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The Master, Date:

Ref.:

1.

2.

3.

October 23, 2013

T103-T061030TOLMT EASTERN MERMAID

SAFETY REQUIREMENT

Be binding upon us or constitute the assumption of any risk contributory negligence on our part;

The safety requirement for the safe conduct of operations on board your ship while alongside the berth at our terminal

with you as Master. Nevertheless, since our personnel, property and other shipping may suffer serious damage in the ev

an accident aboard your ship, we wish, before operations start, to seek your full co-operation and understanding on the

requirements set out in the Ship/Shore Check List.

These safety requirements have been drawn up by a number of international terminal operators in conjunction

representative section of the international tanker industry. They are based upon the provisions of the code of safe prcurrently accepted by the oil and tank industries. We therefore expect you and all under your command to adhere stri

them throughout your stay alongside the berth at our Terminal. We, for our part, will ensure that our personnel do likewi

co-operate fully with you in the mutual interest of safe and efficient operations.

In order to assure ourselves of your compliance with these safety requirements, we shall, from time to time, instruct a m

of our staff to visit your ship and, after reporting to you or your deputy, join one of your officers in a routine inspection of

decks and accommodation spaces.

In addition, we shall, as often as necessary during the course of operations, instruct a member of our staff t

your ship and, after reporting to you or your deputy, carry out such further inspections as we deem neceprovided always that the aforesaid jointly conducted routine inspection and the further inspections conducted

shall not in any manner whatsoever:

Prejudice, affect or determine our right to recover from you any losses which would otherwise be recov

from you;

If you observe any infringement of these requirements by our Terminal staff, whether on the jetty or on board your ship,

bring this immediately to the notice of our representative who is nominated as your contact during your stay at our

Sh ld id i di t th t t th f t f hi i i f ti t i t d

Release, diminish, discharge or exonerate you from any liabilities whatsoever.

If observe infringement on board your ship any of these safety requirements we shall bring this immediately to the atten

yourself or your deputy for corrective action. If such action is not taken in a reasonable time we shall adopt such measu

appear to us most appropriate to deal with the situation and shall notify you accordingly.


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3/18

Vessel Name: Ref.:

Arrival Date: Arrival Time: Port:

INSTRUCTIONS FOR COMPLETION

The presence of the letters A, P orR in the column 'Code' indicates the following:

A

P

R

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.15.

16.

17.

18

PART A SHIP/SHORE SAFETY CHECKLIST

PHYSICALS

R

The ship is ready to move under its own power. (at least two tugs must be on standby if

immobilization of ship main engines is allowed)

There is safe access between ship and shore.

Emergency towing wires are correctly positioned.

The ship is securely moored.

Ai diti i i t k hi h it t f l d

Unused cargo/bunker connections are closed and blanked.

The scuppers are effectively plugged and drip trays in position.

The cargo/bunker hoses are in good condition and properly rigged.

Fire hoses and fire-fighting equipment are ready for use.

An effective deck watch is on board and adequate supervision on the terminal.

Doors, ports in after accomodation leading onto/or overlooking tank deck are closed.

MT EASTERN MERMAID

October 23, 2013

All external doors and ports in the amidships accomodation are closed.

Electric cables to portable equipment are disconnected from power.The ship main transmitting aerials are earthed and radard switched off.

Portable radio transceivers are of an approved type.

The hand torches are of an approved type.

All cargo/bunker tank lids are closed.

Sea and overboard discharge valves when not in use are closed and lashed.

Remarks

The safety of operations requires that all questions should be answered aff irmatively by clearly t icking () the appropriate box. If anaffirmative answer is not possible, the reason should be given and agreement reached upon appropriate precautions to be taken between th

ship and terminal. Where any question is considered to be not applicable, then a note to that effect should be inserted in the remarks column.

indicates items to be re-checked at intervals not exceeding that agreed in the declaration.

in the case of a negative answer, the operation should not be carried out without the permission of the Terminal Management.

any procedures and agreements should be in writing in the remarks column of this Checklist or other mutually acceptable form.In either case, the signature of both parties should be required.

R

CodeShoreShip

R

R

P & R

R

R

R

AP Port, Dong Nai, Viet Nam

T103-T061030TOL


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Vessel Name: Ref.:


MT EASTERN MERMAID

October 23, 2013 AP Port, Dong Nai, Viet Nam

T103-T061030TOL

42. [NONE]

43.

44.

45.

46.

47.

48.

49.

50.

51.

52.

53.

54. [NONE]55. [NONE]

56.

57.

58.

59.60.

61.

62.

PART C PROCEDURE TO FOLLOW IN A BERTH OR VESSEL FIRE

Disconnect hoses and standby to cast off mooring lines.

Attempt to extinguish the fire.

Stop all operations and close pipeline/manifold valves.Turn on water supply to water curtain.

FIRE, SAFETY AND PROTECTIVE EQUIPMENTPART B

Inform security (walkie-talkie Channel 01)

Advise Master or Chief Engineer to put engines of tankers on

standby to move away from berth if necessary

Two variable nozzles of 2-1/2" diameter BIS with instantaneous

couplings at each berth

One foam branch 2-1/2 " diameter BIS with instantaneous coupling

(at each berth)

The following actions will be taken by the representative of the terminal: The following actions will be taken by the representative of the

vessel:

Four sets full face mask with cartridges (wharf)

Two sets chemcial suits (wharf)

In the event of a spillage or fire, the vessel has the following safet

and protective equipment which can be readily utilized:

In the event of a spillage or fire, the terminal has the following safety and

protective equipment which can be readily utilized:

Four double outlet hydrants (at each berth)

One 150 lbs dry chemical fie extinguisher (at each berth)

One fixed foam monitor (at each berth)

One fixed water monitor (at each berth)

138 litres of fluoroprotien foam (at each berth)

Six safety goggles (wharf)

Six pairs chemical gloves (wharf)

One water curtain (at each berth)40 litres detergent (at each berth)

Two sets of self-contained breathing apparatus (wharf)

Three lengths (50' each) of 2-1/2" diameter BIS fire hoses withinstantaneous couplings (at each berth)


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y

e


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y


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To Master/Chief Officer:

1. Terminal personnel must be informed first before starting or stopping cargo pump and also when the vessel is switching

from one grade of product to another.

2. Hose will only be disconnected after ship tank is certified by Surveyor.

3. The maximum acceptable discharge pressure at shore manifold is 7 kgs/cm2

4. The maximum acceptable shore receiving rate on this occasion is 300 m3/hourThe terminal will not liable for any demurrage or consequences that may arise if vessel could not achieve the above rate.

5. Is vessel capable to discharge all grades concurrently? YES / NO

If no, please indicate

Nam

Sign

THIEN NGHIA

SHIP TANKSHIP MANIFOLDSHORE MANIFOLD

450TOLUENE

SHORE LINETRANSFER PIT

CUSTOMER QUANTITYM/TONS

PRODUCT

VESSEL RECEIPT / WORK ORDER[VRWO No. 2006001]

AP Port, Dong Nai, Viet Port:Arrival Date: October 23, 2013To Master/Chief of MT EASTERN MERMAID

Section A of the table below indicates the product(s) that we are to receive from your vessel as advised by our customer(s). Kindly complete Sectio

Inaccuracies instructions given could lead to serious consequences, for example, product cross-contamination, shore tank overflow, etc. Please check t

provided if they are in order. Customer's appointed Surveyor are then to check and confirm the accuracy of the instructions of the Ship/Shore before signing

All hose connections would be made in accordance to instructions in Section A and B.

SECTION B (COMPLETED SECTION A (COMPLETED BY TERMINAL AND CONFIRMED BY SURVEYOR)

NILT103

SHORE TANK

Ack

Date


8/18


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Vessel Name: Ref.:


The Master/Chief Officer,

Walkie-Talkie labelled as :

Walkie-Talkie Brand/Model :[WT KIT: PMUD1480ABA BAT KIT: HNN9010A]

Communication Channel :

ACKNOWLEDGED RECEIPT IN GOOD CONDITION

: :Signature

Representative of Ship

MT EASTERN MERMAID

October 23, 2013

Representative of Terminal

T103-T061030TOL

DNTer-WK002

ISSUANCE OF WALKIE-TALKIE


The Walkie-Talkie is operative without apparent damage. If there is any need to replace the issued Walkie-

Talkie due to any damage or was lost by the ship personnel, we will notify your agent for the replacement or

the cost of the Walkie-Talkie.

Your Chief/Duty Officer will be responsible for the proper use of the Walkie-Talkie during the entire shipping

operation at our terminal.

For the purpose of communication between the terminal representative and your ship duty officer during the

entire shipping operation, we will be issuing to the Chief Officer a Walkie-Talkie with the following details:

MT EASTERN MERMAID

01 (ONE)

MOTOROLA GP328

Signature


10/18

C # D P E C # D P ETANK NO.

TRANSFER

PIT NO.PRODUCT

DL LAST CARGODL LAST CARGO

BERTH BERTH

Operation/Vessel: MT EASTERN MERMAID Operating Date: October 23, 2013

HOSE CONNECTION CHECKLIST

AP Port, Dong NPort:

Hose Connection TechnicianPlanned by Loading Master on Duty


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Vessel Name: Ref.:


mm

K/L MT

K/L MT

K/L

IMPORTANT NOTES:

[1] Initial discharge into tank must be at slow rate until product is above inlet line, then ensure normal rate.

Maximum pumping pressure: 6 kgs/cm2

[2] A period of 30 minutes must elaspe after flow into tank has stopped before sampling.[3] Monitor the pressure & temparature (if applicable) at 1 hour interval

[4] Inform Team Leader if temparature exceeds the maximum temparature.

[5] Compressed air - Blow down dryer and air reservoir of compressor before use.

[6] Adhere to the guideline on the use of Nitrogen for product pigging.

[7] Use the following values for upfront calculation of ETC:

Pipeline Size Flow Rate

4" 100 m3

/hour

6" 300 m3

/hour

> 6" Base on Ship maximum pumping capacity stated in VRWO

CHECKLIST

[a] Is the high level sensor active? YES / NO / NA

If "NO", Team Leader to take note in the event of insufficient ullage.

[b] Is this a partial discharge operation? YES / NO

MONITORING TANK LEVEL DURING OPERATION


BOOK STO

(MT)

QUANTITY

(MT)

DENSITY ATOBSERVED

TEMPARATURE

WEIGHTCORRECTION

FACTOR

TIMEGAUGED

(HRS)

LEVEL (MM)OBSERVED VOL

(K/L)

TEMP (DEG.

C)

Dens. in Air: Shore Manifold:

Ship Manifold:

Ship Tank(s):

Time completed:

Time started:

IN / OUT BOUND

Ship Arrival Qty:

B/L Qty:

Operation:

Product:

Ship Arrival Vol:

Available Ullage:

Vol at Opt. Level:

Tank Opt. Level:

Tank No.:


12/18


13/18

Vessel Name: Ref.:


VESSEL: BERTH:

VOYAGE: PILOT ON BOARD:

DWT: NOR TENDERED:

LOA: NOR ACCEPTED:

PERSON-IN-CHARGE: FRESH WATER:

MOBILE PHONE: SHIP AGENT:

OPERATIONTOFROMDATE

SURVEYORCUSTOMER

THIEN NGHIA

SHIP TANKDOCK

LINE

IN/OUT

BOUND

SHIP

MANIFOLD

VOSA

PRODUCTQUANTITY

(MT)TANK NO

T103450TOLUENE

Ngo Thanh Hai

V.2906

MT EASTERN MERMAID AP JETTY

LOG BOOK

++84.903.832.825

MT EASTERN MERMAID


T103-T061030TOL


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Vessel Name: Ref.:


MT EASTERN MERMAID


T103-T061030TOL

For Ship

Name

For Terminal

Name

SHIP/SHORE SAFETY CHECKLIST

Ngo Thanh Hai


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Date & Time: Date & T

Surveyo

Signature

Name:

Ship Master/Chief Officer

Signature:

Name:

Arrival Date: October 23, 2013

Terminal Supervisor-in-charge

Ngo Thanh Hai

Date & Time:

Name:

Signature:

We, the undersigned, have satisfied ourselves that the entries in Section A and Section B are correct. We have made a check at the manifold of the ship and co

to the instructions in Section A and Sectio

VESSEL RECEIPT / WORK ORDER[VRWO No. 2006001]

AP Port, Dong Nai, Viet NamPort:To Master/Chief of MT EASTERN MERMAID


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