Report No.

Report on the Surveys Concerning International Oil Pollution Prevention Certificate

Part 7
Survey of installation for discharges from cargo spaces
Initial Survey/Annual Survey/Intermediate Survey/Periodical Survey/Renewal Survey/
Change of Flag Survey/General Examination*

Name of Ship:
Plans referred during Initial Survey:
1
2
3
4
5

No. Item Condition

#
A. Documentation
1 Confirming that subdivision and damage stability information in an approved form, where
applicable, is on board.
2 Where a stability instrument is fitted on board, Confirming that:
a Document of Approval (DOA) as required by MARPOL Annex I, Regulation 28(6) has been
issued by/ on behalf of the Administration.
b An approved operation manual for stability instrument including test conditions are available
on board.
3 Where the Administration has waived the requirements of stability instrument (Regulation
28(6)), Confirming that necessary waiver issued by the Administration is available on board
and the alternative means of verification for intact and damage stability applied effectively
and recorded on FORM B.
4 Checking that the ship is allowed continued operation according to the phase-out scheme of
MARPOL 90/04/14 Annex I reg.20.
5 Confirming that the approved Dedicated Clean Ballast Tank Operation Manual and/or the
approved Operations and Equipment Manual for the Crude Oil washing Systems, as
appropriate, is/are on board.
6 Confirming , when appropriate, that a CAS Statement of Compliance together with the CAS
Final Report are on board.
7 Confirming that, if applicable, a Ship to Ship (STS) operations Plan approved by the
Administration has been provided.
8 Confirming that, if applicable, a Crude Oil Washing Operations and Equipment Manual has
been provided.
9 Confirming that the loading conditions and intact stability information in an approved form is
on board (applicable for oil tankers of 5000dwt and above delivered on/after 1 February
2002).

# Condition to be reported using number code as follows:

1. When examined found to be satisfactory and/or examined/tested satisfactory and/or confirmed arrangements exist in satisfactory condition. No
repairs considered necessary this time.
2. Repairs now recommended and were carried out satisfactorily. After repairs found to be satisfactory and/or examined / tested satisfactorily and/or
confirmed arrangements exist in satisfactory condition.
3. Repairs now recommended and remain outstanding.
4. Opportunity to examine/test was not provided this time. Remains outstanding.
NA - Not Applicable.
$ - Acceptance of this alternative method during intermediate and renewal survey is subject to acceptance by the Administration.
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Report No.:
10 Confirming that, for oil tankers of 5,000 tonnes deadweight and above, that arrangements are
in place to provide prompt access to shore-based damage stability and residual structural
strength computerized calculation programs.
Access to shore based program provided by: ………………Valid till: ………………
11 Verifying whether any new equipment has been fitted and, if so, confirmation that it has been
approved before installation and that any changes are reflected in the appropriate certificate.
12 Confirming that certificate for the type approval of the oil discharge monitoring equipment, is
available on board.
(Note: When carrying bio-fuel blends containing 75percent or more of petroleum oil, oil
discharge monitoring equipment (ODME) shall be type approved in accordance with
MEPC.108(49) as amended by MEPC.240(65) and approved for the mixture being
transported)
13 Confirming that the Operating and Maintenance manual for the oil discharge monitoring and
control system, is on board.
14 Confirming, for installations complying with resolution MEPC.108 (49), that the oil content
meter has been calibrated by the manufacturer or a person authorized by the manufacturer and
that a valid calibration certificate is available on board.
15 Confirming that a valid calibration certificate for oil discharge monitoring equipment is
available onboard including other records. .
16 Confirming that certificates for the type approval for the oil content meters, oil discharge
monitoring and control system and oil/water interface detectors, are available on board.
17 Checking that Oil Record Book Part II is provided and appropriate entries have been made.
B. Equipment and arrangements
1 Confirmation that an approved stability instrument, if fitted on board as required by
Regulation 28(6), has been checked for accuracy at regular intervals by the ship’s staff by
applying test loading conditions.

2 Examining externally the oil discharge monitoring and control system and its associated
equipment and, if applicable, verifying that the instrument is properly sealed.

3 Confirming, as far as practicable, the satisfactory operation of the oil discharge monitoring
and control system including the oil content meter and, where applicable, the automatic and
manual means provided to stop the discharge of effluent and the starting interlock.
4 Observing that indicators and recording devices are operable and verifying that sufficient
supply of consumables for the recorders are on board.
5 Confirming the satisfactory testing, as far as practicable, of any audible or visual alarms fitted
to the oil discharge monitoring and control system.
6 Examining, as far as practicable, of the oil/water interface detectors.
7 Confirming that no cross-connections have been fitted between the cargo and segregated
ballast systems.
8 Where a portable spool piece is provided for the emergency discharge of segregated ballast by
connecting the segregated ballast system to a cargo pump, confirming that non-return valves
are fitted on the segregated ballast connections and that the spool piece is mounted in a
conspicuous position in the pump room with a permanent notice restricting its use.
9 Confirming by sighting that there has been no contamination with oil in the segregated ballast
tanks.
10 Confirming, as far as practicable, that the dedicated clean ballast tank arrangement remains
satisfactory.
11 Confirming by sighting that there has been no contamination with oil in the dedicated clean
ballast tanks.
12 Confirming, as far as practicable, that the crude oil washing system remains satisfactory.

# Condition to be reported using number code as follows:

1. When examined found to be satisfactory and/or examined/tested satisfactory and/or confirmed arrangements exist in satisfactory condition. No
repairs considered necessary this time.
2. Repairs now recommended and were carried out satisfactorily. After repairs found to be satisfactory and/or examined / tested satisfactorily and/or
confirmed arrangements exist in satisfactory condition.
3. Repairs now recommended and remain outstanding.
4. Opportunity to examine/test was not provided this time. Remains outstanding.
NA - Not Applicable.
$ - Acceptance of this alternative method during intermediate and renewal survey is subject to acceptance by the Administration.
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13 Examining externally the crude oil washing piping, pumps, valves and deck mounted
washing machines for any sign of leakage and checking that all anchoring devices for crude
oil washing piping are intact and secure.
14 Confirming, in those cases where drive units are not integral with the tank cleaning machines,
that the number of operational drive units as specified in the Manual are on board.
15 Checking that, when fitted, steam heaters for water washing can be properly isolated during
crude oil washing operations, either by double shut-off valves or clearly identifiable blanks.
16 Checking that the prescribed means of communications between the deck watch keeper and
the cargo control position is operational.
17 Confirming that an overpressure relief device (or other approved arrangement) is fitted to the
pumps supplying the crude oil washing systems.
18 Confirming that flexible hoses for supply of oil to the washing machines on combination
carriers, are of an approved type, are properly stored and are in good condition.
19 Confirming by checking, as far as practicable, that the crude oil washing machines are
operable and, when the survey is carried out during crude oil
washing operations, by observing the proper operation of the washing
machines by means of the movement indicators and/or sound patterns
or other approved methods
20 Confirming by checking, as far as practicable, the effectiveness of the stripping system in
appropriate cargo tanks by observing the monitoring equipment and by hand-dipping or other
approved means.
21 Confirming that on those existing tankers operating with special ballast arrangements, the
arrangements are as approved and are satisfactory.
22 Examining the piping systems associated with the discharge of dirty ballast or oil-
contaminated water including the part flow system, if fitted .
23 Verifying by testing that the communication system between the observation and discharge
control positions is satisfactory.
24 Examining the means of draining cargo pumps and cargo lines, including the stripping device
and the connections for pumping to the slop or cargo tanks or ashore .
C. Additional items for Intermediate Survey and Renewal Survey
1 Examining the oil discharge monitoring and control system and the oil content meter for
obvious defects, deterioration or damage, and checking the record of calibration of the meter
when done in accordance with the manufacturer's operational and instruction manual.
2 Confirming the satisfactory operation of the oil/water interface detectors.
3 Examining the crude oil washing piping outside the cargo tanks. If upon examination there is
any doubt as to its condition, the piping may be required to be pressure tested, gauged or both.
Particular attention should be paid to any repairs such as welded doublers.
4 Confirming the satisfactory operation of the isolation valves to steam heaters for washing
water, when fitted.
5 Verifying the continued effectiveness of the installed crude oil washing and stripping systems.
(strike off not applicable)
1) By internal examining at least two selected cargo tanks when safe to enter.
OR
2) By following$
a) Checking tanks containing departure and/or arrival ballast water, as applicable, to confirm
the effectiveness of the cleaning and stripping;
b) checking, as far as practicable, that the crude oil washing machines are operable and, when
the survey is carried out during crude oil washing operations, observing the proper operation
of the washing machines by means of the movement indicators and/or sound patterns or other
approved methods;
c) Checking, as far as practicable, the effectiveness of the stripping system in appropriate
# Condition to be reported using number code as follows:
1. When examined found to be satisfactory and/or examined/tested satisfactory and/or confirmed arrangements exist in satisfactory condition. No
repairs considered necessary this time.
2. Repairs now recommended and were carried out satisfactorily. After repairs found to be satisfactory and/or examined / tested satisfactorily and/or
confirmed arrangements exist in satisfactory condition.
3. Repairs now recommended and remain outstanding.
4. Opportunity to examine/test was not provided this time. Remains outstanding.
NA - Not Applicable.
$ - Acceptance of this alternative method during intermediate and renewal survey is subject to acceptance by the Administration.
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cargo tanks by observing the monitoring equipment and by hand-dipping or other approved
means.
6 Examining the manual and/or remote operation of the individual tank valves (or other similar
closing devices) to be kept closed at sea.
D. Additional items for Renewal / Periodical Survey
1 Confirmation that an approved stability instrument, if fitted on board as required by
Regulation 28(6), has been checked for accuracy by applying test load conditions in presence
of the Surveyor.
2 Confirmation, if necessary, by simulated test or equivalent, of the satisfactory operation of the
oil discharge monitoring and control system and its associated equipment, including the
oil/water interface detectors.
3 Confirming that the arrangements of pumps, pipes and valves are in accordance with the
requirements for SBT systems and there are no cross-connections between the cargo and
segregated ballast systems.
4 Confirming the arrangements of pumps, pipes and valves are in accordance with the Revised
Specifications for Oil Tankers with Dedicated Clean Ballast Tanks.
5 Confirming that the crude oil washing system is in accordance with the requirements for such
systems and in particular:
5.1 Carrying out pressure testing of the crude oil washing system to at least the working pressure
and confirming it is satisfactory.
5.2 Examining the cargo tanks for the express purpose of verifying the continued effectiveness of
the installed crude oil washing and stripping systems.
5.3 Examining internally, when fitted, the isolation valves for any steam heaters.
5.4 Verifying, by internal tank inspection or by another alternative method acceptable to the
Administration, the effectiveness of the crude oil washing system. If the tank cannot be gas-
freed for the safe entry of the surveyor, an internal inspection should not be conducted. An
acceptable alternative would be verification of arrival/departure ballast, verification of
operation of COW machines, verification of effectiveness of stripping system.
6 Confirming that there is no leakage from those ballast pipelines passing through cargo tanks
and those cargo pipelines passing through ballast tanks.
7 Confirming that the pumping, piping and discharge arrangements are Satisfactory and in
particular:
7.1 Confirming that the piping system associated with the discharge of dirty ballast water or oil
contaminated water are satisfactory.
7.2 Confirming that the means of draining cargo pumps and cargo lines, including the stripping
device and the connections for pumping to the slop or cargo tanks or ashore are satisfactory.
7.3 Confirming that the arrangements for the part flow system, where fitted, are satisfactory.
8 Confirming that closing devices installed in the cargo transfer system and cargo piping as
appropriate are satisfactory.
E. Additional items for Initial Survey
1 In respect of installation of stability instrument as required by MARPOL Annex I, Regulation
28(6), confirmation that:-
a Documents pertaining to approval of software, test conditions and user manuals are available
on board.
b Installation testing of the stability instrument has been done and found to be satisfactory.
c Document of Approval (DOA) has been issued by/ on behalf of the Administration.
2 Confirming the satisfactory installation and operation of the oil discharge monitoring and
control system as per the approved plan/technical installation specification and in accordance
with the manufacturer’s equipment specification/ installation instructions including any
audible or visual alarms, the automatic and manual means to stop the discharge of effluent the
starting interlock, the accuracy of the flow meter . Operational outlets are located in the
# Condition to be reported using number code as follows:
1. When examined found to be satisfactory and/or examined/tested satisfactory and/or confirmed arrangements exist in satisfactory condition. No
repairs considered necessary this time.
2. Repairs now recommended and were carried out satisfactorily. After repairs found to be satisfactory and/or examined / tested satisfactorily and/or
confirmed arrangements exist in satisfactory condition.
3. Repairs now recommended and remain outstanding.
4. Opportunity to examine/test was not provided this time. Remains outstanding.
NA - Not Applicable.
$ - Acceptance of this alternative method during intermediate and renewal survey is subject to acceptance by the Administration.
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positions indicated on the drawing of the pumping and piping arrangement. The piping and
probes are of a material resistant to fire, corrosion, and oil and are of adequate strength,
properly jointed and supported.
3 Confirming that the arrangements of slop tanks or cargo tanks designated as slop tanks and
associated piping systems are satisfactory.
4 Confirming that if installed in a hazardous area, the electrical components of the monitoring
system meet the appropriate safety requirements laid down for these areas. Any bulkhead
penetration between a hazardous and a non-hazardous area is of a design approved by the
Administration.
5 Confirming that each main component of the oil content monitoring system is fitted with a
name-plate, properly identifying the component by assembly drawing number, type or model
number and serial number, as appropriate.
6 Confirming that on-board functional test of the oil discharge monitoring and control system
carried out satisfactorily. Verification of absence of leakage in the sample pumping and piping
system, correct functioning of remote controlled sampling valves, system operation under
correct flow conditions, correct functioning of alarms when a malfunction occurs external to
the monitoring system, manual override control, automatic recording(print out) function.
7 Verifying that the overboard discharge control is able to stop the discharge of the effluent into
the sea automatically by either closing all relevant overboard discharge valves or stopping all
relevant pumps. The discharge control arrangement is fail-safe so that all effluent discharge is
stopped when the monitoring system is not in operation, at alarm conditions, or when the
monitoring system fails to function. In the event of power failure the processor is capable of
retaining its memory in respect to computation of the total quantity of oil discharged, time and
date.
8 Testing ballast pipelines that pass through cargo tanks and those cargo pipelines that pass
through ballast tanks to ensure there is no cross contamination.
9 Confirming that the crude oil washing system is installed in accordance with the approved
plans.
10 Carrying out pressure testing of the crude oil washing system to 1.5 times the working
pressure.
11 Confirming that, where there is a crude oil washing system, an inert gas system has been
installed and tested in accordance with the requirements of SOLAS.
12 Confirming that closing devices installed in the cargo transfer system and cargo piping, as
appropriate, are satisfactory.
13 Confirming that the subdivision and stability arrangements to prevent progressive flooding are
satisfactory.
14 Confirming that the arrangements for cargo pump-room bottom protection (double bottom
where required) are satisfactory.
15 Confirmation that the arrangements for the prevention of oil pollution in the event of collision
or stranding are in accordance with the approved plans.
F. Additional requirements for ships operating in Polar Waters (Applicable for surveys other than Initial
Survey)
1 Confirmation that the Polar Ship Certificate is available on board and valid.
2 Confirmation that operation in polar waters have been taken into account, as appropriate, in
the Oil Record Book Part II.
3 Confirmation that Polar Ship Certificate has been issued/ endorsed* based on satisfactory
survey.

# Condition to be reported using number code as follows:

1. When examined found to be satisfactory and/or examined/tested satisfactory and/or confirmed arrangements exist in satisfactory condition. No
repairs considered necessary this time.
2. Repairs now recommended and were carried out satisfactorily. After repairs found to be satisfactory and/or examined / tested satisfactorily and/or
confirmed arrangements exist in satisfactory condition.
3. Repairs now recommended and remain outstanding.
4. Opportunity to examine/test was not provided this time. Remains outstanding.
NA - Not Applicable.
$ - Acceptance of this alternative method during intermediate and renewal survey is subject to acceptance by the Administration.
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G. Additional requirements for ships operating in Polar Waters (Initial Survey)
1 Confirmation that the arrangements for the prevention of oil pollution in the event of
collision or stranding are in accordance with the approved plans.
(Note: For category A and B ships other than oil tankers constructed on or after 1 January
2017, all cargo tanks constructed and utilized to carry oil shall be separated from the outer
shell by a distance of not less than 0.76 m.)
2 Confirmation that the arrangements for the prevention of oil pollution in the event of
collision or stranding are in accordance with the approved plans.
(Note: For category A and B oil tankers of less than 5,000 tonnes deadweight constructed on
or after 1 January 2017, the entire cargo tank length shall be protected with:
.1 double bottom tanks or spaces complying with the applicable requirements of regulation
19.6.1 of MARPOL Annex I; and
.2 wing tanks or spaces arranged in accordance with regulation 19.3.1 of MARPOL Annex I
and complying with the applicable requirements for distance referred to in regulation 19.6.2
of MARPOL Annex I.)
3 Confirmation that Polar Ship Certificate has been issued based on satisfactory survey.

This is to certify that the undersigned has examined the ship as reported herein, and has compared the arrangements and
equipment on board with the Record of Construction and Equipment and found them to be in agreement. All the parts
surveyed were found to be well maintained and in an efficient and good working condition.

It has been verified that appropriate entries have been made in the Oil Record Book.

It has been verified that the instruction manual for oily water separating equipment or filtering system for control of
effluent from machinery spaces is available on board.

It has been confirmed as far as practicable, that no unapproved modifications have been made to the ship and its
equipment.

After satisfactory completion of survey IOPP certificate issued/ endorsed as indicated below:

IOPP certificate on board endorsed on: .........................(dd/mm/yyyy).

___________________________________
Surveyor(s) to Indian Register of Shipping
Port :

__________________________________
Reviewer for Indian Register of Shipping
Place :

# Condition to be reported using number code as follows:

1. When examined found to be satisfactory and/or examined/tested satisfactory and/or confirmed arrangements exist in satisfactory condition. No
repairs considered necessary this time.
2. Repairs now recommended and were carried out satisfactorily. After repairs found to be satisfactory and/or examined / tested satisfactorily and/or
confirmed arrangements exist in satisfactory condition.
3. Repairs now recommended and remain outstanding.
4. Opportunity to examine/test was not provided this time. Remains outstanding.
NA - Not Applicable.
$ - Acceptance of this alternative method during intermediate and renewal survey is subject to acceptance by the Administration.
________________________________________________________________________________________________
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