船名.泊位.到港A組普通散裝液貨船舶裝卸區代號備注A1.船舶系泊是否安全？□□A2.應急拖纜是否放置正確？□□A3.船岸之間有否安全通道？□□A4.船能否靠自己動力移泊？□PA5.船上是否派有甲板值崗人員？船岸雙方是否作出適當的監督？□□A6.船岸之間通訊聯系是否已協商好？□□AA7.貨物、燃料油和壓載水的裝卸程序是否協商妥當？□□AA8.應急關閉程序是否已商定？□□AA9.船岸救火管和滅火設備是否備好并能立即使用？□□A10.裝卸貨物、燃料油的軟管是否完好，裝配是否妥當？檢查裝卸索具證書。□□A11.船岸雙方是否有效地堵住甲板排水孑L滴漏盤是否已放好？□□A12.不使用的貨物和燃油管系接頭包括船尾排出管系是否安裝妥當？□□A13.不使用的海水閥和舷外排出閥是否關閉或用繩子捆扎好？□□A14.所有的貨艙和燃油艙是否都蓋好？□□A15.艙柜通風系統的使用是否已協商好？□□AA16.允許使用的噴燈是否已保管好？□□A17.VHF/UHF接收儀是否是便攜式的？□□A18.船上的主發訊機天線是否接地，雷達是否關閉？□A19.便攜式電氣設備的用纜是否與主電源分離？□□A20.船中艙室的外部門的出入□是否關好？□□A21.船尾艙室通向貨艙甲板的外部門和出入口是否關閉？□□A22.有可能吸入貨物蒸氣的空調系統入口是否已關閉？□□A23.窗式空調裝置是否已撤離？□□A24.是否遵守吸煙規定？□□A25.是否按規定使用廚房和其他佐餐設備？□□A26.是否遵守明火作業規定？□□A27.是否有應急逃脫的可能，性？□□A28.船岸雙方是否有足夠的急救人員？□□A29.在船岸之間的連接處是否有合適的隔離？□□.停泊港.A30.是否采取措施保證泵間的足夠通風？□日期到港時間填寫說明：有關安全操作的所有問題必須作肯定的回答，填入空格內口；如果不能作肯定回答的必須說明理由，并且船岸雙方應采取適當的預防辦法達成協議，在實際操作中，有些必須注意的事項在上表中未列出，可填入備注一欄。“船舶”和“裝卸區”一欄內的空格口，由有關當事人進行檢查填寫。在“代號"一欄內字胃“A”和“P”的含義：A——表示記載程序和協議需要雙方當事人簽署。P——表示對操作持否定回答時，如沒有港口當局的允許，就不能進行。SHIP/SHORESAFETYCHECKLIST船/岸安全梭查表Ship’sName:VoyageNo.:船名：航次：Port/Berth:Date/TimeofArrival:港口/碼^：到建日期/畤^：二INSTRUCTIONSFORCOMPLETION填舄^明：Thesafetyofoperationsrequiresthatallquestionsshouldbeansweredaffirmativelybyclearlyticking0theappropriatebox.Ifanaffirmativeanswerisnotpossible,thereasonshouldbegivenandagreementreacheduponappropriateprecautionstobetakenbetweentheshipandtheterminal.Whereanyquestionisconsideredtobenotapplicable,thenanotetothateffectshouldbeinsertedintheremarkscolumn.安全作棠要求所有冏題Ji肯定予以回答，亞以打勾se?於逾富空格；如非舄肯定回答，雁^截原因，且船岸^在探取逾富注意事^上we成嫁Bo^任何冏題言忍舄不逾用畤，在偷志主稠w予以^明。Aboxinthecolumns"ship”and"terminal”indicatesthatchecksshouldbecarriedoutbythepartyconcerned.在“船方”典“岸方”稠上之空格表示有^罩位w檢查之項目。ThepresenceofthelettersA,PorRinthecolumn"Code”indicatesthefollowing:在“代碣”稠上所出現之字母A,P或R之意羲^明如次：A-anyproceduresandagreementsshouldbeinwritingintheremarkscolumnofthisChecklistorothermutuallyacceptableform.Ineithercase,thesignatureofbothpartiesshouldberequired.w以害面之程序或嫁Be?於本檢查表之偷主稠上或其他經燮方同意之格式上，不^何*重方式燮方代表w箓署之。P-inthecaseofanegativeanswer,theoperationshouldnotbecarriedoutwithoutthepermissionofthePortAuthority.回答如舄否定，未經港口富局同意不得作棠。R-indicatesitemstobere-checkedatintervalsnotexceedingthatagreedinthedeclaration.表示在馨明所嫁BN畤^內^吊復檢。PART“A”-BULKLIQUIDGENERAL第A部份-液貨船一般項目General一般項目一S岸d<C代Remarks偷主1Istheshipsecurelymoored?液貨船是否牢牢地繁好？□S□RStopcargoat:液貨停止：——Disconnectat:拆裝卸臂：一Unberthat:融^礁蔭：——ktswindvel.—筋囤速。ktswindvel.—筋囤速。ktswindvel.—笛國*速2Areemergencytowingwirescorrectlypositioned?w急盼融翻索正碓地定位？□□R3Istheresafeaccessbetweenshipandterminal?液皆船/翌卸液皆祜固之安全通道良好？□□R4Istheshipreadytomoveunderitsownpower?液宵船在自行之勤力下可弓畤移勤？一一…________________________________________________□□PR

5Isthereaneffectivedeckwatchinattendanceonboardandadequatesupervisionontheterminalandontheships?液貨船上留有足豹人^作有效之甲板常值，液貨船及裝卸液貨站均有遒常既督？□□R6Istheagreedship/terminalcommunicationsystemoperative?一一—^M船/裝卸液＞站＞麝羲之通信可操作?□□AR7Hastheemergencysignaltobeusedbytheshipandterminalbeenexplainedandunderstood?一一―至否已固明亞瞭解船岸》使用之BB信^一?□□A8Havetheproceduresforcargoandballasthandlingbeenagreed?-液M及?操作程序棠朋意？□□AR9Havethehazardsassociatedwithtoxicsubstancesinthecargobeinghandledbeenidentifiedandunderstood?-…一一是否已字碓言忍^瞭解寒奘卸液宵中有害一佳隨有毒之物暨？□□10Hastheemergencyshutdownprocedurebeenagreed?暴急停止程序翹同意？□□A11Arefirehosesandfire-fightingequipmentonboardandashorepositionedandreadyforimmediateuse?—一―^船上及崖上面！有之消防皮^及消防殳俺是否定位且隨藤可供使用一?_一――□□R

PART“A”-BULKLIQUIDGENERAL（cont）第A部份-液貨船一般項目（^）General一般項目方船Drns_1[IB代Remarks偷言主12Arecargohoses/armsingoodcondition,properlyriggedandappropriatefortheserviceintended?一一―面有液皆救管^凄卸液皆臂情況良好且建妥常亞己晶用？...□.._.........13Arescupperseffectivelypluggedanddriptraysinposition,bothonboardandashore?』仕上及岸方之所有排水孔塞住，滴油池定位？口□R14Areunusedcargoconnectionsproperlysecuredwithblankflangesfullybolted?已使用之液皆速接奘詈已以盲板封死？口□15Areseaandoverboarddischargevalves,whennotinuse,closedandvisiblysecured?一一…一不使用之通海及排出船外^已^窗W固定聚密？□□16Areallcargoandbunkertanklidsclosed?所有液皆贍贍口蒸均已曜靂？口□17Istheagreedtankventingsystembeingused?已使用御同意之通氯系統？□□AR18HastheoperationoftheP/Vvalvesand/orhighvelocityventsbeenverifiedusingthecheckliftfacility,wherefitted?厘力/真空^及/或高速通麻奘置之操作是否已利用止回項梓奘置檢查栽施（俺有曉）碓施,？...□.._.........19Arehandtorchesofanapprovedtype?學?筒罅^可之型式？...□.._.........20AreportableVHF/UHFtransceiversofanapprovedtype?葬.急一.VHF/UHF?堂益董瞄經^回型式？...□.._.........21Aretheshiphainradiotransmitteraerialsearthedandradarsswitchedoff?一一―液宵船上主黑『雷馥射^天塔已接地且》已屈掉？□□22Areelectriccablestoportableelectricalequipmentdisconnectedfrompower?一一―■接移重力式雷標奘置之雷備泉已彳簿雷源切融？□□23Areallexternaldoorsandportsintheaccommodationclosed?由泣之所有通外部P!及透氮孔已嬲？□□R24Arewindow-typeairconditioningunitsdisconnected?項有窗型冷氯已盛鼠？□□25Areairconditioningintakeswhichmaypermitentryofcargovaporsclosed?一一―旦能M致夜皆麻醴引入冷M系統之ABOR鹿四？□□26Aretherequirementsforuseofgalleyequipmentandothercookingappliancesbeingobserved?...□.._.........R27Aresmokingrequirementsbeingobserved?金守吸瞞定？□□R28Arenakedlightrequirementsbeingobserved?遵守裸火使用之規，定？□□R29Isthereprovisionforanemergencyescapepossibility?俺有聚急逃盼能力？□□30Aresufficientpersonnelonboardandterminaltodealwithanemergency?一一―至一否有足?人景在夜箕船罷奘卸液貨站以廢付累急情汾？□□R31Areadequateinsulatingmeansinplaceintheship/terminalconnection?_液割船/奘卸夜宵站譚接奘置是否有逋渚之君危^措施？□□32Havemeasuresbeentakentoensuresufficientpumproomventilation?是否有垛取措施碓保液宵泵^之通鬧,？□□R33Iftheshipiscapableofclosedloading,havetherequirementsforclosedoperationsbeenagreed?玄舞船能以封^式奘戴，有匾封留式操作是否已幽窈^？□□R34Hasavapourreturnlinebeenconnected?盞尊回流管是否已接通？□□35Ifavapourreturnlineisconnected,haveoperationparametersbeenagreed?玄果蒸盞回流管已接通有^操作參敷是否已幽窈^？□□36Areshipemergencyfirecontrolplanslocatedexternally?船上瞧急火房控制圄是否置於室外？□□

PART“A”-BULKLIQUIDGENERAL（cont）第A部份-液貨船一般項目（^）Iftheshipisfitted,orrequiredtobefitted,withanInertGasSystemthefollowingquestionsshouldbeanswered.如果船上已安裝或被要求安裝惰麻系統，雁回答下列冏題。InertGasSystem惰麻系統方船D*nsh方B代Remarks偷言主37IstheInertGasSystemfullyoperationalandingoodworkingorder?…口—.........P38Aredecksealsingoodworkingorder?□□R39AreliquidlevelsinP/Vbreakerscorrect?凰力/直空主凰器穴之液位是否正時q□R40Havethefixedandportableoxygenanalyzersbeencalibratedandaretheyworkingproperly?壺定式及移勤式氧分析偎是否已校正目潭作正常？□□R41ArefixedIGpressureandoxygencontentrecordersworking?固定式之惰氯凰力典含氧量弟，能倦是否一潭作一正常？q□R42Areallcargotankatmospheresatpositivepressurewithanoxygencontentof8%orlessbyvolume?所有液皆贍大氨是否考持正米,且其含氧量以醴植池低於8%?□□PR43ArealltheindividualtankIGvalves(iffitted)correctlysetandlocked?所有各印液皆贍之惰氯控制惆(俺有H寺)是否在正碓位置正予以凝？…□□R44AreallthepersonsinchargeofcargooperationsawarethatinthecaseoffailureoftheInertGasPlant,dischargeoperationsshouldceaseandtheterminalbeadvised?是否所有^^液貨卸貨人^瞭解常惰麻系統故障H,雁停止卸貨作棠，亞通知卸皆站人昌？□□Iftheshipisfittedwithacrudeoilwashing（COW）system,andintendstocrudeoilwash,thefollowingquestionsshouldbeanswered.如果船上安裝原油洗贍且攝施行原油洗晦雁回答下列冏題。CrudeOilWashing原油洗贍方船D*nsh岸B代Remarks偷主45IsthePre-ArrivalCrudeOilWashingChecklist,ascontainedintheapprovedCrudeOilWashingManual,satisfactorilycompleted?一.…原油洗贍到建港前檢杳表（如）々可原油洗贍手研所列者）已妥善完成？□□46IstheCrudeOilWashingChecklistforusebefore,duringandafterCrudeOilWashing,ascontainedintheapprovedCrudeOilWashingManual,availableandbeingused?洗贍前、逵行中及洗嶺爰之原油洗贍檢查表（如疆忍可原油洗贍手冊所列者）偏妥可供使用.亞正在使用中？□□RIstheshipisplanningtotankcleanalongside,thefollowingquestionsshouldbeanswered.如船言十割靠碣^洗贍，雁回答下列冏題。TankCleaning洗贍方船D.&Sh方Remarks偷主Aretankcleaningoperat