Appendix 3 – Model Checklist for In-Transit Fumigation
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - Circulars - Maritime Safety Committee - MSC.1/Circular.1264 – Recommendations on the Safe Use of Pesticides in Ships Applicable to the Fumigation of Cargo Holds – (27 May 2008)Amended by MSC.1/Circular.1396. - Annex – Recommendations on the Safe Use of Pesticides in Ships Applicable to the Fumigation of Cargo Holds - Appendix 3 – Model Checklist for In-Transit Fumigation

Appendix 3 – Model Checklist for In-Transit Fumigation

Date: . . . . . . . . . . . .
Port: . . . . . . . . . . . . Terminal/Quay: . . . . . . . . . . . . . . . . . . . . . .
Ship’s name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Type of fumigant: . . . . . . . . . Method of application: . . . . . . . . . . . .
Date & time fumigation commenced: . . . . . . . . . . . . . . . . . . . . . . . .
Name of fumigator/company: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 The master and fumigator-in-charge, or their representatives, should complete the checklist jointly. The purpose of this checklist is to ensure that the responsibilities and requirements of 3.3.2.11, and 3.3.2.12 are carried out fully for in-transit fumigation under section 3.3.2.9.

 Safety of operations requires that all questions should be answered affirmatively by ticking the appropriate boxes. If this is not possible, the reason should be given and agreement reached upon precautions to be taken between ship and fumigator-in-charge. If a question is considered to be not applicable write “n/a”, explaining why, if appropriate.


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