TANKER VETTING SERVICE

SHIP NEW BUILD QUESTIONNAIRE

1. General Information: 1.1 Vessel Information 1.1.1Vessel Name: 1.1.2 IMO Number: 1.1.3 Classification Society: 1.1.4 P&I Club: 1.1.5 Class Notations: 1.1.6 Type of Tanker as Per IOPPC Form B Section 1.11: 1.1.7 Steel Cutting Date: (dd/mm/yyyy): 1.1.8 Keel Laid Date: 1.1.9 Delivery Date: 1.2 Technical & Safety Managers: 1.3 Commercial Managers: 1.4 Manning Agents: 2. Officers Information 2.1. Master 2.1.1 Nationality: 2.1.2 Certificate held: 2.1.3 STCW Qualification Regulation V1: 2.1.4 Issuing Country: 2.1.5 Years with company: 2.1.6 Years in Rank: 2.1.7 Years on Tankers: 2.1.8 Employing Company/Agency: 2.1.9 Date Arrived on Site (dd/mm/yyyy): 2.2. C/0 2.2.1 Nationality: 2.2.2 Certificate held: 2.2.3 STCW Qualification Regulation V1: 2.2.4 Issuing Country: 2.2.5 Years with company: 2.2.6 Years in Rank: 2.2.7 Years on Tankers: 2.2.8 Employing Company/Agency: 2.2.9 Date Arrived on Site (dd/mm/yyyy): 2.3. 2/0 Officer Information 2.3.1 Nationality: 2.3.2 Certificate held: 2.3.3 STCW Qualification Regulation V1: 2.3.4 Issuing Country: 2.3.5 Years with company: 2.3.6 Years in Rank: 2.3.7 Years on Tankers: 2.3.8 Employing Company/Agency: 2.3.9 Date Arrived on Site (dd/mm/yyyy): 2.4. 3/0 2.4.1 Nationality: 2.4.2 Certificate held: 2.4.3 STCW Qualification Regulation V1: 2.4.4 Issuing Country: 2.4.5 Years with company: 2.4.6 Years in Rank: 2.4.7 Years on Tankers: 2.4.8 Employing Company/Agency: 2.4.9 Date Arrived on Site (dd/mm/yyyy): 2.5. C/E 2.5.1 Nationality: 2.5.2 Certificate held: 2.5.3 STCW Qualification Regulation V1: 2.5.4 Issuing Country: 2.5.5 Years with company: 2.5.6 Years in Rank: 2.5.7 Years on Tankers: 2.5.8 Employing Company/Agency: 2.5.9 Date Arrived on Site (dd/mm/yyyy): 2.6. 2/E 2.6.1 Nationality: 2.6.2 Certificate held: 2.6.3 STCW Qualification Regulation V1: 2.6.4 Issuing Country: 2.6.5 Years with company: 2.6.6 Years in Rank: 2.6.7 Years on Tankers: 2.6.8 Employing Company/Agency: 2.6.9 Date Arrived on Site (dd/mm/yyyy): 2.7.3/E 2.7.1 Nationality: 2.7.2 Certificate held: 2.7.3 STCW Qualification Regulation V1: 2.7.4 Issuing Country: 2.7.5 Years with company: 2.7.6 Years in Rank: 2.7.7 Years on Tankers: 2.7.8 Employing Company/Agency: 2.7.9 Date Arrived on Site (dd/mm/yyyy): 2.8 4/E 2.8.1 Nationality: 2.8.2 Certificate held: 2.8.3 STCW Qualification Regulation V1: 2.8.4 Issuing Country: 2.8.5 Years with company: 2.8.6 Years in Rank: 2.8.7 Years on Tankers: 2.8.8 Employing Company/Agency: 2.8.9 Date Arrived on Site (dd/mm/yyyy): 3 Site Information 3.1 Site Superintendent 3.1.1. Name: 3.1.2. Nationality: 3.1.3. Qualifications: 3.1.4. Years with company: 3.1.5. Years Newbuild Experience: 3.1.6. Date Arrived on Site (dd/mm/yyyy): 3.2. Engineer Superintendent 3.2.1. Name: 3.2.2. Nationality: 3.2.3. Qualifications: 3.2.4. Years with company: 3.2.5. Years Newbuild Experience: 3.2.6. Date Arrived on Site (dd/mm/yyyy): 3.3. Hull Superintendent 3.3.1. Name: 3.3.2. Nationality: 3.3.3. Qualifications: 3.3.4. Years with company: 3.3.5. Years Newbuild Experience: 3.3.6. Date Arrived on Site (dd/mm/yyyy): 3.4. Coating Superintendent 3.4.1. Name: 3.4.2. Nationality: 3.4.3. Qualifications: 3.4.4. Years with company: 3.4.5. Years Newbuild Experience: 3.4.6. Date Arrived on Site (dd/mm/yyyy): 3.5. Other 3.5.1. Name: 3.5.2. Nationality: 3.5.3. Qualifications: 3.5.4. Years with company: 3.5.5. Years Newbuild Experience: 3.5.6. Date Arrived on Site (dd/mm/yyyy): 4. Vessel’s Systems 4.1 Cargo System: 4.1.1. Witnessed By: 4.1.2. Class Surveyor Present Yes/No: 4.1.3 Date (dd/mm/yyyy) : 4.2. COW 4.2.1. Witnessed By: 4.2.2. Class Surveyor Present Yes/No: 4.2.3 Date (dd/mm/yyyy): 4.3. Inert Gas 4.3.1. Witnessed By: 4.3.2. Class Surveyor Present Yes/No: 4.3.3 Date (dd/mm/yyyy): 4.4. Segregated Ballast Tanks 4.4.1. Witnessed By: 4.4.2. Class Surveyor Present Yes/No: 4.4.3 Date (dd/mm/yyyy): 4.5. Venting System 4.5.1. Witnessed By: 4.5.2. Class Surveyor Present Yes/No: 4.5.3 Date (dd/mm/yyyy): 4.6. Vapour Emission Control 4.6.1. Witnessed By: 4.6.2. Class Surveyor Present Yes/No: 4.6.3 Date (dd/mm/yyyy): 4.7. Closed Loading 4.7.1. Witnessed By: 4.7.2. Class Surveyor Present Yes/No: 4.7.3 Date (dd/mm/yyyy): 4.8. Double Bottom Tanks 4.8.1. Witnessed By: 4.8.2. Class Surveyor Present Yes/No: 4.8.3 Date (dd/mm/yyyy): 4.9. Double Side Tanks 4.9.1. Witnessed By: 4.9.2. Class Surveyor Present Yes/No: 4.9.3 Date (dd/mm/yyyy): 4.10. Fixed Ullaging 4.10.1. Witnessed By: 4.10.2. Class Surveyor Present Yes/No: 4.10.3 Date (dd/mm/yyyy): 4.11. Single point Mooring 4.11.1. Witnessed By: 4.11.2. Class Surveyor Present Yes/No: 4.11.3 Date (dd/mm/yyyy): 4.12. SPM Pick up Line(s) Lead To storage drum(s)/warping barrel(s) Yes/No: 4.13. Sea Trials have been adequately performed and deficiencies identified during addressed: Yes/No: 4.15 List all Conditions of Class / Recommendations / Memoranda / Notations imposed at time of delivery. If none please state none: 4.16 Ship Staff familiar with all Fire Fighting Equipment & Systems. Yes/No: 4.17. Ship Staff familiar with all Emergency Equipment. Yes/No: 4.18 Ship Staff familiar with all LSA Equipment including Lifeboat & Liferaft Launching Arrangements: Yes/No: 4.19. All Fire Fighting Equipment & Systems have been tested by Ship Staff: Yes/No: Date: (dd/mm/yyyy): 4.20. All Emergency Equipment has been tested by Ship Staff: Date: Yes/No Date (dd/mm/yyyy): 4.21. All Safety Shut Down Systems have been tested by Ship Staff. Yes/No Date (dd/mm/yyyy): 4.22. All LSA Equipment including Lifeboat & Liferaft Launching Arrangements have been tested by Ship Staff. Yes/No: Date (dd/mm/yyyy): 4.23 Deficiencies identified by familiarisation training and testing of Fire Fighting, Emergency Equipment, Safety Shutdown systems and LSA equipment have been identified and rectified. Yes/No: Date (dd/mm/yyyy): 4.24 All Navigational Equipment is fully functional and tested. Yes/No: Date (dd/mm/yyyy): 4.25 Charts and nautical publications required by SOLAS are corrected to latest available Notices to Mariners and that there are no previous omissions. Yes/No: Date (dd/mm/yyyy): 4.26 State week and date of latest Notices to Mariners: 4.27 Temporary notices, Navtex, weather information has been received and included on charts / passage plan. Yes/No: 5. Operator Contact Details: 5.1 Name: 5.2 Address: 5.3 Telephone: 5.4 Fax: 5.5. Email: Additional information may be requested prior to use by the LUKOIL should it be felt necessary to clarify areas of concern.
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