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    Checklist Item Survey Working Vessel

    Uploaded by

    iwan suryanto
    This document is a checklist for surveying the working vessel OSAM JUMBO 5. It lists 13 items to be checked, including valid ship's certificates, crew licenses and safety equipment. For each item, it indicates whether the required documents were present or functions tested and notes any remarks. Signatures from AG IRM and OSAM JUMBO 5 representatives are at the bottom to verify completion.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Checklist Item Survey Working Vessel

    Uploaded by

    iwan suryanto
    66 views7 pages
    This document is a checklist for surveying the working vessel OSAM JUMBO 5. It lists 13 items to be checked, including valid ship's certificates, crew licenses and safety equipment. For each item, it indicates whether the required documents were present or functions tested and notes any remarks. Signatures from AG IRM and OSAM JUMBO 5 representatives are at the bottom to verify completion.

    Original Description:

    Osam Jumbo

    Original Title

    CHECKLIST ITEM SURVEY WORKING VESSEL (2)

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    This document is a checklist for surveying the working vessel OSAM JUMBO 5. It lists 13 items to be checked, including valid ship's certificates, crew licenses and safety equipment. For each item, it indicates whether the required documents were present or functions tested and notes any remarks. Signatures from AG IRM and OSAM JUMBO 5 representatives are at the bottom to verify completion.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    66 views7 pages

    Checklist Item Survey Working Vessel

    Uploaded by

    iwan suryanto
    This document is a checklist for surveying the working vessel OSAM JUMBO 5. It lists 13 items to be checked, including valid ship's certificates, crew licenses and safety equipment. For each item, it indicates whether the required documents were present or functions tested and notes any remarks. Signatures from AG IRM and OSAM JUMBO 5 representatives are at the bottom to verify completion.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 7

    PT.

    AG IRM
    SERVIS
    INDONESIA
    SKUP MIGAS  No.
    190/SKUP-J/DMB/2022

    Checklist Item Survey Working Vessel

    CHECKLIST ITEM SURVEY WORKING VESSEL

    PROJECT NAME : Floating Hose 3 Yearly Inspection LoA : 39 m


    VESSEL NAME : OSAM JUMBO 5 Breadth : 11 m
    VESSEL TYPE : Utility Vessel DWT :
    IMO NO. : 8223622 Max. Draught : 3.2 m
    LOCATION SURVEY : Marunda Anchorage Clear Deck Area : 150 m2
    ENGINE : 1600 BHP Passenger : 30 pax

    Document Function Test 


    No. Item to be check Remark Note
    Yes No Yes No

    1 Inward and outward clearance by local agent


    Clearance
    masuk n
    Holding Approval / Permit letter from Local keluar. In
    2
    Harbour Master ( clear mention details of job ) clearance dr
    pelabuhan
    asal

    Holding HSE passport for entering 500M zone


    3  
    requirement ( all crew onboard IRVINA 808 )

    All crew entrance Madura Strait Marine


    4 Terminal must 4rd vaccinated ( 2nd Booster ),  
    refer SKK Migas Circular

    5 Valid ship’s certificate

    6 Valid Crew’s Licence & proficiency certificate  

    MCU

    USG

    BOSIET/BSS/BST

    7 LSA equipment test and valid  

      Fire Control Plan Drawing/doc

      Safety Sign  

      Muster List/ERP  

      Life buoy min 8 < 100 m  

      Life jacket  

      Line throwing apliance  

      Hydrant & Hose  

      Fire Exthinguiser/appar  

      Pilot lader  

    PT. AG IRM SERVIS INDONESIA Office: Ruko Mega Lagenda Junction Block BB2, No. 24 – 25 Batam Center Indonesia 29431. Telp: +62 778 4170433, Email: [email protected]
    PT. AG IRM
    SERVIS
    INDONESIA
    SKUP MIGAS  No.
    190/SKUP-J/DMB/2022

    Checklist Item Survey Working Vessel

    Document Function Test 


    No. Item to be check Remark Note
    Yes No Yes No

      Man Over Board (MOB)  

      Rocket Parachute Signal  

      Red Hand Flare  

      Bouyant Smoke Signal  

    8 Emergency diesel generator  

      Start equipment condition  

    Running test emergency diesel generator ( if


       
    required )

    9 Fire prevention system  

      Running and test fifi pump  

    dikapal apa
    Conduct the drill and light briefing for sudah pernah
    10
    evaluation ada drill.. doc
    berupa foto
    dicek saat
    11 Check Sounding diesel Fuel handover,
    27.08.2022

    12 Fresh water tank check


    apa masih
    13 Leasing Anchor Point berfungsi atau
    tidak

    ( )

    AG IRM REPRESENTATIVE

    Iwan Suryanto
    Compliance Officer

    AHT OSAM JUMBO 5 REPRESENTATIVE

    PT. AG IRM SERVIS INDONESIA Office: Ruko Mega Lagenda Junction Block BB2, No. 24 – 25 Batam Center Indonesia 29431. Telp: +62 778 4170433, Email: [email protected]
    PT. AG IRM
    SERVIS
    INDONESIA
    SKUP MIGAS  No.
    190/SKUP-J/DMB/2022

    Checklist Item Survey Working Vessel

    PT. AG IRM SERVIS INDONESIA Office: Ruko Mega Lagenda Junction Block BB2, No. 24 – 25 Batam Center Indonesia 29431. Telp: +62 778 4170433, Email: [email protected]
    PT. AG IRM
    SERVIS
    INDONESIA
    SKUP MIGAS  No.
    190/SKUP-J/DMB/2022

    Checklist Item Survey Working Vessel

    CHECKLIST ITEM SURVEY WORKING VESSEL

    PROJECT NAME : Floating Hose 3 Yearly Inspection LoA : 20 m


    VESSEL NAME : TB TRADERS PAPUA 1 Breadth : 6m
    VESSEL TYPE : Tug Boat DWT :
    IMO NO. : Max. Draught :
    LOCATION SURVEY : Tanjung Perak Anchorage Clear Deck Area : -
    ENGINE : 500 HP x 2 Passenger : -

    Document Function Test 


    No. Item to be check Remark Note
    Yes No Yes No

    1 Inward and outward clearance by local agent


    Clearance
    masuk n
    Holding Approval / Permit letter from Local keluar. In
    2
    Harbour Master ( clear mention details of job ) clearance dr
    pelabuhan
    asal

    Holding HSE passport for entering 500M zone


    3  
    requirement ( all crew onboard IRVINA 808 )

    All crew entrance Madura Strait Marine


    4 Terminal must 4rd vaccinated ( 2nd Booster ),  
    refer SKK Migas Circular

    5 Valid ship’s certificate

    6 Valid Crew’s Licence & proficiency certificate  

    MCU

    USG

    BOSIET/BSS/BST

    7 LSA equipment test and valid  

      Fire Control Plan Drawing/doc

      Safety Sign  

      Muster List/ERP  

      Life buoy min 8 < 100 m  

      Life jacket  

      Line throwing apliance  

      Hydrant & Hose  

      Fire Exthinguiser/appar  

      Pilot lader  

    PT. AG IRM SERVIS INDONESIA Office: Ruko Mega Lagenda Junction Block BB2, No. 24 – 25 Batam Center Indonesia 29431. Telp: +62 778 4170433, Email: [email protected]
    PT. AG IRM
    SERVIS
    INDONESIA
    SKUP MIGAS  No.
    190/SKUP-J/DMB/2022

    Checklist Item Survey Working Vessel

    Document Function Test 


    No. Item to be check Remark Note
    Yes No Yes No

      Man Over Board (MOB)  

      Rocket Parachute Signal  

      Red Hand Flare  

      Bouyant Smoke Signal  

    8 Emergency diesel generator  

      Start equipment condition  

    Running test emergency diesel generator ( if


       
    required )

    9 Fire prevention system  

      Running and test fifi pump  

    dikapal apa
    Conduct the drill and light briefing for sudah pernah
    10
    evaluation ada drill.. doc
    berupa foto
    dicek saat
    11 Check Sounding diesel Fuel handover,
    27.08.2022

    12 Fresh water tank check


    apa masih
    13 Leasing Anchor Point berfungsi atau
    tidak

    AG IRM REPRESENTATIVE

    Iwan Suryanto
    Compliance Officer

    TB TRADERS PAPUA 1 REPRESENTATIVE

    () ()

    PT. AG IRM SERVIS INDONESIA Office: Ruko Mega Lagenda Junction Block BB2, No. 24 – 25 Batam Center Indonesia 29431. Telp: +62 778 4170433, Email: [email protected]
    PT. AG IRM
    SERVIS
    INDONESIA
    SKUP MIGAS  No.
    190/SKUP-J/DMB/2022

    Checklist Item Survey Working Vessel

    CHECKLIST ITEM SURVEY WORKING VESSEL

    PROJECT NAME : Floating Hose 3 Yearly Inspection LoA : 42.9 m


    VESSEL NAME : TK WIDIWATI Breadth : 12.44 m
    VESSEL TYPE : Barge GRT : 448 T
    IMO NO. : Max. Depth : 2.72 m
    LOCATION SURVEY : Tanjung Perak Anchorage Equipment : - 1 winch
    ENGINE : - : - 1 anchor

    Document Function Test 


    No. Item to be check Remark Note
    Yes No Yes No

    1 Inward and outward clearance by local agent


    Clearance
    masuk n
    Holding Approval / Permit letter from Local keluar. In
    2
    Harbour Master ( clear mention details of job ) clearance dr
    pelabuhan
    asal

    Holding HSE passport for entering 500M zone


    3  
    requirement ( all crew onboard IRVINA 808 )

    All crew entrance Madura Strait Marine


    4 Terminal must 4rd vaccinated ( 2nd Booster ),  
    refer SKK Migas Circular

    5 Valid ship’s certificate

    6 Valid Crew’s Licence & proficiency certificate  

    MCU

    USG

    BOSIET/BSS/BST

    7 Equipment :  

       Winch

       Anchor  

       Ram Door additional 

       Stanchion additional

    AG IRM REPRESENTATIVE TK WIDIWATI REPRESENTATIVE

    Iwan Suryanto ()
    Compliance Officer

    PT. AG IRM SERVIS INDONESIA Office: Ruko Mega Lagenda Junction Block BB2, No. 24 – 25 Batam Center Indonesia 29431. Telp: +62 778 4170433, Email: [email protected]
    PT. AG IRM
    SERVIS
    INDONESIA
    SKUP MIGAS  No.
    190/SKUP-J/DMB/2022

    Checklist Item Survey Working Vessel

    PT. AG IRM SERVIS INDONESIA Office: Ruko Mega Lagenda Junction Block BB2, No. 24 – 25 Batam Center Indonesia 29431. Telp: +62 778 4170433, Email: [email protected]

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