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DECLARATION OF INSPECTION (DOI)

DECLARATION OF INSPECTIONDOI

C H E C K L I S T :

(EXAMPLE: The Following Document is an example of a Declaration of Inspection. Other forms such as ISGOTT (International Oil Tanker and Terminal Safety Guide)-Type may be provided, however, completing a similarly required form at the time of arrival of the vessel will provide all personnel the opportunity to review safety procedures and practices just prior to berthing.)

Methanol Transfer May Not Commence until All Requirements are Met and Agreed

NAME OF VESSEL

PORT OF REGISTRY:

IMO NUMBER:

NAME OF PORT:

NAME OF TERMINAL:

DATE / TIME

VESSEL ARRIVAL TIME:

ARRIVAL DRAFT:

GANGWAY TIME:

DECLARATION OF SECURITY COMPLETED:

DECLARATION OF INSPECTION COMPLETED:

VESSEL MANIFOLD READY:

DOCK MANIFOLD READY:

INSPECTOR/SURVEYOR ARRIVAL TIME:

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CHECKLIST ITEM

PRE-TRANSFER HOSE/LOADING ARM CONNECTION MEETING

YES NO INITIAL

1) Has the Declaration of Security been completed and emergency contacts established and understood?

2) Are all emergency shutdown systems operable?

3) Are all communication procedures in place and person-in-charge has staffed the manifold station with a person fluent in the language of the terminal?

4) Are copies of the Facility Operations Manual/Vessel Transfer Procedures on hand and accessible to key personnel?

5) The following emergency procedures are in place

a. Spill Containment

b. Spill Reporting

c. Transfer shutdown

d. Watch/shift procedures

6) Pre-transfer meeting (terminal and vessel PIC)

a. Methanol quantity

b. Transfer sequence

c. Transfer rate

d. Header pressure

e. Personnel list of all involved in transfer

f. Any Federal, state, or local rules that apply to methanol transfers

g. Sampling methods

h. Critical stages of the methanol transfer

i. Copy of local terminal rules

j. Review of local terminal rules

7) Is the vessel securely docked and the correct berth?

8) Is there safe access ship to shore?

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YES NO INITIAL

9) Is the vessel manifold and berth area safely lighted?

10) Have all vessel overboard valves and drains been checked and secured?

11) Terminal certifies that the hoses or loading arms have been identified and inspected for methanol use and are ready for connection?

12) Warning signs and red warning lights are operational?

13) Repair Authorization Procedure in place?

14) Boiler and Galley Fires Safety procedure in place?

15) Fires and Open Flames procedure in place?

16) Safe Smoking Space procedure in place?

PRE-METHANOL LOADING CHECK YES NO INITIAL

1) Terminal PIC verifies vessel Certificate of Inspection

VAPOR COLLECTION SYSTEM CHECK YES NO INITIAL

1) Vapor collection system pressure relief valve setting

2) Vapor collection system initial start-up flow rate

3) Vapor collection system maximum operating rate

4) Vapor collection system fully inspected and all valves align properly

5) Vapor collection system hose inspected and approved for use

6) Vapor collection system hose securely connected to vessel vapor connection

7) Overfill control system, if applicable, connected to the terminal, tested and operational

8) If a parcel tanker, is vessel loading products in addition to methanol?

YES NO TERMINAL PIC

9) Are the vapors from the other products compatible with methanol?

YES NO TERMINAL PIC

10) Can the vessel return vapors from multiple cargos? YES NO TERMINAL PIC

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11) If a parcel tanker, is vessel loading products in addition to methanol?

YES NO VESSEL PIC

12) Are the vapors from the other products compatible with methanol?

YES NO VESSEL PIC

13) Can the vessel return vapors from multiple cargos? YES NO VESSEL PIC

CARGO HOSE CONNECTION MEETING CHECKLIST YES NO INITIAL

1) Before hose/loading arm connection, check spill containment.

2) Connect cargo loading/discharge hose or loading arm to the vessel manifold and secure with gasket and bolts

3) Check that the terminal transfer system from the shore tank to the vessel is properly aligned.

4) Check that the vessel transfer system is properly aligned to the loading/discharge hose/loading arm.

5) Confirm the cargo hoses or loading arms are long enough for the intended transfer and each secured and supported.

Certification that the PIC of the Vessel and the Terminal has read and understand the checklist above and agree to begin transfer of Methanol.

FOR THE TERMINAL: FOR THE VESSEL:

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NAME AND TITLE OF INDIVIDUALS SIGNING:

1) Name: Title:

2) Name: Title:

3) Name: Title:

4) Name: Title:

5) Name: Title:

6) Name: Title:

7) Name: Title:

8) Name: Title:

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DECLARATION OF SECURITY (DOS)

DOS DECLARATION OF SECURITY

M A R S E C 1 & 2

NAME OF VESSEL:

PORT OF REGISTRY:

IMO NUMBER:

NAME OF PORT:

NAME OF TERMINAL:

This Declaration of Security is valid from until For the following activities (list all) including the discharge or loading of Methanol

Under the following security Levels:

SECURITY LEVEL FOR VESSEL:

SECURITY LEVEL FOR PORT FACILITY (TERMINAL):

The port facility (terminal) and the vessel agree to the security measures which follow and the Responsibilities to Ensure Compliance with Part A of the International Code for the Security of Ships and of Port Facilities.

Responsible party for the vessel and the port facility shall initial accordingly the box with the corresponding activity that the vessel security officer and the port facility security officer will be accomplished in accordance to the plan agreed.

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ACTIVITY TERMINAL VESSEL

1) Performance of all security duties

2)Monitoring restricted areas and assure access to authorized personnel only

3) Controlling access to the terminal

4) Controlling access to the terminal

5)Monitoring of the terminal, including berthing areas and areas surrounding the vessel

6)Monitoring of the vessel including berthing areas and areas surrounding the ship

7) Methanol handling

8) Delivery of stores (if applicable)

9) Handling of unaccompanied baggage

10)Controlling the embarkation of persons and their effects to and from the vessel

SIGNED AND DATED ON THE BEHALF OF:

THE TERMINAL:

THE VESSEL:


NAME: TITLE:

NAME: TITLE:

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E M E R G E N C Y C O N TA C T I N F O R M AT I O N

List Telephone Numbers and Radio Channels and Frequencies to be used:

FOR THE TERMINAL FOR THE VESSEL

TELEPHONE #:

RADIO CHANNEL:

RADIO FREQUENCY:

TERMINAL SECURITY OFFICER:

MASTER:

VESSEL SECURITY OFFICER:

SHIP OWNER:

SHIP OWNER SECURITY OFFICER:

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MARINE TERMINAL (MT)

MT MARINE TERMINAL

C H E C K L I S T

NAME OF VESSEL:

PORT OF REGISTRY:

IMO NUMBER:

NAME OF PORT:

NAME OF TERMINAL:

DATE/TIME


GANGWAY TIME:






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M A R I N E C H E C K L I S T

CHECKLIST ITEM YES NO INITIAL

PRE-TRANSFER OPERATION CHECKLIST

1)Is the Coast Guard Manual or similar Regional Port Authority Manual available at the dock?

2) Is the vessel securely docked at the correct berth?

3)Is firefighting equipment located and in working condition?

a. Fire extinguishers?

b. Fire hoses?

c. Foam system?

d. Fire monitors?

4) Is safety equipment in place and operational?

a. Eyewash stations?

b.Emergency breathing air (for example, Scott Air Pack) or respirators?

c.Are work vests, safety ropes and lifesaving rings available and in good condition?

5) Are the emergency alarms operational?

6)Is the emergency stop readily accessible and operational?

7) Are radios operational?

8) Is the dock clean and free of debris?

9) Is the dock crane operational?

10)Is the gangway safely secured in place and not blocking safe egress to and from the dock?

11) Are all handrails and safety chains in place?

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CHECKLIST ITEM YES NO INITIAL


12)Are all unauthorized personnel and vehicles off the dock and the area secured?

13) Are dock sumps clear of liquid chemicals?

14)Are loading/unloading hoses or loading arms in good condition?

15) Are vapor recovery system hoses in good condition?

16) Are lifting and support slings in good condition?

17) Are loading arms in good condition and operational?

18)Are flanges completely bolted and secure on hoses and loading arms?

a.Are replacement bolts, flanges and gaskets available?

19) Are all the proper tools available at the dock?

20)Are pressure gauges working properly on the methanol product dock line?

21)Are the bleeder valves operational at the hose or loading arm connection and are the bleeder valves properly capped or plugged?

22) Is the nitrogen system operational?

23)Has the marine vapor recovery or destruction unit been checked and ready for operation?

24) Are all level alarms functional?

25)Are cargo hoses/loading arms connected to the proper vessel manifold valves?

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POST TRANSFER CHECKLIST YES NO INITIAL

1)Is all firefighting equipment checked prior to disconnecting methanol product hoses and load arms from the vessel?


b. Fire hoses?

c. Foam system?

d. Fire monitors?

2) Safety equipment operational?




3) Is the gangway damaged?

a. Has damaged been repaired?

4) Are there any spills?

a. Has the spill been properly handled?

b. Was the spill properly reported?

5) Any piping, valves, or fittings leaking?

a. Has the problem been corrected?

6)Have the hoses or loading arms been properly cleared with nitrogen?

7)Once all safety concerns have been resolved, have the loading arms and hoses been disconnected and blind flange, gasket and bolts properly installed?

8) Have the radios been returned?

9) Has the pilot arrived?

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POST TRANSFER CHECKLIST YES NO INITIAL

10) Have the mooring lines been removed and properly stored?

11)Once the vessel has departed, has the dock been secured and clean?


THE TERMINAL:


NAME: TITLE:

NAME: TITLE:




TELEPHONE #:

RADIO CHANNEL:

RADIO FREQUENCY:


MASTER:


SHIP OWNER:


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MARINE VESSEL/BARGE (MVB)

MVB MARINE VESSEL/BARGE

C H E C K L I S T

NAME OF VESSEL:

PORT OF REGISTRY:

IMO NUMBER:

NAME OF PORT:

NAME OF TERMINAL:

DATE/TIME


GANGWAY TIME:






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CHECKLIST ITEM YES NO INITIAL REMARKS


1)Personal Protective Equipment and Procedures Reviewed?

2) Cargo Discharge Plan Reviewed



b. Fire hoses?

c. Foam system?

d. Fire monitors?

4)Is safety equipment in place and operational?







8)Manifold area clean and free of obstructions?

9) Is the ship’s crane operational?

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12)Have all unauthorized personnel been discharged from the vessel?

13)Are sumps/catch basins clear of liquid chemicals?

14) Nitrogen system inspected and operational?

15)H as the vapor return system been inspected and found operational?

16) Ballast system checked and operational?

17) Pumps inspected and operational?

18)Are flanges completely bolted and secure on the manifold?


19)Are all the proper tools available on the deck?

20)Are pressure gauges working properly on the methanol product line?

21) Mooring lines and equipment checked?

22) Terminal/Port Mooring Procedure reviewed?

23)Are the cargo tank oxygen sensors, level gauges and alarms checked and verified?

24)Have the cargo tanks and lines been checked and verified as ready for loading/discharging methanol?

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25)Has the maximum operating pressure been verified and recorded?

26)Have operating temperatures been verified and recorded?

27)Have all the cargo tank safety valves been checked and verified as operational?

28)Has the Harbor Pilot been notified and verified by the agent?

a. Notification Time

b. Harbor Pilot arrival time

29)Has the Notice of Readiness (NOR) been issued to the terminal and verified by the Agent and terminal?

a. Time of NOR

POST TRANSFER CHECKLIST YES NO INITIAL REMARKS

1)Is all firefighting equipment checked prior to disconnecting methanol product hoses and load arms from the vessel?


b. Fire hoses?

c. Foam system?

d. Fire monitors?

2) Safety equipment operational?



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3) Is the gangway damaged?

a. Has damaged been repaired?

4) Have there been any spills?

a.Was the spill been properly handled?

b. Was the spill properly reported?

5) Any piping, valves, or fittings leaking?

a. Has the problem been corrected?

6)Have the hoses or loading arms been properly cleared with nitrogen?

7)

Once all safety concerns have been resolved, have the loading arms and hoses been disconnected and blind flange, gasket and bolts properly installed on manifold?



10)Have the mooring lines been removed and properly stored?



THE VESSEL:

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NAME: TITLE:

NAME: TITLE:



FOR THE VESSEL

TELEPHONE #:

RADIO CHANNEL:

RADIO FREQUENCY:

MASTER:


SHIP OWNER:


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METHANOL PERSONAL PROTECTIVE EQUIPMENT (PPE)

PPE METHANOL PERSONAL PROTECTIVE EQUIPMENT

NAME OF VESSEL:

PORT OF REGISTRY:

IMO NUMBER:

NAME OF PORT:

NAME OF TERMINAL:



PPE CHECKLIST: Although every effort should be taken to prevent leaks or spills during the connection of hoses, loading arms or taking samples, personnel should protect them from a methanol release.

1) Fire Retardant Clothing

2)Coverall or apron suitable for the handling methanol in the connection hoses or loading arms and sampling

3)Gloves suitable for the handling of methanol in the connection of hoses and loading arms and sampling

4) Safety Shoes

5) Hard Hat

6) Safety Glasses or Goggles

7)Face Shield when handling hoses, loading arms or sampling

8) Personal Respirator

9)Personal Vapor Monitoring Device for Methanol vapor detection

10)Work Safety Vest (to be used in designated areas requiring approved life vest)

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TERMINAL & VESSEL PRE/POST TRANSFER (TVT)

TVT TERMINAL & VESSEL PRE/POST TRANSFER

C H E C K L I S T & T I M E L O G

NAME OF VESSEL:

PORT OF REGISTRY:

IMO NUMBER:

NAME OF PORT:

NAME OF TERMINAL:

DATE/TIME TERMINAL (INITIAL)

VESSEL (INITIAL)

REMARKS (FOR EXAMPLE,

INSPECTOR INITIALS)

NOTICE OF READINESS (NOR) GIVEN BY VESSEL

NOR RECEIVED AND APPROVED BY PORT/TERMINAL


GANGWAY TIME:



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DATE/TIME TERMINAL (INITIAL)

VESSEL (INITIAL)

REMARKS (FOR EXAMPLE,

INSPECTOR INITIALS)






Pre-Transfer Operation Checklist (NOTE: When Inspector/Surveyor is present, PPE is required and Inspector should initial in the remarks column)

1)Personal Protective Equipment and Procedures Reviewed

2) Cargo Discharge Plan Reviewed



b. Fire hoses?

c. Foam system?

d. Fire monitors?

4)Is safety equipment in place and operational?


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8)Manifold area clean and free of obstructions?

9) Is the ship’s crane operational?



12)Have all unauthorized personnel been discharged from the vessel?

13)Are sumps/catch basins clear of liquid chemicals?

14)Nitrogen system inspected and operational?

15)Has the vapor return system been inspected and found operational?

16) Ballast system checked and operational?

17) Pumps inspected and operational?

18)Are flanges completely bolted and secure on the manifold?


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19)Are all the proper tools available on the deck?

20)Are pressure gauges working properly on the methanol product line?

21) Mooring lines and equipment checked?

22)Terminal/Port Mooring Procedure reviewed?

23)Are the cargo tank oxygen sensors, level gauges and alarms checked and verified?

24)Have the cargo tanks and lines been checked and verified as ready for loading/discharging methanol?

25)Has the maximum operating pressure been verified and recorded?

26)Have operating temperatures been verified and recorded?

27)Have all the cargo tank safety valves been checked and verified as operational?

28) List Prior Cargos

a. First Prior Cargo

b. Second Prior Cargo

c. Third Prior Cargo

29)LOADING ONLY: Were the cargo tanks cleaned prior to Port/Terminal Arrival?

30)LOADING ONLY: Were cargo tanks wall washed?

31)LOADING ONLY: Were cargo tank hatches opened?

32) Have all hatches been secured?

33) Have the cargo tanks been inerted?

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a. What is O2 level in the cargo tanks?

34)Has the Harbor Pilot been notified and verified by the agent?

35) Notification Time

a. Harbor Pilot arrival time

b.Has the Notice of Readiness (NOR) been issued to the terminal and verified by the Agent and terminal?

36) Time of NOR

a.


Is all firefighting equipment checked prior to disconnecting methanol product hoses and load arms from the vessel?

1) Fire extinguishers?

a. Fire hoses?

b. Foam system?

c. Fire monitors?

d. Safety equipment operational?

2) Eyewash stations?

a.Emergency breathing air (for example, Scott Air Pack) or respirators?

b.Are work vests, safety ropes and lifesaving rings available and in good condition?

c. Is the gangway damaged?

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3) Has damaged been repaired?

a. Have there been any spills?

4) Was the spill been properly handled?

a. Was the spill properly reported?

b.Any piping, valves, or fittings leaking?

5) Has the problem been corrected?

a.Have the hoses or loading arms been properly cleared with nitrogen?

6)

Once all safety concerns have been resolved, have the loading arms and hoses been disconnected and blind flange, gasket and bolts properly installed on manifold?



9)Have the mooring lines been removed and properly stored?


11) (Intentionally left blank)


THE VESSEL:

THE PORT/TERMINAL:

THE INSPECTOR/SURVEYOR:

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FOR THE VESSEL

NAME: TITLE:

NAME: TITLE:

FOR PORT/TERMINAL

NAME: TITLE:

NAME: TITLE:

FOR THE INSPECTION COMPANY

NAME: TITLE:

NAME: TITLE:



FOR THE VESSEL

TELEPHONE #:

RADIO CHANNEL:

RADIO FREQUENCY:

MASTER:


SHIP OWNER:

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FOR THE VESSEL





TELEPHONE #:

RADIO CHANNEL:

RADIO FREQUENCY:


MASTER:


SHIP OWNER:


IF RADIO PROVIDED BY THE TERMINAL DATE TIME

NUMBER OF RADIOS PROVIDED THE VESSEL:

TERMINAL PIC ISSUING RADIOS SIGNATURE:

VESSEL PIC ACCEPTING RADIOS SIGNATURE:

RADIOS RETURNED:

TERMINAL PIC ACCEPTANCE OF THE RADIOS SIGNATURE:

VESSEL PIC RETURNING RADIOS SIGNATURE:

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VESSEL DEPARTURE DRAFT: VESSEL DEPARTURE TIME:

REMARKS

T I M E L O G

CUSTOMER:

PRODUCT:

QUANTITY:

CARGO TEMPERATURE:

CARGO MINIMUM WORKING TEMPERATURE:

MAXIMUM HEADER PRESSURE:

INITIAL LOAD/DISCHARGE RATE:

MAXIMUM LOAD/DISCHARGE RATE:

SHORE TANK NUMBERS:

DOCK LINE NUMBER:

VESSEL HEADER NUMBER:

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VESSEL TANK NUMBERS - RECEIVING

VESSEL TANK NUMBERS - DISCHARGING

VAPOR HOSE NUMBER:

VESSEL VAPOR CONNECTION:

VAPOR HOSE ON DATE TIME

CARGO HOSE ON DATE TIME

TRANSFER START DATE TIME

CARGO LOADING/DISCHARGE COMPLETION – DATE/TIME

SHUT DOWN REASON: SHUT DOWN DATE/TIME: START-UP DATE/TIME:

CARGO HOSE OFF – DATE/TIME VAPOR HOSE OFF DATE/TIME

VESSEL PIC CERTIFIES THAT THE ABOVE INFORMATION IS CORRECT FOR QUANTITIES FOR MAXIMUM RATE AND PRESSURE FOR THE VESSEL

VESSEL AUTHORIZED SIGNATURE DATE AND TIME

checklist - safety4sea.com · any federal, state, ... overfill control system, if applicable,...

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