Appendix 12 - IMO Ship Shore Safety Checklist Form
Appendix 12 - IMO Ship Shore Safety Checklist Form
Appendix 12 - IMO Ship Shore Safety Checklist Form
Date
Port
Loading Unloading
Terminal/Quay
Ship’s name
Air draught
Air draught
The Master is responsible at all times for the safe loading and unloading of the ship, details of
which should be confirmed to the terminal in the form of loading or unloading plan (see example
loading/unloading plans on back cover). In addition the Master should ensure that the checklist
is completed in consultation with the terminal before loading or unloading is commenced.
The Master and terminal manager, or their representatives, should complete the checklist jointly.
Advice on points to be considered is given in the accompanying guidelines. The safety of
operations requires that all questions should be answered affirmatively and the boxes ticked. If
this is not possible, the reason should be given, and agreement reached upon precautions to be
taken between ship and terminal If a question is considered to be not applicable write ‘N/A’,
explaining why if appropriate.
S.No. Ship Terminal
1. Is the depth of water at the berth, and the air draught, adequate
for the cargo operations?
Location
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10. Has a procedure for reporting and recording damage from cargo
operations been agreed?
S.No. Ship Terminal
11. Has the ship been provided with copies of port and terminal
regulations, including safety and pollution requirements and
details of emergency services?
12. Has the shipper provided the Master with the properties of the
cargo in accordance with the requirements of Chapter VI of
SOLAS?
13. Is the atmosphere safe in holds and enclosed spaces to which
access may be required have fumigated cargoes been identified,
and has the need for monitoring of atmosphere been agreed by
ship and terminal?
14. Have the cargo handling capacity and any limits of travel for each
loader/ unloader been passed to the ship/terminal?
Time Date
Rank Position/Title
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