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BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

Ship Name Company Name NO QUESTION Audit Date Location YES / NO Type of Audit Auditor Team DESCRIPTION

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ISM CODE REQUIREMENTS 1 2 ISM certificates onboard? The copy of DOC and the original SMC should be on board Who issued the DOC certificates? Who issued the SMC certificates? Name of Organization Body for DOC & Name of Organization Body of SMC :

Are Certificates and its particulars in order, such as Company name and address, type of ship, issuing number of DOC. Compare the copy of DOC with the original SMC Certificate. The company on the Certificates has the responsibility for operation of the ship? Confirm the evidence, such as the management contract, BBC contract or owners declarations etc. Is there a Company safety and environmental protection policy and is the ship's personnel familiar with it? Is safety management documentation (e.g.manual) readily available onboard? Confirm the SMS document, such as manual, procedures etc. and the master list of SMS documents. Is relevant documentation on the SMS in a working language or language understood by the ship's personnel? Can senior ship's officers identify the company responsible for the operation of the ship and does this correspond with the entity specified on the ISM Code certificates? Can senior ship officers identify the "designated person"? Are procedures in place for establishing and maintaining contact with shore management in an emergency? Confirm the companys main manual and/or the emergency communication network. How do they contact their company in emergency? Confirm the emergency response procedures and/or emergency communication network

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PT.BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

NO QUESTION YES / NO DESCRIPTION

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How many emergency responses are defined and are they prepared at the Muster list? Confirm the Muster List and the emergency response procedures Are schedules for drills and exercises to prepare for emergency actions available onboard? Did they hold the emergency response drills periodically for the identified emergency situations including statutory requirements? Check the deck log-book and training records Apakah kapal telah melaksanakan dan melaporkan Latihan Peran Pemadam Kebakaran secara bulanan? Siapa saja yang mengikuti latihan tersebut ? Apakah hasil latihan telah dicatat dalam Log Book Dek dan Checklist ? Demonstrasikan peragaan pelatihan kebakaran ! Apakah peralatan pemadam kebakaran dalam keadaan baik dan lengkap perlengkapannya ? Emergency fire Pump berfungsi dengan baik ! APAR tanggalnya masih berlaku? Apakah kapal telah melaksanakan dan melaporkan Laporan Latihan Peran Sekoci (Meninggalkan Kapal) secara bulanan ? Siapa saja yang mengikuti latihan tersebut ? Apakah hasil latihan telah dicatat dalam Log Book Dek dan Checklist ? Demonstrasikan peragaan pelatihan sekoci ! Apakah sekoci dalam keadaan baik dan lengkap perlengkapannya ? Apakah kapal telah melaksanakan dan melaporkan Laporan Latihan Peran Pencegahan Pencemaran secara bulanan ? Siapa saja yang mengikuti latihan tersebut ? Apakah hasil latihan telah dicatat dalam Log Book Mesin dan Checklist ? Demonstrasikan peragaan latihan peran pencegahan pencemaran ? Apakah tersedia kotak SOPEP ? Apakah lengkap peralatannya ? Apakah kapal telah melaksanakan dan melaporkan Laporan Laporan Latihan / Peragaan Peralatan Keselamatan secara bulanan ? Siapa saja yang mengikuti latihan tersebut ? Apakah hasil latihan telah dicatat dalam Log Book Dek dan Checklist ? Demonstrasikan peragaan pelatihan peralatan keselamatan ! Cek penggunaan Bearthing Apparatus (BA) dan Fire Man Outfit ! Apakah kapal telah melaksanakan dan melaporkan Laporan Latihan Kemudi Darurat secara bulanan ? Siapa saja yang mengikuti latihan tersebut ? Apakah hasil latihan telah dicatat dalam Log Book Dek dan Checklist ? Apakah kapal telah melaksanakan dan melaporkan Laporan Latihan Penyelamatan Orang Jatuh Kelaut secara bulanan ? Siapa saja yang mengikuti latihan tersebut ? Apakah hasil latihan telah dicatat dalam Log Book Dek dan Checklist ? Is the Master familiar with Masters responsibility on the ISM Code? The Master familiar with 5 kinds of his responsibility : Implementing the safety and environmental-protection policy of the company, Motivating the crew in the observation of the policy, Issuing appropriate orders and instructions in clear and simple manner, Verifying that specified requirements are observed, Reviewing the SMS and Reporting its deficiencies to the company.

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PT.BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

NO QUESTION YES / NO DESCRIPTION

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Is the Master familiar with Master's overriding authority? At any time including an emergency situation, Master has an overriding authority to make decisions with respect to safety and pollution prevention. What are your responsibilities and functions and where is it documented?(to Officers) Compare the document described and the persons answer Is documentation available how crew members recently signed on have been made familiar with their duties? Are instructions which are essential prior to sailing available? What kind of instructions and familiarization training are provided to newly assigned persons? Confirm the assigned task, the Muster list, safety instructions provided and their duty. Do they have maintenance system and maintain the relevant records? Confirm the procedures for vessels maintenance, the periodic inspection and its maintenance record Bagaimana pelaksanaan perawatan kapal yang dilakukan oleh awak kapal dilaporkan ? Apakah laporan pelaksanaan perawatan mengacu jadwal rencana perawatan kapal (PMS) ? Bagaimana pelaporan kapal apabila terjadi kerusakan ? Bagaimana cara melaporkan ? Siapa yang memeriksa laporan kerusakan tersebut ? Bagaimana tindakannya atas laporan tersebut? Bagaimana pelaporan apabila kerusakan tersebut telah diperbaiki ? Apakah ada laporan perbaikan kerusakan ? Bagaimana peralatan navigasi dan radio diperiksa unjuk kerjanya ? Siapa yang melakukan ? Bagaimana pencatatan hasil pemeriksaan tersebut ? Apakah juga dicatat dalam Log Book Dek ? Apabila ada kerusakan, tidak lengkap atau habis masa berlakunya, apakah hal tersebut telah dilaporkan dan ditindak-lanjuti ? Bagaimana peralatan Sekoci & perlengkapannya diperiksa unjuk kerjanya dan kelengkapannya ? Siapa yang melakukan ? Bagaimana pencatatan hasil pemeriksaan tersebut ? Apakah juga dicatat dalam Log Book Dek ? Apabila ada kerusakan, tidak lengkap atau habis masa berlakunya, apakah hal tersebut telah dilaporkan dan ditindak-lanjuti ? Bagaimana Alarm-alarm diperiksa unjuk kerjanya ? Siapa yang melakukan ? Bagaimana pencatatan hasil pemeriksaan tersebut ? Apakah juga dicatat dalam Log Book Dek / Mesin ? Apabila ada kerusakan atau tidak berfungsi, apakah hal tersebut telah dilaporkan dan ditindak-lanjuti ?

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PT.BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

NO QUESTION YES / NO DESCRIPTION

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Bagaimana peralatan kemudi diperiksa unjuk kerjanya? Siapa yang melakukan ? Bagaimana pencatatan hasil pemeriksaan tersebut ? Apakah juga dicatat dalam Log Book Dek / Mesin ? Apakah peralatan kemudi darurat dapat difungsikan ? Apabila ada kerusakan, apakah hal tersebut telah dilaporkan dan ditindak-lanjuti ? Bagaimana peralatan keselamatan diperiksa unjuk kerjanya dan kelengkapannya ? Siapa yang melakukan ? Bagaimana pencatatan hasil pemeriksaan tersebut ? Apakah juga dicatat dalam Log Book Dek ? Apabila ada kerusakan, tidak lengkap atau habis masa berlakunya, apakah hal tersebut telah dilaporkan dan ditindak-lanjuti ? Bagaimana peralatan pemadam kebakaran diperiksa unjuk kerjanya dan kelengkapannya ? Siapa yang melakukan ? Bagaimana pencatatan hasil pemeriksaan tersebut ? Apakah juga dicatat dalam Log Book Dek ? Apabila ada kerusakan, tidak lengkap atau habis masa berlakunya, apakah hal tersebut telah dilaporkan dan ditindak-lanjuti ? Bagaimana pelaporan unjuk kerja messin induk dilaporkan ? Apakah KKM secara rutin melaporkan Laporan Kinerja Mesin Induk ? Have non-conformities been reported to the company and has corrective action been taken by the company? DOCUMENTS

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The Minimum safe manning certificate is provided on-board & actual number of crew is confirmed. Deck and engineer officer's hold appropriate certificate issuing under the STCW78/95. Deck & engine ratings for watch have appropriate certificate issuing under the STCW78/95 Watch duty schedule is posted The appropriate GMDSS operator is on board The stability booklet, grain loading manual(if needed) is provided on board. The SOPEP is provided on-board Oil record book entries are accurate The Garbage management plan is provided on-board

PT.BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

NO QUESTION YES / NO DESCRIPTION

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Apakah diatas kapal tersedia gambar Fire & Safety Arrangement ? Apakah gambar tersebut tersedia didalam tabung yang disimpan di bagian Portside / Starboard di dek akomodasi ? BRIDGE

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Approaching charts for port of call is on board Small correction(up-date) for charts and publications List of lights & tide table is provided on-board Ship's drill(abandon ship, fire, steering) and Lifeboat engine test are recorded in Log-book Approval of life jackets by Authority and jacket light is working in order The crew can operate the MF/HF radio installation The illumination for standard magnetic compass The MMSI number is incoded at 'EPIRB, VHF, MF/HF' correctly The daylight signal lamp is working in order The Fire alarm & fire detection system is working in order The emergency lighting in bridge WING BRIDGE

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Quick release system with smoke signal & self igniting light attached to life-buoy The condition of navigational lights (angle, black paint) OUTSIDE ACCOMMODATION

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The corrosion, crack & hole at drain pipes fitted in accommodation space Ventilators and air pipes : corrosion, crack, hole or moving parts are in order

PT.BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

NO QUESTION YES / NO DESCRIPTION

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The em'cy battery is charged properly The moving part of side scuttles including deadlight are in order Damage of hose boxes or hydrants and matching fire hose and nozzle The condition of E/R skylight The corrosion, crack & hole at engine room funnel The corrosion, crack & hole at provision crane platform SURVIVAL CRAFT & LAUNCHING ARRANGEMENTS

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Access route to lifeboat and obstruction in the route Maintenance condition for lifeboats & launching devices Appropriate marking & painting on the lifeboat's hull The corrosion, crack & hole on lifeboat's hull The painter for lifeboats is secured properly Validity of equipments in lifeboat (first aid kid, signals, fire-extinguisher) Battery in lifeboat is charged adequately Wastage of lifting hook assembly in way of keel lifting shoe and connecting in the boat's hull plate Lifeboat engine is working in order (engine shall start at ambient temperature of -15Ec within 2 minutes too) Reverse running of lifeboat engine Severe vibration of lifeboats due to large clearance of propeller shaft Lifeboats lowering test with winch condition is in order (both side) Wastage & fracture of sheaves fitted in lifeboat davit

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PT.BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

NO QUESTION YES / NO DESCRIPTION

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Em'cy embarkation lights is working in order The crew are skilled in ship's drill(abandon ship, fire fighting, em'cy steering). Starting of Rescue boat engine is in order. Stowage of Inflatable liferafts in a float free condition INSIDE OF ACCOMMODATION

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The moving part of side scuttles, including deadlight, in accommodation space are in order. Approval of lifejackets by Authority and jacket lights is working in order The self closing devices of fire door is working in order The fire control plan is matching with the ship's equipment Placards for garbage is displayed properly Fireman's outfits is stored widely separated place and hand lantern is working in order The em'cy lighting at fireman's outfit store Cleanliness of toilettes Storing condition for direct using of safety and fire fighting equipments MAIN DECK

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The International shore connection is provided on-board The Fixed CO2 system for E/R & cargo space is working in order Expiry date of CO2 bottle's weight checking for fixed fire-extinguishing Any obstructions at the exit of em'cy escape trunk

PT.BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

NO QUESTION YES / NO DESCRIPTION

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Ventilators and air pipes : corrosion, crack, hole or moving parts are in order Damage of hose boxes or hydrants and matching fire hose and nozzle Damage of the fire main line on main deck The moving part of foam monitors & valves are in order The corrosion, crack & hole at the main deck The corrosion, crack & hole at hull plates Cleats & tightness of small hatch on main deck is in order The corrosion, crack & hole at the bulwark, hatch coaming and hatch cover Adequate installation of cleats for hatch cover The weather tight condition of hatch cover FORECASTLE DECK

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The condition of navigational lights (angle, black paint). Ventilators and air pipes : corrosion, crack, hole or moving parts are in order The corrosion, crack & hole at the bulwark and forecastle deck The corrosion, crack & hole at the bed plate of windlass CARGO HOLD

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The corrosion, crack & hole at the cargo hold frame, BHD and bottom plate Damage of nozzles for fixed fire-extinguishing system POOP DECK

PT.BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

NO QUESTION YES / NO DESCRIPTION

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The condition of navigational lights (angle, black paint) Ventilators and air pipes : corrosion, crack, hole or moving parts are in order Damage of hose boxes or hydrants and matching fire hose and nozzle The corrosion, crack & hole at the bed plate of mooring winch STEERING GEAR ROOM & EM'CY FIRE PUMP ROOM

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The em'cy lighting in steering gear room The em'cy fire pump is working in order The Pressure gauge & pressure (approx. 2.7 bar) of em'cy fire pump ENGINE ROOM

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The door fitted in E/R bulkhead under the freeboard deck level is watertighten The corrosion, crack & hole at the frame in E/R Fire detectors are working in order Damage of nozzles for fixed fire-extinguishing system Expiry date of foam fire extinguisher Fire hose is provided at position matching in fire control plan Em'cy escape trunk in engine room The em'cy lighting in em'cy escape trunk & ECR The oil filtering equipment is working in order Direct line for discharging oily bilge in E/R to the sea

PT.BIRO KLASIFIKASI INDONESIA ISM CODE CHECKLIST - SHIPPBOARD VERIFICATION

NO QUESTION YES / NO DESCRIPTION

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Severe fire risk due to heavy oily bilge in E/R bottom Pipe line patching with rubber instead of correct repairing OTHER SPACES

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Cleats & tightness condition of watertight door is working in order Fireman's outfits is stored widely separated place and hand lantern is working in order Fire protecting system (fixed system or portable extinguisher) in Paint store

Remarks