Chapter General Information Section General Information Date upd Tug Name 3 Identification IMO VIN 4 Vessel's previous name(s) Grid column Grid column Grid row Grid row Grid row 3 Grid row 4 5 Build Name Date of change Last previous Second last previous Third last previous Fourth last previous Date delivered (built) Builder (where built) 6 Rebuild Date Rebuilt Builder (where rebuilt) 3 If rebuilt, list what changes were made 7 Repower Date repowered Builder (where repowered) 3 If repowered, list what changes were made 8 Flag lookup 9 Vessel details Port of Registry Call sign 3 Vessel's satcom phone number 4 Vessel's mobile number 5 Vessel's fax number 6 Vessel's email address 7 Vessel's MMSI No. (Maritime Mobile Service Identity) 0 Trading area multiselect Trading area limits as documented on the vessel's certificate Type of tug multiselect 3 Max number of non-powered barges handled by the certificate of approval (if applicable) 4 Dry-dock 3 Date of last dry-dock Date of next dry-dock Place of last dry-dock Rev.0.7 /8
Section Assigned Barge Is there a barge assigned to the Tug? Barge name 3 VIN 4 Is the barge permanently assigned to this tug? 5 Date barge assigned Section 3 Classification Classification society lookup Class notation 3 Special survey Date of last special survey Date of next special survey Section 4 Dimensions Length Overall (LOA) num [FT] Length Overall of integrated tug and barge unit num [FT] 3 Extreme breadth (Beam) num [FT] 4 Moulded depth num [FT] 5 Keel to Masthead (KTM) / KTM in collapsed condition (if applicable) Keel to Masthead (KTM) num [FT] KTM in collapsed condition (if applicable) num [FT] 6 Maximum air draft in normal ballast num [FT] 7 Highest height of eye num [FT] Section 5 Tonnages Net Registered Tonnage (NRT) num [LT] Gross Tonnage (GT) num [LT] Section 6 Loadline information (if applicable) Loadline information Grid column Grid column Grid column 3 Grid row Deadweight Displacement Draft Summer num [LT] num [LT] num [FT] Rev.0.7 /8
Section 7 Ownership and Operation Registered Owner - Full style Name Full address 3 Office telephone number 4 Office telex number 5 Office fax number 6 Office email address 7 Contact person Technical Manager - Full style memo 3 4 5 6 7 8 Technical operator same as owner Name Full address Office telephone number Office telex number Office fax number Office email address Contact person memo Rev.0.7 3/8
Chapter Certification Section Certification Certificate table Grid column Issued Grid column Last Annual/Intermediate Grid column 3 Expires Grid row USCG Certificate of Documentation (COD) for US Flag Grid row Certificate of Registry (Canada Flag) Grid row 3 USCG Uninspected Towing Vessel Exam (US Flag) or USCG Certificate of Compliance (CoC) (Canada Flag) Grid row 4 International Loadline Certificate (ILC) Grid row 5 ISM Safety Management Certificate (SMC) Grid row 6 ISM Document of Compliance (DOC) Grid row 7 Certificate of Classification (COC) Grid row 8 International Tonnage Certificate (ITC) Grid row 9 Tonnage Certificate Grid row 0 International Oil Pollution Prevention Certificate (IOPP) Grid row IOPP Form A Grid row Cargo Safety Equipment Certificate Grid row 3 Cargo Safety Construction Certificate Grid row 4 International Ship Security Certificate (ISSC) Grid row 5 Minimum Safe Manning Certificate Grid row 6 Bollard Pull Certificate Grid row 7 Radio Station License (FCC) Grid row 8 Cargo Ship Safety Radio Certificate (SRC) Grid row 9 International Sewage Prevention Certificate Grid row 0 International Air Pollution Certificate Grid row International Anti-Fouling Systems Certificate Grid row USCG Vessel Response Plan (VRP) Is owner/operator certified with AWO for Responsible Carrier Program (RCP)? 3 Is vessel approved for USCG Alternative Security Program (ASP)? 4 Date of last approval USCG Alternative Security Program (ASP) letter 5 Name of USCG Alternative Security Program (ASP) provider Rev.0.7 4/8
Chapter 3 Crew Management Section Crew Management Number of deck officers (including Master) integer Number of engine officers integer 3 Number of crew integer 4 Number of certified tankerman (PIC's) integer Rev.0.7 5/8
Chapter 4 Engineering Section Engine Room Number of main engines integer Name of main engine manufacturer 3 What is the EPA Tier Level of the Main Engines? 4 Main engine(s) are rated at num [HP] 5 What is the bollard pull of the tug num [LT] 6 Generators Are generators fitted? Number of generators integer 3 Generators are rated at num [KW] 7 Is vessel fitted with a high level bilge alarm? 8 Is vessel fitted with a fixed fire suppression system? 9 Are fuel tanks fitted with a high level alarm? 0 Are fuel tanks double hull, single hull, other? Section Bow/Stern Thrusters Is vessel fitted with a bow thruster? If yes, what is the brake horsepower? Is vessel fitted with a stern thruster? If yes, what is the brake horsepower? Section 3 Steering / Propulsion Equipment Propellers num [HP] num [HP] Number of propellers integer Type of propellers Steering gear failure alarm fitted on the bridge? Section 4 Tug to Barge Connection Type of connection system Rev.0.7 6/8
Section 5 Towing Does the tug carry an Orville hook? Is the tug equipped with a towing wire and/or hawser? 3 What is the name of the manufacturer of the tow winch? 4 What is the brake capacity of towing winch? num [LT] 5 What is the power source for the towing winch? 6 Can the winch and associated brakes be operated from above the weather deck? 7 Can the winch brake be released from the wheelhouse? 8 Is the towing winch fitted with an alarm indicating wire pay-out? 9 Does this alarm have a remote indicator fitted in the wheelhouse? 0 What is the length of the towing wire? num [FT] What is the diameter of the towing wire? num [IN] What is the minimum breaking load (MBL) of towing wire num [LT] 3 Does the minimum breaking load (MBL) of the tow wire exceed the maximum static bollard pull of the tug by a factor of at least.5? 4 What is the towing-mile interval between replacement of the towing wire? num [Miles] Section 6 Line Handling Winch Is a line handling winch fitted? Type of winch? Is a line handling winch fitted? Type of winch? If a line handling winch is fitted what material is the rope? 3 If a line handling winch is fitted what diameter is the rope? num [IN] 4 If a line handling winch is fitted what breaking strength is the rope? num [LT] Section 7 Firefighting Firefighting Class Rev.0.7 7/8
Chapter 5 Miscellaneous Section Insurance P & I Club - Name P & I Club - Pollution liability coverage amount num [USD] Section For Vessels Trading in US Qualified individual (QI) (USA) - Full style Name Full address memo 3 Office telephone number 4 Office telex number 5 Office fax number 6 Office email address 7 Contact person Oil Spill Response Organization (OSRO) - Name 3 Does vessel carry its own AMPD response equipment? Section 3 Spill Equipment Are savealls fitted around fuel tank vents and are the vent openings higher than the upper edges of the saveall coamings? Does the vessel carry a containment boom? If yes, how much does it have? Section 4 Does the vessel carry a containment boom? If yes, how much does it have? Casualty Has the vessel been involved in a pollution incident during the past months? num [FT] If yes, full description History of groundings/strandings/collisions during past months Section 5 Port State Control Last Port State Control inspection Date Place Any outstanding deficiencies as reported by any Port State Control? If yes, provide details If yes, provide details Section 6 Vetting Date of last SIRE inspection Date Place Rev.0.7 8/8