Grounding Incident and Communications checklists Annex A
\...., Note: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40, GROUNING I STRANING I WRECKE INCIENT CHECKLIST This checklist is for use by the Command Team in the event of an incident It should be used in conjunction with the additional checklists for oll pollution lncldeats (2.) and other incident checklists, as appropriate This cbeddist must be retained as documentary evidence. Completed 9 o. IZ?' 10 m o 0 I!?' IZJ' Stop engines (assess damage before trying to refloat) Call master Advise engine room Exhibit lights/shapes Switch on VHF "channel 16" Close all watertight doors and follow amage Control Plan instructions Muster crew as required and commence damage assessment and response (instruct crew re "what.to look for'' and txtend assessment area as necessary) Musterpax Sound all tanks, bilges, efo. Check for oil spillage in water? (also use oil spill checklist if yes) Party assigned damage control to check internal damage If shell plating holed, assess rate of water intake Sound around vessel and assess how fast aground Establish nature of bottom Check sea suctions Fix vessel's position and time Advise P A. if not available another shore.side person.from the i esse/ s BackUp Team Infonn office Notify Port State Authority { 7o,1 e11. "ul'l / 11.M, 1,,,i.+.,>Th J. Check machinery & propellers for damage and tail shaft for oil loss Check state of tide Assess if vessel likely to refloat next high water Check weather/forecast Consider additional ballast to prevent vessel going further aground or pounding Use of anchor (consider vessel maybe sitting on anchor) Course and speed at time of grounding Note drafts both before grounding and when aground Pilot in attendance? " /.J. If tugs in attendance note where fast and direction of pull/push Check for injuries to passengers and crew Statements ofoow and witnesses (note their addresses) Assistance required Classification surveyor attendance/report P&I Club attendance/report Chart with positions up to time of grounding Course recorder printout ER data logger printout Time of refloating Enter facts in deck and engine log books 1.3 Master Emergency Contingency Plan {Pax) Version: I Issued: I 2/95 Revision: 8 Issued: 05i I 0 PageS.1.7
GROUNING I STRANING I WRECKE COMMlJNICATIONS CHECKLIST 1.3A Note: Tbls cbeckllst ls for use by the Command Team, wheo repordng upon the emergency. the Incident Coordinator receiving the Master's cau.. Faxing this checklist list may be the mo1t efficient method for the Command Te1m to followup an Initial verbal commuo.lc:adon. Tllis checklist must be retained as documentary evidence. Ship: Position : U. /1 k 1? J /2 { Local Time: /? Zr GMT / 2, l. Tu I? ("' fl h u 12 { 1. Cause (2.:,,<.. {; U,1,<.. r;, t v :i. ) /t1 i' f:.,.,., l C 2. Exact position j_ t"'?y Orl v J.. t')n /. /'\? 1 'f t.f '1, 3. Wind and weather conditions ') s. c k.,!l /.; {;1< vr:m, ) 4. irection of current 5. Tidal conditions Time of High water Time of Low water Local GMT Local GMT./f Cl Iv Cl I} c 1' /). t l 6. Tidal range 7. raft before grounding F. A. M. 'J. fv j. $ 8. raft after grounding F. A. M. /< /ti/4 9. Soundings around the vessel C H G F 10. Time Sounding Taken Sov"o,..., fj. (c' ll F::.t1.,.., t.., A ( ( o l,{. 1,1,,..,1( 6 /<, (/,<.n.,1 /J.S](,,t l//1,[ I/\A I, /l/1. 11. Bottom condition lo t]c. 1.J,. r,l'i. h,.. 12. Machinery conditions fc,t'i r ftt,l'(,{(<'l'f. I..<.A ('';lv/1 [( 17 I E.J. 13. Steering machinery conditions )).J'. J '" /J.o;; ry Emergency Contingency Plan (Pax) j Version: l Issued: 12/95 I Revision: 8 Issued: 05/l O, Page 5.1.8 I
GROUNING I STRANING I WRECKE COMMUNICATIONS CHECKLIST 14. Other equipment conditions 1.3A 15. Possible leaks To (7 (,,<., ii:. ( I! /f' (rl 16. Other damages {/.id:> c /7 t), 1 l'/ r1 v,,., 'i 1..;,,<, 17. Risk factors for vessel and crew fo I}{ c.,(/ F/n.,,,,., ( A 18. Pax condition/morale 19. Bunker onboarddistribution /f,/ o. o /1.,c., e 20. Ballast/Fresh water distribution 21. Trimming possibilities 22. Listing possibilities 23. Master I Pilot opinion on the possibilities of refloating the vessel without assistance. r,t: /1,",,,;, f!'d t I"> d. r"\y f.tv f,.,...t,<.? (' t' <,,c. T o'\n ' f'< yq..._. k '2.) ('.., n:/ 1;, <;t7 '?..).., I<... /t.,i /...,P, /], Initial ship contact (local time I date): Communication method: Members of back up team informed: (local time I date) PA: CEO: M and Other BuckUp Team members: 1/ i.l;,t,1. Master/ Incident Coordinator Name Emergency Contingency Plan (Pax) Version: I Issued: 12/95 Revision: 8 Issued: OSI 10 Page 5.1.9
...._ Fuel Report Fuel Report ate: ll.cj),v,tf'".. ate : Port: 8 /3t. F A'2; r {a;y dep. noon Port: H.F.O. H.F.O. Tk# 4.0 C Tk# 4.1 = q, 2 r Tk#4.2P (J1 t, T" l p.o Tk# 4.2S Tk# 4.4 = 0 Tk#4.5 _;:;.,, I ct' CJ Tk# 4.7.. 4:f., Z, Tk# 4.8.. Tk# 4.10 ' ' r =..2r' Tk# 4.11 0 Tk# 4.12 = 151'2.., Total: M..O. Tk# 4.6 = (.!, y J 'I JS.2. 'i )1..{r.. Tk# 5.1.. Tk# 5.2 43, b..,. Tk# 5.3 ; 2., = '1.,... Total: M.G.O. & Lub.oll Tk# 5. Tk# 5.6 =.... II. c ).. 1 IY/ r Tk# 4.0 = c; Tk# 4.1 =. /(. "::j arr. dep. (fiocm ). :J Tk# 4.2P 1 f v c SlC.o. Tk# 4.25 = 0 Tk# 4.4 = 0.!t 6 A (.? Tk# 4.5 = Tk# 4.7 = 11. 2 (',/,1 Tk#.. 4.8 = 6 2. Tk#. 4.10. = 6.. Tk# 4.11 0. Tk# 4.12 = /5.2 6. Total: M..O. Tk# 4.6 /'5". _g. Tk# 5.1 = /{ '... Tk#. 5.2 = /] b Tk# 5.3 3.2. 't Total: = M.G.O. & Lub.oll.... Tk# 5.4 =.... Tk# 5.6 f =.... Total: Lub.oll =.S, 1 Total: =..... I Lub.oll s I Antvab( mllh) ( 3 ffllln) St/By I(;. 12.,we t8 '. 2'1 eplll'tunt: ( mlln) 8t/By Pep.Time FAW IAntval: ( mh ) ( mll > It/By FWe eparture: ( mll.. ) St/By Pep.Time FAW
Form SAF09 Voyage and Passage Plan Annex B