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Routine Visual Inspections (VGP 4.1.1)

Form

VGP 01

Checklist Part 1
Inspections of all areas addressed in this permit are to be carried out weekly, or per voyage, whichever is
more frequent.
This in spection must incl ude all deck, machinery, cargo ar eas and all other acce ssible areas where
chemicals, oils, dry cargo or other materials are stored, mixed, and used, whether or not the areas have
been used since the last inspection.
At a minimu m, the r outine inspecti on must verify that requirem ents of secti on 2.1 are b eing met and
document any instances of non-compliance
These routine inspections should be conducted on a schedule that coincides with other routine vessel
inspections

Areas Free of Potential Pollutant

Location

Garbage
(Y/N)

Raw
Materials

Deck
Cargo Spaces
Machinery Spaces
Boiler Area
Steering Gear
Storage Areas - Deck
Storage Areas E.R.
Storage Areas - Accom
Chemical Storage
Galley

(Enter other areas covered in blank rows in table)

(Y/N)

Oil/Oily
Waste (Y/N)

Other
(Y/N)

Corr Act
Ref No.

Compliance with Section 2.1 Limits (refer to VGP 2.1)

Y/N

If No, Corr
Act Ref No.

Material Stowage (2.1.1) requirements are being met

Toxic and Hazardous Material (2.1.2) in Protected Stowage
Fueling Operations (2.1.3) Control Measures in Place
No Discharge of Oil or Oily Mixture
All Discharges Comply with all Applicable US Regulations (2.1.5)

A ships watc h must inclu de visu al m onitoring of th e water around and behi nd the v essel for vi sible
sheens, du st, chemical s, abnormal d iscoloration or foaming , and other in dicators of pollutants or
constituents of concern or iginating from the vessel. Pa rticular attention should be paid to deck runoff,
ballast water, and bilgewater.
It is confirmed that:

All ships watchkeepers are aware of the monitoring requirements above

All visible pollution prevention mechanisms are in place and in proper working order.

All monitoring, training, and inspections are logged according to permit requirements.

Date/Time Inspection:
Inspectors Name (s)/Signature (S):
.
.

Masters Signature

Routine Visual Inspections Checklist Part 2 (Quarterly Sampling)

At least onc e per quar ter, discharge streams not readily visible (if accessible) must be sampled. This will
generally apply to discharge such as bilgewater or graywater, discharged below the water line.
The samples are to be in spected for any signs of vi sible pollutants or constituents of concern, including
discoloration, visible sheens, suspended solids, floating solids, foam, or changes to clarity.
If signs of oil, other pollutants, or other constituents of concern are discovered exceeding the applicable
effluent limit, the steps taken to prevent the con tinued disch arge of these pollutants or constituents of
concern and what corrective actions were taken to remediate the problem(s) must be recorded.

Note: Sampling of readily visible discharges is not required, but is recommended if the insp ector cannot
easily view their discharg e charac teristics (such as cl arity or discoloration, presence of oily sheens,
presence of foams, etc.). All discharges must comply with the effluent limits in Part 2.

Date /
Time

Discharge
Sampled

Visible Pollutant Inspection (Y/N)

Discoloration Visib

le Sheen

Solids

Foam

Other

Corr Act
Ref. No.

Date/Time Inspection:
Inspectors Name (s)/Signature (S)

Masters Signature