J12 - MA-279 Ship Condition Report.pdf

Fwm MA-279 (Revised 11-01)

U.S. Department of Transportation Maritime

SHlP CONDITION REPORT Administration INSTRUCTIONS: This form shall be prepared for the fleet file record at the time a ship is delivered into the fleet and at the time a ship is withdrawn from the fleet. A copy shall be submitted to the Division of Reserve Fleet, Washington, D.C. If more space is needed for remarks, continue on plain white paper. All items must be marked.

Continue on reverse side

DATE OF REPORT r

NAME OF SHIP

LOCATION

DATE ARRIVED

DATE WITHDRAWN

1. General Appearance of Ship

2. Cleanliness, Order, and Sanitation:

........................................................................................................................ a. Galleys .................................................................................................................. b. Messrooms

c. Refrigeration spaces

d. Deck dept. storerooms and deck gear storage spaces

e. Engine dept. storerooms

f. Living quarters

g. Passageways

h. Heads and washrooms clean I. Wheelhouse

j. Chart room

................................................................................................................... k. Radio room I. Gyroroom

....................................................................................................................... m. Offices

n. Deck houses andlor mast houses

o. Holds

p. Machinery space tank tops

q. Hold bilge wells

3. Stripping--Stores, Supplies, and Equipment:

........................................................................ a. Galley equipment (Pots, pans, dishes, etc.)

b. Perishable items removed

c. Mattresses and pillows

............................................................................................... d. Paints and paint materials

e. Diesel-Including that in life boat tanks

f. Engine stores (consumable) not including fuel and lube oil

g. Navigation instruments

h. Rope and lines

................................................................................. I. Fire arms, ammunition, pyrotechnics ............................................................. j. Medicine, medical equipment

k. Machine shop tools I. Cleaning solvents, soaps, etc

m. Pilferable items left aboard stowed in sealed compartments .................. 0 No ) Yes

4. Hull Condition:

a. Hull (externally)

b. Hull (in holds)

c. Hold tank tops

d. Hull (in machinery spaces)

e. Machinery space tank tops

f. Decks

g. Superstructures (external)

h. Superstructures (internal) I. Standing rigging

5. Machinery and Electrical Equipment:

a. General appearance of machinery spaces

Check One Good Fair Poor

I Great I Much I Moderate) Little 1

d. Amount of damaged equipment

e. Amount of excessive deterioration-Machinery, machinery space

f. Amount of excessive deterioration-Electrical equipment

g. Amount of removed equipment

h. Amount of leaks-fuel, hydraulic, lube, water, steam I. Stern gland watertightloil bearing gland head tank full.. ... ..!. ..................................................... ! ~ 1 No 1 1 Yes

j. Main shaft locked ............................................................................................................. No - Yes

k. Steering gear locked ....................................................................................................... No Yes I. Exposed equipment secured (If "No," explain under "Remarks") .................. . . . .................... No Yes

Preservation:

a. Hull blanks installed - External I n t e r n a l O t h e r (Explain in "Remarks")

b. DIH installed: ("Y" or "N" ) - Living spaces, - Engine room, Ho lds lTanks

c. Sea valves closed and wiredlchained shut (motor operated sea valves: open circuit breaker, lock and tag same) ...

........................................................................................................................ d. Flood alarms installed

e. DIH alarms installed

f. DIH recorder installed

g. Fire and smoke alarms installed

..................................................................................................................... h. Intrusion alarm installed I. Flood lines painted fore and aft

j. Anchor windlass operable (both anchors and chain in place)

............................................................................................................................ k. Stack cover(s) on I. Boiler heater installed

............................................................................................. m. C02 master controls unarmed and tagged ............................................................................. n. Sewage disposal tank washed out, clean and left open

o. Air test sea chests and hull openings below water level to 3 Ibs. air pressure for 3 minutes to prove blanks tight prior to delivery to fleet

p. Bilge and tank sounding pipes are free and clear

q. Safe combination and all keys provided to Fleet Captain

r. Tween deck hatch covers in a closed position

s. Motor heaters installedlon

t. Emergency diesel operable

u. Sealing:

1. Leaks--Weather deck hatches ......................................................................................... No

2. Leaks--Skin valves, stern tube, skylight, stack .................................................................. No

3. Leaks-Superstructure.. ................................................................................................. No

4. Water accumulated in spaces other than tanks or bilges ........................................................ No

5. Bilge water-Hold bilge wells ............................................................................................ ONone

6. Bilge water-Machinery space bilge wells.. ........................................................................ O ~ a n e

7. Bilge oil ....................................................................................................................... None

v. vessel Condition Index-Change in Ships Priority (If "Yes," explain in "Remarks" below) ................... Cl No

1. Total Fuel-LT Hull OiI-LT

Yes Yes Yes Yes

Normal ~onnal ~onnal

Yes

Yes 17 Yes q Yes Cl Yes

Yes Yes Yes Yes

17 Yes 17 Yes

Yes Yes Yes

C3 Yes

Cl Yes Yes Yes Yes

17 Yes 17 Yes

7. Draft of Ship:

a. Forward .................................................................................................................................... f t . in.-

b. Aft .......................................................................................................................................... f t . in.-

c. Trim and list (If "Unsatisfactory," recommend action under "Remarks.") ........................... Satisfactory Unsatisfactory

8. Hazardous Material:

a. Hazardous Waste Removed? (If "No," explain in "Remarks.") ................................................... No Yes

b. Inventory current .......................................................................................................... No Yes

Fleet Captain (Signature and Date) Fleet Engineer (Signature and Date) Fleet Superintendent (Signature and Date)

Date: Date: . Date:

Remarks:

Form MA-279 (Rensed 1141)