2 Survival Fire First Aid Pollution Prev. New
2 Survival Fire First Aid Pollution Prev. New
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SAFETY AND SECURITY
Difference between Safety and Security
While the words “security” and “safety” have similar meanings, in offshore
industry they are used differently.
“Security” often has to do with a group's efforts to protect its members
from harm.
“Safety” most often relates to a personal feeling of being free from harm or
danger.
• Safety stands for accident avoidance, and security for crime prevention.
The best way to explain it is to use an example: If you think of an
emergency exit, or lifeboat on the one hand you have the safety aspect.
In safety terms you need to be able to get out of the ship at any time.
• Security stands – with a focus on ship protection – is concerned, let say
prepare ship against pirates attack and criminal activities.
It is clear that security is generally focused on ensuring that external factors
do not cause trouble or unwelcome situation to the organization, individuals,
and the properties within the premises. On the other hand, safety is the
feeling of being protected from the factors that causes harm.
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• SOLAS Chapter XI-2, Regulation 8 confirms the Person in Charge (Master,
OIM...) authority and emphasises that he is responsible for maintaining
the safety and security of the ship. It adds that Person in Charge (PIC)
may deny access to persons or their effects or refuse to load cargo in
order to achieve this aim and shall not be constrained by the company or
the charterer.
• Regulation 8 also states that in the event of a conflict between safety and
security requirements, the former shall take priority. In such an event the
master is to implement temporary security measures and inform the flag
administration and, if appropriate, the authorities responsible for the
port concerned.
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CREW TRAININGS, DRILLS AND EMERGENCY INSTRUCTIONS
Drill (Exercise) scenarios
Offshore exercises should be varied and challenging. Scenario details
should be adequate to allow for a realistic exercise but not so
prescriptive as to prevent variations and an injection of the unexpected
into the exercise.
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Familiarization Training
Make all persons understood on basic safety matters:
• Know the meaning of safety signs, symbols and alarm signals
• Understand what to do in the emergency situation:
• In the case of fire, (operate portable fire-extinguisher)
• In the case of abandon by lifeboat or life raft
• In the case of gas shows
• In the case of MOB (man overboard)
• In the case of pollution
• In the case of blow out
• In the case when security is breach (PIRACY AND ROBBERY)
• Entrance in confined space
• Know how to locate and correctly don lifejacket
• Know how to locate and correctly don (EEBD/ELSA)
• Know Muster/Meeting, Embarkation Stations and Emergency Escape
Routes.
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FOR ON-BOARD TRAININGS (DRILLS), SHOULD BE CONSULTED SOLAS
AND FLAG MARITIME ADMINISTRATION RULES AND REGULATIONS
AND USED ONE STRICTER REGULATION TO SATISFY BOTH
REGULATIONS.
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LIFE SAVING APPLIANCES (LSA)
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SCBA (Self-Contained Breathing Apparatus) or CABA (Compressed Air
Breathing Apparatus)
A self-contained breathing apparatus (SCBA) sometimes referred to as a
compressed air breathing apparatus (CABA), or simply breathing apparatus
(BA), is a device worn by rescue workers, firefighters, and others to provide
breathable air in a dangerous to life or health atmosphere. It should be
placed in the special work post as pontoons and cranes as well. When the
air left inside the apparatus will last about 10 minutes (40-45 bar
pressure), a warning whistle is sounded continuously till the cylinder gets
emptied.
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Line Throwing Apparatus
It consists of a plastic container with an end cap and 250 meters of line, an
integral striker mechanism and a rocket. The Line Throwing Apparatus is
designed for ease of operation in the most extreme weather conditions. It
can be used in all situations where a line is required to be passed
accurately and quickly; these include operations:
• Vessel to vessel
• Vessel to shore
• Shore to vessel
• Rescue of swimmers and MOB in distress.
It is better that fire ship which is in windward side. When fire always take
direction little bit off the wind because rockets tends to seek wind due to
weight of the line. Line shoud be fastenned to strong point before fireing.
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How to operate:
• Open the cover
• Fast the line to strong point of the ship
• Open striker’s mechanism (knob)
• Point toward goal by the angle of 20° - 30° above
horizon
• Turn striker’s knob to the right to fire
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DO NOT point at the people!
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Survival Crafts - Lifeboats
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Once all persons assigned to boarded, do and check prior launching
• Secure doors watertight
• Ensure all persons are seated with belts securely fastened
• Confirm this verbally to coxswain during final headcount check – “Belts
Secured”
• Follow manufacturer’s instructions as to when to start engine and if the
gear should be engaged or not at time of launch
• Ensure rudder is amidships
• Coxswain (boat leader) gives verbal warning that launching is about to take
place immediately before operating the release control
• Coxswain launches the lifeboat. If the main release device fails to launch
the lifeboat, the assigned crew member operates the emergency release
lever.
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Rescue boats
Can have a rigid, inflatable or mixed construction and shall:
• Have a length not less than 3.8 m and not greater than 8.5 m
• The rescue boat shall be stowed:
• Ready to be launched and recovered in less than 5 minutes
• In a position appropriate for launching and recovery
• In a way that does not interfere with the operation of the lifeboats
• Shall have the capacity of manoeuvring at speed up to 6 knots, keeping the
speed for a period of at least 4 hours
Shall have sufficient mobility and manoeuvrability at sea to:
• Allow the recovery of people in the water
• Tow liferafts and the largest lifeboat, when totally loaded with people and
equipment.
Weekly inspection:
The following tests and inspections shall be carried out weekly and a report of the
inspection shall be entered in the log-book:
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• All survival craft, rescue boats and launching appliances shall be visually
inspected to ensure that they are ready for use. The inspection shall include,
but is not limited to, the condition of hooks, their attachment to the lifeboat,
and the on-load release gear being properly and completely reset
• All engines in lifeboats and rescue boats shall be run for a total period of not
less than 3 min. provided the ambient temperature is above the minimum
temperature required for starting and running the engine. During this period
of time, it should be demonstrated that the gear box and gear box train are
engaging satisfactorily. If the special characteristics of an outboard motor
fitted to a rescue boat would not allow it to be run other than with its
propeller submerged for a period of 3 min, it should be run for such period as
prescribed in the manufacturer's handbook a suitable water supply may be
provided
• The general emergency alarm system shall be tested weekly as well.
Monthly inspections
Inspection of the life-saving appliances, including lifeboat equipment, shall be
carried out monthly using the checklist required by LSA regulation 36.1 to ensure
that they are complete and in good order. A report of the inspection shall be
entered in the log-book. 16
• Inspection includes marking and fittings.
• Lifeboats, except free-fall lifeboats, on cargo ships shall be moved from
their stowed position, without any persons on board, to the extent
necessary to demonstrate satisfactory operation of launching appliances.
Annual Inspection
• Inspection contains the checking of technical condition of davit and winch
with special attention paid to brake and gearbox elements of the winch.
During lifeboat inspection the main part of inspection is launching gear
test (dynamic test of the winch brake at maximum lowering speed with
mass 1.1 SWL). The general condition of lifeboat is checked as well as
engine with gearbox and loose equipment.
• Check for air quality in the system every year.
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Five years inspection
It’s the extended form of annual inspection. Extended due to mandatory
service jobs, mandatory spares renewal due to manufacturer’s
recommendations and over load tests with at least 110% of SWL.
Inspection includes compressed air systems- servicing, hydrostatic testing and
refilling of air cylinders and all the other services related to lifeboats and her
equipment and its launching appliances.
Every five year falls to be changed.
No maintenance or adjustment of the release gear should be undertaken while
the hooks are under load. Hanging-off pennants may be used for this purpose
but should not remain connected at other times, such as when the lifeboat is
normally stowed and during training exercises. The crew needs to be assured
that the structure is safe when loaded by hanging off pennant.
Every 3 months
Every 3 months we can lower the lifeboat either by free fall launching or by
secondary means of launching. If lowering by free fall, the required crew
need to sit inside the boat and launch it from inside.
Otherwise, we can lower the free fall lifeboat to water by davit. Crew can
then board the lifeboat by embarkation ladder.
Irrespective of how we lower the boat, we need to manoeuver it in water
every three months. We need to test the engine and sprinkler system during
maneuvering.
Every 6 months
If you are lowering the boat every 3 months by free fall means, there is no
other thing you need to do every 6 month.
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But if you had lowered the boat by secondary means such as davit, you
need to lower the boat by free fall every 6 months. Or you can carry out
simulated launching provided lifeboat has the provisions for that.
Simulated launching
Simulated launching replaces the requirement of lowering the lifeboat by
free fall method. When we lower the lifeboat by free fall method, we are
testing the release mechanism of the lifeboat. Simulated launching does
same but without lowering the lifeboat with free fall.
In simple words, the boats that are fitted with simulated launching has
a securing wire. One end of this wire is connected to boat and other on the
ship structure. When the boat is secured, this wire will be loose with no
weight on it.
One crew will operate the release gear of the boat. Once the boat releases,
after moving slight distance, simulation wire will hold the boat. This test will
make sure that the release mechanism is working.
After simulation test, the boat then need to be lowered with davit and
maneuvered in water.
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Release of life raft, automatic activation of HRU
The purpose of the HRU is to automatically release the life raft for sinking
vessel. When the ship sinks up to 4 metres, the water pressure will activate a
sharp knife inside the HRU. It will cut the securing rope around the
container/canister of the life raft and the life raft will float free. As the ship sinks
further, the painter line will stretch and it will inflate the life raft. Due to the
increase in buoyant pressure, the weak link will break at around 2.2 kN +/- 0.4
(227 kg/f +/- 40) and the life raft will emerge on the surface.
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Initial and Subsequent Actions in the life raft
Cut the painter – Stream – Close – Maintain
Cut the painter, but take slack as much as possible, so that the painter can be
used for towing.
Stream – sea anchor in the life raft is called drogue. Drogue is permanently
attached by the line at a point to one node of one life raft entrance. When the
drogue is streamed, life raft will drift downwind until this line tightens. The taut
line has the effect of keeping the life raft at an angle to the prevailing wind and
waves and will to resist any tendency to capsize and will diminish drift.
Close all entrance, combat exposure, establish survival craft routine.
Maintain the life raft in good condition. Keep life raft dry and equipment neatly
stowed that cannot be lost if life raft capsize.
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Common problems and mistakes when use liferaft
The painter is connected to the ship and not the weak link, so the life raft
inflates but goes down with the ship
The disposable HRU is out-of-date and will not work
The serviceable HRU has not been yearly serviced or expired and will not work
The expiry date is not marked on the HRU when it is replaced so there is no
record of when to replace it.
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Righting capsized (upturned) life raft
Life raft can be capsized by the wind or waves. It can be righted by only one
person. Grip the righting strap firmly, then stand upright on gas cylinder and
turn the life raft into the wind. If there are more persons, from windward side
they can push at canopy and help righting.
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Inspection and Servicing of inflatable lifesaving equipment
• Weekly visual inspection
• Every inflatable life raft, inflatable lifejacket, and marine evacuation system
shall be serviced at intervals not exceeding 12 months, provided where in
any case this is impracticable, the Administration may extend this period to
17 months
• Service will be done at an approved servicing station which is competent to
service them, maintains proper servicing facilities and uses only properly
trained personnel
• Rotational deployment of marine evacuation systems In addition to or in
conjunction with the servicing intervals of marine evacuation systems
required by regulation
• Hydrostatic release units shall be inspected during yearly service and
replaced every two years
• Each marine evacuation system should be deployed from the ship on a
rotational basis at intervals to be agreed by the Administration provided
that each system is to be deployed at least once every six years.
EPIRB must be attached to the ship by HRU and weak link and stowed far of
obstructions. 29
SART
A: Vessel more than 1NM away from SART – A line of 12 equally spaced dots
B: Vessel within 1 Nm of SART – Dots start to changes into arcs
C: Vessel in SART location – The arcs changes to circle
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Sea Area and Minimum Equipment for operational Sea Area
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The organization of the satellite rescue system is carried on in the following
steps:
• Launch of Signal (DSC, EPIRB or other means)
• If applicable, call reception and transmission between satellite and local
terminal
• Reception from the coastal radio station (MF, VHF) or land based Satellite
stations (HF, INMARSAT, COSPAS/SARSAT)
• The distress signal will be sent to the land based rescue coordination centre
(RCC), where it will be decoded and analysed
• The RCC control centre will alert the appropriate SAR teams, on land or
at sea; the vessel in danger will be displayed by the SART impulse.
ABANDONING SHIP/RIG
The IMO has introduced new guidelines (MSC.1/Circ.1578) relating to safety
during abandon ship drills using lifeboats, as required by SOLAS reg. III/19.4.
Frequency of drill is per SOLAS or flag requirements which are more strictly.
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Jumping in the water
REMEMBER – the maximum recommended jumping height when wearing a
lifejacket is maximum 4 – 4.5 meters. When jumping, use jumping technique
otherwise can be fatal. If you can choose side to jump, choose windward side.
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Survival when abandoning if into the sea
DO NOT drink sea water or urine! DO NOT eat raw fish unless you have water!
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Approaching to the person in the water
Person should be kept on leeward side of the boat
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Emergency signals – alarms
All persons on the ship/offshore units (the crew, servicers and visitors) shall be
able to distinguish emergency (safety) signals (alarms) and must be fully aware
of their individual duties assigned in MUSTER LIST (STATION BILL) and these
duties should be practiced during drills. Alarms should be tested weekly.
Do not don escape mask in the meeting point until ordered to do so! Wear
lifejackets!
Order to release CO2 must be given by the OIM or Person in Charge only.
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FIRE ON BOARD
“IF YOU OBSERVE FIRE, RISE THE ALARM AND NOTIFY WATCH STANDER ON
THE BRIDGE/BALLAST CONTROL ROOM THAN START WITH
EXTINGUISHING”
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The fire tetrahedron is an addition to the fire triangle. It adds the
requirement for the presence of the chemical reaction which is the process
of fire.
Flash point
It is lowest temperature at and above which a liquid gives off enough
flammable vapour to forma mixture with air that can be ignited by contact
with a hot surface, spark, orflame.
Boiling point
Is the temperature at which a given material changes from liquid to gaseous
state.
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Two-in, two-out (buddy policy)
In firefighting, the policy of two-in, two-out (buddy system) mandates that
firefighters never go into a dangerous fire or rescue situation alone. There
should always be at least two firefighters together when they enter a location
and one of them cannot come out of the compartment unless both do.
FIRE PROTECTION
This standard is applicable to drilling/well intervention, storage, production,
accommodation and other types of mobile units and offshore installations.
The standard covers the following systems and arrangements, including
relevant equipment and structures: — passive fire protection — active fire
protection of specific areas — fire-fighting systems — fire and gas detection
and alarm systems — miscellaneous items.
General: Passive Fire protection – Active Fire protection – Fire
Detection/Alarm System – Fire Drill
Fire Suppression: Fire extinguishers – Fire Sprinkler – Gaseous Fire
Suppression – Fire Blanket
Detection: Control Panel – Various detectors (Smoke, Heat…) - Pull Station –
Fire Alarm Box – Notification Appliances.
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Class Division
“A Class Division” is that division formed by bulkheads and decks which
comply with the following criteria:
• Constructed of steel or equivalent material
• They are suitably stiffened
• They are insulated with approved non-combustible materials such that
temperature of the unexposed side will not rise over 140 degrees above
the original temperature within time class:
A-60 = 60 min class, A-30 = 30 min, Class A-0 = 0 min.
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Optical smoke detector
Parts:
• Optical chamber
• Cover
• Case melding
• Photodiode (detector)
• Infrared LED
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FIRE SUPPRESSION, SUFFOCATION AND FIREFIGHTING EQUIPMENT
Suppression systems use a combination of dry chemicals and/or wet agents to
suppress fires. Suppression systems have become a necessity as they help
control damage and loss to equipment.
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Labelling of fire extinguishers
According to the standard BS EN 3 (European standard EN 3 specifies requirements
for portable fire extinguishers). Fire extinguishers all throughout Europe are red
RAL3000, and a band or circle of a second colour covering between 5-10% of the
surface area of the extinguisher indicates the contents.
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How to operate an extinguisher
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Fire blanket
It is safety equipment designed to extinguish small starting fires. It consists of a
sheet of fire retardant material which is placed over a fire in order to smother
it Mainly is used in galley and during welding work.
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POLLUTION PREVENTION AND CONTROL
INCLUDING BUNKERING OPERATION
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International Convention for the Prevention of Pollution from Ships, 1973,
as modified by the Protocol of 1978 relating thereto (MARPOL 73/78)
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MARPOL amendments enter into force 2017/2018 – ship fuel oil reporting
requirements, garbage classification and IOPP certification.
Requirements for ships to collect data on their fuel oil
consumption entered into force on 1 March 2018.
The data collection started on 1 January 2019 with data reported
at the end of each calendar year to the International Maritime
Organization (IMO), the United Nations agency with
responsibility for regulating the safety, security and efficiency of
shipping and preventing marine and atmospheric pollution from
ships.
SOPEP - Shipboard Oil Pollution Emergency Plan must have on board tankers
over 150 GT and vessels other than tankers over 400 GT. SOPEP must be
approved by the Flag Administration or Classification Society in fact on behalf of
the flag administration.
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Oil pollution itself is divided as:
1. Actual spill is an oil discharge caused damage of vessels body or
equipment or to secure the safety purpose vessels or Saving of Life at Sea
or discharge of oil during operation ships, which caused an oil discharge
exceeding 15 ppm and in a very excessive amount that will be result
contamination of the sea, coastline and ecosystem.
2. Probable spill is a more to direct if immediate action by ship crew is not
done secure the system in which failure will cause the oil spill, for example
equipment failure (broken oil hose), failure of operation management,
hazard to shipping (rich Dangerous Goods) and going on collision. If the
reaction on the situation and condition of the improvement is not made
soon will increase the oil spill in the ship and cause loss of strength
structural integrity and make its navigation hazard for traffic flow
mentioned vessels.
3. Operational Spill is when bunker oil, or if pipe line leakage occur, tank
overflow, hull leakage, spill caused by equipment in Machinery Spaces.
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When the ship is involved in an incident which results in the discharge (or
probable discharge) of oil, the OIM/Master is obliged under the terms of
MARPOL 73/ 78 to report details of the incident or observed spill on open sea,
without delay, to the nearest Coastal State of any incident giving rise to oil
pollution, or threat of oil pollution.
The Master is obliged to report to the nearest Coastal State
whenever there is a discharge of oil resulting and all oil spills
should be recorded in in oil and official log book.
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APPENDICES OF SOPEP BOOK
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Garbage Management Plan
The Garbage Management Plan is a complete guideline which comprises of a
written procedure for collecting, storing, processing, and disposing of
garbage generated on-board ship as per regulations provided in Annex V of
MARPOL.
It should be made according Regulation 9, Annex V of MARPOL 73/78. The
purpose of this document is to provide an easy guideline for management
and garbage handling.
The garbage is to be grouped into categories for the purpose of the Garbage
Record Book (or ship’s official log book) as follows (01 January 2013):
A - Plastics
B - Food wastes
C - Domestic wastes
D - Cooking oil
E - Incinerator ashes
F - Operational wastes 63
G - Cargo residues
H - Animal carcass
I - Fishing gear
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Emissions of air pollutants from international shipping are regulated by the
International Maritime Organisation (IMO) through the Annex VI to the
International Convention on the Prevention of Pollution from
Ships (MARPOL), which was originally signed in September 1997 and came
into force in May 2005 with significantly strengthened requirements was
adopted in October 2008 which entered into force on 1 July 2010. IMO
commissioned a review of the availability of low sulphur fuel oil for use by
ships, to help Member States determine whether a new lower global cap on
sulphur emissions from international shipping shall come into effect on 1
January 2020 or be deferred until 1 January 2025.
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Prior to bunkering the crew involved must be aware of:
• Obtained BDN (Bunker delivery note)
• The quantity and grades of fuel to be received
• The method of delivery (pipeline, barge or supply vessel) The tanks and
pipeline systems on board that will be used during operation
• The order in which the tanks will be filled
• The anticipated pumping rate and duration of the operation
• Who will be responsible for each aspect of the bunkering
• All involved should review the appropriate requirements of the vessel SMS
and SOPEP or SMPEP
• Sampling by dripping machine
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Sampling or dripping machine
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Minimum information for a Sample label:
• Name and IMO number of the receiving ship
• Place or port of bunkering
• Name of bunker supplier
• Name of bunker carrier (barge, tanker, truck or installation)
• Grade of bunker fuel
• Date and time delivery commenced
• Sample method used to obtain representative sample
• Location at which sample was drawn
• Name and signature of the supplier's representative
• Name and signature of the receiver's representative
• Seal number (and also cross-checked with BDN).
The BDN’s are to be kept on board for and readily available for inspection at
all times. It shall be retained for a period of three years after the fuel oil has
been delivered on board and sample of fuel for one year.
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Letter of protest
Master of the unit receiving bunker should to make letter of protest in the cases
if:
• Did not receive bunker deliver note or missing information
• Quality of bunker: sulphur over acceptable limit (Annex VI of MARPOL
Reg.14 and Reg.18.
• Fail to follow MEPC (Marine Environment Protection Committee )
regulations
• Other bunker supplier non-compliances.
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Sulphur Emission Control Areas (SECAs) or Emission Control Areas (ECAs)
This is the area where fuel used on board is of the maximum sulphur content
is governed by MARPOL. ((sea areas in which stricter controls were established
to minimize airborne emissions (SOx, Nox, etc.) from ships as defined by Annex
VI of the1997 MARPOL Protocol which came into effect in May 2005.
By July 2010 a revised more stringent Annex VI was enforced with significantly
tightened emissions limits.))
By 01 January 2015 new revised sulphur contents is 0. 10%
As of 2011 were four existing ECAs including the Baltic Sea, the North Sea, and
the North American ECA, including most of US and Canadian coast and the US
Caribbean ECA. Also other areas may be added via protocol defined in Annex
VI. Soon will be added Mediterranean Sea, Japan’s Isles.
Zero pollution means all waters including rain should be collected and
discharged through a 15ppm separator and grey through sewage treatment
plant.
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Marine Fuel Oil Log Book consists of six logs:
Log 1: Bunker details
Log 2: Bunker Delivery Note and MARPOL sample
Log 3: Fuel Oil Change-Over Record
Log 4: Fuel OIL used in ECA – SOx
Log 5: EU ‘at birth’ change over
Log 6: Fuel oils used ‘at birth’ in EU ports
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BALLAST WATER MANAGEMENT
Application of ballast water management convention
So the first question is to which all ships this convention applies?
Well, the convention applies to all the ships of a state that has ratified the
convention and that carry ballast.
There are few logical exemptions such as a ship that carries permanent
ballast in sealed tanks on ships that is not subject to discharge.
ForCSDU - Ballast water convention does not apply to such ships.
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Fail SET actuator is
A valve control actuator which on loss of motive power remains in its last
ordered position keeping the valve to which it is attached set in this
position. (CORRECT ANSWER)
Place victim on his back on a hard surface. With your arms straight, press
down firmly on the breastbone, pushing it down by 4-5 cm. Release the
pressure and repeat the compressions at a rate of about 80 per minute. If the
person is also not breathing, alternate 15-30 compressions with 2 breaths
until help arrives. A universal compression to ventilation ratio of 30:2 is
recommended for adult and 15:2 with two rescuers.
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HEART ATTACK
Act immediately:
• Call for medical evacuation, contact closest coastal radio station. Some
people wait too long because they don't recognize the important signs and
symptoms. Send PAN-PAN MEDICO.
Take these steps:
• Give to the patient to chew and swallow an aspirin, unless person are
allergic to aspirin
• Give patient nitro-glycerine, if adviced by doctor through coastal radio
station
• Begin CPR if the person is unconscious.
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The apparently dead should be:
• No pulse can be felt, and no heart sounds heart when the examiner’s ear is
put to the chest
• Breathing has stopped
• The eyes are glazed and sunken
• There is progressive cooling of the body (this may not apply if the
surrounding air temperature is close to normal body temperature).
What to do?
The body should be gently placed in the recovery position in a warm sheltered
compartment, and well insulated.
If still alive, the body can rewarm very slowly at an optimal rate to allow it to
compensate, by itself, for the major internal fluid changes that occurred during
the slow protracted cooling it endured
Monitor and record pupil size and rectal temperature at hourly intervals for 12
hours. If there is no change and there are still no other signs of life, then it can be
assumed that the casualty is dead.
If, however, pupil size decreases then, possibly, the casualty is alive: commence
monitoring and recording at 15-minute intervals, including checking for pulse
and breathing.
If any sign of life is detected treat as for the unconscious or d casualty.
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Never consider anyone to be dead, until you with others agree that.
CHOKING
Choking is when airway gets blocked and victim can’t breathe properly.
BLEEDING
Bleeding can be internal and external.
Direct pressure
Apply firm pressure to the wound for about 15 minutes. Never use a
tourniquet except if limb is cut and no other way to stop bleeding.
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Elevation
When there is a severely bleeding wound of an extremity or the head,
direct pressure should be applied on a dressing over the wound with the
affected part elevated. This elevation lowers the blood pressure in the
affected part and the flow of blood is lessened.
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Pressure points
Because this technique reduces the circulation to the wounded part below the
pressure point, it should be applied only when absolutely necessary and only until
the severe bleeding has lessened.
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If a tourniquet is applied to save a life, immediate RADIO MEDICAL ADVICE
must be obtained. Contact MRCC (RCC) (See Chapter “Communication”) and
send by radio Urgent Call “PAN-PAN MEDICO…”
SHOCK
In medicine shock is a critical condition that is brought on by a sudden drop in
blood flow through the body. The circulatory system fails to maintain adequate
blood flow, sharply curtailing the delivery of oxygen and nutrients to vital organs.
Shock, which is a major medical emergency, is common after serious injury.
Symptoms:
• Low blood pressure (hypotension)
• Over breathing (hyperventilation)
• Pale face
• Cold, clammy skin
• Fast, shallow breathing
• Rapid, weak pulse
• Sense of great anxiety and foreboding
• Confusion
• In extreme cases, unconsciousness.
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Treatment:
• Lay the casualty down, raise and support their legs
• Use a coat or blanket to keep them warm – but not smothered
• Do not give them food or drink
• Check breathing and pulse frequently. If breathing stops, follow the
resuscitation sequences
• Give lots of comfort and reassurance.
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HEAT DAMAGE
Sunstroke
Symptoms:
• Fever
• Headache
• Dizziness
Treatment:
• It is necessary to remove victim in the shadow, take of clothes, put on cold
compress
• Give cold drinks. Keep a place cool if possible
• Get them to lie down with their legs raised
• Give them plenty of water
• Follow if possible with a weak salt solution (1 teaspoon of salt per litre of
water, assist the casualty to drink it).
Burns
• Start cooling the burn immediately under running water for at least 10
minutes
• Make the casualty as comfortable as possible, lie them down
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• Continue to pour copious amounts of cold water over the burn for at least
ten minutes or until the pain is relieved
• Whilst wearing disposable gloves, remove jewellery, watch or clothing from
the affected area - unless it is sticking to the skin
• Cover the burn place with clean, non-fluffy material to protect from
infection.
FRACTURES
A bone fracture is a medical condition where the continuity of the bone is
broken and that is the most frequently wound on the ship.
The signs and symptoms of a fracture vary according to which bone is affected,
the patient's age and general health, as well as the severity of the injury.
However, they often include some of the following:
• Pain
• Swelling
• Bruising
• Discoloured skin around the affected area
• Angulation - the affected area may be bent at an unusual angle
• The patient is unable to put weight on the injured area
• The patient cannot move the affected area
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• The affected bone or joint may have a grating sensation
• If it is an open fracture, there may be bleeding.
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SPINAL INJURY
A fractured spine is a very serious injury. If you suspect a fractured spine tell the
casualty to lie still and do not allow anyone to move him until he is supported on
a hard flat surface (consider medical evacuation as soon as possible).
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ELECTRIC SHOCK
An electric shock occurs when a person comes into contact with an electrical
energy source. Electrical energy flows through a portion of the body causing a
shock. Exposure to electrical energy may result in no injury at all or may result in
devastating damage or death. Burns are the most common injury from electric
shock.
Rescue Procedure
On discovery of an electric shock, DO NOT TOUCHES CASUALTY with bare hands
until current has been turned off or electric contact broken.
DROWNING
Types of Drowning
Wet drowning/primary drowning. Water enters the lungs
Dry Drowning 10% of all cases. Intense laryngeal spasm prevents entry of water
into the lungs.
Standard CPR for drowned person:
• Clear airway and drain water from the lung
• Mouth to mouth breathing
• Cardiac massage if heart sounds absent
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• Control ventilation with oxygen
• Positive end-expiratory pressure (PEEP) if the former fails
• Intra-venous sodium bicarbonate for metabolic acidosis.
• Immersion victim:
• Hydrocution or Immersion Syndrome – sudden exposure to cold water leads
to vagal inhibition
• Incapacitation – e.g.; muscle stiffness due to cold and inability to protect
airway
• Hypothermia – LOC and aspiration
• All cases must be hospitalized to prevent death from secondary drowning
• Observe at least for 24 hours
• Immersion victims are dehydrated and hypotensive. Remove them from
water in a horizontal position if possible.
HYPOTHERMIA
Hypothermia is a medical emergency that occurs when your body loses heat
faster than it can produce heat, causing a dangerously low body temperature.
Normal body temperature is around 36.6 C.
Hypothermia occurs as your body temperature falls below 35 C.
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Symptoms
• Shivering
• Slurred speech or mumbling
• Slow, shallow breathing
• Weak pulse
• Clumsiness or lack of coordination
• Drowsiness or very low energy
• Confusion or memory loss
• Loss of consciousness
• Bright red, cold skin (in infants).
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Toxic substances can affect the body in various ways:
• Through the lungs by inhalation of toxic gases and fumes
• Through the mouth and digestive system, if swallowed
• Through skin contact
• Through eye contact.
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Heavy lift is as per API
All weight above SWL as per crane derating table minus 10% on
required radius or boom angle
The numerical order of the classes and divisions is that of the degree of
danger of dangerous cargo and as such are listed as per IMO list
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