SHORT CONDITION SURVEY REPORT

General Information:
Vessel's name & flag:

MEHRAN EXPLORER // COMOROS

IMO number & Call Sign:

Vessel type:

7707243 // D6EZ2
SUPPLY VESSEL

Year & country of build:

1977 // U.S.A

Gross Tonnage:

968 (as per ITC)

469.91 (as per NATIONAL TONNAGE)

Classification Society:

UNION MARINE CLASSIFICATION SOCIETY

Vessel type:

SUPPLY VESSEL

Ship's Hull, Structures & Fittings:

External shell plating

2.

Internal shell plating

Well Painted
Free from heavy corrosion
Free from heavy
indentation
Well Painted
Free from corrosion

3.

Are weathertight doors and stores hatches

fully operational and providing effective
sealing

Yes

4.

Ballast tanks, peak tanks, cofferdams and

void spaces.
(A representative sample of each type of
ballast tank are to be inspected, it is not a
requirement that all tanks are inspected).

5.

Condition of holds/cargo tanks

Good

6.

Superstructure & coatings

Good

7.

Are visible sections of anchor cables in

apparent satisfactory condition?

Certification, Surveys and Record Books:

CERTIFICATE TYPE

DATE OF ISSUE

8.

Certificate of Registry

19-JUL-2014

9.

International Tonnage

09-MAR-2009

10.

International Load Line

11.

Safety Equipment Certificate

15-JUL-2014
15-JUL-2014

Loss Prevention Survey - Short Condition Survey Report Form

DATE OF EXPIRY
18-JUL-2015

14-OCT-2014
14-OCT-2014

12.

Safety Radio Certificate

13.

International Oil and Air Pollution

Prevention (IOPP) & (IAPP)

14.

International Sewage Pollution Prevention

15.

Document of Compliance for Dangerous

Goods

16.

Hull and Machinery Annual Survey

17.

Liferaft Certificate

19.

Firefighting Appliance Ceritficate

20.

Cargo Gear Thorough Annual Survey

21.

De-Ratting Exemption Certificate

22.

23.

15-JUL-2014

14-OCT-2014

15-JUL-2014
15-JUL-2014

14-OCT-2014
14-OCT-2014

11-MAR-2014

10-MAR-2015

11-MAR-2014

10-MAR-2015

ON PROCESS

Stability:
a)
b)
c)
d)

Class approved stability book

Endorsed for change of name
Any structural changes made
Are previous voyages stability
calculations on record?
Procedures and Arrangements Manual on
board

24.

Oil Record Book (Last entry?)

25.

Last Port State Control Inspection.

26.

Port State deficiencies found

27.

Flag State Inspection Date & Place

28.

Last Dry Docking (date & location)

Yes

Pollution prevention:
29.

SOPEP locker

30.

Bunkering connections

31.

Fuel air vents

32

Scupper plugs

33.

Oil Absorbents

34.

Procedure/checklist for bunkering

35.

Removal of Oily waste / Manner of storage

36.

Disposal receipt filed

37.

Oxygen resuscitator

38.

Is the ballast system fully operational and

valves are identified

Loss Prevention Survey - Short Condition Survey Report Form

Safety:
40.

Lifeboats & davits

41.

Liferafts & davits

42.

Condition of Lifebuoys and Lifejackets.

43.

Condition of Pyrotechnics on baord.

44.

Fire extinguishers with release instructions

45.

Fire lines, pumps , Monitors & hydrants

46.

Condition of International Shore Connection

47.

Portable gas meters

48.

Oxygen resuscitator

49.

Emergency muster / station bill sighted on

each accommodation deck?

50.

Are main and emergency exits clearly

marked with lighting system

51.

Is the fire detection system in satisfactory

condition

Remarks:

This report, and any accompanying documentation or photographs, has been compiled for the sole use of Islamic P&I Club for insurance
purposes only. It should not be disclosed to any third parties without prior written permission from the Islamic P&I Club.
The information contained in this report, and any accompanying documentation or photographs, is not exhaustive as to the general
condition of the ship and should not be relied upon by members or by any other party as any assurance, representation or warranty as to
the condition of the ship and nothing herein shall prejudice the Clubs rights under the insurance policy, in the event of a dispute between
the Club and the member relating to the condition of this ship.

Loss Prevention Survey - Short Condition Survey Report Form

SUMMARY OF FINDINGS

NO.

LIST OF DEFECTS

REMEDIAL ACTION REQUIRED

1.

2.

3.

4.

5.

A.
B.

Add more rows as required.

All deficiencies that present a claims risk to the Club are to be noted as Defects. These will have to be rectified to the
satisfaction of the Club.

Photos
When regulations and safety conditions allow, a selection of labelled, digital photographs should be taken to
show the general condition of the ship with followings particulars:
Overview of vessel, holds, tanks and deck.
Fixtures and fittings.
So far as possible, all defects and/or rectified defects.
So far as possible, tests conducted.

General comments and Masters opinion on overall condityion of the vessel:

For receipt on behalf of the vessel

Name :
Date : /
/
Master :
This entire report, together with its summary of defects and / or recommendations for action (if any), has been prepared
conditional upon the clear understanding that in no circumstances whatsoever shall the Club be held responsible and/or
liable for any inaccuracy in the report, or for any act, omission or negligence. It is provided for the sole reference of the
Club and without warranty as to the accuracy of any information or advice supplied therein by the Master or Crew of the
vessel.

Loss Prevention Survey - Short Condition Survey Report Form