供、受油作业安全检查表

1、供、受油作业安全检查表BUNKERING SAFETY CHECK LIST编号：SZSH-YK-AQ52供油船舶名：受油船舶名：Bun ker tan ker n ame Receivi ng Vessel n ame供油种类、数量Type and qua ntity of the oil作业时间、地点Time and place of the bun keri ng operation泵压泵速检查项目Items供油方Supplier受油方Receiver备注Remark1输油管是否完好？Are bun keri ng hoses in good con diti on?Yes / NoYe

2、s / No2输油管是否接妥、并在接合处放置了接油容器？Are bun keri nghoses correctlyconn ectedand dripcollect ing trays in positi on at the joining part?Yes / NoYes / No3受油舱阀门是否已打开？Is the valve of receivi ng tank ope ned?Yes / NoYes / No4主甲板泄水孔是否已堵塞？Are scuppers on the main deck effectively plugged?Yes / NoYes / No5双方是否约定了联络

3、方法？Does the com muni cati onsystem agreed on by bothYes / NoYes / Noparties?6双方是否安排了专人值班？Have both parties assig ned their respective duty officer?Yes / NoYes / No7双方的操作程序是否已商定？Does the operationprocedure agreed on by bothYes / NoYes / Noparties?8双方是否备妥了必要的吸附材料，以应付意外跑油事 故？Are absorbingmaterials avai

4、lable for dealingwithYes / NoYes / Noaccide ntal escape of oil?Pump Pressure(kg/cm2 ) Pumpi ng rate(m3/h)注：双方须按表内所列项目、落实、对符合要求者用“V”表示，不符合要求者在备注栏内说明Note: All the items of the list must be checkedand implemented.Items not meeting requirements must beexplained in the remarks column.供油船负责人姓名：Full Name of Person in chargeSupplier职务Position签字Signature时间Date and time受油船负责人姓名：Full N