Fortescue Metals Group - Terminal Questionnaire This form can only be com Version 1.0 1 General 1.1 Name of Completing Party * 1.2 Relationship to Vessel * Master Owner Ship Manager DOC Company 1.3 Has the vessel been detained by Port State Control authority in the last 12 months * Yes No 2 Ship Details 2.1 Ship IMO Number 2.2 Ship Name * 2.3 Previous Vessel Name(s) * 2.4 Type of Vessel (Bulk Carrier, Oil/Bulk/Ore, Ore Carrier) * BC OBO OC 2.5 Date of Build * 2.6 Flag * 2.7 Class Society * 2.8 DWT (Summer) * 2.9 Draught (m) * 2.10 LOA (m) * 2.11 Beam * 2.12 Moulded depth * 2.13 Keel to hatch coaming distance (m) * ly, n o ire a n n io t s e. e n u i l . Q n s o e al s d n i o e t p m r le ur e p p T m n e o c tio pl a e m r t b a s s n to a o d s m i e e e This for d aire’s n nn o i t s ue Q l na i m r Te 2.14 Tonnes Per Centimetre Immersion (TPC) (at summer draft) * 2.15 GRT * 2.16 NRT * 2.17 Water Line to Top of Hatch Coaming (WLTHC) in normal ballast condition (m) * 2.18 Water Line to Top of Hatch Coaming (WLTHC) in fully laiden condition (m) * 2.19 Is vessel strengthened to carry heavy cargo * 2.20 Is vessel equipped with a centreline compass * Yes No Yes No 2.21 Last drydock date 2.22 P & I Club * 2.23 Hull & machinery value (Million USD) * 2.24 2.24 Insurers details * 3. Information Required for Shiploader Hatch Tracking System 3.1 Load plan produced in BLU code format * Yes No Sideways Port Stbd Fwd & Aft Folding 3.2 Number of holds/hatches * 3.3 Direction of hatch openings * 3.4 Length of hatches (m) (Insert 0 where hatch number is not relevant to the vessel) Hatch #1 * Hatch #2 * Hatch #3 * Hatch #4 * Hatch #5 * Hatch #6 * Hatch #7 * Hatch #8 * Hatch #9 * Hatch #10 * Sum total of hatch lengths must be less than vessel LOA 3.5 Width of hatches (m) (Insert 0 where hatch number width field is not relevant to the vessel) Hatch #1 * Hatch #2 * Page 1 of 3 Hatch #3 * Hatch #4 * Hatch #5 * Hatch #6 * Hatch #7 * Hatch #8 * Hatch #9 * Hatch #10 * 3.6 Distance between hatches (m) (Insert 0 where between hatches distance field is not relevant to the vessel) Hatch #1 to Hatch #2 * Hatch #2 to Hatch #3 * Hatch #3 to Hatch #4 * Hatch #4 to Hatch #5 * Hatch #5 to Hatch #6 * Hatch #6 to Hatch #7 * Hatch #7 to Hatch #8 * Hatch #8 to Hatch #9 * Hatch #9 to Hatch #10 * Sum total of between hatch distances (m) must be less than LOA 3.7 Distance from ship's rail/bulwark to aft of hatch coaming (m) (Insert 0 where hatch # distance not relevant) Hatch #1 * ly, n o ire a n n io t s e. e n u i l . Q n s o e al s d n i o e t p m r le ur e p p T m n e o c tio pl a e m r t b a s s n to a o d s m i e e e This for d aire’s n nn o i t s ue Q l na i m r Te Hatch #2 * Hatch #3 * Hatch #4 * Hatch #5 * Hatch #6 * Hatch #7 * Hatch #8 * Hatch #9 * Hatch #10 * 3.8 Distance from bow to forward end first hatch (m) * 3.9 Distance from stern to aft end last hatch (m) * 3.10 Bridge to bow distance (m) * 3.11 Bridge to midships distance (m) * 3.12 Bridge to stern distance (m) * 3.13 Height of obstructions/lighting towers above deck including whip aerials? (m) - Insert 0 where not applicable * 3.14 Type of obstructions * Single Centreline Lower Dual Tower Centre N/A Yes No N/A 3.15 Are obstructions collapsible * 3.16 3.16 Indicate obstruction position between hatches * 3.17 A General Arrangement (GA) plan can be uploaded after TQ submission to detail location/particulars of obstruction * Attached N/A 4. Mooring 4.1 Can your vessel moor without the use of wire ropes * Yes No 4.3 Are your mooring lines constructed of polypropylene (anti whip) * 4.4 Mooring line certificate available * Yes No Yes No 4.2 How many mooring lines are usually deployed when mooring * 4.5 Is the vessel's mooring equipment able to withstand extreme tidal flows (in excess of 7m spring tidal movement) * Yes No 4.6 Date the mooring lines were last inspected * 4.7 Is there adequate manning on the ship to ensure moorings can be monitored at regular intervals * Yes No 4.8 Are all deck crew tending and handling mooring lines trained and competent to do so * 4.9 Are the mooring winch brakes (including adequate brake lining) in good order * Yes No Yes No Page 2 of 3 4.10 Please enter the date of the last winch brake rendering load test * 4.11 Does the vessel's planned maintenance system include the mooring equipment * Yes No 5. Tugs 5.1 What is the maximum safe working load of tug bollards to be used? (Min requirement 65 tonnes) * 5.2 Can a tug make fast forward of hatch #2 * 5.3 Can a tug make fast forward of hatch #3 * Yes No Yes No 6. Gangway Position 6.1 Where is gangway positioned * 6.2 Distance from tip of bow to forward end of boarding ramp on gangway with gangway lowered to approx 9m below the deck & vessel in light (not heavy) ballast condition (m) * 7. Berthing Requirements 7.1 Vessels ballast hold(s) (sea) * 7.2 Vessels ballast hold(s) (port) * 7.3 Able to comply with the Port Hedland Port Authority berthing draft requirements without requiring hold ballast * Yes No 7.4 Air draft at berthing (m) (range <21m) * 7.5 Air draft at departure (m) * 7.6 Owners warrant deballasting operation including stripping of tanks completed within (hours) * 8. Helicopter Requirements 8.1 Vessel suitable for helicopter landing (not winch only) * Yes No 8.2 Helicopter landing hatch number ly, n o ire a n n io t s e. e n u i l . Q n s o e al s d n i o e t p m r le ur e p p T m n e o c tio pl a e m r t b a s s n to a o d s m i e e e This for d aire’s n nn o i t s ue Q l na i m r Te 8.3 Is the nominated hatch clearly marked with an "H" * Yes No N/A 8.4 Is there safe access for the pilot from the helicopter hatch to deck? * Yes No N/A 8.5 What is the helicopter hatch maximum design weight per square meter? Mt/m2 8.6 Does the vessel adhere to all parts of the ICS Guide to Helicopter/Ship Operations 4th Ed (2008) * Yes No N/A 8.7 Does the vessel adhere to all parts of AMSA Marine Orders Part 57 Helicopter Operations (Issue 3) * Yes No N/A 9 Experience Matrix Years in rank on vessels of this type and size? (sea time years not calendar years) Enter years to one decimal place, eg. an entry of 1.5 would equal 1 year 6 months 9.1 Master * 9.2 Chief Officer * 9.3 Chief Engineer * 9.4 2nd Engineer * Reminder: If necessary, documents such as General Arrangement (GA) Plans can be attached after TQ submission © 2012 Rightship Pty Ltd Page 3 of 3
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