Ship's details Name of ship IMO number Flag Ship's agent IMO company number Company's name Company's address Berth Estimated time of departure Next port Place of observation Date of observation Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year20192020202120222023 Year Time of observation Hour01234567891011121314151617181920212223 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute Contact details (We treat name and contact details as confidential. These details are requested in case we need to contact you for further information about suspected deficiencies. We follow up on all reports). Name Position Phone Fax Email addresses * Pilotage concerns Bridge equipment/operations Choose an optionMaster's level of English poorOOW level of English poorBRM procedures poorPassage plan not prepared or available to berthPassage plan not monitoredCrew use of appropriate bridge equipment poorCharts for passage not availableClosed loop communications poorHelmsman unable to steer effectivelyHelmsman applied incorrect helmBridge team competence poorBridge team composition inadequateBridge equipment defectiveBridge equipment incorrectly set for pilotageGyro compass errors excessive (>2 degrees)Magnetic compass deviations excessive (>5 degrees)Pilot card not availablePilot not inducted onto vesselVisibility restricted from conning positionPre-departure/arrival checklist not complete Pilot ladder arrangements Choose an optionPilot ladder arrangementsLadder steps missing/broken uneven or defectiveSpreaders broken, missing or incorrect spacingSide ropes defectiveMan ropes defectiveStanchions not availableSteps from bulwark to deck defective/missingCombination ladder not secured to ship sideArrangement inadequate for freeboardCrew supervision poorRetrieving lines dangerousLSA not available in vicinity of ladderLighting inadequate Helicopter operations Choose an optionLanding area not appropriately markedLanding area dangerous/obstructed/dirtyAccess to deck inadequate/unsafeFire party inadequateEmergency equipment not availableEmergency party not standing by rescue boatCrew movements in vicinity of helicopter unsafe Draughts and trim Choose an optionDraughts/trim not according to port requirementsVessel listed or overloaded Handling of tugs Choose an optionTug lines not handled correctlyVessel listed or overloaded Other (specify) Operational concerns Possible pollution threat Choose an optionOilNLSGarbageSewageAirOnboard equipmentIllegal connections Vessel conditions Choose an optionLiving/working conditions onboard substandardStructural deficienciesLSA defective/missingFFE defective/missingCommunication equipment defectiveCargo handling equipment defective Vessel access Choose an optionAccommodation ladder defectiveLadder falls defectiveAccess not in compliance with MO21Security access control defectiveInductions not conducted Mooring arrangements Choose an optionMooring winches defectiveMooring lines conditions poorMooring lines inadequateAnchors or windlass defectiveFitting SWL's not markedShip fittings defectiveMooring plan not availableCrew unable to moor vessel competently Stability draughts and trim Choose an optionDraughts or trim inappropriateStability inadequateOverloadedDraught/Loadline obscured Machinery Choose an optionSteering defectiveMain engine defectiveAir start system defectiveBridge control system defectiveCPP defectiveBow/stern thrusters defectiveMachinery indicators/alarms defectiveElectrical systems defectiveAuxiliary engines defective Other (specify) Port authority concerns VTS/VTIC Choose an optionDid not comply with VTS/LPS instructions (English)Required radio reports not providedAIS defectiveVHF listening watch not maintainedCrew did not respond to weather warningsAnchored too close to other vesselsCrew do not monitor anchor draggingVessel do not appear to keep proper anchor watchErratic manoeuvre within port jurisdictionIncorrect draughts/trim supplied by vessel Vessel safety Choose an optionMooring lines not maintained and tendered in portAppropriate signal flags not displayed in portSafe access not maintained at all times Other (specify) Cargo operational concerns Cargo or cargo operations Choose an optionCargo gear not correctly marked or defectiveCargo not correctly stowed/secured/lashed/markedCrew competence in relation to cargo operationsBallast pump defectiveCargo pump defectiveInert gas system defectiveLoading/Unloading plans not monitored by crewShip/shore safety checklist not complete/followed Dangerous goods Choose an optionLeakageDocumentation not available/incompleteManifest/stow plan not availableIncorrectly labelled/segregated Other (specify) Brief description of concerns/comments * Select an AMSA office * AMSA Pilotage Brisbane Office Cairns Office Gladstone Office Mackay Office South Townsville Office Sydney Office Newcastle Office Port Kembla Office Fremantle Office Port Hedland Office Karratha Office Geraldton Office Melbourne Office Devonport Office Port Adelaide Office Darwin Office Leave this field blank Submit
