|
Ship’s name:
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Tank
No.:
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Tank Location:
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Tank
use:
|
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|
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Enclose space entry
permit No.
|
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Dated:
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Element
|
Cracks
Yes / no
|
Buckles
Yes / no
|
Corrosion
Yes / no
|
Coating
Condition %
|
Pitting
%
|
Mud/sludge
quantity
cu.m
|
|
Tank tops
|
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|
Bottom plating
|
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Longitudinal
B/Heads
|
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Transverse B/Heads
|
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Bottom plating
|
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Longitudinal floors
|
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Transversal floors
|
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|
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|
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|
Bottom Longitudinal
stiffeners
|
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Transversal
stiffeners
|
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|
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|
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Vertical stiffeners
|
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Bracket floors
|
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Manholes
|
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|
|
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Ladders
|
|
|
|
|
|
|
|
Element
|
Condition
|
Remarks
|
|
Heating coils
|
|
|
|
Pipes
|
|
|
|
Suction pipe
|
|
|
|
Sounding pipe
|
|
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Repairs
carried out / required:
|
|
|
|
|
Date:
|
|
Date
of last inspection:
|
|
|
Inspected by:
|
|
Master:
|
|
|
Rank / signature:
|
|
signature
|
|
NOTE: FORM TO BE COMPLETED AGAINST PLANNED
MAINTENANCE PROGRAM OR IN CASE OF DAMAGE. ORIGINAL ONBOARD AND COPY TO COMPANY
OFFICE.
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