the on board
complaints procedure.
10. Bridge Log books / Machinery log books / Other
log books
PART F: OPERATIONAL TESTS SATISFACTORY YES NO N/A REMARKS
1. Watertight / weather tight tests?
2. Bilge Alarms?
3. Steering Gear Alarms and operation?
4. Emergency Lighting?
5. General alarm and engineers alarm for unmanned
machinery
6. Emergency generator has been tested?
7. Oily Water Separation (OWS) alarms?
8. Firefighting Equipment?
9. Fixed Fire Installations
PART G: BRIDGE AND NAVIGATIONAL EQUIPMENT YES NO N/A REMARKS
1. Echo sounding device
2. Course recorder
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3. Rater of Turn Indicator (≥ 50,000GT)
4. Maneuvering Characteristics
5. Speed and distance through the water log
Voyage Data Recorder or simplified Voyaged Data
6.
Recorder
7. Automatic Identification System
8. SART
9. EPIRB
Distress & Emergency Equipment stowed on or
10.
near the bridge?
11. VHF sets (fixed & hand held)
12. NAVTEX
13. GMDSS
Navigation lights including duplication and failure
14.
alarm?
15. Charts & Publications
If equipped, ECDIS up to date and crew familiar
16.
with use?
17. Berth passage plan available including UKC?
18. VDR / S-VDR Test Certificate
19. EPRIB Test Certificate
20. MOB quick release
PART H: CREW ACCOMODATION & GENERAL SAFETY YES NO N/A REMARKS
1. Is accommodation clean & tidy
Is the hospital equipped and maintained ready for
2.
use immediately?
Are Emergency Escapes accessible, free of
3.
obstructions, properly lit and well marked?
Are IMO symbols used for marking escape ways
4.
and locations of emergencies equipment?
Are Pilot ladders and related boarding
5.
arrangements clean, and in good condition?
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PART I : LIFESAVING APPLIANCES YES NO N/A REMARKS
Life buoys with reflective tape, markings, lights
1. and smoke signals on board I required numbers /
locations?
Required numbers of lifejackets with whistles,
2.
retro-reflective material and lights available?
Required number of immersion suits and thermal
3. protective aids available, proper size for crew, and
serviced per manufacturers specs (≤3 yrs.)?
Muster list and emergency instructions provided
4. to crew members and posted on the bridge, in the
engine room and accommodations?
5. Life Rafts
Embarkation ladders in good condition including
6.
forward ladder?
PART J: FIREFIGHTING EQUIPMENT YES NO N/A REMARKS
Weekly, monthly and quarterly maintenance,
1.
testing and inspections.
2. Portable fire extinguishers
3. Paint locker fire extinguishing system installed?
4. Fire hydrants operational
5. Fire hoses serviceable
6. Fire suits ready for use and in good condition.
PART K: HULL YES NO N/A REMARKS
Plimsoll mark properly marked and painted,
1.
corresponding to the load line certificate?
Draft marks properly marked and painted on bow
2.
and stern?
3. Condition of shell plating satisfactory?
4. Opening in hull satisfactory?
5. Condition of deck plating satisfactory?
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6. Condition of hatch covers satisfactory?
7. Condition of rails satisfactory?
Deck scupper pipes free of obstructions and in
8.
good condition?
Air pipes / closing appliances in acceptable
9.
condition & operable?
Anchors. Windless and mooring arrangements
10.
satisfactory?
Maintenance of masts, cranes, and rigging
11.
satisfactory?
ALL TANKER VESSELS:
Fore and aft walkways and gangways in acceptable
12.
condition?
Cargo and ballast deck lines in good condition and
13.
free of leakages?
PV valves free of leakages, working and in
14.
acceptable condition?
15. Flame screen installed in PV Breaker?
16. Pump room clean and in satisfactory condition?
17. ODME Operable and tested.
PART L: MACHINERY AND ELECTRICAL YES NO N/A REMARKS
1. Engine Control room
2. Emergency lights marked
3. Main engine free of oil and water leakages?
Auxiliary engines /generators in good operating
4.
condition?
Boilers and steam system appear satisfactory and
5.
free of excessive leakages?
Exhaust manifold and exhaust lines in satisfactory
6.
condition?
Engine room vent and ducting system in good
7.
condition?
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Bilge and ballast pumps in good operable
8.
condition?
Feed and cooling pumps and valves in good
9.
condition?
10. Shipboard waste incinerator satisfactory?
11. Purifiers and purifier space satisfactory?
12. Fresh water coolers free of leakages
Air compressors and piping, valves in good
13.
condition?
Engine room firefighting equipment is
14.
satisfactory?
Engine room bilges and other machinery areas
15.
free of oil, debris and other fire hazards?
PART M: STEERING YES NO REMARKS
Full movement of rudder verified (35 port to 35
1.
starboard)?
Steering linkage in satisfactory condition and
2.
operating properly?
3. System free of excessive leaks?
Means of communication between the navigation
4.
bridge and the steering compartment satisfactory?
5. Change over procedure diagrams posted?
6. Emergency steering systems operating properly?
Heading information displayed visually at
7. emergency steering position (required on board
vessels built after 1992)?
PART N: GENERAL COMMENTS
General remarks regarding the overall condition of the vessel and the competence of the officers and crew. In addition, place
observations and / or recommendations in this block. Deficiencies should be listed in Survey Form 84C.
CURRENT OPERATION & VOYAGE CIRCUMSTANCES:
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DOCUMENTATION & RECORDS:
HULL, DECKS & FITNESS:
MACHINERY & ELECTRICAL:
ACCOMODATION (Internal / External):
SAFETY & FIREFIGHTING:
CREW PERFORMANCE/COOPERATION:
OBSERVATIONS & RECOMMENDATIONS DISCUSSED WITH MASTER & CHIEF ENGINEER
(summarize below)
Date:
(dd/mm/yy) Name of Master or Representative (print) Signature
Date:
(dd/mm/yy) Name of Inspector (print) Signature
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