AT SEA SHIP TO SHIP TRANSFER

CHECKLIST 3 - BEFORE RUN-IN AND MOORING

Discharging Ship's Name :

Receiving Ship's Name :

Name of Designated POAC :

Name of STS Superintendent if Different from POAC :

Date and Location of Transfer :

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

FOR DISCHARGING / RECEIVING SHIP (Delete as appropriate)

Name :

Rank :

Signature : Date :

This form should not be subtituted for other required checklists. If this form is used, it should be used in its entirety.

Hadi Wibowo

Chief Officer

September 03rd, 2016

The vessel status has been appropriately set on the Automatic Identification

System (AIS)

The other has been advised that checklist 3 satisfactory completed

Fire-fighting and anti-polution equipment is ready for use

Shipping traffic in the area is being monitored

Crew are standing by at their mooring stations

Communications are established with mooring personnel and with the other shipPrimary : VHF CH. 09

Secondary : UHF CH. 01

All mooring lines are ready

Fire axes, or suitable cutting equipment, are in position at the fore and aft mooring

stations

Power is available for winches and they are in good order

Rope messengers, rope stoppers and heaving lines are ready for use

Navigational signals are displayed

adequate lighting is available

Course and speed information has been exchanged and agreed

The method for controlling the ship's ship adjustment, e.g by changes to

revolutions, propeller pitch or by telegraph, has been agreedSpecify method

A proficient helmsman is at the wheel

Cargo manifold connections are prepared, blanked and marked

If required, secondary fenders are correctly positioned and secured

There are no overhanging projections on the side of berthing

Checklist 2 has been satisfactorily completed

Primary fenders are correctly positioned and fender rigging is in order

Checked Remarks

VLGC PERTAMINA GAS 1

LPG/C ARIMBI

Endy Saeful / Loading Master

Capt. Wahyudi / Mooring Master

September 03rd, 2016 Kalbut

Ref: Ship to Ship Transfer Guidance for Petroleum, Chemicals and Liqufied Gases - First Edition 2013