船舶有害物接收作业安全和防治确认书式样.doc

第 PAGE 1 页 共 NUMPAGES 2 页 船舶有害物接收作业安全和防wu染确认书 RECEIVING CHECK LIST NO. 接收船船名（车辆） 船名 Receiving Ship Name Ship Name wu染物种类 wu染物数量 Kind of pollutant Quantity 作业时间及地点 Time and Place of the Operation 泵压（如适用） 泵速 Pump Pressure（MPa） Pump Rate（m3/h） 检查项目 Items 接收方 Receiver 船方 Ship 备注 Remarks 1、 管线是否完好？ Are hoses in good condition? 2、管线是否接妥，并在结合处放置了接收容器？ Are hoses correctly connected drip collecting trays in Position at Joining Part? 3、阀件是否打开？ Is the valve of receiving tank open? 4、接收舱的剩余舱容是否已检查？ Is the capacity of receiving tank checked? 5、所有落水孔是否已有效堵塞？ Are all scuppers effectively plugged? 6、双方是否约定了联系信号？ Is the communication system agreed on by both parts? 7、双方是否安排了专人值班？ Are duty person assigned by both parts? 8、双方的操作程序是否已商定？ Is the operation Procedure agreed on by both parts? 9、双方是否备妥了必要的吸附材料，以应付意外跑冒事故？ Are necessary absorbing materials available for dealing with accidental escape of oil? 10、不使用的管线是否用盲板封si并上齐所有螺栓？ Are closed manifold connections blanked fully bolted? 11、船舱壁、管线、阀门和船壳是否状况良好无渗漏？ Are bulkheads 、 pipelines 、 valves hull in good condition with no leaks? 12、缆绳是否状态良好？ Are ropes in good condition? 13、船舶是否安全系泊？ Is vessel securely moored? 14、碰垫是否状况良好并布放合理？ Are fenders in good order and suitably positioned? 15、货物网兜、吊具、吊绳等设备是否处于良好状态? Are cargo nets or lifting cages, strops etc in good condition? 16、管线是否已安全适当的连接并上满螺丝？ Is the transfer hose properly rigged and fully bolted？ 17、接收方是否规定停止作业风力等级？如果规定，风力几级时停止接收作业？ Is the environmental threshold for the cargo operation regulated by supplier? If regulated，which scale of wind force bunkering operation will be stopped ? 18、双方是否在作业过程中做好船舶溢漏应急防备工作？ Is the ship pollutant spill emergency preparedness work done in the process of operation? 注：双方必须按表内所列项目检查、落