Blue Card Condition Survey Report 2010.1

RaetsMarine Insurance B.V.
BLUE CARD SURVEY

GUIDELINES
version 2010.1
GENERAL CARGO VESSELS

TANKERS
INDEX
page
Guidance notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cover page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Section A
........................................ 2
Section B
........................................ 3
Section C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Section D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Section E
........................................ 5
Section F
........................................ 5
Section G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Section H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
List of deficiencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Blue Card Condition Survey report, 2010.1
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BLUE CARD SURVEY FORM - GUIDANCE NOTES

Important : The surveyor must settle the survey fee with the vessels Owners directly, without
involvement of RaetsMarine Insurance B.V.
We request surveyors to take good notice of below guidelines prior to attending on board.
With effect from the 21st of November 2008 the International Convention on Civil Liability for Bunker Oil
Pollution Damage, 2001 will be in force. This convention requires registered owners of vessels over 1,000
GRT registered in a state which is party to the Convention to maintain insurance (or alternative security such
as the guarantee of a bank or similar financial institution) to cover pollution damage up to the limit of liability
of the relevant limitation regime (but no more than the limit applicable under the current version of the 1976
Convention of Limitation of Liability for Maritime Claims as amended).
Ships registered in a State party or entering or leaving a port in the territory of a State party are to carry on
board a CLC Certificate issued by the flag state attesting that the registered owner maintains insurance in
accordance with the requirements as set out in the International Convention on Civil Liability for Bunker Oil
Pollution Damage, 2001.
To obtain a CLC Certificate from the relevant flag state authorities the owners of vessels insured with
RaetsMarine will need to obtain a Bunker Convention Blue Card from RaetsMarine.
This Bunker Convention Blue Card confirms that the insurance maintained for the insured vessel meets the
requirements of the Bunker Convention.
Given the nature of confirmation provided by the Bunker Convention Blue Card it is imperative that the P&I
insurance is not subject to any provisions which may prejudice cover in the event of an incident, such as a
defects warranty clause or reservations mentioned in a RaetsMarines Risk Assessment.
It is therefore strictly necessary that an insured vessel has undergone a satisfactory Blue Card
survey in accordance with our Blue Card survey guidelines, by an approved surveyor
Complete the Blue card survey report with the information available on site but dont forget that this report format
is only a guide to assist with the reporting.
If a test or inspection could not be carried out, clearly state reason. This non-accomplished inspection
must be stated on the deficiency list in the nominated section.
Nowadays the majority of claims are caused, direct or indirectly, by human errors. The surveyor is asked to
have special attention for the human element on board and in the relevant section carefully assess crews
competence, both in operation of the vessel and in crew following procedures.
The full Blue Card Survey report with relevant photographs and test results must be faxed / emailed to
RaetsMarine Insurance B.V. in Rotterdam WITHIN 48 HOURS after completing the survey.
Please note that RaetsMarine requires only ONE ORIGINAL of the report. We kindly ask to provide the report
with staple, ring binder or loose sheets and ask not to prepare reports with a hard cover / glued (due to
administrational reasons). Please also send a copy of the report to the Owners.
The condition rating section on page 1 is used to assist RaetsMarine to make an assessment for insurance
purposes. Considerable objectivity is required from the surveyor. To ensure a common basis in completing this
section, the following brief guide should be followed. Whole numbers with decimal digits can be used.
9.0
8.0
7.0
6.0
5.0
EXCELLENT
VERY GOOD
GOOD
FAIR
SATISFACTORY
4.0
3.0
2.0
1.0
0
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NOT SATISFACTORY
NOT ACCEPTABLE
POOR
VERY POOR
DANGEROUS
Page one also includes a summary section. This should be a brief summary of the vessels condition.
The last page of the form (page 8) should list any deficiencies, clearly stating the nature and extent of these
defects. Surveyors should only mention the deficiency; they should refrain from providing a solution in their
comment.
The Master or other Owners representative must sign the last page(s) of the form (page 8), with the list of
defects and any non-accomplished items. If a signature is refused or is unobtainable this should be stated with
the reason.
ENGINE ROOM MANNED FULL

TIME ?
GENERAL CONDITION ENGINE
ROOM SPACES
Not applicable
Not inspected
Example :
Deficiency
Satisfactory
For almost all items within the guidelines a choice must be made from the 4 columns (satisfactory, deficiency,
not inspected or not applicable). In the column deficiency the number of the corresponding deficiency / nonaccomplished inspection on page 8 must be filled in. The other 3 columns must be marked with X or .
YES
Comment
Comment
NO
X
12
SPARES & TOOLS
No spares present.
QUICK CLOSING VALVES
Vessel in operation, no inspection possible
REMOTE STOPS
OIL WATER SEPARATOR
(INCLUDING 15 ppm)
The surveyor is encouraged to provide additional comments, either next to the deficiency, at the end of the
section (special designated area) or on the comments sheet on page 7.
If information is required from the vessel or company once the surveyor has departed the vessel, the vessels
Owners/managers should be requested to forward these directly to RaetsMarine.
Our contact details:

RaetsMarine
Contact: Jeroen Ebbeling/Robbert Beekman
Fascinatio Boulevard 622
2909 VA Capelle A/D IJssel, The Netherlands
Telephone: .. +31-10-24 25 000
Faxnumber: . +31-10-24 25 088
E-mail: j.ebbeling@raetsmarine.com
E-mail: r.beekman@raetsmarine.com
Blue Card related Deficiencies originating from this report format must
be corrected within a period of 6 calendar weeks from date of survey, if
and when these deficiencies are not lifted within this period the Blue
Card might not be issued or might be revoked.
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CONDITION SURVEY REPORT

NAME OF VESSEL
IMO NUMBER
FLAG
GROSS TONNAGE
YEAR OF BUILT
REGISTERED OWNER
MANAGER OR OPERATOR
CLASSIFICATION SOCIETY
PREVIOUS OWNERS
PREVIOUS VESSEL NAMES
TYPE OF VESSEL
PREVIOUS THREE CARGOES CARRIED
TRADING AREA
DIMENSIONS OVERALL (L x B x H)
DATE OF LAST DRYDOCK
DATE OF NEXT DRYDOCK
PLACE OF SURVEY
DATE OF SURVEY
SURVEY COMPANY
NAME OF SURVEYOR
NAME OF MASTER / OWNERS REP.
CONDITION RATING
9.0 = EXCELLENT
up to
0 = DANGEROUS
SECTION A
SECTION B
SECTION C
SECTION D
SECTION E
SECTION F
SECTION G
SECTION H
SUMMARY
This entire report, together with its summary of defects and / or recommendations for action (if any), has been prepared conditional
upon the clear understanding that in no circumstances whatsoever shall the Insurer be held responsible and/or liable for any
inaccuracy in the report, or for any act, omission or negligence of its staff or its appointed surveyor howsoever arising and that it is
provided for the sole reference of the Insurer and without warranty as to the accuracy of any information or advice supplied therein.
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page 1 of 8
Not applicable
Not inspected
Satisfactory
Ships certificates
Deficiency
SECTION A
Valid until
Last inspection
IOPP
CLASSIFICATION CERTIFICATE
IF YES : ATTACH COPY OF RELEVANT
CERTIFICATE
Not applicable
NO
Not inspected
ISM and ISPS
Deficiency
YES
Satisfactory
ULTRASONIC STEEL THICKNESS TEST

Check Recorded Diminutions
Issue date
Issued by
SAFETY MANAGEMENT CERTIFICATE
Not applicable
Not inspected
Satisfactory
Records
Deficiency
DOCUMENT OF COMPLIANCE
Comment
DECK / ENGINE ROOM LOG BOOKS OIL

OIL RECORD BOOK / ENTRIES
BUNKER OPERATION INSTRUCTIONS
SOPEP MANUAL + IMO CONTACT LIST
REMARKS SECTION A
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page 2 of 8
Not applicable
Not inspected
Manning
Deficiency
Satisfactory
SECTION B
Comment
COMPLIANCE MANNING WITH SAFE

MANNING CERTIFICATE
STCW CREW CERTIFICATES AND
ENDORSEMENTS IN ORDER AND VALID
IS COMMUNICATION IN WORKING
LANGUAGE EFFECTIVE ON BOARD?
IS CREWS TRAINING AND EXPERIENCE
CHECKED AND MAINTAINED ON BOARD
Please attach a copy of the crew list.
REMARKS SECTION B
Not applicable
Not inspected
Deficiency
Nautical
Satisfactory
SECTION C
Comment
CHANGEOVER INSTRUCTIONS
FOR EMERGENCY STEERING
MAIN ENGINE CONTROL ON
BRIDGE
MAIN ENGINE EMERGENCY
STOP
REMARKS SECTION C
SECTION D
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page 3 of 8
Not inspected
Not applicable
Not inspected
Not applicable
Not inspected
Not applicable
Deficiency
Hull
Satisfactory
Comment
CONDITION OF HULL &

ANODES, as far as visible
CONDITION OF ALL
DECKS/SUPERSTRUCTURE
BULWARKS, SIDE RAILS AND
LADDERS ON DECK
DECK LINES
HYDRAULIC LINES
Deficiency
Deck arrangement
Satisfactory
WATERTIGHT OPENINGS,
DOORS AND PORTS
Comment
Deficiency
Deck machinery
Satisfactory
VENTILATORS / CLOSING
DEVICES
AIR PIPES / SOUNDING PIPES
(INCLUDING LABELLING)
Comment
CARGO HANDLING EQUIPMENT

MOORING EQUIPMENT
REMARKS SECTION D
SECTION E
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page 4 of 8
Not inspected
Not applicable
Not inspected
Not applicable
Deficiency
Pollution prevention
Satisfactory
Comment
SOPEP LOCKER
BUNKERING CONNECTIONS
FUEL AIR VENTS
SAVE-ALLS
SCUPPER PLUGS
OIL ABSORBENTS
PROCEDURES / CHECKLIST
FOR BUNKERING
REMOVAL OF WASTE, MANNER
OF STORAGE?
DISPOSAL RECEIPTS FILED?
REMARKS SECTION E
Deficiency
Cargo Worthiness
Satisfactory
SECTION F
Comment
CONDITION HYDRAULIC
SYSTEM HATCHES
CONDITION COAMING TABLE /
BEARING PADS AND DRAINS
TEST OF HOLD BILGES
Beware of pollution regulations!
TESTING OF HATCHES
ULTRASONIC / HOSE TEST
REMARKS SECTION F
Not applicable
Not inspected
Deficiency
Ballast
Satisfactory
SECTION G
Comment
BALLAST TANKS (VISUAL)

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page 5 of 8
BALLAST TANKS (PRESSURE

TEST)
beware of pollution regulations !
BALLAST MANAGEMENT PLAN
AVAILABLE?
BALLAST OPERATIONS
RECRDED?
REMARKS SECTION G
Not applicable
Not inspected
Deficiency
Technical
Satisfactory
SECTION H
Comment
QUICK CLOSING VALVES

REMOTE STOPS
OIL WATER SEPARATOR
(INCLUDING 15 ppm)
BILGES (CLEANLINESS)
BILGE ALARM
EMERGENCY BILGE VALVE
LABELLED/SECURED?
COLOUR CODING SYSTEM
PROCEDURES FROM STARTING
UP AFTER BLACK-OUT
CLEANLINESS OF STEERING
GEAR ROOM
LOCAL CONTROL / EMERGENCY
STEERING
DISPLAY OF EMERGENCY
STEERING PROCEDURES
STERN TUBE SEAL
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page 6 of 8
GENERAL COMMENT
Briefly remark on the following subjects;
o
o
o
o
o
o
o
o
Company management system/implementation/verification on board.

Compliance with general marine industry standards.
Crew management (fatigue/safety awareness/training)
Crewing agency/training.
Cargo worthiness.
Preventive maintenance.
Cosmetic maintenance.
Cooperation on board during survey attendance.
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page 7 of 8
LIST OF BLUE CARD DEFICIENCIES

Total deficiencies :
Rec. no.
Total pages :
Page :
Description
Non accomplished inspections (if any). Start numbering with an X (x.1, x.2 etc).
x.
x.
x.
x.
x.
ISSUED BY:
ADRESS :
TELEPHONE :
FAX:
EMAIL :
SURVEYORS NAME :
For receipt on behalf of the vessel

NAME :
SIGNATURE :
SIGNATURE :
DATE :
POSITION / RANK :
This entire report, together with its summary of defects and / or recommendations for action (if any), has been prepared conditional
upon the clear understanding that in no circumstances whatsoever shall the Insurer be held responsible and/or liable for any inaccuracy
in the report, or for any act, omission or negligence of its staff or its appointed surveyor howsoever arising and that it is provided for the
sole reference of the Insurer and without warranty as to the accuracy of any information or advice supplied therein.
www.raetsmarine.com
page 8 of 8

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BLUE CARD SURVEY

GENERAL CARGO VESSELS