Annex 4B – Survey Planning Questionnaire
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - International Codes - 2011 ESP Code – International Code on the Enhanced Programme of Inspections During Surveys of Bulk Carriers and Oil Tankers, 2011 – Resolution A.1049(27) - Annex A – Code on the Enhanced Programme of Inspections During the Surveys of Bulk Carriers - Part A – Code on the Enhanced Programme of Inspections During Surveys of Bulk Carriers having Single-Side Skin Construction - Annex 4B – Survey Planning Questionnaire

Annex 4B – Survey Planning Questionnaire

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

1 Particulars

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

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

The owner shall 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. normally within reach of hand.

Hold/Tank No. Structure Permanent means of access Temporary
staging 		Rafts Ladders Direct access Other means (please specify)
F.P. Fore peak            
A.P. Aft peak            
Cargo holds Hatch side coamings            
Topside sloping plate            
Upper stool plating            
Cross deck            
Side shell, frames and brackets            
Transverse bulkhead            
Hopper tank plating            
Lower stool            
Tank top            
Topside tanks Under deck structure            
Side shell and structure            
Sloping plate and structure            
Webs and bulkheads            
Hopper tanks Hopper sloping plate and structure            
Side shell and structure            
Bottom structure            
Webs and bulkheads            
  Double-bottom structure            
  Upper stool internal structure            
  Lower stool internal structure            
History of bulk cargoes of a corrosive nature (e.g. high sulphur content)
 
 
 
 
 
 

 3 Owner's inspections

Using a format similar to that of the table below (which is given as an example), the owner shall provide details of the results of their inspections, for the last 3 years – in accordance with the Code – on all CARGO holds and BALLAST tanks and VOID spaces within the cargo area.

Tank/Hold No. Corrosion protection (1) Coating extent (2) Coating condition (3) Structural deterioration (4) Hold and tank history (5)
Cargo holds          
Topside tanks          
Hopper tanks          
Double-side skin tanks          
Double-bottom tanks          
Upper stools          
Lower stools          
           
Fore peak          
Aft peak          
Miscellaneous other spaces:          
Note:      
Indicate tanks which are used for oil/ballast.

Name of owner's representative

  
1) HC = hard coating; SC = soft coating;

......................................................................

  
  SH = semi-hard coating; NP = no protection

Signature:......................................................

  
   

Date:.............................................................

  
2) U = upper part; M = middle part;    
  L = lower part; C = complete    
       
3) G = good; F = fair; P = poor;    
  RC = recoated (during the last three 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 to be attached to this questionnaire)  

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

 
 
 
 
 
 
Parent topic: Part A – Code on the Enhanced Programme of Inspections During Surveys of Bulk Carriers having Single-Side Skin Construction
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