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0.1. Ships Forms Index

This document provides an index of forms used by a shipping company for their safety management system. The index includes over 50 forms organized into categories like navigation, bridge, deck, safety, risk, machine, and security. The forms are used for various operational and safety purposes on a recurring basis like monthly, annually, or as needed.

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0% found this document useful (0 votes)
52 views3 pages

0.1. Ships Forms Index

This document provides an index of forms used by a shipping company for their safety management system. The index includes over 50 forms organized into categories like navigation, bridge, deck, safety, risk, machine, and security. The forms are used for various operational and safety purposes on a recurring basis like monthly, annually, or as needed.

Uploaded by

ghonwa hammod
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Eikano Shipping & Trading SA .

SAFETY MANAGEMENT SYSTEM FORMS INDEX

N NAVIGATION FORMS

No. Form Name Timing of use Copy to office


N-01 Voyage Plan Before every Voyage ✔
N-02 Pre-arrival checklist Before arrival ✖
N-03 Pre-departure checklist Before departure ✖
N-04 Pilot card Before arrival ✖
N-05 Anchorage and anchor watch Before/during Anchorage ✖
N-06 Navigation in Special Conditions Occasionally ✖
N-07 Navigation in Coastal Waters Occasionally ✖
N-08 Navigation in Deep Sea Occasionally ✖
N-09 Noon Report Daily ✔

B BRIDGE FORMS

No. Form Name Timing of use Copy to office


B-01 Vessel Inspection Report Monthly ✔
B-02 Safety Meetings Monthly ✔
B-03 Master Review Occasionally ✔
B-04 Drills Monthly ✔
B-05 Requisition Occasionally ✔
B-06 Plans & Drawings Inventory Occasionally ✔
B-07 Inspection History Monthly ✔
B-08 Monthly Medicine Inventory Monthly ✔
B-09 Monthly Medicine Record Monthly ✔
B-10 Publication Inventory Monthly ✔
B-11 Master Handover Report Occasionally ✔

D DECK FORMS

No. Form Name Timing of use Copy to office


D-01 Stevedores Damage Report Occasionally ✔
D-02 Non-Conformities Report Occasionally ✔
D-03 Monthly Work Report Monthly ✔
D-04 Repair History Monthly ✔
D-05 Cargo and Ballast History 3 Months ✔
D-06 Entry into Enclosed Spaces Permit Occasionally ✔
D-07 Hot Work Permit Occasionally ✔
D-08 Permit to Work Aloft Occasionally ✔
D-09 Electrical Work Permit Occasionally ✔
D-10 Deck Inventories Monthly ✔
D-11 Safety Checklist for Loading/Unloading Bulk Cargo Occasionally ✔
D-12 Bulk Carriers Cargo Spaces and Ballast Water Tanks Occasionally ✔

S SAFETY FORMS

No. Form Name Timing of use Copy to office


S-01 FFA & LSA Maintenance Reports Weekly ✔
S-02 FFA & LSA Maintenance Reports Monthly ✔
S-03 FFA & LSA Maintenance Reports Quarterly ✔
S-04 FFA & LSA Maintenance Reports 6 Months ✔
S-05 FFA & LSA Maintenance Reports Annually ✔
Eikano Shipping & Trading SA .
SAFETY MANAGEMENT SYSTEM FORMS INDEX

R RISK FORMS

No. Form Name Timing of use Copy to office


R-01 Initial Risk Assessment Occasionally ✔
R-02 Identified Risk Proposal Occasionally ✔
R-03 Identified Risk Record Occasionally ✔

M MLC FORMS

No. Form Name Timing of use Copy to office


M-01 Application Form Occasionally ✔
M-02 Qualification Record Monthly ✔
M-03 Familiarization Occasionally ✔
M-04 Table of Watchkeeping & Rest Hours Monthly ✔
M-05 Rest Hours Report Monthly ✔
M-06 Appraisal Form Monthly ✔
M-07 Complaint Report Occasionally ✔
M-08 Medical Report Occasionally ✔
M-09 Wages Account Monthly ✔
M-10 Accommodation Inspection Report Weekly ✔
M-11 Sign Off Request Occasionally ✔
M-12 Crew Change Record Occasionally ✔

E ENGINE FORMS

No. Form Name Timing of use Copy to office


E-01 Chief Engineer Handover Occasionally ✔
E-02 ME Cyl. Liner & Piston Rings Occasionally ✔
E-03 ME Piston Pin Bush Gauging Occasionally ✔
E-04 ME Crank Shaft Deflection 6 Months ✔
E-05 ME Main Bearings Inspection Occasionally ✔
E-06 ME Performance Report Monthly ✔
E-07 AE Overhauling Report Occasionally ✔
E-08 AE Crank Shaft Deflection 6 Months ✔
E-09 Megger Test 6 Months ✔
E-10 Batteries Log Weekly ✔
E-11 Critical Equipment Checklist Occasionally ✔
E-12 Bunkering Checklist Occasionally ✔
E-13 Monthly Consumption Monthly ✔
E-14 Monthly Work Report Monthly ✔
E-15 Repair History Monthly ✔
E-16 Engine Room Inventories Monthly ✔
E-17 Machinery Survey Report Occasionally ✔
E-18 Monthly Working Hours for Machineries Monthly ✔
E-19 Checklist for GMDSS Batteries Monthly ✔
E-20 Lubricants / Chemicals Gases/ Oil Residues Inventory Monthly ✔
Eikano Shipping & Trading SA .
SAFETY MANAGEMENT SYSTEM FORMS INDEX

SSP SECURITY FORMS

Form Name When to Use Copy to office When to


No.
Send
1 Report of an unlawful act When Needed ✔ Monthly
2 Breach of Security When Needed ✔ Monthly
3 Declaration of Security Every Port Entrance ✔ Monthly
4 Port Contact Information Sheet Every Port Entrance ✖ --
5 Company Contact Information Sheet Updated ✖ --
6 Internal Security Audit Annually ✖ --
7 CPAR When Needed ✔ If Used
8 Document Change Note When Needed ✔ If Used
9 Ports Visited and Security Setting Every Port Entrance ✔ Monthly
10 Security Equip. Maintenance / Calibration Annually ✔ Annually
11 Record of Change in the security Level When Needed ✔ If Used
12 Port of Call Security Level Record Every Port Entrance ✔ Monthly
13 Record of Security Threats When Needed ✔ If Used
14 Record of Security Drills When Needed ✔ Monthly
15 Alert System Maintenance / Calibration Sheet Monthly ✔ Monthly
16 Visitors Logbook At Every Port ✔ Monthly
17 Drill Forms When Used ✔ 3 Months
18 Training Forms When Used ✔ 3 Months

CSP CYBER SECURITY FORMS

Form Name When to Use Copy to office When to


No.
Send
CSP-08
Initial Incident Investigation Report When Needed ✔ Monthly
CSP-08
Follow Up Incident Investigation Report When Needed ✔ Monthly
CSP-08
Hazard-Root Cause Map When Needed ✔ Monthly
CSP-03
Cyber Risk Assessment Form When Needed ✔ Monthly
CSP-03
Company Cyber Security Self-Assessment Monthly ✔ Monthly
CSP-03
Vessel Cyber Security Self-Assessment Monthly ✔ Monthly

CSA CYBER SECURITY ASSESMENT

Form Name When to Use Copy to office When to


No.
Send
CRA-01 Communication systems When Used ✔ 3 Months
CRA-02 Bridge Systems When Used ✔ 3 Months
Propulsion and machinery management When Used ✔ 3 Months
CRA-03
and power control systems
CRA-04 Access control systems When Used ✔ 3 Months
CRA-05 Cargo management systems When Used ✔ 3 Months
CRA-06 Core infrastructure systems When Used ✔ 3 Months
CRA-07 Administrative and welfare systems When Used ✔ 3 Months

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