1船/岸安全检查表SHIP/SHORESAFETYCHECKLISTShip'sName船名………………………………………
Berth泊位………………………………………DateofArrival抵达日期……………………………………
Port港口………………………………………
TimeofArrival抵达时间……………………………………
填表须知INSTRUCTIONSFORCOMPLETION:为保证安全作业,下列所有问题的答复均是肯定的可在相应的方格内清楚地打上V标号
如果不能给予肯定回答,应说明理由,而且船舶和码头之间均达成关于应采取的适当预防措施的协议
如果认为有的问题不适用,应在备注栏里加以说明
Thesafetyofoperationsrequiresthatallquestionsshouldbeansweredaffirmativelybyclearlyticking(V)intheappropriatebox
Ifanaffirmativeanswerisnotavailable,thereasonshouldbegivenandagreementreacheduponappropriateprecautionstobetakenbetweentheshipandtheterminal
Whereanyquestionisconsideredtobenotapplicable,thenanotetothateffectshouldbeinsertedintheremarkscolumn
“船舶”和“码头”栏目下的方格,表示由负责方实施检查
Aboxinthecolumn‘ship'and‘terminal'indicatesthatthepartyconcernedshouldcarryoutchecks
在“代码”栏目