CMR No. C0817 Document No.

6200-0016
6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

Master’s Declaration and Vessel Information Checklist

Submitting this Form

1.1 The Shipper, or the appointed port agent acting on the Shipper’s behalf, will complete the
Form and submit it, preferably by email, to: Customer_Logistics@[Link]

1.2 No signature is required when the Form is submitted electronically.

A PORT CALL ID# WILL BE ISSUED BY TRANS

1.0 VESSEL IDENTITY MOUNTAIN

1.1 Port Call Identification #

YYYY / ### / L OR D

1.2 Vessel Name

1.3 Vessel IMO #

1.4 Person, role and organization completing this form

1.5 Date of completion

Column 1 Column 2
2.0 CRITERIA FOR VESSEL ACCEPTANCE
COMPLETED ON LOADING MASTER’S
BEHALF OF THE VESSEL CONFIRMATION
(ENTER REQUESTED (YES/NO/NA OR
2.1 General Requirements
INFORMATION OR COMMENTS)
YES/NO/NA)

2.1.1 The Master or person in-charge of the vessel confirms that all
persons onboard are healthy and the vessel is not currently
subject to quarantine restrictions and such/similar restrictions
are not anticipated to be in place for the vessel upon its arrival at
the Westridge Marine Terminal.

2.1.2 The Master or person in-charge of the vessel confirms the terms
and conditions specified in the Westridge Marine Terminal
Regulations and Operations Guide will be met, including the
Agreement in Appendix B of the mentioned document.

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

2.1.3 The Master or person in-charge of the vessel will complete the
Westridge Pre-Arrival Checklist and confirm the vessel will be
presented in the required manner.

2.1.4 The Master will always remain responsible for the vessel but will
support WMT and help as needed to mitigate the conditions. The
Master agrees that in case of an oil spill or threat of an oil spill
involving a vessel berthed at WMT, Trans Mountain shall act in
the capacity of Incident Commander within an ICS response
structure and lead the response. In that capacity, the terminal
shall activate and utilize resources as it deems necessary to best
respond to the emergency.

2.1.5 The vessel is operated under a safety and/or quality

management system structured and adhering to practices
identified in Standards such as International Safety
Management Code (ISM) if applicable or the American
Waterways Operators (AWO) “Responsible Carrier Program”
(RCP) or similar. A valid certificate is required.

The owner/operator of a tug that has been wholly assigned to tow or

push a barge for the duration of its voyage will, for all practical
purposes, be considered the owner/operator of both the tug and barge.

2.1.6 The vessel carries ALL required and customary certificates of

compliance. The vessel (tanker or barge and attending tug) is
built to industry standards and operated in accordance with
industry best practices, always compliant with relevant local
and international laws and regulations.

2.1.7 The vessel is registered under the flag of a country on the

Tokyo MoU White List and meets the flag criteria for a low-risk
ship as listed by the Paris MoU.

2.1.8 The vessel is classed with a member of IACS and complies with
the applicable class rules.

A copy of the vessel’s Class Certificate is available upon request. (US

flagged vessels will provide appropriate Certificate of Inspection and
Certificate of Documentation issued by the USCG).

2.1.9 The vessel’s onboard officers and ratings are licensed in

accordance with the relevant Flag State and latest Standards

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

for Training, Certification and Watchkeeping (STCW)

Regulations or equivalent.

2.1.10 The vessel complies with the provisions of the relevant rules
regarding International Transport Workers' Federation (ITF)
compliance and carries a "Blue Card" or alternatively, a special
agreement letter.

2.1.11 The vessel is entered with a P&I club that is a member of the
International Group of P&I Clubs and carries the maximum oil
pollution cover normally extended by the P&I club, relevant to
its size. This can be verified with a Certificate of Entry.

2.1.12 The vessel will be transiting the territorial seas of Canada and
the US. Please confirm that appropriate arrangements are
available to the vessel/vessel operator to satisfy any national
requirements, including providing necessary arrival notices to
relevant authorities.

2.1.13 The vessel has implemented on board a Drug and Alcohol Policy
that meets OCIMF recommendations.

2.1.14 The Shipboard Oil Pollution Emergency Plan (SOPEP) and the
Shipboard Marine Pollution Emergency Plan (SMPEP) local
contacts list has been updated with relevant contact
information including those for Canadian Coast Guard and
Western Canada Marine Response Corporation (WCMRC). A
copy of this list must be posted in the Cargo Control Room and
known to the officer on duty.

All ships 400 GT and over and all oil tankers 150 GT and over are required
by the MARPOL Convention to carry a SOPEP and/or SMPEP.

2.1.15 The vessel has implemented on board a Ship Security Plan

appropriate to her Flag.

2.1.16 Prior to her entry into Canadian waters the vessel will enter
into an agreement appointing WCMRC as the designated Spill
Response Agency in Canadian waters.

2.1.17 Any vessel operating under a pilot waiver (applicable to vessels

less than 10,000 GT only) will meet the PPA’s pilot waiver
program.

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

Non-compliance may cause serious delays to the voyage for which the
owner/operator shall be held responsible and liable.

2.1.18 The vessel has an inspection report entered in the SIRE

database that is not more than six months old on the
nominated date of loading from the WMT.

Tugs used for petroleum barge propulsion are to have an OVID or SIRE
report.

2.1.19 There are no outstanding or unaddressed observations on

record in the SIRE database that may pose a safety or
operations risk.
The vessel, owner or operator is requested to explain any anomalies in
database records.

2.1.20 There have been no recent (within six months) incidents

involving vessel grounding, collision, oil pollution, fatality
onboard or detention by a port state authority.

Please provide details if this question is answered in the affirmative.

2.1.21 All vessel equipment (propulsion, bridge or cargo) is in good

working order with no deficiencies.

Please provide details of any repairs planned or currently in progress.

2.1.22 The vessel will be presented with well-maintained topsides and

superstructure with clearly painted name, port of registry, draft
marks, tug push marks, etc.

2.1.23 The vessel has on board a copy of the Mariner’s Guide to

Whales, Dolphins, and Porpoises of Western Canada and is
aware of reporting requirements in case of the vessel striking a
marine mammal or becoming aware of a marine mammal in
distress.

If not on board, please ask the agent for a copy or instructions on how
to download one.

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

2.1.24 The vessel’s hull and propeller are not fouled excessively.

Please enter dates of last hull and propeller cleaning.

Excessive fouling of hull or propeller is liable to create high amount of

underwater noise that is detrimental to marine mammals. Vessels
carrying excessive hull fouling may be denied acceptance.

2.2 Vessel Age

2.2.1 The vessel will be less than 15 years old on the nominated
WMT loading date.

A vessel may be acceptable provided it remains less than 20 years old on

the estimated date of becoming free of cargo loaded at the terminal and
does not have any issued Conditions of Class.

A tug attending to a barge may be up to 25 years old subject to review of

its COI. Additional information should be provided.

Tankers more than 15 years old will be assessed under Condition

Assessment Program (CAP) and meet one of the following rating criteria
(in parenthesis):

Acceptance
LR/DNV/ABS GL BV
Period

As new (5) As new or

Four years
New superficial
Negligible from date of
condition (1) reduction
waste/wear survey
only (1)
(4)
Moderate Three years
Minor Minor defect
waste/wear from date of
defect (2) (2)
(3) survey

2.3 Vessel Construction

2.3.1 The vessel is of double-hull construction.

2.3.2 The entire cargo tank area is provided with oil-tight centre-line
bulkheads or designed with centre-tanks and wing-tanks.

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

2.3.3 Arrangements are in place that allow the vessel operating

personnel to view the cargo deck area and manifold areas
always while undertaking cargo transfer.

2.3.4 The cargo deck area is provided with a raised steel plate
(scupper bar) to allow for containment of any oil on deck. The
scupper bar will be a minimum height of 100 mm (four inches).

2.3.5 The vessel has reasonable means to limit water collecting on

deck. There will be sufficient staff on deck always to facilitate
the timely monitoring and proper disposal of water collecting
on deck throughout the period of cargo transfer operations.

2.4 Vessel Equipment

2.4.1 The vessel’s mooring equipment includes a sufficient number of

mooring lines on powered winches.

All vessels over 5000 MT DWT shall carry a minimum of eight mooring
lines on powered winches.

Mooring lines may be of wire or synthetic material and construction

suitable for the purpose and suitable mooring tails should be provided
where applicable.

2.4.2 The vessel is compliant with the requirements established by

VFPA's Port Information Guide and further described in the
Pacific Pilotage Authority's Notices to Industry.

Focus is to be placed on the capacity of fitted towing strong points, which

must be suitable for tethered escort purposes (up to 150 tonnes bollard
pull). The PPA requires mooring arrangement plans of the vessels, in e-
format, before the vessel's first arrival, which should also be copied to
the Loading Master.

Please provide a copy of the official mooring plan of the vessel along
with photographs of the stern Emergency Towing Arrangement or
escort strongpoint (200 tonnes).

2.4.3 The vessel is fitted with a Vapour Collection System with

capacity to connect to a 406 mm (16 inch) or 254 mm (10 inch)
vapour recovery line. The system will be checked prior to the
vessel's arrival and the piping system will be drained and dry.

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1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

2.4.4 The vessel is equipped with an approved inert gas system and
prior to arrival in port, all cargo tanks will be placed in an
inerted condition as defined under ISGOTT and so maintained
during the entire time the vessel is within Canadian waters.

All vessels nominated to handle cargoes other than crude oil should
utilize inert gas in an appropriate manner.

2.4.5 If nominated to load heavy crude oil the vessel is fitted with
appropriately sized manifold drain lines to allow effective
draining of cargo lines.
Size of drain line:
Please explain in detail how manifolds will be drained after loading.

Please provide a diagram to illustrate the process.

2.4.6 All navigation equipment is available and fully operational. All

passage charts are corrected to the latest-issued Notices to
Mariners.

When fitted with an approved ECDIS (Electronic Chart Display and

Information System) and it shall use "official" electronic navigational
charts unless allowed under its Flag rules; e.g., an attending tug.

2.4.7 The cargo tanks are fitted with individual pressure sensors with
means of recording tank pressure fitted to each cargo oil tank.

Applicable if loading crude oil during times of the year when ambient
temperature is expected to reach or exceed 23°C.

2.5 Technical and Operational Requirements

2.5.1 The vessel is up to date with all Class inspection and survey
requirements for vessels of her age without any pending or
overdue Conditions of Class.

2.5.2 The vessel has a Ballast Water Management Manual that is

Class approved and is being implemented. Records are
available onboard for review by the Loading Master.

2.5.3 Masters undertakes that all cargo tanks are in suitable

condition for carriage of the nominated cargo.

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

Terminal will not issue tank preparation instructions and purging of

tanks is unnecessary due to “closed” cargo transfer.

2.5.4 The vessel is fitted with a fully operational Class approved

Vapour Collection System and will operate under "closed" cargo
transfer condition.

A 10-inch reducer is required to connect with the terminal’s Vapour

Collection and Combustion Unit. If one is not available onboard, please
inform the WMT.

A vessel with a poorly functioning Vapour Collection System will be

deemed unacceptable and asked to vacate the berth.

2.5.5 The vessel is implementing a Volatile Organic Compound

management plan. The Master has checked and confirmed that
all cargo system fittings are appropriately oil or gas tight.

Please have a Cargo Tank Gas Tightness Certificate (or similar) available
for inspection.

2.5.6 All pressure relief devices, such as pressure-vacuum valves or

pressure-vacuum breakers, are set to the correct pressure and
confirmed as working.

2.5.7 The closing time of remotely operated cargo tank valves and
other inline loading valves have been adjusted in accordance
with recommendations in ISGOTT.

Typically, the valve closing time shall be 30 seconds or more and should
be confirmed before loading commences. Once cargo loading has
commenced the vessel’s manifold valve/s as well as the inlet valve of at
least one cargo tank must not be closed unless expressly instructed by
the Loading Master.

2.5.8 The vessel will ensure continuous monitoring of the cargo deck
and manifold area during cargo transfer.

2.5.9 The vessel has in operation equipment that prevents the

overboard discharge of untreated sewage.

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

2.5.10 The vessel will secure all bilge overboard discharge valves
under charge of the Chief Engineer prior to entry into the
Canadian Exclusive Economic Zone (EEZ) and those shall remain
secured until the vessel has departed the Canadian EEZ.

2.5.11 The vessel has onboard a Shipboard Energy Efficiency Plan

(SEEMP) and is being operated in accordance with SEEMP
guidance.
Type of fuel:
2.5.12 The vessel will use fuel in main engines and auxiliary engines
that meet regulations applicable to the port and region Scrubber:
(IMO2020, NA ECA).

Appropriate fuel shall be carried together with any corresponding ship-

specific fuel changeover procedures.

2.5.11 The crew are knowledgeable of issues that may be encountered

when operating within the Emissions Control Area (ECA).

Prior to the vessel's entry into the Canadian EEZ, the Master will
confirm the vessel is fully capable of operating in accordance with the
requirements of the ECA without any reduction in its propulsion
capacity.

2.5.12 Controls shall be tested prior to entering or getting underway in

Canada's territorial sea and results recorded in the ship's
logbook. Tests must include operating the main engines in both
ahead and astern directions, completing steering system checks
in accordance with SOLAS and checking of all navigation
equipment. Any deficiency will be immediately reported to
MCTS and the WMT advised accordingly.

Canada’s territorial waters extends 12 nautical miles (NM) to sea.

2.5.13 Propulsion or steering failure within or near of Canada’s

territorial sea will be immediately reported to the appropriate
authorities and WMT.

An inbound vessel will not be accepted at WMT until WMT receives an

incident report with appropriate corrective actions, supported by a

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

certificate from the vessel's Class society confirming that necessary

repairs have been completed.

An outbound vessel shall be denied future acceptance at WMT without

similar details being filed.

2.5.14 The Pre-Arrival Checklist information has been reviewed and

the vessel will be prepared accordingly.

2.6 Crew Qualifications

2.6.1 The vessel meets or exceeds its safe manning certificate

requirements.

2.6.2 Officers and crew serving in a position that require them to

communicate with others regarding navigation,
loading/discharging and bunker operations are verbally
proficient in English sufficient to carry out these duties.

2.6.3 All vessel officers and crew members have operational

experience on similar vessels and are qualified to operate the
equipment for which they are responsible.

2.6.4 Oil cargo transfer operations will be supervised by individuals

with necessary tanker qualifications, e.g. PIC Tankerman in the
case of US barges.

2.6.5 The combined experience in rank of the two senior most

officers of each department (deck or engine) of a tanker is not
less than two years.

Provide an updated Officer Matrix from the OCIMF database.

2.7 Local Operations and Conduct

2.7.1 The vessel will cooperate with the appointed Loading Master
who is there to assist the vessel in ensuring operations are
conducted safely and in accordance with all local operational
requirements.

2.7.2 Master confirms operations will be conducted in accordance

with any additional guidance provided by WMT, and always
respectful of the rights of the residents in surrounding
neighborhoods to not be unnecessarily disturbed by noise,

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

odour and health or other concerns from vessel operations.

Such additional instructions may be verbal or in writing and
shall be issued by the Loading Master.

Please keep the use of deck lights to a minimum, consistent with safety
and operational requirements. Whether at anchor or at berth, avoid
glare from deck lights creating a nuisance for nearby residents of the
area.

2.7.3 Once within the Canadian EEZ, the Master has been instructed
by the Owner to immediately notify Authorities and the WMT
in case of any incident affecting safety or the environment as
well as loss of propulsion.

See Item 2.5.13

2.7.4 WCMRC shall be immediately notified by the Master in case of

any oil spill, however minor.

2.7.5 The Master is familiar with means to promptly obtain (in case
of need) computerized, shore-based damage stability and
residual structural strength information and confirms that
he/she has the authority to do so directly without awaiting
additional approval from the Owner.

2.7.6 In case of an emergency that may require salvage, the Master

confirms having the authority to promptly enter into a Lloyd's
Open Form Agreement with SCOPIC clause with a salvor of
his/her choice without having to seek additional approval from
the Owner.

2.7.7 The Master confirms the vessel will respect and remain outside
the voluntary Tanker Exclusion Zone off the west coast of
Vancouver Island, both while laden or in ballast.

2.7.8 The Master confirms the vessel will always navigate within the
designated marine traffic corridors and comply with relevant
rules of the Pacific Pilotage Authority and Port Metro
Vancouver, as amended from time to time.
The relevant rules may be obtained from the appointed ship's agent.

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2.7.9 The Master will exercise the practice of good seamanship

throughout the vessel’s transit with due regard to fishing and
recreational vessels.

Extra caution should be exercised near Swiftsure Bank, where many

fishing vessels may be encountered.

2.7.10 The vessel will participate in all navigation initiatives designed

to protect marine mammals in the region; information should
be obtained from the port agent.

2.7.11 The Master confirms that upon departing Canada via the Juan
de Fuca Straits, the vessel will steer a course no more northerly
than due west (270°) until the vessel is outside the Canadian
EEZ (200 NM from the coast of Canada).

2.7.12 The Master agrees to the WMT monitoring the vessel's position
from the time of her nomination to load is accepted until it
leaves the Canadian EEZ.

2.7.13 The Master will apply best efforts to avoid venting of gases
from cargo tanks within the limits of Canada’s territorial sea (12
NM limit).

If exceptional circumstances require venting of a cargo tank, appropriate

records will be maintained, and such records will be provided to WMT
upon request. If the vessel is within the Port of Vancouver port limits,
permission must be sought from the Port's Operations Centre and WMT
must be advised.

We confirm that all information has been provided to the best of our knowledge.

For the Shipper Name:

Position/Rank:

Signature:

Date: Time:

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6200 Vessel Acceptance Process
1.6 Master’s Declaration and Vessel Information Checklist Effective Date 2019/07/01 Revision No. 2

Purposely left blank for notes and additional information.

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