kementerian perhubungan ministry of...

KEMENTERIAN PERHUBUNGAN MINISTRY OF TRANSPORTATION

DIREKTORAT JENDERAL PERHUBUNGAN LAUT

DIRECTORATE GENERAL OF SEA TRANSPORTATION

LAPORAN PEMERIKSAAN MODU NAMA KAPAL : PEMILIK / OPERATOR : AGENT : TEMPAT, TANGGAL PEMERIKSAAN : PEMERIKSA / MARINE INSPECTOR : NOMOR KARTU MI :

KEMENTERIAN PERHUBUNGAN DIREKTORAT JENDERAL PERHUBUNGAN LAUT DIREKTORAT PERKAPALAN DAN KEPELAUTAN

GEDUNG KARYA LT. 12 S/D 17 JL. MEDAN MERDEKA BARAT No.8 TEL. : 3811308, 3505006, 3813269, 3447017 TLX. : 3844492, 3458540 3842440 JAKARTA – 10110 Pst. : 4213, 4227, 4209, 4135 FAX : 3811786, 3845430, 3507576

NAMA KAPAL : ……………………………. MILIK : ……………………………………….

PEMERIKSAAN DILAKUKAN DI : …………………………….. PADA TANGGAL : …………

OLEH : ……………………………………….. MARINE INSPECTOR : ……………………..

NO

NO PERSYARATAN

REQUIREMENTS ADA

YES

TIDAK

ADA

NO

TIDAK

DIPERSYARATKAN

KETERANGAN

REMARKS

A STRUKTUR LAMBUNG

HULL STRUCTURE

1

Struktur Lambung / ketahanan kedap air

* 89 MODU KODE 2,3-2,6 ch, ch 3.6

Hull Structure / watertight integrity

* 89 MODU KODE 2,3-2,6 ch, ch 3.6

B STRUKTUR PERLINDUNGAN KEBAKARAN

STRUCTURAL FIRE PROTECTION

1

Struktural proteksi kebakaran

* 89 MODU KODE ch 9.1 -9,2

Structural fire protection

* 89 MODU KODE ch 9.1 -9,2

C SARANA PENYELAMAT TAMBAHAN BERARTI DITINGGALKAN

MEANS OF ESCAPE

1

Sarana embarkasi untuk sekoci / Liferaft

* 89 MODU ch Kode 10.3.7

* SOLAS 74 ch. III, Reg 48

Means of embarkation for

lifeboat/liferaft

* 89 MODU ch Kode 10.3.7


LAPORAN PEMERIKSAAN MODU

D BAGIAN LOKASI

CLASSIFIED LOCATIONS

1

Lokasi berbahaya

* 89 MODU Kode ch. 6,1-6,7

Hazardous locations

* 89 MODU Kode ch. 6,1-6,7

E VENTILASI

VENTILATION

1

Ventilasi system

* 89 MODU ch Kode 6,3-6,4

Ventilation system

* 89 MODU ch Kode 6,3-6,4

F RUANG AKOMODASI

ACCOMODATION SPACES

1

Jarak akomodasi

* Menunjukan tidak ada aturan

International setara

Accomodation spaces

* Indicates no equivalent international

rule

2

Ruang pemeriksaan akomodasi



Accommodation spaces inspected

* Indicates no equivalent International

rule

3

Ruang perawatan



Hospital spaces

* Indicated no equivalent International

rule

G JALUR

RAILS

1

Jalur dan Penjaga



Rails and guards


rule

H LANDASAN HELIKOPTER

HELICOPTER FACILITIES

1

Terminal

* 89 MODU Kode ch 13,1-13,3

Heliport

* 89 MODU Kode ch 13,1-13,3

2

Alat bantu penglihatan

* 89 MODU Kode ch. 13,4

Visual aids


3

Terminal pengisian bahan bakar

* 89 MODU Kode ch. 9.11

Heliport fueling


4

Tanda

* MODU Kode ch 13,4

Markings

* MODU Kode ch 13,4

I SISTEM PEMADAM API

FIRE EXTINGUISHING SYSTEMS

1

Sistem deteksi kebakaran

* 89 MODU Kode ch 9.7

Fire detection systems


2

Sistem pemadam api utama


* SOLAS 74 ch. II-2, Reg 4

Fire main system and stations



3

Sistem pemadam tetap


* SOLAS 74 ch. II-2, Reg 5 Fixed

Extinguishing system


* SOLAS 74 ch. II-2, Reg 5 Fixed

4

Sistem tekanan bantuan untuk udara /

uap tipe ruang dengan system CO2 tetap



Pressure relief system for air / vapour

type space with fixed CO2 system


rule

5

Penutup ruangan yang dilindungi oleh

pelindung kebakaran yang tetap

* 89 MODU Kode ch. 9.10.1

Closures for spaces protected by fixed

fire protection


6

Alat pemadam api ringan

* Menunjukan ridak ada aturan


Semi-portable extinguishers


rule

7

Alat pemadam ringan

* MODU Kode ch. 9,6


Portable extinguishers

* MODU Kode ch. 9,6


8

Baju tahan api



Fireman’s outfits



9

Sumbu api



Fire axes


rule

J PERLENGKAPAN PERALATAN KESELAMATAN

LIFE SAVING EQUIPMENT

1

Perlengkapan sekoci


* SOLAS 74 ch. III, Reg. 41

Lifeboat equipment


* SOLAS 74 ch. III, Reg. 41

2

Pembuatan dewi – dewi sekoci


* SOLAS 74 ch. III Reg. 48

Lifeboat davit assembly



3

Derek sekoci


Lifeboat winches


4

Sekoci luncur



Lifeboats falls



5

Sistem peluncuran sekoci



Lifeboat launching system



6

Rakit kembung


* SOLAS 74 ch. III

Inflatable liferafts


* SOLAS 74 ch. III

7

Sistem peluncuran rakit kembung



Inflatable liferaft launching system



8

Pengaturan dari sekoci dan rakit

kembung

* 89 MODU Kode ch. 10.4, 10.5


Arrangements of lifeboats and liferafts

* 89 MODU Kode ch. 10.4, 10.5


9

Sarana embarkasi

* 89 MODU Kode ch 10,3

* SOLAS 74 ch. III Reg 48

Means of embarkation

* 89 MODU Kode ch 10,3


10

Pelampung apung



Life floats


rule

11

Baju tahan dingin


* SOLAS 74 ch. III. Reg. 32

Immersion suits


* SOLAS 74 ch. III. Reg. 32

12

Baju keselamatan



Lifejackets



13

Pelampung penolong

* 89 MODU Kode ch. 10.7, 10.8


Rescue boat

* 89 MODU Kode ch. 10.7, 10.8


14

Isarat marabahaya


* SOLAS 74 ch. III, Reg. 35,36,37

Distress signals


* SOLAS 74 ch. III, Reg. 35,36,37

15

EPIRB

* 89 MODU Kode ch. 11.4.1.3

* SOLAS 74 ch. 14, Reg. 7

EPIRB

* 89 MODU Kode ch. 11.4.1.3

* SOLAS 74 ch. 14, Reg. 7

16

Radio darurat



Portable emergency radio



17

Lokasi penempatan radio darurat



Portable emergency radio stowage

location



18

Alat pelempar tali darurat



Line throwing appliance



K CRANES

1

Derrik


Cranes


L TANDA – TANDA DAN INSTRUKSI

MARKINGS AND INSTRUCTIONS

1

Tanda – tanda unit

* Indikasi yang tidak setara dengan

peraturan Internasional

Unit markings


rule

2

Lambung timbul dan tanda draft


* 1966 Load Line Convention

Load line and draft marks


* 1966 Load Line Convention

3

Tanda – tanda pendaratan helicopter

* MODU Kode ch. 13.4.2

Heliport markings

* MODU Kode ch. 13.4.2

4

Tanda – tanda tabung pemadam

kebakaran

* Indikasi yang tidak setara dengan

peraturan internasional

Portable extinguisher markings


rule

5

Lokasi daripada breathing-apparatus

(alat pernafasan)

Location of self-contained breathing

apparatus


rule

6

Tanda tombol dan bel alarm umum

General alarm switch and bells marked


rule

7

Tanda tempat sekoci

Lifeboat markings


* SOLAS 74 ch. III Reg 41.9

8

Tanda rakit kembung

Inflatable liferaft markings


* SOLAS 74 ch. III Reg. 39.8

9

Tanda pelampung keselamatan

Ring buoy markings

* 89 MODU Kode ch. 10.12.4

10

Instruksi peluncuran rakit kembung

Inflatable liferaft launching instructions


11

Tanda pintu kedap air “selalu ditutup”

Wateright doors marked “Keep Closed”

* 89 MODU Kode ch. 3.6.5.1

M MISCELLANEOUS (lain – lain)

1

Baju apung

Buoyant work vests


rule

2

Sambungan darat internasional

International shore connection



3

Peralatan P3K

First aid kit


rule

4

Lampu sorot

Obstruction lights


5

Sinyal kabut

Fog signal


6

Sinyal lampu

Signal light

* SOLAS 74 ch. V, Reg 19

7

Alarm umum

General alarms

* 89 MODU Kode ch. 10.16, 10.18.6.3

8

Pekerjaan berat

* Indikasi dari pertidaksamaan peraturan

internasional

Hot work


rule

9

Pencahayaanq kompas kemudi magnetis


Internasional

Illuminated magnetic steering compass


rule

10

Kartu deviasi kompas magnetis


internasional

Magnetic compass deviation card


rule

11

Lembar bukti penjelasan olah gerak


internasional

Maneuvering information fact sheet


rule

12

Navigasi umum

* indikasi dari pertidaksamaan peraturan

internasional

Navigation publications


rule

13

Alat pengukur kedalaman


internasional

Sounding equipment


rule

14

Panel lampu indicator navigasi


internasional

Navigation light indicator panel

* indicates no equivalent international

rule

15

Sinyal kode internasional


International code of signals


N MESIN PENGGERAK UTAMA

MAIN PROPULSION MACHINERY

1

Mesin utama

Propulsion machinery

* 89 MODU Kode ch. 4.1-4.7,7.1-7.4

2

Mesin utama dan ketel bantu

Propulsion and auxiliary boilers

* 89 MODU Kode ch. 4.1-4.5, 7.1-7.4

3

Sistem bahan bakar ketel uap

Boiler fuel system


4

Sistem pengisian ketel uap

Boiler feed water system

* 89 MODU Kode ch. 4.3, 7.3

5

Ketel uap otomatis

Boiler automation

* 89 MODU Kode ch. 4.5, 7.4

6

Ketel uap dan katup pengaman pemanas

utama

Boiler and superheater safety valves

* 89 MODU Kode ch. 4.2.4, 4.3.1

7

Pipa uap tekanan tinggi

High preassure steam piping

* 89 MODU Kode 4.4

8

SOLAR

Diesels

* 89 MODU Kode ch. 4.1, 4.2, 4.6 and

7.4

9

Sistem bahan bakar solar

Diesel fuel system


O PESAWAT BANTU

AUXILLIARY MACHINERY

1

Ketel pemasan tekanan rendah

Low pressure heating boilers

* 89 MODU Kode ch. 4.2.4, 4.3

2

Sistem kemudi

Steering gear system

* 89 MODU Kode ch. 7.5, 7.6, 7.10.3

3

Penghasil air tawar

Evaporators


rule

4

Geladak mesim

Deck machinery


rule

5

Sistem got dan balas

Bilge and ballast systems

* 89 MODU Kode ch. 4.8, 4.9, 8.3

6

Sistem minyak lumas

Lubrication systems


7

Sistem air tawar

Fresh water system


rule

8

Mesin pendingin dan pendingin ruangan

Refrigeration and air conditioning


rule

9

Sistem sanitasi

Sanitary system


rule

10

Botol angin

Air receivers


11 Ruang muat

Bulk tanks

12

Kapal tekanan lain

Other pressure vessels


rule

13

Botol tensioner

Tensioner bottles


rule

14

Sistem industry

Industrial system

* 89 MODU Kode ch. 6.7, 8.2.3

15

Pompa got

Mud Pumps

* 89 MODU Kode ch. 6.7, 8.2.3

16

Lift

Elevators


P INSTALASI LISTRIK

ELECTRICAL INSTALLATIONS

1

Intalasi listrik umum

General electrical installations


2

Pembangkit listrik utama

Service generators

* 89 MODU Kode ch. 5.1-5.2,5.5,7.9,8.

7.2

3

Pembangkit listrik darurat

Emergency generator

* 89 MODU Kode ch. 5.3-5.4

4

Baterai darurat

Emergency batteries

* 89 MODU Kode ch. 5.3, 7.10

5

Layanan tenaga dan lampu

Service power and lighting

* 89 MODU Kode ch. 5.2.4, 5.5

6

Tenaga darurat dan lampu

Emergency power and lighting

* 89 MODU Kode ch. 5.3.6, 7.10

7

Lampu tempat sekoci darurat

Lifeboat station emergency lighting



8

Stasiun lampu darurat rakit kembung

Inflatable liferaft station emergency

lighting



9

Tombol panel

Switch boards

* 89 MODU Kode ch 5.3.11, 5.3.15,

5.5.5 and 5.5.6

10

Kontrol motor

Motor Controllers


11

Sistem control komunikasi internal

Internal communication and control

system

* 89 MODU Kode ch 4.5, 5.6, 7.4, 8.4

and 8.5

Q INSTALASI SISTEM PENYELAM

DIVING SYSTEM INSTALATION

1

Penanggung jawab penyelam yang

ditunjuk

Diving supervisor designated


2

Pelaksana dari operasi penyelam yang

ditunjuk

Person in charge of diving operations

designated


3

Manual operasi penyelaman

Diving operations manual


4

Kompresi udara penyelaman

Diving air compressors


5

Alat bantu pernafasan penyelam

Diving breathing supply


6

Penyediaan di permukaan udara

Surface supplied air


7

Permukaan penyediaan pencampuran gas

Surface supplied mixed gases


8

PVHO’s

PVHO’s


9

Helm Penyelam

Diving helmets


10

Selang penyelam

Diving hoses


11

Baju penyelam

Diving harness


12

Alat ukur kedalaman dan alat penjaga

waktu penyelam

Diving depth gauge and time keeping

device


13

Tangga dan panggung penyelam

Diving ladders and stages


14

Buku catatan penyelam

Diving logbook


15

Perlengkapan P3K penyelam

Diving first aid equipment


16

Operasi SCUBA

SCUBA operations


R LATIHAN DAN PEMERIKSAAN

TESTS, DRILLS AND INSPECTIONS

1

Latihan sekoci

Boat drill

* 89 MODU Kode ch 14.11.1

2

Latihan kebakaran

Fire drill


3

Pengoperasian sekoci di atas air

Lifeboat operated in water


4

Petugas pengetesan pelepasan sekoci

Lifeboat disengaging apparatus tested

* MODU Kode ch 14.11.5

* SOLAS 74 ch III Reg 18

5

Penjadwalan penggantian bahan bakar

sekoci


internasional

Lifeboat fuel changed annually


rule

6

Pemeriksaan pengikatan sekoci

Lifeboat stripped and inspected


7

Pengetesan alarm umum

General alarm tested

* 89 MODU Kode ch 10.18.6.3

8

Pengetesan winch sekoci

Lifeboat winch tested


9

Pengetesan kemudi


internasional

Streering gear tested


rule

10

Kondisi baju tahan dingin selama latihan

Immersion suits worn during drills

* 89 MODU Kode ch 14.11.2.4

11

Pengetesan EPIRB


internasional

EPIRB tested


rule

12

Pengetesan pembangkit listrik darurat

Emergency generator tested


13

Pengetesan baterai darurat

Emergency batteries tested


S LAPORAN, SERTIFIKAT DAN CATATAN

REPORTS, CERTIFICATES AND RECORDS

1

Catatan perbaikan dari peralatan

pemadam kebakaran dan sistemnya

Record of servicing of fire extinguisher

equipment and systems

* 89 MODU Kode ch 1.6, 9.6

* SOLAS 74 ch I Reg 7

2

Catatan Perbaikan dari rakit kembung

Record of servicing of inflatable liferaft


* SOLAS 74 ch I Reg 7

3

Orang yang ditunjuk

Person in charge destination


4

Kondisi awak kapal


internasional

Citizenship requirements


rule

5

Stasiun latihan

Station drill

* 89 MODU Kode ch 14.8.10 – 14.8.16

6

Operasi manual

Operations manual


7

Portofolio konstruksi

Construction portfolio


8

Denah control api

Fire control plan

* MODU Kode ch 9.13.1-14.14.1

* SOLAS 74 ch III reg 20

9

Denah lokasi yang terklasifikasi

Classified location plan

* 89 MODU Kode ch 14.1.2.15

10

Operator derrik yang ditunjuk


internasional

Crane operator designation


rule

11

Buku catatan derrik

Crane record book


12

Sertifikat derrik

Crane certificate


13

Denah evakuasi darurat


internasional

Emergency evacuation plan


rule

14

Denah polusi minyak darurat kapal


internasional

Shipboard oil pollution emergency plan


rule

………………., ………………………………. Pemeriksa Marine Inspector …………………………………….. NIP. ……………………………….

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