This section captures all identification and positioning data for both the receiving vessel and supplying fuel barge. Accurate documentation is critical for incident response and regulatory compliance. All fields marked mandatory must be completed before bunkering commencement.
Receiving Vessel Official Name
Vessel IMO Number
Vessel Flag State
Vessel Position (Latitude)
Vessel Position (Longitude)
Fuel Barge/Supply Vessel Official Name
Barge Registration Number
Barge Flag State
Barge Position (Latitude)
Barge Position (Longitude)
Distance Between Vessel and Barge (meters)
Is the distance within safe bunkering range (typically 20-40 meters)?
Confirm mooring arrangement type (e.g., alongside, stern-to)
Explain deviation and additional safety measures implemented
Harbor Officer Full Name
Harbor Officer License/ID Number
Vessel Captain Full Name
Captain License Number
Barge Master Full Name
Barge Master License Number
Primary VHF Channel for Operations
Emergency Contact Number (Port Authority)
Has a pre-bunkering safety meeting been conducted with all parties?
Meeting completion timestamp
CRITICAL: Bunkering MUST NOT commence without safety meeting. Document reason for deviation and obtain immediate authorization.
Is this the first bunkering operation between these two vessels?
Describe additional compatibility checks and familiarization procedures performed
Accurate fuel specifications are essential to prevent engine damage, ensure regulatory compliance, and maintain safety throughout transfer. All measurements must be cross-verified between vessel and barge.
Fuel Grade/Type to be transferred
Marine Gas Oil (MGO)
Very Low Sulfur Fuel Oil (VLSFO 0.5%)
Ultra Low Sulfur Fuel Oil (ULSFO 0.1%)
Heavy Fuel Oil (HFO)
Liquefied Natural Gas (LNG)
Methanol
Other (specify in follow-up)
Specify alternative fuel type and safety data sheet reference
Fuel Sulfur Content (% m/m)
Does sulfur content comply with designated Emission Control Area (ECA) requirements?
Document justification for non-compliance and special permits obtained
Total Quantity Ordered (Metric Tons)
Quantity Currently Onboard Vessel Before Bunkering (Metric Tons)
Vessel's Maximum Tank Capacity (Metric Tons)
Calculated Safe Filling Limit (95% of capacity)
Will final quantity exceed 85% of tank capacity?
Describe enhanced monitoring protocol for high-capacity transfer
Agreed Transfer Rate (Cubic Meters per Hour)
Maximum Allowable Pressure at Manifold (bar)
Fuel Temperature at Barge Manifold (°C)
Has fuel compatibility testing been completed and approved?
Compatibility test reference number
CRITICAL: Document why testing was not performed and risk mitigation measures
Has the vessel received and acknowledged the Bunkering Checklist and Safety Data Sheet?
Document communication breakdown and corrective actions taken
Select all applicable pre-transfer documentation received
Bunker Delivery Note (BDN) sample
Certificate of Quality (COQ)
Certificate of Origin
MSDS/SDS for fuel grade
Barge's P&I Club certificate
Insurance documentation
Pollution liability certificate
Rate the overall quality of pre-transfer communication and documentation exchange
Very Poor - Incomplete or unclear
Poor - Missing key documents
Fair - Adequate but rushed
Good - Comprehensive and clear
Excellent - Thorough and professional
This section verifies all spill prevention and emergency shutdown measures are in place and functional. Any deficiency identified must be corrected before transfer operations commence. Environmental protection is paramount.
Is primary containment boom fully deployed and encircling both vessels?
Total boom length deployed (meters)
CRITICAL: Explain why boom is not deployed and describe alternative containment measures
Has boom integrity been visually inspected for tears, damage, or improper connections?
Describe boom defects and corrective actions required
Quantity of absorbent pads/pillows on standby (units)
Quantity of dispersant available (liters)
Is Emergency Shutdown (ESD) system operational and tested within last 24 hours?
Last ESD system test timestamp
CRITICAL: Describe ESD system fault and why operation is proceeding despite failure
Are ESD pull-cord stations clearly marked and accessible at both vessel and barge?
Identify missing or inaccessible stations and immediate corrective actions
ESD System Type (e.g., pneumatic, electric, hydraulic)
Has a dedicated emergency communication protocol been established and tested?
Emergency stop signal phrase/code word
Document communication plan deficiency and immediate remedy
Current Wind Speed (knots)
Sea State (Beaufort scale)
Visibility Conditions (km)
Are current weather conditions within safe bunkering parameters?
Document weather-related risks and special precautions implemented
Is there a support/tug boat on standby for emergency response?
Support vessel name and call sign
Continuous monitoring during fuel transfer is mandatory. Log readings at 30-minute intervals or as required by local regulations. Any deviation from specified parameters requires immediate corrective action and documentation.
Pumping Operations Commencement Time
Initial Pressure Reading at Manifold (bar)
Initial Flow Rate (m³/hour)
Continuous Monitoring Log - Record Every 30 Minutes
Time | Pressure at Manifold (bar) | Flow Rate (m³/hr) | Fuel Temperature (°C) | Tank Level (%) | Operator Initials | Remarks/Abnormalities | ||
|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | ||
1 | 8:00 AM | 2.5 | 145 | 45 | 21.3 | JS | Commenced pumping | |
2 | 8:30 AM | 2.6 | 148 | 46 | 32.7 | JS | Stable parameters | |
3 | ||||||||
4 | ||||||||
5 | ||||||||
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10 |
Were any pressure readings at or above 90% of maximum allowable pressure?
Document pressure spike events, causes, and corrective actions taken
Was flow rate reduced or stopped at any point during transfer?
Explain reason for rate reduction (e.g., tank switching, pressure anomaly, emergency)
Did any leak occur at manifold, hoses, or connections during transfer?
CRITICAL INCIDENT REPORT: Describe leak location, quantity spilled, immediate response, and environmental impact
Were all automatic pressure relief valves tested and functional before operations?
Identify faulty relief valves and compensatory manual monitoring procedures
Rate the performance and reliability of monitoring equipment (1=Poor, 5=Excellent)
Pressure gauges accuracy | |
Flow meters calibration | |
Temperature sensors | |
Tank level indicators | |
Communication systems | |
ESD system responsiveness |
Were all alarm systems (high-pressure, high-level, overflow) tested and armed?
List disabled alarms and manual monitoring protocols implemented
Number of times pumping was stopped for tank switching or other operations
Pumping Operations Completion Time
Final verification ensures all operational parameters have been met, safety systems remain intact, and both vessel and barge are secured. This section formalizes accountability and closes the operational loop. Digital signatures are legally binding.
Has the fuel transfer been completed successfully without any safety incidents?
Document all incidents, near-misses, and lessons learned
Final Quantity Received (Metric Tons) - As per BDN
Quantity Discrepancy from ordered amount (Metric Tons)
Is the quantity discrepancy within acceptable tolerance (±0.5%)?
Explain significant discrepancy and investigations conducted
Have all manifold valves been closed, locked, and sealed?
Identify which valves remain open and justification
Have all hoses been disconnected and blank flanges fitted?
Document incomplete disconnection and planned completion time
Is the Bunker Delivery Note (BDN) fully completed and signed by both parties?
Document BDN discrepancies and resolution status
Has fuel sampling been completed according to regulatory requirements?
Sample seal numbers and laboratory destination
Explain why sampling was not performed and obtain required waivers
Select all post-transfer securing actions completed
Tank sounding verified
Tank valves secured and locked
Barge transfer pumps secured
Barge manifold valves closed
Drip trays emptied and cleaned
Spill containment boom retrieved
Absorbent materials restocked
Firefighting equipment stood down
All personnel accounted for
Pre-departure safety check completed
Vessel Chief Engineer Digital Signature
Chief Engineer Sign-Off Timestamp
Port Captain (or Master) Digital Signature
Port Captain Sign-Off Timestamp
Fuel Barge Master Digital Signature
Barge Master Sign-Off Timestamp
Additional Comments or Observations by Harbor Officer
Should this bunkering operation be flagged for management review or lessons learned briefing?
Detail specific issues or best practices that warrant management attention
Overall Safety and Operational Performance Rating for this bunkering operation
Unsatisfactory - Major safety concerns
Poor - Multiple minor issues
Satisfactory - Met minimum standards
Good - Above average performance
Excellent - Exemplary operation
To configure an element, select it on the form.