Imo Number

Name

Inspection Number

ISGOTT CHECKS PRE-ARRIVAL SHIP/SHORE SAFETY CHECKLIST

Date and time:
Port and berth:
Tanker:
Terminal:
Product to be transferred:
Part 1A. Tanker: checks pre-arrival
Item Check Status Remarks
1 Pre-arrival information is exchanged (6.5, 21.2)
Yes
2 International shore fire connection is available (5.5, 19.4.3.1)
Yes
3 Transfer hoses are of suitable construction (18.2)
Yes
4 Terminal information booklet reviewed (15.2.2)
Yes
5 Pre-berthing information is exchanged (21.3, 22.3)
Yes
6 Pressure/vacuum valves and/or high velocity vents are operational (11.1.8)
Yes
7 Fixed and portable oxygen analysers are operational (2.4)
Yes
Part 1B. Tanker: checks pre-arrival if using an inert gas system
Item Check Status Remarks
8 Inert gas system pressure and oxygen recorders are operational (11.1.5.2, 11.1.11)
Yes
9 Inert gas system and associated equipment are operational (11.1.5.2, 11.1.11)
Yes
10 Cargo tank atmospheres’ oxygen content is less than 8% (11.1.3)
Yes
11 Cargo tank atmospheres are at positive pressure (11.1.3)
Yes
Part 2. Terminal: checks pre-arrival
Item Check Status Remarks
12 Pre-arrival information is exchanged (6.5, 21.2)
Yes
13 International shore fire connection is available (5.5, 19.4.3.1, 19.4.3.5)
Yes
14 Transfer equipment is of suitable construction (18.1, 18.2)
Yes
15 Terminal information booklet transmitted to tanker (15.2.2)
Yes
16 Pre-berthing information is exchanged (21.3, 22.3)
Yes

ISGOTT CHECKS AFTER MOORING SHIP/SHORE SAFETY CHECKLIST

Part 3. Tanker: checks after mooring
Item Check Status Remarks
17 Fendering is effective (22.4.1)
Yes
18 Mooring arrangement is effective (22.2, 22.4.3)
Yes
19 Access to and from the tanker is safe (16.4)
Yes
20 Scuppers and savealls are plugged (23.7.4, 23.7.5)
Yes
21 Cargo system sea connections and overboard discharges are secured (23.7.3)
Yes
22 Very high frequency and ultra high frequency transceivers are set to low power mode (4.11.6, 4.13.2.2)
Yes
23 External openings in superstructures are controlled (23.1)
Yes
24 Pumproom ventilation is effective (10.12.2)
Yes
25 Medium frequency/high frequency radio antennae are isolated (4.11.4, 4.13.2.1)
Yes
26 Accommodation spaces are at positive pressure (23.2)
Yes
27 Fire control plans are readily available (9.11.2.5)
Yes
Part 4. Terminal: checks after mooring
Item Check Status Remarks
28 Fendering is effective (22.4.1)
Yes
29 Tanker is moored according to the terminal mooring plan (22.2, 22.4.3)
Yes
30 Access to and from the terminal is safe (16.4)
Yes
31 Spill containment and sumps are secure (18.4.2, 18.4.3, 23.7.4, 23.7.5)
Yes

ISGOTT CHECKS PRE-TRANSFER SHIP/SHORE SAFETY CHECKLIST

Date and time:
Port and berth:
Tanker:
Terminal:
Product to be transferred:
Part 5A. Tanker and terminal: pre-transfer conference
Item Check Tanker status Terminal status Remarks
32 Tanker is ready to move at agreed notice period (9.11, 21.7.1.1, 22.5.4)
Yes
Yes
33 Effective tanker and terminal communications are established (21.1.1, 21.1.2)
Yes
Yes
34 Transfer equipment is in safe condition (isolated, drained and de-pressurised) (18.4.1)
Yes
Yes
35 Operation supervision and watchkeeping is adequate (7.9, 23.11)
Yes
Yes
36 There are sufficient personnel to deal with an emergency (9.11.2.2, 23.11)
Yes
Yes
37 Smoking restrictions and designated smoking areas are established (4.10, 23.10)
Yes
Yes
38 Naked light restrictions are established (4.10.1)
Yes
Yes
39 Control of electrical and electronic devices is agreed (4.11, 4.12)
Yes
Yes
40 Means of emergency escape from both tanker and terminal are established (20.5)
Yes
Yes
41 Firefighting equipment is ready for use (5, 19.4, 23.8)
Yes
Yes
42 Oil spill clean-up material is available (20.4)
Yes
Yes
43 Manifolds are properly connected (23.6.1)
Yes
Yes
44 Sampling and gauging protocols are agreed (23.5.3.2, 23.7.7.5)
Yes
Yes
45 Procedures for cargo, bunkers and ballast handling operations are agreed (21.4, 21.5, 21.6)
Yes
Yes
46 Cargo transfer management controls are agreed (12.1)
Yes
Yes
47 Cargo tank cleaning requirements, including crude oil washing, are agreed (12.3, 12.5, 21.4.1)
Yes
Yes
48 Cargo tank gas freeing arrangements agreed (12.4)
Yes
Yes
49 Cargo and bunker slop handling requirements agreed (12.1, 21.2, 21.4)
Yes
Yes
50 Routine for regular checks on cargo transferred are agreed (23.7.2)
Yes
Yes
51 Emergency signals and shutdown procedures are agreed (12.1.6.3, 18.5, 21.1.2)
Yes
Yes
52 Safety data sheets are available (1.4.4, 20.1, 21.4)
Yes
Yes
53 Hazardous properties of the products to be transferred are discussed (1.2, 1.4)
Yes
Yes
54 Electrical insulation of the tanker/terminal interface is effective (12.9.5, 17.4, 18.2.14)
Yes
Yes
55 Tank venting system and closed operation procedures are agreed (11.3.3.1, 21.4, 21.5, 23.3.3)
Yes
Yes
56 Vapour return line operational parameters are agreed (11.5, 18.3, 23.7.7)
Yes
Yes
57 Measures to avoid back-filling are agreed (12.1.13.7)
Yes
Yes
58 Status of unused cargo and bunker connections is satisfactory (23.7.1, 23.7.6)
Yes
Yes
59 Portable very high frequency and ultra high frequency radios are intrinsically safe (4.12.4, 21.1.1)
Yes
Yes
60 Procedures for receiving nitrogen from terminal to cargo tank are agreed (12.1.14.8)
Yes
Yes
Additional for chemical tankers Checks pre-transfer
Part 5B. Tanker and terminal: bulk liquid chemicals. Checks pre-transfer
Item Check Tanker status Terminal status Remarks
61 Inhibition certificate received (if required) from manufacturer
Yes
Yes
62 Appropriate personal protective equipment identified and available (4.8.1)
Yes
Yes
63 Countermeasures against personal contact with cargo are agreed (1.4)
Yes
Yes
64 Cargo handling rate and relationship with valve closure times and automatic shutdown systems is agreed (16.8, 21.4, 21.5, 21.6)
Yes
Yes
65 Cargo system gauge operation and alarm set points are confirmed (12.1.6.6.1)
Yes
Yes
66 Adequate portable vapour detection instruments are in use (2.4)
Yes
Yes
67 Information on firefighting media and procedures is exchanged (5, 19)
Yes
Yes
68 Transfer hoses confirmed suitable for the product being handled (18.2)
Yes
Yes
69 Confirm cargo handling is only by a permanent installed pipeline system
Yes
Yes
70 Procedures are in place to receive nitrogen from the terminal for inerting or purging (12.1.14.8)
Yes
Yes
Additional for gas tankers Checks pre-transfer
Part 5C. Tanker and terminal: liquefied gas. Checks pre-transfer
Item Check Tanker status Terminal status Remarks
71 Inhibition certificate received (if required) from manufacturer
Yes
Yes
72 Water spray system is operational (5.3.1, 19.4.3)
Yes
Yes
73 Appropriate personal protective equipment is identified and available (4.8.1)
Yes
Yes
74 Remote control valves are operational
Yes
Yes
75 Cargo pumps and compressors are operational
Yes
Yes
76 Maximum working pressures are agreed between tanker and terminal (21.4, 21.5, 21.6)
Yes
Yes
77 Reliquefaction or boil-off control equipment is operational
Yes
Yes
78 Gas detection equipment is appropriately set for the cargo (2.4)
Yes
Yes
79 Cargo system gauge operation and alarm set points are confirmed (12.1.6.6.1)
Yes
Yes
80 Emergency shutdown systems are tested and operational (18.5)
Yes
Yes
81 Cargo handling rate and relationship with valve closure times and automatic shutdown systems is agreed (16.8, 21.4, 21.5, 21.6)
Yes
Yes
82 Maximum/minimum temperatures/pressures of the cargo to be transferred are agreed (21.4, 21.5, 21.6)
Yes
Yes
83 Cargo tank relief valve settings are confirmed (12.11, 21.2, 21.4)
Yes
Yes
Part 6. Tanker and terminal: agreements pre-transfer
Part 5 item Agreement Details Tanker initials Terminal initials
32 Tanker manoeuvring readiness
Notice period (maximum) for full readiness to manoeuvre:
Period of disablement (if permitted):
33 Security protocols
Security level:
Local requirements:
33 Effective tanker/terminal communications
Primary system:
Backup system:
35 Operational supervision and watchkeeping
Tanker:
Terminal:
37
38
Dedicated smoking areas and naked lights restrictions
Tanker:
Terminal:
45 Maximum wind, current and sea/swell criteria or other environmental factors
Stop cargo transfer:
Disconnect:
Unberth:
45
46
Limits for cargo, bunkers and ballast handling
Maximum transfer rates:
Topping-off rates:
Maximum manifold pressure:
Cargo temperature:
Other limitations:
45
46
Pressure surge control
Minimum number of cargo tanks open:
Tank switching protocols:
Minimum number of cargo tanks open:
Tank switching protocols:
Full load rate:
Topping-off rate:
Closing time of automatic valves:
46 Cargo transfer management procedures
Action notice periods:
Transfer stop protocols:
50 Routine for regular checks on cargo transferred are agreed
Routine transferred quantity checks:
51 Emergency signals
Tanker:
Terminal:
55 Tank venting system
Procedure:
55 Closed operations
Requirements:
56 Vapour return line
Operational parameters:
Maximum flow rate:
60 Nitrogen supply from terminal
Procedures to receive:
Maximum pressure:
Flow rate:
83 For gas tanker only: cargo tank relief valve settings
Tank 1:
Tank 2:
Tank 3:
Tank 4:
Tank 5:
Tank 6:
Tank 7:
Tank 8:
Tank 9:
Tank 10:
XX Exceptions and additions
Special issues that both parties should be aware of:
Date and time:
Port and berth:
Tanker:
Terminal:
Product to be transferred:
Part 7A. General tanker: checks pre-transfer
Item Check Status Remarks
84 Portable drip trays are correctly positioned and empty (23.7.5)
Yes
85 Individual cargo tank inert gas supply valves are secured for cargo plan (12.1.13.4)
Yes
86 Inert gas system delivering inert gas with oxygen content not more than 5% (11.1.3)
Yes
87 Cargo tank high level alarms are operational (12.1.6.6.1)
Yes
88 All cargo, ballast and bunker tanks openings are secured (23.3)
Yes
Part 7B. Tanker: checks pre-transfer if crude oil washing is planned
Item Check Status Remarks
89 The completed pre-arrival crude oil washing checklist, as contained in the approved crude oil washing manual, is copied to terminal (12.5.2, 21.2.3)
Yes
90 Crude oil washing checklists for use before, during and after crude oil washing are in place ready to complete, as contained in the approved crude oil washing manual (12.5.2, 21.6)
Yes

ISGOTT CHECKS AFTER MOORING SHIP/SHORE SAFETY CHECKLIST

For tankers that will perform tank cleaning alongside and/or gas freeing alongside
Part 7C. Tanker: checks prior to tank cleaning and/or gas freeing
Item Check Status Remarks
91 Permission for tank cleaning operations is confirmed (21.2.3, 21.4, 25.4.3)
Yes
92 Permission for gas freeing operations is confirmed (12.4.3)
Yes
93 Tank cleaning procedures are agreed (12.3.2, 21.4, 21.6)
Yes
94 If cargo tank entry is required, procedures for entry have been agreed with the terminal (10.5)
Yes
95 Slop reception facilities and requirements are confirmed (12.1, 21.2, 21.4)
Yes
Declaration
We the undersigned have checked the items in the applicable parts 1 to 7 as marked and signed below:
Tanker Terminal
Part 1A. Tanker: checks pre-arrival
Part 1B. Tanker: checks pre-arrival if using an inert gas system
Part 2. Terminal: checks pre-arrival
Part 3. Tanker: checks after mooring
Part 4. Terminal: checks after mooring
Part 5A. Tanker and terminal: pre-transfer conference
Part 5B. Tanker and terminal: bulk liquid chemicals. Checks pre-transfer
Part 5C. Tanker and terminal: liquefied gas. Checks pre-transfer
Part 6. Tanker and terminal: agreements pre-transfer
Part 7A. General tanker: checks pre-transfer
Part 7B. Tanker: checks pre-transfer if crude oil washing is planned
Part 7C. Tanker: checks prior to tank cleaning and/or gas freeing

In accordance with the guidance in chapter 25 of ISGOTT, we have satisfied ourselves that the entries we have made are correct to the best of our knowledge and that the tanker and terminal are in agreement to undertake the transfer operation.

We have also agreed to carry out the repetitive checks noted in parts 9 and 10 of the ISGOTT SSSCL, which should occur at intervals of not more than hours for the tanker and not more than hours for the terminal.

If, to our knowledge, the status of any item changes, we will immediately inform the other party.

Tanker Terminal
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