SIRE 2.0 – PIQ Pre-Inspection Questionnaire Vessel Type Please Select Crude Tanker Crude/Products Tanker Products/Chemical Tanker Chemical Carrier Type I Chemical Carrier Type II Chemical Carrier Type III LNG Carrier LPG Carrier Please select the appropriate vessel type from the Dropdown list. The PIQ is automatically configured based upon the vessel type selected. If the selected Vessel Type is changed, any responses entered for questions that are no longer in the newly selected Vessel type are automatically removed. 3001. Required frequency of Inspection of Cargo Tanks Required frequency of Inspection Please Select 3 Months 6 Months 12 Months 2.5 Years 5 Years NA What is the date of the oldest Inspection report for all cargo and Slop Tanks in the current sequence of Tank Inspections -Day -Month Year Date 3002. Required frequency of Inspection of Ballast Tanks Required frequency of Inspection Please Select 3 Months 6 Months 12 Months 2.5 Years 5 Years NA What is the date of the oldest Inspection report for all Ballast Tanks in the current sequence of Tank Inspections -Day -Month Year Date 3003. Required frequency of Inspection of Void Spaces Required frequency of Inspection Please Select 3 Months 6 Months 12 Months 2.5 Years 5 Years NA What is the date of the oldest Inspection report for all void spaces in the current sequence of Void Space Inspections -Day -Month Year Date 5001. Is the vessel enrolled in the Condition Assessment Programme (CAP) Please Select Yes No NA Examples of Date Picker, Single Select Dropdown and Conditional fields 1. Certification What is the last date of visit by a Classification Society surveyor? -Day -Month Year Date Purpose of visit Please Select Damage Survey Annual Surveys Renewal Surveys Other Other, provide details Examples of Multi Select Dropdown 4. Has an unannounced Remote Navigational Assessment, which included a review of VDR & ECDIS data, been conducted by an independent contractor or specialist company representative during the preceding twelve months? Unannounced Remote Navigational Assessment Please Select Yes No NA Date - Last -Day -Month Year Date Activities Assessed Channel / Straits. Pilotage Coastal Berthing Unberthing Anchoring STS Operations Examples of Date entry Grids & Free Text 2. Please specify the last three Port State Control Inspections. Has the vessel undergone a PSC Inspection? Please Select Yes No NA Last three Port State Inspection details 2. Minimum dynamic under keel clearance During Open sea passage - state company under keel clearance policy During Open sea passage - what is the minimum dynamic UKC required in metres for the ship in accordance with the company policy? Click to download the PIQ Submit Should be Empty: Now create your own Jotform - It's free!Create your own Jotform
