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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.

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0% found this document useful (0 votes)
625 views6 pages

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.

Uploaded by

joreyvil
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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

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