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Notification by Vessel Owner of Proposed Out of Water Inspections

Notification by Vessel Owner of Proposed Out of Water Inspections

This document is to be completed and submitted prior to commencement of the following works:

Out of water inspections in Ports North Careening Area in the Port of Karumba

1. Proposed Work Details

Vessel owner Business Name

Contact Name

Mobile Number

Email

Vessel Name

Address

Description of Works

Contractor Name (if applicable)

QBCC Number

Contractor Mobile Number

Contractor Email

Type of equipment to be used:
Hand, battery, and power tools, pressure sprayer only
Mobile plant (provide details of mobile plant)
Insert detail of any other proposed equipment:
Select applicable & provide details below

Details:

Proposed Start Date and Time

Proposed Finish Date and Time

High Tide Time

Low Tide Time

2. Risk Controls for impact on Ports North assets & general public

Vessel Owner / Contractor MUST complete this section. If you tick YES, please provide details following the questions.
1 - Is there the potential for release of harmful materials *
YES
NO
2 - Will work involve processes, equipment or activities involving hot work (may produce spark, flame, or another ignition source)? *
YES
NO
3 - Will there be application of anti-foul product undertaken? *
YES
NO
4 - Can the activities place at risk the public and other persons whilst the activities are being undertaken? *
YES
NO
5 - Will the work impact on any asbestos containing materials? *
YES
NO
6 - Will the works be carried out on or near the water? *
YES
NO

If you ticked YES to any of the above 6 questions, please provide details of the intended control measures and precautions to minimise risk:

3. The following procedures are to be strictly adhered to by the Vessel Owner/Contractor

If you tick NO, please provide alternate at the end
1 - Booking is required at least 7 days prior to undertaking the activity with the MSQ/Port Officer *
YES
NO
2 - Inspect site the day prior to the activity at low tide to ensure there are no obstructions. Ports North accept no responsibility for damage incurred to the vessel during beaching/un-beaching procedure *
YES
NO
3 - When entering or leaving the riverbank, ensure that propellers do not damage the bank *
YES
NO
4 - As the tide recedes, only use soft brooms to clean sediment and moss. No high-pressure water/sand blasting is allowed *
YES
NO
5 - Use tarpaulins to capture any shell or other material. It is the responisbility of the Owner to ensure that recovered materials are responsibly disposed of off-site, and out of the tidal zone. *
YES
NO
6 - Hull is to be rinsed with fresh water from vessel stores, and not Ports North facilities *
YES
NO
7 - Paint is to be applied by rollers and brushes only and tarpaulins used to capture any spillage *
YES
NO
8 - MSQ / Port Officer has inspected the completed works and site *
YES
NO
9 - Any observations of abnormal or potential marine pest hull fouling are to be reported to the MSQ / Port Officer and Biosecurity Qld (Ph: 13 25 23), [collect and store samples] *
YES
NO

Comments - if NO was ticked to any of the above 9 questions, please provide details of an alternate procedure with control measures

4. Certification

Vessel Owner / Contractor MUST complete this section.
1 - Have the works been completed and comply with the Port of Karumba Enviornmental Management Plan with particular reference to Section 13.12? *
YES
NO

If NO, Vessel Owner/Contractor is to provide a report from a suitably qualified consultant that the works undertaken do not pose any environmental harm to the Port of Karumba

2 - Will the works require access to Ports North adjoining land? *
YES
NO

If YES, prior access arrangements are to be made with the MSQ / Port Officer

3 - Has all equipment and residue from works, including pastics, fouling, or paint been removed from within the tidal zone and site left in its original pre-works condition? *
YES
NO

If NO, recitify prior to tidal inundation, and MSQ / Port Officer is to document/photograph any non-compliance with clean up and retain on file

Name of Vessel Owner / Master

Date

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