m/s _____________________________ Voy. No ___________ Date _________________

Please tick the appropriate box.

RADIO SURVEY	N/A	YES	NO	ACTION TAKEN
IS GMDSS WORKING PROPERLY?
IS NAVTEX WORKING PROPERLY?
IS REQUIRED NUMBER OF VHF RADIOTELEPHONE APPARATUS ON BOARD AND WORKING PROPERLY? IS BATTERY VALID?
IS CORRECT NUMBER OF RADAR TRANSPONDERS ON BOARD. IS IT WORKING PROPERLY. IS BATTERY VALID?
IS EPIRB WITH HYROSTATIC RELEASE IN SATISFACTORY CONDITION? IS BATTERY VALID?
IS RADIO BATTERY IN SATISFACTORY CONDITION AND HAS IT BEEN SERVICED ACCORDING TO INSTRUCTION?
IS CURRENT LIST OF RADIO STATIONS AVAILABLE?

NAVIGATION EQUIPMENT SURVEY	N/A	YES	NO	ACTION TAKEN
IS MAGNETIC COMPASS WORKING PROPERLY? IS COMPASS DEVIATION CHART AVAILABLE AND UP TO DATE?
IS GYROCOMASS WORKING PROPERLY?
IS RADAR/ARPA WORKING PROPERLY?
IS ECHO SOUNDER WORKING PROPERLY?
ARE NAVIGATION LIGHTS WORKING PROPERLY?
ARE LIST OF LIGHTS, TIDE TABLES, NOTICE TO MARINERS, RADIO SIGNALS AND INTERNATIONAL CODE OF SIGNALS AVAILABLE ON BOARD?
ARE UPDATED COPIES OF ALL REQUIRED INTERNATIONAL CONVENTIONS ON BOARD (SOLAS, MARPOL, LOAD LINE, COLREG ETC.)?
ARE COPIES OF ALL PUBLICATIONS REQUIRED BY FLAG ADMINISTRATION ON BOARD.

LIFE SAVING APPLIANCES SURVEY	N/A	YES	NO	ACTION TAKEN
ARE LIFE-BOATS IN SATISFACTORY CONDITION (MARKINGS, NO RUST, ROT, WASTAGE)?
ARE ALL REQUIRED LIFE-BOAD EQUIPMENT AND PROVISION AVAILABLE ON BOARD AND IS IT IN SATISFACTORY CONDITION?
ARE LAUNCHING ARRANGEMENTS FOR LIFE-BOATS (EG DAVITS, BLOCKS, HOOKS, WINCHES) IN SATISFACTORY CONDITION?
IS ENGINE FOR LIFE-BOAT IN OPERATIONAL CONDITION, INCLUDING SUFFICIENT VOLUME OF FUEL OIL IN TANK?
IS EMBARKATION LADDER IN SATISFACTORY CONDITION?
ARE LIFE-RAFTS IN SATISFACTORY CONDITION WITH ID CARDS PROPERLY FASTENED.
ARE LIFE-RAFTS AUTO RELEASE SYSTEMS IN SATISFACTORY WORKING CONDITION (INCLUDING LAST SERVICE)?
ARE LAUNCHING INSTRUCTIONS FOR LIFE-BOATS AND LIFE-RAFTS POSTED PROPERLY IN LAUNCHING STATIONS?
ARE REQUIRED NUMBER OF LIFE-BUOYS, SMOKE SIGNALS, SELF IGNITION LIGHTS ON BOARD?
ARE LIFE-BUOYS CONDITION AND MARKING SATISFACTORY?
IS CONDITION OF LIFE-LINES, SMOKE SIGNALS, SELF IGNITION LIGHTS (INCLUDING DATE OF EXPIRY), QUICK RELEASE DEVICES IN SATISFACTORY CONDITION?
ARE REQUIRED NUMBER (12) OF PARACHUTE SIGNALS (INCLUDING DATE OF EXPIRY) ON BOARD?
ARE REQUIRED NUMBER OF LINE THROWING APPLIANCES (INCLUDING DATE OF EXPIRY, PLACING AND MARKING) ON BOARD?
IS PROPER NUMBER OF LIFE-JACKETS ON BOARD?
ARE LIFE-JACKETS' LIGHTS, WHISTLES, RETRO REFLECTING TAPES IN SATISFACTORY CONDITION?
ARE REQUIRED NUMBER OF IMMERSION SUITS IN GOOD CONDITION ON BOARD?

FIRE FIGHTING ARRANGEMENT SURVEY	N/A	YES	NO	ACTION TAKEN
IS MAIN FIRE LINE IN SATISFACTORY CONDITION (CORROSION, DAMAGE, LEAKAGE)?
ARE FIRE HOSES, NOZZLES, HOSE BOXES IN SATISFACTORY CONDITION (CORROSION, DAMAGE, LEAKAGE)?
ARE FIRE HOSES, NOZZLES IN REQUIRED NUMBER AND POSITIONS?
ARE HYDRANT VALVE HANDLES IN SATISFACTORY CONDITION (CORROSION, DAMAGE)?
ARE F.O. TANK SHUT-OFF VALVES IN OPERATING CONDITION?
ARE EMERGENCY STOP OF VENTILATION AND OIL PUMPS IN OPERATING CONDITION?
ARE PROPER NUMBER OF PORTABLE FIRE EXTINGUISHERS?
ARE PORTABLE FIRE EXTINGUISHERS AND ARRANGEMENT IN SATISFACTORY CONDITION (INCLUDING DATE OF LAST TEST)?
IS FIXED FIRE FIGHTING SYSTEM (PIPES, GAS CYLINDERS, TANKS ETC.) IN OPERATING AND SATISFACTORY CONDITION?
ARE FIXED FIRE FIGHTING SYSTEM ARRANGEMENT PROPERLY SERVICED (LAST SERVICE, TEST CERTIFICATE)?
ARE MAIN AND EMERGENCY FIRE PUMPS WITH SUFFICIENT DELIVERY PRESSURE OPERATING PROPERLY?
ARE FIRE DUMPERS AND DOORS (INCLUDING HANDLES) IN OPERATING CONDITION?
ARE REQUIRED NUMBER OF FIREMAN' OUTFITS AND ASSOCIATED EQUIPMENT ON BOARD?
IS FIREMAN EQUIPMENT IN SATISFACTORY CONDITION, READY FOR IMMEDIATE USE AND WITH PROPER SPARES?
IS FIRE FIGHTING EQUIPMENT PLACED ACCORDING TO FIRE CONTROL PLAN?
IS FIRE DETECTION SYSTEM WORKING PROPERLY?
ARE LUMINESCENT EMERGENCY POSTERS/IMO SYMBOLS PROPERLY POSTED?
ARE OXYGENE/ACETYLENE CYLINDERS PROPERLY STORED? ARE THE VALVES TIGHT AND CLOSED?

HULL, MACHINERY AND CARGO GEAR SURVEY	N/A	YES	NO	ACTION TAKEN
HAVE CARGO HOLDS (FRAMES, BRACKETS, BULKHEADS, TOP TANKS ETC.) BEEN CHECKED FOR STRUCTURAL DAMAGE, WASTAGE ETC.?
HAVE TOP SIDE TANKS BEEN FOUND IN SATISFACTORY CONDITION?
HAVE BALLAST SYSTEM BEEN FOUND IN SATISFACTORY CONDITION?
HAS PIPE ARRANGEMENT ON DECK BEEN FOUND IN SATISFACTORY CONDITION WITHOUT WASTAGE, CORROSION, LEAKAGE?
HAS PIPE ARRANGEMENT IN E/R BEEN FOUND IN SATISFACTORY CONDITION?
HAS E/R BEEN FOUND CLEAN?
IS MAIN ENGINE IN OPERATING CONDITION?
ARE MAIN GENERATORS OPERATING PROPERLY?
IS AUX. MACHINERIES IN OPERATING CONDITION?
IS MAIN SWICH BOARD OPERATING PROPERLY?
HAVE INSULATING MATS ON FLOOR IN FRONT AND BACK OF MAIN SWICHBOARD BEEN FOUND IN SATISFACTORY CONDITION?
HAVE CONDITION OF CARGO GEAR APPLIANCES (POSTS, BOOMS, WINCHES INCLUDING LOOSE GEAR) BEEN FOUND IN SATISFACTORY CONDITION?
ARE ANCHOR CABLE IN SATISFACTORY CONDITION?
ARE ANCHOR WINSHES OPERATING PROPERLY AND IN SATISFACTORY CONDITION?
ARE MOORING WINCHES AND ROPES IN SATISFACTORY CONDITION?

GENERAL SAFETY SURVEY	N/A	YES	NO	ACTION TAKEN
ARE FIRE CONTROL PLANS PROPERLY PLACED, MARKED WITH LATEST IMO SYMBOLS AND UP DATED AS REQUIRED?
IS TRAINING MANUAL PROVIDED TO MESS ROOM, RECREATION ROOM AND EACH CREW CABIN?
IS COMMUNICATION SYSTEM BETWEEN W/H AND E/R, W/H AND STEERING GEAR ROOM, WORKING PROPERLY AND BEING TESTED REGULAR?
IS STEERING GEAR CONTROL SYSTEM OPERATING PROPERLY?
IS EMERGENCY STEERING GEAR CONTROL SYSTEM OPERATING PROPERLY?
IS OPERATING INSTRUCTION FOR STEERING GEAR CONTROL EXHIBITED IN W/H & STEERING GEAR ROOM?
IS EMERGENCY SOURCE (EMERGENCY GENERATOR, BATTERIES) IN OPERATING CONDITION?
ARE EMERGENCY LIGHTS IN OPERATING CONDITION?
IS PILOT LADDER AND EMBARKATION ARRANGEMENT IN SATISFACTORY CONDITION?
ARE ESCAPING WAYS PROPERLY MARKED?
IS SATISFACTORY CONDITION OF LADDERS AND ESCAPE HATCHES?

ACCOMMODATION SURVEY	N/A	YES	NO	ACTION TAKEN
HAVE SANITARY FACILITIES BEEN FOUND SATISFACTORY?
IS AIR CONDITIONING & VENTILATION WORKING SATISFACTORY?
HAVE HOSPITAL FACILITIES BEEN FOUND SATISFACTORY?
HAS MEDICAL EQUIPMENT BEEN FOUND IN REQUIRED NUMBER AND PROPER CONDITION?
ARE ELECTRIC OUTLETS AND FIXTURES IN CREW CABINS IN SATISFACTORY CONDITIONS?
HAVE GALLEY AND MESSROOMS BEEN FOUND IN SATISFACTORY CONDITION?

LOAD LINE SURVEY	N/A	YES	NO	ACTION TAKEN
ARE VENTILATORS INCLUDING CLOSING APPLIANCES IN SATISFACTORY CONDITION?
ARE AIR PIPES INCLUDING PIPE HEADS, WIRE NETS AND OPERATION OF CLOSING FLOATS IN SATISFACTORY CONDITION?
ARE COMPANION WAYS, ESPECIALLY WATERTIGHTNESS OF DOORS, PACKING AND HINGE HANDLES IN SATISFACTORY CONDITION?
ARE CLOSING APPLIANCES OF CARGO HATCHES IN SATISFACTORY CONDITION?
ARE LOAD LINE MARKS ON SIDES OF VESSEL READILY VISIBLE AND DO THEY CONFIRM TO LOAD LINE CERTIFICATE?
IS STABILITY INFORMATION AVAILABLE?
IS HULL FREE OF ANY DAMAGE?

MARPOL SURVEY	N/A	YES	NO	ACTION TAKEN
IS SHIPBOARD OIL POLLUTION EMERGENCY PLAN AVAILABLE AND UPDATED ON BOARD?
IS OIL DISCHARGE MONITOR AND 15 PPM ALARM OPERATING SATISFACTORY?
IS OIL RECORD BOOK AVAILABLE ON BOARD AND ARE ENTRIES MADE PROPERLY?
IS OILY WATER SEPARATOR WITH ARRANGEMENT WORKING PROPERLY?
IS INTERNATIONAL DISCHARGE CONNECTION AVAILABLE ON BOARD?
IS PIPING ARRANGEMENT ON BILGE LINE IN E/R CONDITION SATISFACTORY?
IS INCINERATOR WORKING PROPERLY?

Master		C/E		C/O

Note: To be completed and filed in ship's file.

To retain for 5 years.

Issue date: 03.11.2003/Rev. 00 PBO-TD02-C01 Page: 6/6

_______SHIPMASTER MONTHLY CHECKLIST

QSMS PBO-TD02-C01 Rev. No.00

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