供、受油作业安全检查表BUNKERINGSAFETYCHECKLISTNO.供油船船名（车辆）受油船船名SupplyingShipNameReceivingShipName供油种类供油数量KindofOilQuantityofOil作业时间及地点TimeandPlaceoftheBunkeringOperation泵压泵速PumpPressure(Mpa)PumpRate(m3/h)检查项目Items供油方Supplier受油方Receiver备注Remarks1、输油管是否完好？Arebunkeringhosesingoodcondition?2、输油管是否接妥，并在结合处放置了接油容器？Arebunkeringhosescorrectlyconnected&dripcollectingTraysinPositionatJoiningPart?3、受油舱阀是否打开？Isthevalveofreceivingtankopen?4、所有落水孔是否已有效堵塞？Areallscupperseffectivelyplugged?5、双方是否约定了联系信号？Isthecommunicationsystemagreedonbybothparts?6、双方是否安排了专人值班？Aredutypersonassignedbybothparts?7、双方的操作程序是否已商定？IstheoperationProcedureagreedonbybothparts?8、双方是否备妥了必要的吸附材料，以应付意外跑油事故？Arenecessaryabsorbingmaterialsavailablefordealingwithaccidentalescapeofoil?9、通往外部的门窗和舷窗是否都关闭？Areexteriordoors&portholesclosed?10、在货油管汇附近是否有手提式化学灭火器？Isaportablechemicalfireextinguisherssightednearthecargomanifold?12、不使用的货油管汇是否用盲板盲死并上齐所有螺栓？Areclosedmanifoldconnectionsblanked&fullybolted?13、船舱壁、管线、阀门和船壳是否状况良好无渗漏？Arebulkheads、pipelines、valves&hullingoodcondition&withnoleaks?14、缆绳是否状态良好？Areropesingoodcondition?15、船舶是否安全系泊？Isvesselsecurelymoored?16、碰垫是否状况良好并布放合理？Arefendersingoodorderandsuitablypositioned?17、货物网兜、吊具、吊绳等设备是否处于良好状态?Arecargonetsorliftingcages,stropsetcingoodcondition?18、供油管是否已安全适当的连接并上满螺丝？Isthetransferhoseproperlyriggedandfullybolted？19、供油方是否规定停止作业风力等级？如果规定，风力几级时停止供、受油作业？Istheenvironmentalthresholdforthecargooperationregulatedbysupplier?Ifregulated，whichscaleofwindforcebunkeringoperationwillbestopped?□级注：双方必须按表内所列项目检查、落实，对符合要求者用“√”，不符合要求者在备注栏内说明。Note:Alltheitemsofthelistmustbecheckedandimplemented,Itemsagreedtobedoneshallbemarkedwith“√”,whileitemsdisagreedshallbeexplainedinthecolumnofremarks.供油船（车辆）负责人姓名受油船负责人姓名PersoninchargePersoninchargefromthesupplierfromthereceiver职务职务RankRank签字签字SignSign时间时间DateandtimeDateandtime
