Vessel Inspection Request Form

Select Inspection Type for request submission

TANKER SIRE & OFFSHORE Barge / ATB Inspection Request

Select the number of Port & Agent Details to be entered

1 Port & Agent Details
2 Port & Agent Details
3 Port & Agent Details

EBIS Inspection Request

Americas Inland Barge Tow & Inland ATB Inspection Request

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Inspection Details

Type of Inspection Required
Requestor of Inspection or Contact Name
Technical Management Company
E-Mail Address
	>>Report will be sent to this address
Confirm E-Mail Address
Company IMO	optional

Vessel Information

Vessel Name
Vessel ID Type
Vessel ID

Inspection Details

Type of Inspection Required
Requestor of Inspection or Contact Name
Technical Management Company
E-Mail Address
	>>Report will be sent to this address
Confirm E-Mail Address
Company IMO	optional
Any Further Information	optional

Vessel Information

* Vessel Name 1

* Vessel ID Type

* Vessel ID

Invoice Company Details

- Please supply full details of the company to be invoiced. This must be the company which pays for the inspection.

Company Name
Registered Office Address One
Registered Office Address Two	optional
Registered Office City
Registered Office State/Province
Registered Office Postal Code
Registered Office Country

Country Of Incorporation
Years In Business
Company Type
Country Of Banking
Bank Account Name

Please answer below questions for your agreement :

1. Are you familiar with the requirement of the US Foreign Corrupt Practices Act & UK Anti-Bribery Legislation ?

a. UK: http://www.justice.gov.uk/downloads/legislation/bribery-act-2010-guidance.pdf

b. US: https://www.justice.gov/criminal-fraud/foreign-corrupt-practices-act

2.1 Does your company have policies in place to ensure compliance with anti-corruption laws, code-of-conduct or compliance and ethics related policies?

(if the answer to this question is “NO”,please select the answer for Question 2.2,else answer Question 3)

2.2 Please can you confirm that none of your staff have or will be involved in any activity that would constitute a breach of the UK Anti-Bribery Legislation and the US Foreign Corrupt Practices Act as stipulated in the "The Bribery Act 2010" and "The Foreign Corrupt Practices Act of 1977, as amended, 15 U.S.C. §§ 78dd-1, et seq. ("FCPA")" respectively (please refer to the hyperlinks above), and that the company accepts the consequences if that was to change.

3. Agree to abide by the BP Code of Conduct in any future work with BP (link below):
BP: http://www.bp.com/en/global/corporate/about-bp/people-and-values/code-of-conduct.html

Contact Details

- Please supply details of who to contact regarding the inspection invoice

Contact Name

Copy above information from invoice company details

Company Name
Address One
Address Two	optional
City
State/Province
Postal Code
Country
Telephone Number
Facsimile Number to Receive Invoices	optional
E-Mail Address to receive Invoices
	>>Please complete correctly and do not use "As above"
Confirm E-Mail address to Receive Invoices

Port & Agent 1 Details

- All Port & Agent 1 fields are required unless stated otherwise

Country
Port
	>>Select 'Other' only if desired Port not in list
Other Port
Port
Estimated Arrival Date
	>>Please provide date in 'dd-MMM-yyyy' format. Example - '16-Sep-2016'

Length of Time at Berth

Hours

Operation
	>>Please note that BPS accepts SIRE requests for both loading and discharging operation.
Cargo
Means of Access
	>>Please note that BPS accepts inspection requests for all conditions of means of access such as launch, helicopter including offshore locations and do NOT have any restrictions.
Will the inspector require boat/launch transportation at any time during this inspection?
Agents Name
Agents Office Telephone Number
	>>Do not enter space or '+' symbol.Example: 447417468967
Agents Mobile Telephone Number
	>>Do not enter space or '+' symbol.Example: 447417468967
Agents Facsimile Number	if available
	>>Do not enter space or '+' symbol.Example: 447417468967
Agents E-Mail Address

Port & Agent 2 Details

- All Port & Agent 2 fields are required unless stated otherwise

Country
Port
	>>Select 'Other' only if desired Port not in list
Other Port
Estimated Arrival Date
	>>Please provide date in 'dd-MMM-yyyy' format

Length of Time at Berth

Hours

Operation
	>>Please note that BPS accepts SIRE requests for both loading and discharging operation.
Cargo
Means of Access
	>>Please note that BPS accepts inspection requests for all conditions of means of access such as launch, helicopter including offshore locations and do NOT have any restrictions.
Will the inspector require boat/launch transportation at any time during this inspection?

Agents Name

Copy above information

Agents Office Telephone Number
	>>Do not enter space or '+' symbol.Example: 447417468967
Agents Mobile Telephone Number
	>>Do not enter space or '+' symbol.Example: 447417468967
Agents Facsimile Number	if available
	>>Do not enter space or '+' symbol.Example: 447417468967
Agents E-Mail Address

Port & Agent 3 Details

- All Port & Agent 3 fields are required unless stated otherwise

Country
Port
	>>Select 'Other' only if desired Port not in list
Other Port
Estimated Arrival Date
	>>Please provide date in 'dd-MMM-yyyy' format

Length of Time at Berth

Hours

Operation
	>>Please note that BPS accepts SIRE requests for both loading and discharging operation.
Cargo
Means of Access
	>>Please note that BPS accepts inspection requests for all conditions of means of access such as launch, helicopter including offshore locations and do NOT have any restrictions.
Will the inspector require boat/launch transportation at any time during this inspection?

Agents Name

Copy above information

Agents Office Telephone Number
	>>Do not enter space or '+' symbol.Example: 447417468967
Agents Mobile Telephone Number
	>>Do not enter space or '+' symbol.Example: 447417468967
Agents Facsimile Number	if available
	>>Do not enter space or '+' symbol.Example: 447417468967
Agents E-Mail Address

Inspection Details

Type of Inspection Required
Requestor of Inspection or Contact Name
Barge Operator E-Mail Address
Confirm E-Mail Address
Barge Operator Contact Number
Barge Operator Company Name
Company IMO	optional
Port of Inspection
Estimated Arrival Date
>>Please provide date in ‘dd-MMM-yyyy’ format. Example – ’10-Apr-2019’
Any Further Information	optional

Vessel Information

Barge Name
ENI Number		append leading '0's if less than 8 characters
8 characters remaining in your input limit
Barge Type
ADNR Type
Barge Contact Number
Barge E-Mail Address		optional

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Additional information may be requested prior to use by the BP Group should it be felt necessary to clarify areas of concern.
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