Annex 6B - Survey Planning Questionnaire
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Statutory Documents - IMO Publications and Documents - Resolutions - Assembly - IMO Resolution A.744(18) – Guidelines on the Enhanced Programme of Inspections During Surveys for Bulk Carriers and Oil Tankers – (Adopted on 4 November 1993) - Annex B - Guidelines on the Enhanced Programme of Inspection During Surveys for Oil Tankers - Part A - Guidelines on the Enhanced Programme of Inspections During Surveys of Double Hull Oil Tankers - Annex 6B - Survey Planning Questionnaire

Annex 6B - Survey Planning Questionnaire

 The following information will enable the owner in co-operation with the Administration to develop a survey programme complying with the requirements of the Guidelines. It is essential that the owner provides, when completing the present questionnaire, up-to-date information. The present questionnaire, when completed, should provide all information and material required by the resolution.

Parent topic: Part A - Guidelines on the Enhanced Programme of Inspections During Surveys of Double Hull Oil Tankers

Particulars

Ship's name:
IMO number:
Flag State:
Port of registry:
Owner:
Recognized organization (RO):
Gross tonnage:
Deadweight (metric tonnes):
Date of delivery:

Information on access provision for close-up surveys and thickness measurement:

 The owner should indicate, in the table below, the means of access to the structures subject to close-up survey and thickness measurement. A close-up survey is an examination where the details of structural components are within the close visual inspection range of the attending surveyor, i.e. preferably within reach of hand.

Tank No. Structure C (Cargo)/
B (Ballast) 		Temporary staging Rafts Ladders Direct access Other means
(please specify)
F.P. Fore peak            
A.P. Aft peak            
Wing Tanks Under deck            
Side shell            
Bottom transverse            
Longitudinal            
Transverse            
Centre Tanks Under deck            
Bottom transverse            
Transverse            

History of cargo with H2S content or heated cargo for the last 3 years together with indication as to whether cargo was heated and, where available, Marine Safety Data Sheets (MSDS) footnote
 
 
 
 
 
 
 
 
 
 

Owner's inspections

 Using a format similar to that of the table below (which is given as an example), the owner should provide details of the results of their inspections for the last 3 years on all cargo and ballast tanks and void spaces within the cargo area, including peak tanks.

Tank No. Corrosion protection
(1) 		Coating extent
(2) 		Coating condition
(3) 		Structural deterioration
(4) 		Tank damage history
(5)
Cargo centre tanks          
           
           
           
           
Cargo wing tanks          
           
           
           
           
Slop          
           
           
           
Ballast tanks          
Aft peak          
           
           
           
           
           
Fore peak          
           
Miscellaneous spaces          
           
           

Note :

Indicate tanks which are used for oil/ballast

1) HC=hard coating; SC=soft coating; A=anodes; NP=no protection

2)U=upper part; M=middle part; L=lower part; C=complete

3) G=good; F=fair; P=poor; RC=recoated (during the last 3 years)

4) N=no findings recorded; Y=findings recorded, description of findings should be attached to this questionnaire

5) DR=Damage & Repair; L=Leakages; CV= Conversion (description should be attached to this questionnaire)

Name of owner's representative:
 
....................................................................
 
Signature: ............................................
Date: ...................................................
 

Reports of Port State Control inspections

List the reports of Port State Control inspections containing hull structural related deficiencies and relevant information on rectification of the deficiencies:
 
 
 
 
 
 

Safety Management System

List non-conformities related to hull maintenance, including the associated corrective actions:
 
 
 
 
 
 

Name and address of the approved thickness measurement company:

 
 
 
 
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