Local Fuel Oil Suppliers1 Declaration

Please return completed form by email to: Environment Policy and Standards

Email: environment.standards@amsa.gov.au

Name of company*
Street address
Postal address
Quality management system* (e.g. ISO 9001)2

Contact name	Contact Number
Email address

Fuel oil supplier3

Ports supplied* (insert additional rows into table if more space required)

Port	Phone (for fuel orders)	Type of fuel4 and sulphur content of fuel (%m/m)	Method of delivery
Not exceeding 0.10%	Greater than 0.10% but less than 0.50%	0.50% and above	A – Road tanker B – Bunker barge C – Direct from Shore/pipeline D – Other
Example Port 1	03 9876 5432	Diesel	MDO	HFO	A, B,C
Example Port 2	0412 345 678	Biofuel (B30)	VLSFO	D – offshore support vessel

Signature	Date
Name and position

* Published on the AMSA managed register of local fuel oil suppliers.

** Refer to the AMSA website, MEPC.1/Circ.875/Add.1 and resolution MSC-MEPC.2/Circ.18 for further information.

Your personal information is being collected to deliver AMSA’s functions under the Australian Maritime Safety Authority Act 1990, the Navigation Act 2012, the Protection of the Sea (Prevention of Pollution from Ships) Act 1983 and/or the Marine Safety (Domestic Commercial Vessel) National Law Act 2012. Failure to provide personal information may mean we cannot provide a service to you. More details about how we handle your personal information can be found in AMSA’s Privacy Policy (visit www.amsa.gov.au/privacy).

Examples:

Example 1 – Bunker Company XYZ receives an order from a ship’s agent and uses a private contractor, Joe’s Trucking Company, to supply the fuel to the ship. In this instance, Bunker Company XYZ is the Local Fuel Oil Supplier and is required to be registered and must list themselves as the Fuel Oil Supplier.

Example 2 – Bunker Company XYZ receives an order from a ship’s agent and uses its own barge, offshore supply vessel, road tanker or shore pipeline to supply the fuel to the ship. Bunker Company XYZ is the Local Fuel Oil Supplier and is required to be registered and must list themselves as the Fuel Oil Supplier.

Example 3 – Bunker Trader JKM receives an order from a ship’s agent and arranges for Bunker Company XYZ to supply the fuel. Bunker Company XYZ uses a private contractor, Joe’s Trucking Company, to supply the fuel to the ship. In this instance, Bunker Company XYZ is the Local Fuel Oil Supplier and is required to register and must list themselves as the Fuel Oil Supplier. It will be the responsibility of the bunker trader to ensure they are dealing with Local Fuel Oil Suppliers who comply with MARPOL Annex VI.

1 The Local Fuel Oil Supplier is the person or company responsible for the supply of bunkers to the ship or installation. Local Fuel Oil Suppliers must provide all ships of 400 gross tonnage and above with a completed Bunker Delivery Note and a representative sample with each fuel oil supply**. The supply of fuel oil may or may not be physically undertaken by a separate operator or contractor by barge, offshore supply vessel, etc. Please see examples provided above.

2 Include references to the international and/or national standards which the supplier will adhere to. In cases where a supplier has its own internal Quality Management System, a summary should be provided. Attach additional pages as necessary.

3 The Fuel Oil Supplier is the person or company responsible for the final blend of the components of the fuel oil. Fuel Oil Suppliers are not required to register directly with AMSA as the Local Fuel Oil Suppliers will provide this information in their declaration. Please see examples provided above.

4 Fuel oil types may include but is not limited to: heavy fuel oil (HFO), intermediate fuel oil (IFO), marine diesel oil (MDO), marine gas oil (MGO), diesel (automotive), biofuel & blends (e.g. B30, B100), liquefied natural gas (LNG), very low sulphur fuel oil (VLSFO).