This document provides an index of 139 forms related to the Safety Management System (SMS) of Starbulk S.A. Each form is given a code and title. The index also indicates the relevant chapter in the SMS Manual that each form corresponds to. The forms cover topics like safety drills, maintenance, audits, familiarization checks, and more.
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SMSM Forms Index
This document provides an index of 139 forms related to the Safety Management System (SMS) of Starbulk S.A. Each form is given a code and title. The index also indicates the relevant chapter in the SMS Manual that each form corresponds to. The forms cover topics like safety drills, maintenance, audits, familiarization checks, and more.
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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STARBULK S.A.
Safety Management System Manual
SMS FORMS INDEX
SMS FORMS INDEX
S/N FORM CODE FORMTITLE SMSMRELEVANT CHAPTER 1 S01 SAFETY COMMITTEE MEETING MINUTES 3 2 S02 MASTER FAMILIARISATION AND HANDOVER OF DUTIES CHECKLIST 6 3 S03 SEAGOING PERSONNEL FAMILIARISATION CHECKLIST 6 4 S04 SUPERNUMERARIES/CONTRACTORS/TECHNICIANS FAMILIARISATION CHECKLIST 6 5 S05 TRAINING LOG 6 6 S06 SEAGOING PERSONNEL APPRAISAL REPORT 6 7 E01 C/E FAMILIARISATION AND HANDOVER OF DUTIES CHECKLIST 6 8 D01 CREW LIST 6 9 OS01 COMPANY PERSONNEL FAMILIARISATION CHECKLIST 6 10 OC01 BRIEFING OF MASTERS AND CHIEF ENGINEERS 6 11 OC02 EVALUATION OF MASTERS AND CHIEF ENGINEERS 6 12 D02a PASSAGE PLAN (FROM BERTH TO FULL AWAY) DEPARTURE / PILOTAGE 7.2 13 D02b PASSAGE PLAN (FROM FULL AWAY TO E.O.S.P.) 7.2 14 D02c PASSAGE PLAN (FROM E.O.S.P. TO BERTH) 7.2 15 D02d UNDERKEEL CLEARANCE CALCULATION (UKC) 7.2 16 D03 TAKING OVER THE BRIDGE WATCH CHECKLIST 7.2 17 D04 NAVIGATION IN COASTAL WATERS/TRAFFIC SEPARATION SCHEMES CHECKLIST 7.2 18 D05 NAVIGATION IN NARROW WATERS AND STRAITS CHECKLIST 7.2 19 D06 NAVIGATION IN RESTRICTED VISIBILITY CHECKLIST 7.2 20 D07 NAVIGATION IN HEAVY WEATHER OR TROPICAL STORMS CHECKLIST 7.2 21 D08 NAVIGATION IN ICE CHECKLIST 7.2 22 D09 PILOTAGE CHECKLIST 7.2 STARBULK S.A. Safety Management System Manual SMS FORMS INDEX
S/N FORM CODE FORMTITLE SMSMRELEVANT CHAPTER 23 D10a SHIP TO SHORE MASTER/PILOT EXCHANGE 7.2 24 D10b MOORING PLAN 7.2 25 D10c PILOT CARD 7.2 26 D11 STEERING GEAR TEST CHECKLIST 7.2 27 D12 PRE-DEPARTURE CHECKLIST 7.2 28 D13 PRE-ARRIVAL CHECKLIST 7.2 29 D14 CHECKLIST FOR VESSELS ENTERING E.U. PORTS 7.2 30 D15 ANCHORING AND ANCHOR WATCH CHECKLIST 7.2 31 D16 HELICOPTER-SHIP OPERATIONS CHECKLIST 7.2 32 D17 DAILY TESTS AND CHECKS CHECKLIST 7.2 33 D18 VISITORS LETTER OF INDEMNITY 7.3 34 E02 CHANGING OVER THE ENGINE WATCH CHECKLIST 7.4 35 E03 CHECKS FOR EVERY ENGINE WATCH CHECKLIST 7.4 36 E04 UNMANNED ENGINE OPERATIONS CHECKLIST 7.4 37 E05 ENGINE PRE-DEPARTURE CHECKLIST 7.4 38 E06 ENGINE PRE-ARRIVAL CHECKLIST 7.4 39 E07 NAVIGATION IN RESTRICTED WATERS OR RESTRICTED VISIBILITY CHECKLIST 7.4 40 E08 ENGINE LOG ABSTRACT 7.4 41 D19 SHIP / SHORE SAFETY CHECKLIST 7.5 42 D20 LOADING / DISCHARGING SEQUENCE PLAN 7.5 43 D21 NOTICE OF READINESS 7.5 44 D22 CARGO STATEMENT 7.5 45 D23 NOTICE OF DAMAGE BY STEVEDORES TO SHIP, SHIPS GEAR, EQUIPMENT OR CARGO 7.5 46 D24 PROTEST OF DIFFERENCE BETWEEN SHIP AND SHORE FIGURES 7.5 47 D25 AUTHORIZATION TO SIGN B/L 7.5 STARBULK S.A. Safety Management System Manual SMS FORMS INDEX
S/N FORM CODE FORMTITLE SMSMRELEVANT CHAPTER 48 D26 CARGO CRANE REPORT 7.5 49 D27 CERTIFICATE OF COMPETENCY TO OPERATE SHIPS LIFTING PLANT 7.5 50 D28 PRE ARRIVAL AND LOADING CHECKLIST 7.5 51 D29 CARGO OPERATION CHECKLIST (LOADING OR DISCHARGING) 7.5 52 D30 COMPLETION OF LOADING CHECKLIST 7.5 53 D31 PRE-ARRIVAL AND DISCHARGE CHECKLIST 7.5 54 D32 COMPLETION OF DISCHARGE CHECKLIST 7.5 55 D33a DEAD FREIGHT STATEMENT 7.5 56 D33b DEAD FREIGHT LETTER OF PROTEST 7.5 57 D34 CARGO HOLD TEMPERATURES & GASES LOG 7.5 58 S07 DRUG AND ALCOHOL TEST RECORD (D & A TEST LOG) 7.7 59 D35 ENCLOSED SPACE ENTRY PERMIT 7.9 60 D36 HOT WORK PERMIT 7.9 61 D37 COLD WORK PERMIT 7.9 62 D38 WORKING ALOFT OR OVER THE SIDE 7.9 63 D39 DIVING CHECKLIST 7.9 64 S08 HEALTH AND HYGIENE INSPECTION CHECKLIST 7.10 65 S09 MEDICAL REPORT 7.10 66 S10 MEDICINE LOG 7.10 67 S11 RECORD OF HOURS OF WORK OR HOURS OF REST OF SEAFARERS 7.11 68 S12 TABLE FOR SHIPBOARD WORKING ARRANGEMENTS 7.11 69 E 09 BUNKERS PLAN & SURVEY REPORT 7.12 70 E 10 BUNKERING - POLLUTION PREVENTION CHECKLIST 7.12 71 E 11 BUNKERING LOG 7.12 72 S13 SCHEDULE OF SHIPBOARD DRILL 8 STARBULK S.A. Safety Management System Manual SMS FORMS INDEX
S/N FORM CODE FORMTITLE SMSMRELEVANT CHAPTER 73 S14 EVALUATION OF/RESPONSE TO EMERGENCY SITUATION/DRILLS 8 74 S15 FIRE DRILL INSPECTION CHECKLIST 8 75 S16 ABANDON SHIP DRILL INSPECTION CHECKLIST 8 76 S17 EMERGENCY STEERING GEAR DRILL INSPECTION CHECKLIST 8 77 S18 SHIPBOARD HAZARD IDENTIFICATION REPORT THINK/ACT SAFE 9 78 S19 NON-CONFORMITY, OBSERVATION AND NEAR MISS REPORT 9 79 S20 INCIDENT INVESTIGATION REPORT 9 80 S21 WITNESS STATEMENT REPORT 9 81 S22 COMPLAINT REPORT 9 82 OS02 NON-CONFORMITIES, ETC. REGISTER / STATUS LOG 9 83 D40 SURVEYS AND CERTIFICATE STATUS LIST 10 84 D41 SAFETY MAINTENANCE LOGBOOK 10 85 D41a FIRE DETECTORS INSPECTION LOG 10 86 D42 HULL PLANNED INSPECTION AND MAINTENANCE 10 87 D43a HATCH COVERS MAINTENANCE SIDE ROLLING TYPE HATCH COVERS - WEEKLY 10 88 D43b HATCH COVERS MAINTENANCE SIDE ROLLING TYPE HATCH COVERS - MONTHLY 10 89 D44a HATCH COVERS MAINTENANCE FOLDING TYPE HATCH COVERS WEEKLY 10 90 D44b HATCH COVERS MAINTENANCE FOLDING TYPE HATCH COVERS - MONTHLY 10 91 D45 WIRES AND ROPES INSPECTION LOG 10 92 D46 CRANES MAINTENANCE CHECKLIST 10 93 D47 DECK MAINTENANCE TOOLS 10 94 D48 WINCH BRAKE TEST REPORT 10 95 D49 STORES INVENTORY FORM 10 STARBULK S.A. Safety Management System Manual SMS FORMS INDEX
S/N FORM CODE FORMTITLE SMSMRELEVANT CHAPTER 96 D50 ENCLOSED SPACES INSPECTION REPORT 10 97 D51 CARGO HOLD INSPECTION REPORT. 10 98 D52 REQUISITION FOR STORES 10 99 E12 MACHINERY PLANNED INSPECTION AND MAINTENANCE 10 100 E13 RUNNING HOURS REPORT 10 101 E14 MAJOR SPARE PARTS ONBOARD 10 102 E15 M/E INDICATOR CARDS 10 103 E16 D/G PERFORMANCE REPORT 10 104 E17 CRANKSHAFT DEFLECTIONS 10 105 E18 M/E BEARING INSPECTION 10 106 E19 CYLINDER CONDITION REPORT 10 107 E20 TURBOCHARGER OVERHAULING REPORT (ABB TYPE) 10 108 E21 TURBOCHARGER OVERHAULING REPORT (MAN TYPE) 10 109 E22 D/G PISTON OVERHAULING REPORT 10 110 E23 D/G CONNECT ROD REPORT 10 111 E24 PLANNED MAINTENANCE FOR AUXILIARY MACHINERY AND EQUIPMENT 10 112 E25 MEGGER TEST REPORT 10 113 E26 TEMPERATURE AND PRESSURE GAUGE CALIBRATION REPORT 10 114 E27 ALARMS AND TRIPS REPORT 10 115 E28 EMERGENCY BATTERIES LOG 10 116 E29 SPARE PARTS INVENTORY FORM 10 117 E30 DEFECT REPORT 10 118 E31 REQUISITION FOR SPARE PARTS 10 119 E32 GOODS LANDED FORM 10 121 OT01 GUIDELINES FOR SUPERINTENDENT ENGINEERS (SCOPE OF ATTENDANCE) 10 STARBULK S.A. Safety Management System Manual SMS FORMS INDEX
S/N FORM CODE FORMTITLE SMSMRELEVANT CHAPTER 122 0T02 SHIPS ATTENDANCE / EVALUATION REPORT 10 123 OT03 WORK LIST HANDED BY PORT CAPTAIN / SUPERINTENDENT ENGINEER 10 124 OT04 DRY DOCKING REPORT 10 125 OS03 MANUAL CONTROL 11 126 OS04 AMENDMENT RECORD 11 127 OS05 CHANGE REQUEST FORM 11 128 OS06 CHANGE REQUEST REGISTER 11 129 OS07 DISTRIBUTION OF CONTROLLED DOCUMENTS 11 130 OS08 FORMS REGISTER AND FOLLOW-UP 11 131 OT05 NEW VESSELS ACQUISITION CHECKLIST 11 132 OT06 VESSELS BRIEF PARTICULARS 11 133 OS09 OFFICE ANNUAL INTERNAL AUDIT SCHEDULE 12 134 OS10 VESSELS ANNUAL INTERNAL AUDIT SCHEDULE 12 135 OS11 COMPANY INTERNAL AUDIT - AID MEMOIRE 12 136 OS12 VESSELS INTERNAL AUDIT AID MEMOIRE 12 137 OS13 CREW MANAGER (OUTSOURCED) INTERNAL AUDIT CHECKLIST / REPORT 12 138 OS14 QUALITY QUESTIONNAIRE FOR SUPPLIERS OF PRODUCTS AND/OR SERVICES 12 139 S23 MASTERS SMS REVIEW 12