Amsa Form 36

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b More ship details SHIPSYS mobile users

AMSA Inspection Owner Owner IMO


36 report
Use ship’s registration papers or C.S.R.
Country Charterer
For more help, scan the QR code or go to
AMSA.gov.au/form36
Agent Date of last renewal survey

Port of registry Cargo type


a Ship and inspection
Ship name IMO number
Departure date/time For next port

Port Inspector
ETA at next port
Master confirms all equipment
is operating satisfactorily,
Inspection timeframe vessel is seaworthy
Initial started (date/time) Initial completed (date/time) Not confirmed
Comments

Detail started (date/time) Detail completed (date/time)

Comments

c Documentation check d Crew qualifications SHIPSYS mobile users

Appropriate cargo publications / documentation (shippers 1 2 3 4


declaration, ship-to-shore checklist)
Master >500 GT II/2 V4
GOC/ROC
Approved stability information
Chief Officer >500 GT II/2 V4
GOC/ROC
Cargo securing manual
Officer NW II/1 V GOC/ROC
Continuous Synopsis Record
Ratings NW II/4 V
MLC & DMLC (part I & II)
Ratings II/5 V
Document of Compliance (as applicable)
Chief Engineer >3000kW III/2 V4
Documented Safety Management System
2 / Engineer III/2 V4
Enhanced survey report (bulk carrier or tanker)
Officer EW III/1 V
Garbage management plan / record book
Ratings EW III/4 V
Certificate of Entry
Bunker Oil Pollution 1. Valid CoC: The Certificate of Competency (CoC) kept on board,
must be an original with an English translation included.
Last PSC report
2. Valid Flag Endorsement: The flag State must recognise any
Official logbook entries, records of drills, etc. certificate issued by another party to any officer service under
Oil Record Book(s) / Bunker delivery notes its flag.
P&A Manual (Chemical Tankers) 3. Tanker Endorsement: Tanker endorsements or certificates are
required for officers and certificates for ratings assigned specific
Ship-type appropriate for the cargo duties related to cargo operations to show compliance with Reg
Shore-based radio equipment maintenance agreement V1/1 and V/1-2.

SOPEP / SMPEP / SEEMP 4. Masters, Chief Engineers, Chief Officers and Second
Engineers and any other person with immediate responsibility
Survey report file for loading, discharge and care in transit and handling of
cargo require a tanker endorsement to show compliance with
MARPOL Annex VI Documents Reg V/101 and V/1-2.
5. The minimum requirement for a vessel operating in sea area
A3, is for one navigating officer to hold a valid GMDSS GOC
and all others to hold valid GMDSS ROC certificates.
1 External hull & pre-boarding 3 ISM code
1.1 Hull condition (port / starboard) 3.1 Designated Person Ashore is defined
1.2 Hull markings 3.2 Master’s review of ISM system
1.3 Accommodation ladder & side netting 3.3 Manuals, Audit Reports and Document Control
Comments 3.4 Documented Emergency procedures

Comments

2 Hours of rest and fatigue


2.1 Watchkeeping schedule posted and easily accessible 4 Wheelhouse
2.2 Rest periods comply with STCW requirements
4.1 ECDIS, Voyage Plan and publications
2.3 Rest period reflects actual hours worked
4.2 Navigational aids
2.4 Watchkeepers on 1st & subsequent watch adequately rested
4.3 Compass / compass deviation records
2.5 Watchkeeper’s ability to perform effectively not
compromised by navigation plan / equipment / other issues 4.4 Fire Detection Panel
4.5 Navigation Light Panel
Comments
4.6 BNWAS
Comments

5 Radio 7 External superstructure & deck


5.1 Correct MSI reception 7.1 Accommodation vent closures
5.2 MF/HF DSC radiotelephony GMDSS battery-tested 7.2 Battery room
Yes No 7.3 EPIRB
5.3 SART inspection 7.4 Battery inspection
5.4 Portable VHF inspection 7.5 Weather doors / frames
Comments 7.6 Hydrants / hoses / nozzles
7.7 Engine room dampers; identify which were inspected
and / or tested (port forward, starboard, etc.)
7.8 External accommodation ladders
7.9 Emergency power source test carried out; batteries /
emergency generator (no blackout)
7.10 Engine room dampers; identify which were inspected
and / or tested (port forward, starboard, etc.)
6 Monkey island 7.11 Man-Overboard light / smoke
7.12 Fire Control Plan outside accommodation
6.1 Masts and attachments
7.13 Lifebuoy / lines / lights
6.2 Vent closures
7.14 Paint locker
6.3 Standard compass
6.4 Antennae inspection Comments
6.5 Navigation lights (RAM / NUC)
Comments
8 Boat deck 10 Main decks
8.1 Boat preparation and overside lights 10.1 Load line closing devices; identify which were inspected
8.2 Launching instructions 10.2 Crew protection
8.3 Embarkation ladder 10.3 Deck structures and machinery
Comments 10.4 Mooring arrangement (winches, ropes, wires)
10.5 Pilotboarding arrangements (including manrope)
10.6 Condition of Fire Main

Comments

9 Survival craft
9.1 Stowage release & launching arrangements; identify
which boats were inspected (port, starboard, free-fall, etc.)
9.2 Lifeboat / rescue boat hull, attachments
9.3 Lifeboat / rescue boat equipment
9.4 Lifeboat / rescue boat engine testing inc. Yes No 11 Fixed fire extinguishing system
clutch (port / starboard / freefall / rescue boat)
11.1 Type fitted: CO2 Foam Dry-powder/hypermist
9.5 Operational readiness
9.6 Liferafts & liferaft securing arrangement
11.2 Clear operating instructions
11.3 Overall condition
Comments
Comments

12 Emergency fire pumps 14 Engine room


12.1 Emergency fire pump (2 hoses or 4 hoses tested) 14.1 Values, piping and fittings
12.2 Engine room Fire Main Isolating Valve 14.2 Engine room doors
Comments 14.3 Fire appliances
14.4 Mean of escape (EEBD)
14.5 General safety (fire / electrical / insulation / oily surface)
14.6 Bilges / tank top cleanliness
14.7 Self-closing cocks, valves
14.8 Machinery maintenance (PMS)
14.9 Machinery alarms
Comments
13 Steering gear flat
13.1 Change over instructions
13.2 Emergency steering
13.3 Overall condition
13.4 Communication to wheelhouse
13.5 Reserve steering oil storage tank
Comments
15 Pollution prevention – MARPOL 17 Fire control station
15.1 Annex I: Oil filtering and associated equipment 17.1 Fireman’s outfit
15.2 Annex IV: Holding tank / sewage treatment plant / 17.2 Remote stops / fuel shutoffs; identify which were tested
comminuting system 17.3 International shore connection
15.3 Annex V: Garbage arrangements
17.4 Fixed Fire Suppression System controls
15.4 Annex VI: Compliant fuel / EGGS / alternative fuel / BDN
Comments
Comments

– Additional comments
16 Accommodation and catering
16.1 Cleanliness / hygiene
16.2 Sanitary arrangements
16.3 Mess and recreation facilities
16.4 Food and food storage
16.5 Fire fighting arrangements
16.6 Overall condition
16.7 Fire Dampers

Comments

18 Passenger ships 19 Additional for bulk carriers


18.1 Emergency plans 19.1 Shippers’ declaration on board
18.2 Zone isolation operation 19.2 Loading instruments / loading booklet
18.3 Sprinkler Auto Pump cut-in 19.3 Master’s Report
18.4 Sprinkler station alarms 19.4 Monitoring equipment: Oxygen gas, pH and Temperature
18.5 Lifeboats; identify which boats were inspected 19.5 Aqequacy of hold closing arrangements and ventilators;
18.6 Passenger cabin emergency information give details of inspection and condition found
19.6 Electrical equipment and cabling / gas sampling points
18.7 Evacuation direction signs
19.7 Cargo hold(s) internal inspection; give Yes No
18.8 Emergency lighting
details of inspection and condition found
18.9 Watertight doors, local & remote; identify which doors 19.8 Enhanced Survey records Yes No N/A
were tested
18.10 Rescue and Fast Rescue Boat
19.9 Water Ingress Alarm System
18.11 Emergency drills demonstration
19.10 De-watering arrangement
18.12 Procedures & responsibilities for incident response
19.11 Procedures and responsibilities for cargo operations
Comments
Comments
20 Additional for RO-RO’s 21 Additional for gas / chemical / oil tankers
20.1 Shell doors locking and sealing arrangements; if carried 21.1 Procedures and responsibilities for cargo handling
out, identify which doors were inspected / tested operations
20.2 Vehicle Deck drainage; if carried out, identify which 21.2 L.G. system signed, in operation Yes No
drainage arrangements were tested 21.3 Pumproom and pumproom ventilation system
20.3 Ramp / bulwarks / guard rails
21.4 Venting, purging, gas-freeing and ventilation
20.4 Cargo securing arrangements
21.5 Fire protection for cargo tanks deck area
20.5 Fire fighting arrangements
21.6 Portable oxygen / gas measuring instruments
20.6 Fire protection arrangements
21.7 Emergency towing arrangement and procedures
20.7 General structural inspections
21.8 Oil discharge monitor
20.8 Water fog and foam applicators
Comments Comments

Additional for ships carrying containers 24 Maritime Labour Convention 2006


22
and general cargoes MDI Yes No
22.1 Cargo securing arrangements 24.1 Certification
22.2 Dangerous goods 24.2 Minimum age
22.3 Navigation bridge visibility 24.3 Medical certificates

Comments 24.4 Training and qualifications


24.5 Recruitment and placement
24.6 Seafarers Employment Agreements (SEA)
24.7 Wages
24.8 Hours of work and hours of rest
24.9 Entitlement to leave
23 Additional for Australian vessels FSC 24.10 Repatriation
23.1 Medical Locker Certificate (MO11) 24.11 Manning levels
23.2 Fire Fighting Applicance Certificate 24.12 Accommodation and recreational facilities
23.3 Portable extinguishers comply with AS and MO15 24.13 Food and catering
23.4 Certificates of Medical Fitness (MO9) 24.14 Medical care on board ship and ashore
23.5 Lift Certificate
24.15 Ship owners’ liability
23.6 Liferaft Certificate 24.16 Health and Safety protection
23.7 Fixed oxy/acetylene installation (MO12) 24.17 Social Security
23.8 OHS(MI) arrangements; for MDI use Yes No
24.18 On board compliant procedure
OHS(MI) checklist AMSA1108 - Comments
OHS(MI) Inspection - Ade Memoire (ref ITS63)

Comments
25 Ships using gas or other low-flashpoint fuels – Additional comments
25.1 Record of drills and emergency exercise
25.2 Training and certification for personnel
25.3 Maintenance procedures for gas installations
25.4 Emergency shut down operation
25.5 Airlocks / ventilation
25.6 Fuel pipes, tanks and pressure relief arrangements
25.7 Fire detection and alarm system for fuel gas area
25.8 Electrical equipment
25.9 Gas detection / monitoring / shutdowns / remote stops
25.10 Inert Gas System
Comments

– Additional comments – Additional comments

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