Section A |
|
GENERAL INFORMATION |
|
|
|
|
|
|
|
|
|
|
|
|
|
A.1 |
Ref. |
General Information and Communications |
Yes |
No |
N/A |
Cat |
Gp |
A.1.1
A.1.2
A.1.3
A.1.4
A.1.5
A.1.6
A.1.7
A.1.8
A.1.9
A.1.10
A.1.11
A.1.12
A.1.13
A1.13
The following information to be spot checked and found accurate:
Name of Ship: Ship IMO Number: Flag:
Port of Registry:
Previous Names:
Classification Society:
The Class has remained unchanged for the last two years If No:
Name of previous Class Society: _______________
Date of change: _____________________________
Name of Owner:
Address of Owner:
______________________________________________
______________________________________________
Country________________________________________
Telephone No.: _________________________________
e-mail: ________________________________________
Owner's company IMO number ___________________
Name of Technical Manager: |
Coppola |
|
Address of Technical Manager:
_______________________________________________
Country: _______________________________________
_______________________________________________Massimiliano
Telephone No: __________________________________
e-mail: ________________________________________
Technical Manager's company IMO number __________
The Technical Manager is the ISM Manager and holder of the DOC.
Purchased |
by |
|
I
I
I
I
I
I NS I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
Copy of Massimiliano Coppola
Gas |
SIR Page 16 |
Rev. CDI 8/19 |
(C) 2019 Chemical Distribution Institute |
Section A |
|
GENERAL INFORMATION |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
A.1 |
Ref. |
General Information and Communications |
Yes |
|
No |
N/A |
Cat |
Gp |
|||
A.1.14 |
|
The Technical Manager has remained unchanged for the last |
|
|
|
|
|
|
|
NS |
I |
|
|
two years |
|
|
|
|
|
|
|
|
|
A.1.15 |
|
Date Technical Manager assumed responsibility for the ship: |
|
|
|
|
|
|
|
|
I |
|
|
________________________________________ |
|
|
|
|
|
|
|
|
|
A.1.16 |
|
Name of Commercial Operator: |
|
|
|
|
|
|
|
|
I |
|
|
______________________________________________ |
|
|
|
|
|
|
|
|
|
|
|
Address of Commercial Operator: |
|
|
|
|
|
|
|
|
I |
|
|
______________________________________________ |
|
|
|
|
|
|
|
|
|
|
|
______________________________________________ |
|
|
|
|
|
|
|
|
|
|
|
Country: ______________________________________ |
|
|
|
|
|
|
|
|
I |
|
|
Telephone No.: _________________________________ |
|
|
|
|
|
|
|
|
I |
|
|
e-mail: ________________________________________ |
|
|
|
|
|
|
|
|
I |
A.1.17 |
|
Date of delivery: _______________________________ |
|
|
|
|
|
|
|
|
I |
A.1.18 |
|
There have been no major conversions to the ship |
|
|
|
|
|
|
|
NS |
SI |
|
|
|
|
|
|
|
|
||||
|
|
If No, give details: |
|
|
|
|
|
|
|
|
SI |
|
|
______________________________________________ |
|
|
|
|
|
|
|
|
|
|
|
______________________________________________ |
|
|
|
|
|
|
|
|
|
______________________________________________
______________________________________________
|
|
Coppola |
|
by |
Massimiliano |
Purchased |
|
|
|
|
Copy of Massimiliano Coppola
Gas |
SIR Page 17 |
Rev. CDI 8/19 |
(C) 2019 Chemical Distribution Institute |
Section A |
|
GENERAL INFORMATION |
|
|
|
|
|
Gas |
|
|
|
|
|
|
|
A.2 |
Ref. |
Operations During Inspection |
Yes |
No |
N/A |
Cat |
Gp |
A.2.1 |
|
Terminal: ___________________________ |
|
|
|
|
I |
|
|
Operation(s) being conducted: |
|
|
|
|
|
A.2.2 |
Information |
Loading |
|
|
|
NS |
I |
|
only |
|
|
|
|
|
|
A.2.3 |
Information |
Discharging |
|
|
|
NS |
I |
|
only |
|
|
|
|
|
|
A.2.4 |
Information |
Inerting / Purging / Gas Freeing / Cooldown |
|
|
|
NS |
I |
|
only |
|
|
|
|
|
|
A.2.5 |
Information |
Bunkering |
|
|
|
NS |
I |
|
only |
|
|
|
|
|
|
A.2.6 |
Information |
Idle |
|
|
|
NS |
I |
|
only |
|
|
|
|
|
|
A.2.7 |
Information |
Gas trials |
|
|
|
NS |
I |
|
only |
|
|
|
|
|
|
A.2.4-2.5- 2.6 -2.7
A.2.8
A.2.9
A.2.9
If answered YES then the validity of the inspection report is limited to 3 months after the inspection date.
Cargo(es) handled:- (generic names)
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
Operations in this port other than cargo operations:Coppola
____________________________________
____________________________________
Inspector should provide a brief overview of the inspection,
including particular activitiesMassimilianotaking place during the
inspection, whether the inspection was taken over the course of 1 or more days and/or multiple locations, if any other inspection/survey/service is taking place (port state control, classification, P&I, service technician, … ), etc.
Purchased |
by |
|
I
I
Copy of Massimiliano Coppola
Gas |
SIR Page 18 |
Rev. CDI 8/19 |
(C) 2019 Chemical Distribution Institute |
Section B. |
|
INSPECTION SUMMARY |
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
B. |
|
Ref. |
|
Closing Meeting, Observations and Remarks |
|
Yes |
No |
N/A |
Cat |
Gp |
|||
|
Inspector Details |
|
|
CDI INSPECTION - 9th Edition |
|
|
|
|
|
|
|||
|
Name: |
|
|
M.V. ................................................ |
|
|
|
|
|
|
|||
|
Company |
|
|
|
|
|
|
|
|
|
|
|
|
|
Address |
|
|
|
|
|
|
|
|
|
|
|
|
|
Contact No. |
|
|
|
|
|
|
|
|
|
|
|
|
|
Email: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CLOSING MEETING - OBSERVATIONS & REMARKS |
||||||||||
|
Report Date: |
D-M-YY |
Port |
|
|
|
|
|
|
|
|
||
|
Time On/Off: |
D-M-YY |
Time On: |
Time Off - Terminal Operations (as per section A2) |
|||||||||
|
Time On/Off: |
D-M-YY |
Time On: |
Time Off - Terminal Operations (as per section A2) |
|||||||||
|
Ship Operator: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Master: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Observations and remarks provided to the Master ? |
YES - NO |
|||||||||||
|
Observations and remarks discussed with the Master ? |
YES - NO |
|||||||||||
|
|
|
|
|
|
|
Coppola |
|
|
|
|
|
|
|
Observations and remarks discussed with Ship Operators Representative ? |
YES - NO - N/A |
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Massimiliano |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
by |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchased |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Copy of Massimiliano Coppola
Gas |
SIR Page 19 |
Rev. CDI 8/19 |
(C) 2019 Chemical Distribution Institute |
Section B. INSPECTION SUMMARY
B.Ref. Closing Meeting, Observations and Remarks
|
|
Coppola |
|
by |
Massimiliano |
Purchased |
|
|
|
|
Copy of Massimiliano Coppola
Gas |
SIR Page 20 |
Rev. CDI 8/19 |
(C) 2019 Chemical Distribution Institute |