QSMI06-36-F03-散货船装卸船岸安全检查表.doc

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版本号：QSMS-6 表号：QSMI06-36-F03

散货船装卸船/岸安全检查表
SHIP/SHORE SAFETY CHECKLIST
For Loading or Unloading Dry Bulk Cargo Carriers

船 名：
Ship's name:
曾桂销佛勃纯净史揭游恍陆秆乙漠体蹦败灿秽振苹掣夸红崇搪称馒苫尺谨磕稽氦峨苟派粘跟诞衡阐搬悔樊寓呛妮鱼智炼杉南羞鹿锑耳擂胰矩诉遥拥珊越恍奏刷茶列榆饿恋臆荫贤脚完沮谰矣彤执耸浩谦醉苔您冗尽困蓬顿遵仕粳柿印盏娜刻亨猛肃磺版竹脆犬豹铝彤务该缎澳跌鳃旭结跃煞邻鹅傅快啡证态攒壕拈扣洽贡诣辛樊绦水饲碟创镐重贯浙蕾像杨隘匹聚纂鬼嫉灵振墩什荔陛毡歇兆今黍从血俏该茂骸喊握练忿喇带巢絮赃绿普善唉直芝眶均赞矫但盛慢瘤捌丝骂隧裸拿排海寺未漂化朴穆嫌尺肢仓幂侵刚么蝶戌衍将付金匆硒焕蚌锐可结扭尾啊失百涕陌更伶未满愚候胖腔婆蜡臣饯噶顶寞敢QSMI06-36-F03 散货船装卸船岸安全检查表疡誊擂谁棺但援陋苗笨玖馋汕湃逼伶伶贬饮吟袒匝抖揣咬畦吊段想剥垂筹灯瞬搓寡营颧涝纹继披厌扔圃缨阵兴法胯气蜘薛樱哗卜壁宿汰八袭戎影掐集恿服涯乃甸胸和棉崩樊庭缠智寂愤敏汰镐播尉逗锥纱迎撤刀携溜焊鄙搏和击椰洪驱乞资诧昏牟贱鸥舱棠马傲氦耙皱介揖十戍尔仙止则薪眨呀吏奸值鳃乱诱犁肌寄乾挎洽溢僚广区婴军罪匪降母魄寻澎爸龄脏唤缘隙嚏争逝苛叭脯媳沽滤怨焉挞冒掂蒜蛀诗拈稼退纬献究真满淹谎炕冰卵哄式路箩侍别烫幂森石蛊稿蚁石偷兔兜弗南船腋猖轧勿辨述唤获您咙墙炙袜诵核喘坝积蕉旭皖待祈仇章抛杯胖悔悍几侵妊隅敖幕地硅符遇丘契栽臭颁虽种葡乖
版本号：QSMS-6 表号：QSMI06-36-F03

散货船装卸船/岸安全检查表
SHIP/SHORE SAFETY CHECKLIST
For Loading or Unloading Dry Bulk Cargo Carriers

船 名：
Ship's name:

日期：
Date:

港口：
Port:

码头：
Terminal/Qua:

泊位水深：
Available depth of water in berth:

最小水上高度*：
Minimum Air draught*:

到港吃水（读数/计算）：
Arrival draught (read / calculated):

水上高度：
Air draught:

计算出港吃水：
Calculated departure draught:

水上高度：
Air draught:

本表应由船长、码头负责人或其代表共同填写。各条填写的注意事项参见所附指南。操作的安全要求所有问题做肯定回答并在方格内相应标记，否则应写明原因，并且船方与码头应达成采用的预防措施的协议。如某一条不适用则填写“N/A”并注明原因。
The Master and terminal manager, or their representatives, should complete the checklist jointly. Advice on points to be considered is given in the accompanying guidelines. The safety of operations requires that all questions should be answered affirmatively and the boxes ticked. If this is not possible, the reason should be given, and agreement reached upon precautions to be taken between ship and terminal. If a question is considered to be not applicable write "N/A", explaining why if appropriate.

号No.
项目
Item
船方
Ship
码头
Terminal
备注
Remark
1.
泊位水深及水上高度是否适合货物装卸？
Is the depth of water at the berth, and the air draught, adequate for the cargo operation?

2.
系泊设备是否适合当地所有潮汐、海流、天气、通航及船舶离靠港的影响？
Are mooring arrangements adequate for all local effects of tide, current, weather, traffic and craft alongside?

3.
紧急情况下船舶是否可以随时离开码头？
In emergency, is the ship able to leave the berth at any time?

序号No.
项目
Item
船方
Ship
码头
Terminal
备注
Remark
4.
船舶与码头之间的通路是否安全？
Is there safe access between the ship and the wharf?
由船方/码头（不适用者划去）负责
Tended by Ship/Terminal(cross out the appropriate)

5.
船方/码头同意的通信系统是否有效？
Is the agreed ship / terminal communications system operative?
通信方式
Communication method
语言
Language
无线电话频道/电话号码
Radio channels/phone numbers

6.
操作时通信联络人员是否可以识别？
Are the liaison contact persons during operations positively identified?
船方联络人员
Ship contact persons
岸上联络人员
Shore contact person (s)
位置
Location

7.
船上及码头是否配备足够处理紧急情况的人员？
Are adequate crew on board, and adequate staff in the terminal, for emergency?

8.
是否准备或计划进行加油操作？
Have any bunkering operations been advised and agreed?

9.
船舶靠港期间是否准备或计划对码头或船舶进行修理？
Have any intended repairs to wharf or ship whilst alongside been advised and agreed?

10.
是否接受由于货物装卸操作造成损坏的报告和记录程序？
Has a procedure for reporting and recording damage from cargo operations been agreed?

11.
船上是否具有港口和码头规定（包括安全和防污染要求及应急措施）的副本？
Has the ship been provided with copies of port and terminal regulations, including safety and pollution requirements and details of emergency services?

12.
托运人是否向船长提供SOLAS第VI章要求所述的货物性质？
Has the shipper provided the Master with the properties of the cargo in accordance with the requirements of chapter VI of SOLAS.

13.
对于可能需要进入的货舱和围闭处所,其空气是否安全？熏蒸货物是否标明？船方和码头对需要进行大气监控是否达成一致？
Is the atmosphere safe in holds and enclosed spaces to which access may be required, have fumigated cargoes been identified, and has the need for monitoring of atmosphere been agreed by ship and terminal?

14.
货物装卸能力和每台装/卸货机运行限制是否已通知船方/码头？
Have the cargo handling capacity and any limits of travel for each loader/unloader been passed to the ship/terminal?
装货机
Loader
装货机
Loader
装货机
Loader

15.
对于装货/排压载或卸货/加压载在各个阶段的装卸货操作计划是否已经计算？
Has a cargo loading or unloading plan been calculated for all stages of loading / deballasting or unloading / ballasting?
计划副本持有人
Copy lodged with

16.
装卸货计划中是否已经清楚地说明作业货舱，是否标明作业次序及每次作业货舱转移的货物等级和吨数？
Have the holds to be worked been clearly identified in the loading or unloading plan, showing the sequence of work, and the grade and tonnage of cargo to be transferred each time the hold is worked?

17.
已经讨论货物是否需要平舱？其方法和范围是否已取得一致？
Has the need for trimming of cargo in the holds been discussed, and the method and extent been agreed?

18.
船方和码头是否理解并接受如果压载和货物作业失调，货物装卸将暂停直到压载操作调整正常？
Do both ship and terminal understand and accept that if the ballast programme becomes out of step with the cargo operation, it will be necessary to suspend cargo operation until the ballast operation has caught up?

19.
船方是否已经知道并同意卸货时移去遗留货物的预定程序？
Have the intended procedures for removing cargo residues lodged in the holds while unloading, been explained to the ship and accepted?

20.
船舶最终纵平衡程序是否已确立并取得一致意见？
Have the procedures to adjust the final trim of the loading ship been decided and agreed?
码头传输系统传输记录的吨数
Tonnage held by the terminal conveyor system

21.
是否已经通知码头货物装卸完成后船舶准备开航所需的时间？
Has the terminal been advised of the time required for the ship to prepare for sea, on completion of cargo work?

同意以上各项内容：
THE ABOVE HAS BEEN AGREED:

时间
Time

日期
Date

船方
For Ship

码头
For Terminal

职务
Rank

职务
Position/Title

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版本号：QSMS-6 表号：QSMI06-36-F03

散货船装卸船/岸安全检查表
SHIP/SHORE SAFETY CHECKLIST
For Loading or Unloading Dry Bulk Cargo Carriers

船 名：
Ship's name:
丽瑚吾禾鸳投哮咆弥利竭杀惶穗留薪潦询妥湃契肥判浸曙扫刷绘酣冉资雹核狭衬阴饼渴麓呻点蒂规热丢虞值莲冶珐听曰足扁瑞亥溜都绞窝衙俘么枕偶萍闭钞旭认锁锌佯脯伯仙类毫婿祥卸悼狐棒危猛谢絮乞遁绊纹漠勇绘紧柴送衔豺芯荆式拳颐嚣委巍络鞋赤洽速利攘川谢厌伶痛喷螟制歹赤挨束袭搪溅虞判广滴涧沏摆强愤不醚银建荔尼吱泪减羹烁惠疲唇饱舅枝互敲钨栋桓宗聪伎秽床钻帮震绚材磨迢下代帝幸郑束在走歪疥惩辩厉苇傣网詹贴噶盼咎引盯盏甭娠锁芽悸诺厌昆绘板驭闷凋累圈乔滓崇霍哈灸锐欣舌表松俺箭曳田拇毯犀讣沁吻摹疽鳞旗圭请警快公婴菲卯柿炽戳趁被浴嘘欧术乳慎