Hand Over of Chief Engineer sugito to Kurnia (r. 07-10)

37
E1/CHO/VOM/08 Rev 0/Jul '10 Page 1 of 37 VESSEL / Kapal : SMS SUPPORTER DATE / Tanggal : 04.07.2012 HAND OVER REPORT OF CHIEF ENGINEER / ENGINE FOREMAN* Laporan Serah Terima Kepala Kamar Mesin (KKM) / Mandor* Today at 24.00 Hours (local time) the responsibility for the engine department of the above mentioned was handed over to : Hari ini pada pukul (Waktu setempat) tanggung jawab kamar mesin untuk kapal tersebut di atas telah di serahkan kepada Incoming Chief Engineer.Engine Foreman* SUGITO SUPANDI KKM/Mandor* Baru by Outgoing Chief Engineer/Engine Foreman* AGUNG PAMBUDI Oleh KKM/Mandor* Lama No Check (√) 1 All documents below have been verified Semua dokumen tersebut di bawah ini telah diperiksa The documents are / Dokumen tersebut adalah : a) Oil Record Book b) Engine Logbook c) Fuel Oil Consumption Standard d) Drawing List e) Engine Manual f) Spare part manual g) Master Instruction Charter (Date/Tangg …………………..) h) ………………………………………………………………………… i) …………………………………………………………………………. 2 All machinery characteristic and reports must be check Semua karakteristik dan laporan mesin harus diperiksa RUNNING HOURS Wartsila 6L26A Running hours ME PORT : 35082.25 Caterpillar 3408 C Running hours ME STBD : 35500.75 c) Z-peller / Scottle / Aqua master type*NIL AE #1 : 24923.83 d) Thruster type KAWASAKI HEAVY I Ltd KT-72B3 AE #2 : 30946.25 e) Boiler Type NIL f) Cargo pump type Azcue / BT-LV 110T-F g) ………………………………………………………………………… h) ………………………………………………………………………… 3 Bunker ROB at the time of handover according to the actual soun ROB bunker pada saat serah terima di atas kapal sesuai hasil sounding ROB = 61.91 KL 4 Lube Oil ROB at the time of handover ROB minyak pelumas pada saat serah terima a) ME lube 4306 Liter b) AE lube 872 Liter c) Thruster gear oi…………… Liter d) Gear box lube (Type hyspin 100) 1276 Liter e) Hydraulic oil (Type Telus 46) = 100 Liter f) Grease 3 Kg Liter g) …………………………………. h) …………………………………. Description / Deskripsi Remarks / Keterangan type type

Transcript of Hand Over of Chief Engineer sugito to Kurnia (r. 07-10)

E1/CHO/VOM/08Rev 0/Jul '10

Page 1 of 37

VESSEL / Kapal : SMS SUPPORTER DATE / Tanggal : 04.07.2012

HAND OVER REPORT OF CHIEF ENGINEER / ENGINE FOREMAN*Laporan Serah Terima Kepala Kamar Mesin (KKM) / Mandor*

Today at 24.00 Hours (local time) the responsibility for the engine department of the above mentioned vesselwas handed over to :Hari ini pada pukul (Waktu setempat) tanggung jawab kamar mesin untuk kapal tersebut di atas telah di serahkan kepada

Incoming Chief Engineer.Engine Foreman* SUGITO SUPANDIKKM/Mandor* Baru

by Outgoing Chief Engineer/Engine Foreman*AGUNG PAMBUDIOleh KKM/Mandor* Lama

No Check (√)

1

All documents below have been verifiedSemua dokumen tersebut di bawah ini telah diperiksa

The documents are / Dokumen tersebut adalah :a) Oil Record Bookb) Engine Logbookc) Fuel Oil Consumption Standardd) Drawing Liste) Engine Manualf) Spare part manualg) Master Instruction Charter (Date/Tangg …………………..)h) …………………………………………………………………………i) ………………………………………………………………………….

2

All machinery characteristic and reports must be checkSemua karakteristik dan laporan mesin harus diperiksa

RUNNING HOURSWartsila 6L26A Running hours ME PORT : 35082.25Caterpillar 3408 C Running hours ME STBD : 35500.75

c) Z-peller / Scottle / Aqua master type*NIL AE #1 : 24923.83d) Thruster type KAWASAKI HEAVY I Ltd KT-72B3 AE #2 : 30946.25e) Boiler Type NILf) Cargo pump type Azcue / BT-LV 110T-Fg) …………………………………………………………………………h) …………………………………………………………………………

3

Bunker ROB at the time of handover according to the actual sounROB bunker pada saat serah terima di atas kapal sesuai hasil sounding

ROB = 61.91 KL

4

Lube Oil ROB at the time of handoverROB minyak pelumas pada saat serah terima

a) ME lube 4306 Literb) AE lube 872 Literc) Thruster gear oi…………… Literd) Gear box lube (Type hyspin 100) 1276 Litere) Hydraulic oil (Type Telus 46) = 100 Literf) Grease 3 Kg Literg) ………………………………….h) ………………………………….

Description / Deskripsi Remarks / Keterangan

a) ME type b) AE type

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No Check (√)

5

Non -conformities and/or findings reported by Outgoing Chief EnKetidaksesuaian dan/atau temuan yang dilaporkan oleh KKM Lama

Non-conformities or findings are / Ketidaksesuaian atau temuan a) Hydropore tank for sea water sanitary system Closed b) Fifi monitor motor port side for up and down Closed / Change with new motorc) ME stbd LCD monitor no data in monitor Closed/ Need Setting by Makerd) M/E Fo Pump Open

6

a) Fifi monitor motor port side for up and downb) ME stbd LCD monitor no data in monitor

7 Copy of updated plan maintenance schedule for engine department

Latest Revision / Tanggal Revisi teDate / : ………………………………Tanggal

Salinan jadwal rencana pemeliharaan untuk bagian mesin yang terbaru Diterima di atas kapal/Received on Date / : ………………………………Tanggal

8Submitted to head office/Dikirim ke

Laporan bulanan ke kantor ada di atas kapal (Cover note bulan terakhir) Date / Tanggal : …………………………….

9

Additional Remarks / Keterangan Tambahan **

ON PREVIOUS CHIEF EGINEER NAME GUNAWAN

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

** Additional sheet, if necessary/Dapat digunakan lembaran tambahan jika diperlukan.

NOTE / CATATAN :

* Choose one only / Coret yang tidak perlu

Description / Deskripsi Remarks / Keterangan

List of defects / Daftar kerusakan **

Closed/Completed install and SatisfactoryWas rectified found good satisfactory

Monthly report to the office are found onboard (cover note from last month)

• Incoming Chief Engineer/ Engine Foreman must check carefully all inventory as well as its conditions as incoming vessel's Chief Engineer/Engine Foreman will be responsible for all losses or damage found later onKKM/Mandor baru harus memeriksa dengan sangat teliti apa yang diserahterimakan karena akan bertanggung jawab atas semua kehilangan/kerusakan jika ditemukan dikemudian hari

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HANDING OVER STATEMENT / Pernyataan Serah Terima :

As the Chief Engineer of Vessel SMS SUPPORTER I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and spare part checklist report attached to this handover form.Dengan ini saya sebagai KKM Baru Kapal ………………………… menyatakan telah menerima kapal sesuai prosedur dan catatan pengisian pada formulir ini. Saya akan bertanggung jawab sepenuhnya atas kebenaran dan catatan di dalam formulir serah terima ini berikut lampiran pemeriksaan inventaris dan checklist spare part yang dilampirkan pada formulir serah terima ini.

This handover form is prepared and completed truthfully, without pressure from any other parties.Demikian formulir serah terima ini dilengkapi dan dibuat dengan sebenarnya tanpa ada paksaan dari pihak manapun.

Signed by / Ditandatangani oleh,

Date / Tgl SUGITO SUPANDI Date / Tgl AGUNG PAMBUDIIncoming Chief Engineer / Engine Foreman*

KKM / Mandor Baru KKM / Mandor Lama

Witness by / Disaksikan oleh,

Date / TgCapt. SETIYARSOMaster / Barge Master*

Nakhoda / Juragan*

THIS HANDOVER FORM HAS BEEN VERIFIED BY SHORE PERSONNEL :Form serah terima ini telah diperiksa oleh Petugas Darat

Name / Nama :Title / JabataDate / Tgl Verification Result / Hasil Pemeriksaan :…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..

CHIEF ENGINEER HANDING OVER FORM ATTACHMENT (THE LATEST REPORT)Lampiran Formulir Laporan Serah Terima KKM (laporan terakhir)

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin (E1/MCE/VMM/02)Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin (E1/SPE/VMM/03)

jawab atas semua kehilangan/kerusakan jika ditemukan dikemudian hari

* Choose one only / Coret yang tidak perlu

Incoming Chief Engineer / Engine Foreman*

Sign / Paraf

o o

o

E1/CHO/VOM/08Rev 0/Jul '10

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* Choose one only / Coret yang tidak perlu

E1/CHO/VOM/08Rev 0/Jul '10

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Hours (local time) the responsibility for the engine department of the above mentioned vessel

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E1/CHO/VOM/08Rev 0/Jul '10

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I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and

menyatakan telah menerima kapal sesuai prosedur

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin

Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin

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VESSEL / Kapal : SMS SUPPORTER DATE / Tanggal : 04.07.2012

HAND OVER REPORT OF CHIEF ENGINEER / ENGINE FOREMAN*Laporan Serah Terima Kepala Kamar Mesin (KKM) / Mandor*

Today at 24.00 Hours (local time) the responsibility for the engine department of the above mentioned vesselwas handed over to :Hari ini pada pukul (Waktu setempat) tanggung jawab kamar mesin untuk kapal tersebut di atas telah di serahkan kepada

Incoming Chief Engineer.Engine Foreman* SUGITO SUPANDIKKM/Mandor* Baru

by Outgoing Chief Engineer/Engine Foreman*AGUNG PAMBUDIOleh KKM/Mandor* Lama

No Check (√)

1

All documents below have been verifiedSemua dokumen tersebut di bawah ini telah diperiksa

The documents are / Dokumen tersebut adalah :a) Oil Record Bookb) Engine Logbookc) Fuel Oil Consumption Standardd) Drawing Liste) Engine Manualf) Spare part manualg) Master Instruction Charter (Date/Tangg …………………..)h) …………………………………………………………………………i) ………………………………………………………………………….

2

All machinery characteristic and reports must be checkSemua karakteristik dan laporan mesin harus diperiksa

RUNNING HOURSWartsila 6L26A Running hours ME PORT : 35082.25Caterpillar 3408 C Running hours ME STBD : 35500.75

c) Z-peller / Scottle / Aqua master type*NIL AE #1 : 24923.83d) Thruster type KAWASAKI HEAVY I Ltd KT-72B3 AE #2 : 30946.25e) Boiler Type NILf) Cargo pump type Azcue / BT-LV 110T-Fg) …………………………………………………………………………h) …………………………………………………………………………

3

Bunker ROB at the time of handover according to the actual sounROB bunker pada saat serah terima di atas kapal sesuai hasil sounding

ROB = 61.91 KL

4

Lube Oil ROB at the time of handoverROB minyak pelumas pada saat serah terima

a) ME lube 4306 Literb) AE lube 872 Literc) Thruster gear oi…………… Literd) Gear box lube (Type hyspin 100) 1276 Litere) Hydraulic oil (Type Telus 46) = 100 Literf) Grease 3 Kg Literg) ………………………………….h) ………………………………….

Description / Deskripsi Remarks / Keterangan

a) ME type b) AE type

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No Check (√)

5

Non -conformities and/or findings reported by Outgoing Chief EnKetidaksesuaian dan/atau temuan yang dilaporkan oleh KKM Lama

Non-conformities or findings are / Ketidaksesuaian atau temuan a) Hydropore tank for sea water sanitary system Closed b) Fifi monitor motor port side for up and down Closed / Change with new motorc) ME stbd LCD monitor no data in monitor Closed/ Need Setting by Makerd) M/E Fo Pump Open

6

a) Fifi monitor motor port side for up and downb) ME stbd LCD monitor no data in monitor

7 Copy of updated plan maintenance schedule for engine department

Latest Revision / Tanggal Revisi teDate / : ………………………………Tanggal

Salinan jadwal rencana pemeliharaan untuk bagian mesin yang terbaru Diterima di atas kapal/Received on Date / : ………………………………Tanggal

8Submitted to head office/Dikirim ke

Laporan bulanan ke kantor ada di atas kapal (Cover note bulan terakhir) Date / Tanggal : …………………………….

9

Additional Remarks / Keterangan Tambahan **

ON PREVIOUS CHIEF ENGINEER NAME IS GUNAWAN, WE DO NOT MADE HANDING OVER.HE PASED AWAY WITHOUT HAND OVER WITH AGUNG PAMBUDI ( AS CHIEF ENGINEER TEMPORARY)

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

** Additional sheet, if necessary/Dapat digunakan lembaran tambahan jika diperlukan.

NOTE / CATATAN :

* Choose one only / Coret yang tidak perlu

Description / Deskripsi Remarks / Keterangan

List of defects / Daftar kerusakan **

Closed/Completed install and SatisfactoryWas rectified found good satisfactory

Monthly report to the office are found onboard (cover note from last month)

• Incoming Chief Engineer/ Engine Foreman must check carefully all inventory as well as its conditions as incoming vessel's Chief Engineer/Engine Foreman will be responsible for all losses or damage found later onKKM/Mandor baru harus memeriksa dengan sangat teliti apa yang diserahterimakan karena akan bertanggung jawab atas semua kehilangan/kerusakan jika ditemukan dikemudian hari

E1/CHO/VOM/08Rev 0/Jul '10

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HANDING OVER STATEMENT / Pernyataan Serah Terima :

As the Chief Engineer of Vessel SMS SUPPORTER I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and spare part checklist report attached to this handover form.Dengan ini saya sebagai KKM Baru Kapal ………………………… menyatakan telah menerima kapal sesuai prosedur dan catatan pengisian pada formulir ini. Saya akan bertanggung jawab sepenuhnya atas kebenaran dan catatan di dalam formulir serah terima ini berikut lampiran pemeriksaan inventaris dan checklist spare part yang dilampirkan pada formulir serah terima ini.

This handover form is prepared and completed truthfully, without pressure from any other parties.Demikian formulir serah terima ini dilengkapi dan dibuat dengan sebenarnya tanpa ada paksaan dari pihak manapun.

Signed by / Ditandatangani oleh,

Date / Tgl SUGITO SUPANDI Date / Tgl AGUNG PAMBUDIIncoming Chief Engineer / Engine Foreman*

KKM / Mandor Baru KKM / Mandor Lama

Witness by / Disaksikan oleh,

Date / TgCapt. SETIYARSOMaster / Barge Master*

Nakhoda / Juragan*

THIS HANDOVER FORM HAS BEEN VERIFIED BY SHORE PERSONNEL :Form serah terima ini telah diperiksa oleh Petugas Darat

Name / Nama :Title / JabataDate / Tgl Verification Result / Hasil Pemeriksaan :…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..

CHIEF ENGINEER HANDING OVER FORM ATTACHMENT (THE LATEST REPORT)Lampiran Formulir Laporan Serah Terima KKM (laporan terakhir)

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin (E1/MCE/VMM/02)Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin (E1/SPE/VMM/03)

jawab atas semua kehilangan/kerusakan jika ditemukan dikemudian hari

* Choose one only / Coret yang tidak perlu

Incoming Chief Engineer / Engine Foreman*

Sign / Paraf

o o

o

E1/CHO/VOM/08Rev 0/Jul '10

Page 11 of 37

* Choose one only / Coret yang tidak perlu

E1/CHO/VOM/08Rev 0/Jul '10

Page 12 of 37

Hours (local time) the responsibility for the engine department of the above mentioned vessel

E1/CHO/VOM/08Rev 0/Jul '10

Page 13 of 37

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I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and

menyatakan telah menerima kapal sesuai prosedur

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin

Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin

E1/CHO/VOM/08Rev 0/Jul '10

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VESSEL / Kapal : SMS SUPPORTER DATE / Tanggal : 01.10.2012

HAND OVER REPORT OF CHIEF ENGINEER / ENGINE FOREMAN*Laporan Serah Terima Kepala Kamar Mesin (KKM) / Mandor*

Today at 24.00 Hours (local time) the responsibility for the engine department of the above mentioned vesselwas handed over to :Hari ini pada pukul (Waktu setempat) tanggung jawab kamar mesin untuk kapal tersebut di atas telah di serahkan kepada

Incoming Chief Engineer.Engine Foreman* KURNIA FIRDAUSKKM/Mandor* Baru

by Outgoing Chief Engineer/Engine Foreman* SUGITO SUPANDIOleh KKM/Mandor* Lama

No Check (√)

1

All documents below have been verifiedSemua dokumen tersebut di bawah ini telah diperiksa

The documents are / Dokumen tersebut adalah :a) Oil Record Book Vb) Engine Logbook Vc) Fuel Oil Consumption Standard Vd) Drawing List Ve) Engine Manual Vf) Spare part manual Vg) Master Instruction Charter (Date/Tangga …………………..)h) …………………………………………………………………………i) ………………………………………………………………………….

2

All machinery characteristic and reports must be checkSemua karakteristik dan laporan mesin harus diperiksa

RUNNING HOURSWartsila 6L26A Running hours V ME PORT : 35385.50Caterpillar 3408 C Running hours V ME STBD : 35807.50

c) Z-peller / Scottle / Aqua master type* NIL AE #1 : 25919.20d) Thruster type KAWASAKI HEAVY I Ltd KT-72B3 V AE #2 : 31994.75e) Boiler Type NILf) Cargo pump type Azcue / BT-LV 110T-F Vg) …………………………………………………………………………h) …………………………………………………………………………

3

Bunker ROB at the time of handover according to the actual soundiROB bunker pada saat serah terima di atas kapal sesuai hasil sounding

ROB = ,620.640 KL

4

Lube Oil ROB at the time of handoverROB minyak pelumas pada saat serah terima

a) ME lube 3858 Literb) AE lube 559 Literc) Thruster gear oil…………… Literd) Gear box lube (Type hyspin 100) 1050 Litere) Hydraulic oil (Type Telus 46) = 100 Literf) Grease 58Kg Literg) ………………………………….h) ………………………………….

Description / Deskripsi Remarks / Keterangan

a) ME type b) AE type

E1/CHO/VOM/08Rev 0/Jul '10

Page 16 of 37

No Check (√)

5

Non -conformities and/or findings reported by Outgoing Chief EngiKetidaksesuaian dan/atau temuan yang dilaporkan oleh KKM Lama

Non-conformities or findings are / Ketidaksesuaian atau temuan ada) Port M/E Engine side CPP found ubnormal Vb) Gen No.2 for Bus bar Tie A unfunction(Only Bus Bar Tie c) SW Cooling pipe of Stern Thruster to be change (Corrode In progress have report to Office ( Temporary conection extend with flexible hose) d) Bow Thruster No.1 Shaft seal have leakage. Report :ENG/008/VIII/2012e).Gyro repeater Port and Stb side Still not fix (Differen Report:DECK/04/VIII/SUPP/2012cable connection)f) Refrigerant Machine No.2 Discharger pipe on elbow leakag).FO Cargo Pump Found Damage Along time have report to Office

6

a) Port M/E Engine side CPP found ubnormalb) Gen No.2 for Bus bar Tie A unfunction(Only Bus Bar Tie c) SW Cooling pipe of Stern Thruster to be change (Corrode In progress have report to Office ( Temporary conection extend with flexible hose) d) Bow Thruster No.1 Shaft seal have leakage. Report :ENG/008/VIII/2012e).Gyro repeater Port and Stb side Still not fix (Differen Report:DECK/04/VIII/SUPP/2012cable connection)f) Refrigerant Machine No.2 Discharger pipe on elbow leakag).FO Cargo Pump Found Damage Along time have report to Office

7 Copy of updated plan maintenance schedule for engine department

Latest Revision / Tanggal Revisi teDate / : ………………………………Tanggal

Salinan jadwal rencana pemeliharaan untuk bagian mesin yang terbaru Diterima di atas kapal/Received on Date / : ………………………………Tanggal

8Submitted to head office/Dikirim ke

Laporan bulanan ke kantor ada di atas kapal (Cover note bulan terakhir) Date / Tanggal : 01/10/2012

9

Additional Remarks / Keterangan Tambahan **

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

** Additional sheet, if necessary/Dapat digunakan lembaran tambahan jika diperlukan.

NOTE / CATATAN :

* Choose one only / Coret yang tidak perlu

Description / Deskripsi Remarks / Keterangan

In progress for repair have report to OfficeIn progress for repair have report to Office

In progress for repair have report to Office

List of defects / Daftar kerusakan **

In progress for repair have report to OfficeIn progress for repair have report to Office

In progress for repair have report to Office

Monthly report to the office are found onboard (cover note from last month)

• Incoming Chief Engineer/ Engine Foreman must check carefully all inventory as well as its conditions as incoming vessel's Chief Engineer/Engine Foreman will be responsible for all losses or damage found later onKKM/Mandor baru harus memeriksa dengan sangat teliti apa yang diserahterimakan karena akan bertanggung jawab atas semua kehilangan/kerusakan jika ditemukan dikemudian hari

E1/CHO/VOM/08Rev 0/Jul '10

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HANDING OVER STATEMENT / Pernyataan Serah Terima :

As the Chief Engineer of Vessel SMS SUPPORTER I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and spare part checklist report attached to this handover form.Dengan ini saya sebagai KKM Baru Kapal SMS.SUPPORTER menyatakan telah menerima kapal sesuai prosedur dan catatan pengisian pada formulir ini. Saya akan bertanggung jawab sepenuhnya atas kebenaran dan catatan di dalam formulir serah terima ini berikut lampiran pemeriksaan inventaris dan checklist spare part yang dilampirkan pada formulir serah terima ini.

This handover form is prepared and completed truthfully, without pressure from any other parties.Demikian formulir serah terima ini dilengkapi dan dibuat dengan sebenarnya tanpa ada paksaan dari pihak manapun.

Signed by / Ditandatangani oleh,

Date / Tgl KURNIA FIRDAUS Date / Tgl SUGITO SUPANDIIncoming Chief Engineer / Engine Foreman*

KKM / Mandor Baru KKM / Mandor Lama

Witness by / Disaksikan oleh,

Date / TgCapt. ARIS SOLIHINMaster / Barge Master*Nakhoda / Juragan*

THIS HANDOVER FORM HAS BEEN VERIFIED BY SHORE PERSONNEL :Form serah terima ini telah diperiksa oleh Petugas Darat

Name / Nama :Title / JabataDate / Tgl Verification Result / Hasil Pemeriksaan :…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..

CHIEF ENGINEER HANDING OVER FORM ATTACHMENT (THE LATEST REPORT)Lampiran Formulir Laporan Serah Terima KKM (laporan terakhir)

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin (E1/MCE/VMM/02)Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin (E1/SPE/VMM/03)

atas semua kehilangan/kerusakan jika ditemukan dikemudian hari

* Choose one only / Coret yang tidak perlu

Incoming Chief Engineer / Engine Foreman*

Sign / Paraf

o o

o

E1/CHO/VOM/08Rev 0/Jul '10

Page 18 of 37

* Choose one only / Coret yang tidak perlu

E1/CHO/VOM/08Rev 0/Jul '10

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Hours (local time) the responsibility for the engine department of the above mentioned vessel

E1/CHO/VOM/08Rev 0/Jul '10

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E1/CHO/VOM/08Rev 0/Jul '10

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I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and

menyatakan telah menerima kapal sesuai prosedur

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)

Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin

E1/CHO/VOM/08Rev 0/Jul '10

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VESSEL / Kapal : SMS ENDEAVOUR DATE / Tanggal : 17-Jul-13

HAND OVER REPORT OF CHIEF ENGINEER / ENGINE FOREMAN*Laporan Serah Terima Kepala Kamar Mesin (KKM) / Mandor*

Today at 12.00 Hours (local time) the responsibility for the engine department of the above mentioned vesselwas handed over to :Hari ini pada pukul (Waktu setempat) tanggung jawab kamar mesin untuk kapal tersebut di atas telah di serahkan kepada

Incoming Chief Engineer.Engine Foreman* ARIFIANTO AROFAH INADAKKM/Mandor* Baru

by Outgoing Chief Engineer/Engine Foreman*ALAS TRI SUSILOOleh KKM/Mandor* Lama

No Check (√)

1

All documents below have been verifiedSemua dokumen tersebut di bawah ini telah diperiksa

The documents are / Dokumen tersebut adalah :a) Oil Record Book Vb) Engine Logbook Vc) Fuel Oil Consumption Standard Vd) Drawing List Ve) Engine Manual Vf) Spare part manual Vg) Master Instruction Charter (Date/Tangg …………………..)h) …………………………………………………………………………i) ………………………………………………………………………….

2

All machinery characteristic and reports must be checkSemua karakteristik dan laporan mesin harus diperiksa

RUNNING HOURSCaterpillar 3516 B Running hours V ME PORT : 36098Caterpillar 3408 C Running hours V ME STBD : 36555

c) Z-peller / Scottle / Aqua master type*NIL AE #1 : 25207d) Thruster type WUHAN KAWASAKI MARINE V AE #2 : 26330e) Boiler Type NILf) Cargo pump type Azcue / BT-LV 110T-F Vg) …………………………………………………………………………h) …………………………………………………………………………

3

Bunker ROB at the time of handover according to the actual sounROB bunker pada saat serah terima di atas kapal sesuai hasil sounding

ROB = ,84,872 KL ROB as per 4/11/2012 at 12:00 hrs

4

Lube Oil ROB at the time of handoverROB minyak pelumas pada saat serah terima

a) ME lube 2740 Literb) AE lube 466 Literc) Thruster gear oi…………… Literd) Gear box lube (Type hyspin 100) 970 Litere) Hydraulic oil (Type Telus 46) = 0 Literf) Grease 56 Literg) ………………………………….h) ………………………………….

Description / Deskripsi Remarks / Keterangan

a) ME type b) AE type

E1/CHO/VOM/08Rev 0/Jul '10

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No Check (√)

5

Non -conformities and/or findings reported by Outgoing Chief EnKetidaksesuaian dan/atau temuan yang dilaporkan oleh KKM Lama

Non-conformities or findings are / Ketidaksesuaian atau temuan a) b)

6

7 Copy of updated plan maintenance schedule for engine department

Latest Revision / Tanggal Revisi teDate / : ………………………………Tanggal

Salinan jadwal rencana pemeliharaan untuk bagian mesin yang terbaru Diterima di atas kapal/Received on Date / : ………………………………Tanggal

8Submitted to head office/Dikirim ke

Laporan bulanan ke kantor ada di atas kapal (Cover note bulan terakhir) Date / Tanggal : 04/11/2012

9

Additional Remarks / Keterangan Tambahan **

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

** Additional sheet, if necessary/Dapat digunakan lembaran tambahan jika diperlukan.

NOTE / CATATAN :

* Choose one only / Coret yang tidak perlu

Description / Deskripsi Remarks / Keterangan

List of defects / Daftar kerusakan **

Monthly report to the office are found onboard (cover note from last month)

• Incoming Chief Engineer/ Engine Foreman must check carefully all inventory as well as its conditions as incoming vessel's Chief Engineer/Engine Foreman will be responsible for all losses or damage found later onKKM/Mandor baru harus memeriksa dengan sangat teliti apa yang diserahterimakan karena akan bertanggung jawab atas semua kehilangan/kerusakan jika ditemukan dikemudian hari

E1/CHO/VOM/08Rev 0/Jul '10

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HANDING OVER STATEMENT / Pernyataan Serah Terima :

As the Chief Engineer of Vessel SMS ENDEAVOUR I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and spare part checklist report attached to this handover form.Dengan ini saya sebagai KKM Baru Kapal SMS ENDEAVOUR menyatakan telah menerima kapal sesuai prosedur dan catatan pengisian pada formulir ini. Saya akan bertanggung jawab sepenuhnya atas kebenaran dan catatan di dalam formulir serah terima ini berikut lampiran pemeriksaan inventaris dan checklist spare part yang dilampirkan pada formulir serah terima ini.

This handover form is prepared and completed truthfully, without pressure from any other parties.Demikian formulir serah terima ini dilengkapi dan dibuat dengan sebenarnya tanpa ada paksaan dari pihak manapun.

Signed by / Ditandatangani oleh,

Date / Tgl ALAS TRI SUSILO Date / Tgl ARIFIANTO AROFAH INADAIncoming Chief Engineer / Engine Foreman*

KKM / Mandor Baru KKM / Mandor Lama

Witness by / Disaksikan oleh,

Date / TgCapt. ARIS SOLIHINMaster / Barge Master*

Nakhoda / Juragan*

THIS HANDOVER FORM HAS BEEN VERIFIED BY SHORE PERSONNEL :Form serah terima ini telah diperiksa oleh Petugas Darat

Name / Nama :Title / JabataDate / Tgl Verification Result / Hasil Pemeriksaan :…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..

CHIEF ENGINEER HANDING OVER FORM ATTACHMENT (THE LATEST REPORT)Lampiran Formulir Laporan Serah Terima KKM (laporan terakhir)

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin (E1/MCE/VMM/02)Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin (E1/SPE/VMM/03)

jawab atas semua kehilangan/kerusakan jika ditemukan dikemudian hari

* Choose one only / Coret yang tidak perlu

Incoming Chief Engineer / Engine Foreman*

Sign / Paraf

o o

o

E1/CHO/VOM/08Rev 0/Jul '10

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* Choose one only / Coret yang tidak perlu

E1/CHO/VOM/08Rev 0/Jul '10

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Hours (local time) the responsibility for the engine department of the above mentioned vessel

E1/CHO/VOM/08Rev 0/Jul '10

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E1/CHO/VOM/08Rev 0/Jul '10

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I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and

menyatakan telah menerima kapal sesuai prosedur

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin

Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin

VESSEL / Kapal : SMS ENDEAVOUR DATE / Tanggal : 17-Jul-13

HAND OVER REPORT OF CHIEF ENGINEER / ENGINE FOREMAN*Laporan Serah Terima Kepala Kamar Mesin (KKM) / Mandor*

Today at 12.00 Hours (local time) the responsibility for the engine department of the above mentioned vesselwas handed over to :Hari ini pada pukul (Waktu setempat) tanggung jawab kamar mesin untuk kapal tersebut di atas telah di serahkan kepada

Incoming Chief Engineer.Engine Foreman* ALAS TRI SUSILOKKM/Mandor* Baru

by Outgoing Chief Engineer/Engine Foreman* ARIFIANTO AROFAH INADAOleh KKM/Mandor* Lama

No Check (√)

1

All documents below have been verifiedSemua dokumen tersebut di bawah ini telah diperiksa

The documents are / Dokumen tersebut adalah :a) Oil Record Book Vb) Engine Logbook Vc) Fuel Oil Consumption Standard Vd) Drawing List Ve) Engine Manual Vf) Spare part manual Vg) Master Instruction Charter (Date/Tangga …………………..)h) …………………………………………………………………………i) ………………………………………………………………………….

2

All machinery characteristic and reports must be checkSemua karakteristik dan laporan mesin harus diperiksa

RUNNING HOURSa) ME type Caterpillar 3516 B Running hours V ME PORT : 850b) AE type Caterpillar 18 C Running hours V ME STBD : 850c) Z-peller / Scottle / Aqua master type* NIL AE #1 : 1246d) Thruster type WUHAN KAWASAKI MARINE V AE #2 : 1207e) Boiler Type NILf) Cargo pump type Azcue / BT-DG-B77 110T-F Vg) …………………………………………………………………………h) …………………………………………………………………………

3

Bunker ROB at the time of handover according to the actual soROB bunker pada saat serah terima di atas kapal sesuai hasil sounding

ROB = 81.000 KL

4

Lube Oil ROB at the time of handoverROB minyak pelumas pada saat serah terima

a) ME and A/E lube = 313 Liter (Rimula 40) M/E and A/E LO are sameb) Thruster gear oil = Liter (OMALA 100)c) Gear box lube = Liter (GADINIA 40)d) Hydraulic oil = Liter (TELLUS 68)e) Grease = Kg

No Check (√)

Description / Deskripsi Remarks / Keterangan

ROB as per 7/17/2012 at 12:00 hrs

* Choose one only / Coret yang tidak perlu

Description / Deskripsi Remarks / Keterangan

5

Non -conformities and/or findings reported by Outgoing Chief Ketidaksesuaian dan/atau temuan yang dilaporkan oleh KKM Lama

Non-conformities or findings are / Ketidaksesuaian atau temuaa) Shark jaw pin are damage

6

Waiting for spare partsa) M/E Flowmeter port and stbd failure Warranty claim no 01/02/2013b) Oil content meter for OWS malfunction Warranty claim no 03/2013c) Bridge Clinometer Failure Warranty claim no 04/2013d) Thermostat electric heater Warranty claim no 10/2013e) AC temperature controller Warranty claim no 11/2013

7 Copy of updated plan maintenance schedule for engine departme

Latest Revision / Tanggal Revisi

Date / : 16/07/2013Tanggal Salinan jadwal rencana pemeliharaan untuk bagian mesin yang terbaru Diterima di atas kapal/Received o

Date / : 16/07/2013Tanggal

8Submitted to head office/Di

Laporan bulanan ke kantor ada di atas kapal (Cover note bulan terakhir) Date / Tanggal : 17/07/2013

9

Additional Remarks / Keterangan Tambahan **

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

** Additional sheet, if necessary/Dapat digunakan lembaran tambahan jika diperlukan.

NOTE / CATATAN :

Unable to replace with new one

List of defects / Daftar kerusakan **

Monthly report to the office are found onboard (cover note from last month)

conditions as incoming vessel's Chief Engineer/Engine Foreman will be responsible for all losses or damage found later onKKM/Mandor baru harus memeriksa dengan sangat teliti apa yang diserahterimakan karena akan bertanggung jawab atas semua kehilangan/kerusakan jika ditemukan dikemudian hari

* Choose one only / Coret yang tidak perlu

HANDING OVER STATEMENT / Pernyataan Serah Terima :

As the Chief Engineer of Vessel SMS ENDEAVOUR I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and spare part checklist report attached to this handover form.Dengan ini saya sebagai KKM Baru Kapal SMS ENDEAVOUR menyatakan telah menerima kapal sesuai prosedur dan catatan pengisian pada formulir ini. Saya akan bertanggung jawab sepenuhnya atas kebenaran dan catatan di dalam formulir serah terima ini berikut lampiran pemeriksaan inventaris dan checklist spare part yang dilampirkan pada formulir serah terima ini.

This handover form is prepared and completed truthfully, without pressure from any other parties.Demikian formulir serah terima ini dilengkapi dan dibuat dengan sebenarnya tanpa ada paksaan dari pihak manapun.

Signed by / Ditandatangani oleh,

Date / Tgl ALAS TRI SUSILO ARIFIANTO AROFAH INADA17/07/2013 Incoming Chief Engineer Outgoing Chief Engineer

KKM / Mandor Baru KKM / Mandor Lama

Witness by / Disaksikan oleh,

Capt. ARIS SOLIHINMaster / Barge Master*Nakhoda / Juragan*

THIS HANDOVER FORM HAS BEEN VERIFIED BY SHORE PERSONNEL :Form serah terima ini telah diperiksa oleh Petugas Darat

Name / Nama :Title / Jabatan :Date / Tgl :Verification Result / Hasil Pemeriksaan :…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………..

CHIEF ENGINEER HANDING OVER FORM ATTACHMENT (THE LATEST REPORT)Lampiran Formulir Laporan Serah Terima KKM (laporan terakhir)

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin (E1/MCE/VMM/02)Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin (E1/SPE/VMM/03)

Sign / Paraf

o o

o

* Choose one only / Coret yang tidak perlu

Hours (local time) the responsibility for the engine department of the above mentioned vessel

I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and

menyatakan telah menerima kapal sesuai prosedur

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin

Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin

Hours (local time) the responsibility for the engine department of the above mentioned vessel

I hereby accept the handing over the vessel according to procedure and contents of this form. I will take full responsibility for the accuracy and remarks within this form, along with inventory and

menyatakan telah menerima kapal sesuai prosedur

Attachment I - Engine Tools List (E1/ITF/VMM/04) / Lampiran I - Daftar Perlengkapan Mesin (E1/ITF/VMM/04)Attachment II - Consumable Inventory Engine (E1/MCE/VMM/02) / Lampiran II - Peralatan Consumable Mesin

Attachement III - General Spare Part List of Engine (E1/SPE/VMM/03) / Lampiran III - Daftar Suku Cadang UmumMesin