Voyage Preparation and Loading A4

GlobalSantaFe Corporation MD Ref: S-17642

MODU CARL NORBERG Page 2

Voyage Preparation and Loading Survey

MatthewsDaniel

Assured or Principle______

MODU ______

Dry Ocean Transport Onboard ______

Voyage Preparation and Loading Survey

MD Ref:
To: / ______
______
______
Attn: /

______

Voyage Preparation and Loading Survey 5201, Issue 01, 04/2005

(Name of Company ______) MD Ref: ______

MODU ______ Page 22

Dry Ocean Transport Onboard ______

Voyage Preparation and Loading Survey

MatthewsDaniel

Date: ______, 20_____

(Company Name ______)

MODU ______
Dry Ocean Transport Onboard H/L ______
Voyage Preparation and Loading Survey

MD Ref: ______

A MatthewsDaniel surveyor did, on (Date ______)and subsequent dates, attend during the loading of the MODU (Name of MODU______) onboard the H/L (Name of Vessel______) at (name of location______).

The purpose of the survey was to ascertain the suitability of loading and securing of subject cargo and further to ascertain the suitability of transport arrangements onboard the H/L (Name of Vessel______) from (name of location______), to (name of location______).

This survey was assigned by (individual's name ______) on behalf (Interested Underwriters, whom it may concern, Customer: ______) and for the account of (who is paying the bill ______).

ATTENDING REPRESENTING

Name: ______
Title: ______
Company: ______/ ______
Name: ______
Title: ______
Company: ______/ ______
Name: ______
Title: ______
Company: ______/ ______
Name: ______
Title: ______
Company: ______/ ______
Name: ______
Marine Surveyor
MatthewsDaniel / ______

(SEMI-SUBMERSIBLE) HEAVYLIFT (NAME OF VESSEL______)

Brief Description

The (Name of Vessel______) is a ______.

Particulars

Official Name
Official Number
Call Sign
Owners
Operators
Home Port
Flag
Gross Tons
Net Tons
Draft
Built By / At
Year Built
Dimensions (As per the International Convention of Tonnage Measurements of Ships 1969) / L.O.A.
Beam
Depth
Classification
Last Drydocking
Last Underwater Inspection

Certification

Certificate / No. / Issued by / Date / Expires
Certificate of Class - Hull
Class of Class - Machinery
Certificate of Registry / DocumentationRegistryDocumentation
International Load Line Certificate
Certificate of Inspection
Stability Letter / Document
Safety Construction Certificate
International Tonnage Certificate
Other Certificates:______

Construction

Type : All welded steel with framing system.

Hull Form : ______

Compartmentation : ______watertight compartments consisting of (tanks and spaces)______divided by _____ longitudinal and _____ transverse watertight bulkheads.

Outfitting

Navigation Equipment : The H/L ______is equipped with the following navigation equipment:

______

Navigation Lights : ______

Communications Equipment : The H/L ______is equipped with the following communications equipment:

______

Propulsion Machinery : The H/L ______is powered by ______

The engineering spaces are certified and equipped for unmanned operation with ______

Propellers : ______

Bow Thrusters : The H/L ______is equipped with ______

Steering System : ______

Generators : ______

______

Services Systems : ______

______

Ballast/Deballast System : ______

______

Anchors Forward: ______

Aft: ______

DECK FITTINGS

Main Deck

______

Fo'c'sle

Centerline Bow Forward : ______

Port and Starboard Bow : ______

Port and Starboard Sides : ______

Port and Starboard Aft : ______

Deck Winches : ______

Caissons Port and Starboard: ______

Cranes : ______

Accommodations : ______

Lifesaving Equipment : ______

Intended Service : ______

Capacities

Fuel, Diesel / No. of Tanks: ______
Total Capacity: ______
Amount Onboard: ______
Fuel, Heavy / No. of Tanks: ______
Total Capacity: ______
Amount Onboard: ______
Lube Oil / No. of Tanks: ______
Total Capacity: ______
Amount Onboard: ______
Ballast Water / No. of Tanks: ______
Total Capacity: ______
Amount Onboard: ______
Potable Water / No. of Tanks: ______
Total Capacity: ______
Amount Onboard: ______
As (reported to / witnessed by)reported towitnessed by surveyor at: / ______hours on (date:______)
Fuel Consumption / Approximately (______) (gallons)(liters)(tons)(cubic meters)gallonsliterstonscubic meters (per hour)(per day)per hourper day.

Draft at Time of Departure: Forward: Starboard: ______Port: ______

Aft: Starboard: ______Port: ______

Trim: ______

General Condition

As sighted afloat (Date______)and subsequent dates, at (name of location ______), the H/L(NAME OF VESSEL______) is considered satisfactory for the proposed transport.

Suitability as Transport Vessel

MatthewsDaniel conducted an independent stability review and investigation, which indicated that the H/L (NAME OF VESSEL______), loaded with the MODU (NAME OF VESSEL______) as deck cargo, complied with MatthewsDaniel stability criteria for the voyage route and season.

MatthewsDaniel conducted an independent motion analysis of the H/L (NAME OF VESSEL______) as loaded with the MODU (NAME OF MODU______) for the route from (name of location ______) to (name of location ______) sailing at (______) hours on (Date______). Vessel design characteristics, as loaded and ready for departure, were considered satisfactory and were approved by MatthewsDaniel.

The H/L (NAME OF VESSEL______) was inspected afloat at (name of location ______) on (Date______)and subsequent dates, the vessel design characteristics, outfitting and general condition were considered to be satisfactory for service, as the transport vessel on this voyage and the vessel was approved by MatthewsDaniel.

MODU (NAME OF MODU ______) DETAILS

The (Name of MODU ______) is a ______.

Particulars:

Certification

VOYAGE PREPARATIONS

Loading Site

The loading site selected was in the protected waters of the .

Preparation of Semi-Submersible Heavylift (NAME OF VESSEL ______)

Preparation of the H/L (NAME OF VESSEL______) consisted of the installation and securing of ______

______

Preparation of MODU (NAME OF MODU ______)

Preparation of the MODU (NAME OF VESSEL ______) consisted of ______

The MODU ______was alongside the H/L (NAME OF VESSEL ______) at ______hours on Date ______for loading.

Assist Vessel (NAME OF VESSEL______)

(description of vessel)______

Particulars

Official Name
Official Number
Call Sign
Owners
Operators
Flag/Registry
Home Port
Registered Dimensions / Length: ______
Breadth: ______
Depth: ______
Tonnages / Gross: ______
Net: ______
Built By / At / ______/______
Year Built
Hull Number
Intended Service
Certificate of Registry / DocumentationRegistryDocumentation / Certificate No.: ______
Issued by: ______
Issued Date: ______
Expires: ______
Master / (Name______)
License No. ______
License Type: ______
No. of Crew
Main Engines / #______x Builder______
Model No. ______
Horsepower (Brake / Indicated / ClassBrakeIndicatedClass)
Generators / #______x Builder______
Model No. ______
Tow Winch
Bollard Pull
Main Tow Wire / Length: ______
Diameter: ______
Bridles
Towing Spring
Pendant / Fuse Wire
Shackles in Use
Spares and Equipment
Draft (At Time of Survey)
Date of Survey

Assist Vessel (NAME OF VESSEL______)

(description of vessel)______

Particulars

Assist Vessel (NAME OF VESSEL______)

(description of vessel)______

Particulars

LOADING OPERATIONS

Synopsis of Events

______

Damages Sustain During Loading

______

Transport Arrangements

Route : ______

Projected Weather Forecast : ______

SURVEYOR'S COMMENTS

1. ______

2. ______

RECOMMENDATIONS

1. ______

2. ______

CONCLUSION

Cargo arrangement, securing and transport arrangements were found to be satisfactory for the proposed dry ocean transport of the MODU (NAME OF MODU ______) onboard the H/L (NAME OF VESSEL ______)and for weather and sea conditions normally to be expected on the voyage from (name of location ______) to (name of location ______) at (______) hours on (date:______), 20(______).

THIS SURVEY SUBMITTED WITHOUT PREJUDICE.

MatthewsDaniel

______
Attending Surveyor

//:()

c/s

ATTACHMENTS

1. Transport Certificate

2. General Recommendations

3. Engineering Approval Letter, AP-__
Dated (date issued______)

4. Photographs

Surveyor's Log (Available Upon Request)

Voyage Preparation and Loading Survey MD/CORP/AF/5201/02 US, 07/2006

MatthewsDaniel

PHOTO CAPTIONS

Matthews-Daniel Company t (713) 622 1633
4544 Post Oak Place, Suite 160 f (713) 622 1644 www.matdan.com
Houston, Texas 77027

Voyage Preparation and Loading Survey MD/CORP/AF/5201/02 US, 07/2006