Monthly Report
Vessel: .
From: /
/ .To : /
/ .
Report enclosures:
1. Master Monthly report
2.
Vessel’s certificates list.
3. Deck Maintenance activities report.
4. Safety equipment report.
5. Ch. Engineer monthly report.
6. Engine Maintenance activities report and spare parts
consumption .
7. Critical equipment report.
{Total
number of pages to this report .................}
Monthly Report
1 – Master Report
M.V:
....................................... Date:
.......................
-
Total distance run …………………… N.
Miles.
-
Average speed ………………………. Knots.
-
Fresh
Water Statement :
·
Fresh water
received…………………:……………….… M. Tons. ( ATTACH RECEPTS )
·
Fresh water produced
………………..:…………………. M. Tons.
·
R.O.B………………………...………:………………….. M. Tons.
·
Total consumed ………………………:…………………
M.
Tons.
·
Consumption rate…………………….:…………………….M. Tons / Day.
-
Purchases
:
-
Crew sign off / on Yes
……. No ……. ( ATTACH
LETTERS )
-
Crew to doctor Yes
……. No ……. ( ATTACH
LETTERS )
-
Deck requisitions received Yes ……. No ……. ( ATTACH
DELIVERY NOTES )
-
Provision received Yes
……. No ……. ( ATTACH
DELIVERY NOTES)
-
Paints received Yes
……. No ……. ( ATTACH
DELIVERY NOTES)
-
Garbage disposed ashore Yes ……. No ……. ( ATTACH
RECEIPT )
-
Sludge disposed ashore Yes ……. No ……. ( ATTACH
RECEIPT)
-
Cargo
Documents :
Attach
following documents to this report :
i)
Stowage plan for each port .
ii)
Stability calculations for each
voyage .
iii)
Cargo manifests .
iv)
Mate’s receipt .
v)
Bills of lading ( if available )
-
Ports
Called & Dates :
Port Name
|
Arrival Date
Time
|
Departure
Date
Time
|
Total Tugs
used
In / Out
|
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|
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|
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-
Security levels :-
-
Port state control boarded Yes ……. No ……. ( ATTACH REPORT
)
-
Sea protest presented Yes ……. No ……. ( ATTACH COPY )
N.B. Attached to this report
i)
Deck requisition .
ii)
Provision requisition .
iii)
Deck maintenance forms .
Master :
Stamp
Name
:....................................
Signature :.............................
Date :..............................
|
Monthly Report
2 – Vessel Certificates
List
M.V.:
.................................. Date:
..................................
Certificate
|
Issue date
|
Expiry date
|
Next
inspection date (if applicable) |
1.
Registration
Cert.
|
|||
2.
Classification
Cert.(Hull
& Mech.)
|
|||
3.
Load line
Cert.
|
|||
4.
Safety
construction Cert.
|
|||
5.
Safety
equipment Cert.
|
|||
6.
IOPP Cert.
|
|||
7.
Safety Radio
Cert.
|
|||
8.
Int. Tonnage
Cert.
|
|||
9.
National
Tonnage Cert.
|
|||
10.
Sewage
|
|||
11.
Garbage
|
|||
12.
Dangerous
Goods
|
|||
13.
SMC
|
|||
14.
Copy of DOC.
|
|||
15.
Mini. Safe
Manning Cert.
|
|||
16.
|
|||
17.
Halon Station
Cert.
|
|||
18.
Foam Station
Cert.
|
|||
19.
Portable fire
fighting extinguishers.
|
|||
20.
Life rafts
Cert.
|
|||
21.
Radio Station
License.
|
|||
22.
Insurance
Certificate for pollution.
|
|||
23.
De-ratting
Certificate.
|
|||
24.
Medical Cert.
|
|||
25.
Cargo Gear.
|
|||
26.
Sailing
Permit.
|
|||
27.
Isps.
|
Master :
Name
:.......................................
Signature
:.................................
Monthly Report
3 – Deck
Maintenance Activities Report
M.V.:
.................................. Date:
..................................
Chief Officer :
Name :.......................................
Signature :..................................
Monthly Report
4
– Safety Equipment Report
M.V.:
.................................. Date:................................
1. Life
boats:
|
2. Life
rafts:
|
3. Personal
Safety Equipment:
|
(Life jackets
– lifebuoys – breathing apparatus – thermal protective aids – emersion suits – eebd )
|
4. Distress
Signals / Equipment:
|
(Line
throwing–hand flares-smoke signals-parachute signals-EPIRB-SART- man
overboard)
|
Chief Officer :
Name
:.......................................
Signature :..................................
Monthly Report
5 – Chief Engineer
Report
M.V.:
.................................. Date.................................
-
Bunker
& L.O. Statement :
Type
|
R.O.B.
( Previous
Month )
|
Received
( This Month
)
|
Total
|
Consumed
(This Month )
|
R.O.B.
|
IFO 180
|
…………………………….....
|
……………………………....
|
……………........
|
……………………........
|
……………..
|
Gas oil
|
…………………………….....
|
……………………………....
|
……………........
|
……………………........
|
……………...
|
M.E.L.O.
|
…………………………….....
|
……………………………....
|
……………........
|
……………………........
|
……………...
|
A.E.L.O.
|
…………………………….....
|
……………………………....
|
……………........
|
……………………........
|
……………...
|
Hyd. oil
|
…………………………….....
|
……………………………....
|
……………........
|
……………………........
|
……………...
|
Other oil
|
…………………………….....
|
……………………………....
|
……………........
|
……………………........
|
……………...
|
Grease
|
…………………………….....
|
……………………………....
|
……………........
|
……………………........
|
……………...
|
-
Average consumption ( IFO
)………………:……………….… M. Tons / 24 HRS. Run
-
Average consumption ( Gas oil
)………...…:……………….… M. Tons / 24 HRS. Run
-
Average consumption ( M.E.L.O.
)…...……:……………….… M. Tons / 24 HRS. Run
-
Average consumption ( A.E.L.O.
)…………:……………….… M.
Tons
/ 24 HRS. Run
-
General
Remarks :
-
Running
Hours :
Engine
|
Total
Previous
Month
|
Total
This Month
|
Grand Total
|
Main Engine
|
……………….....HRS
|
……………….....HRS
|
……………….....HRS
|
Aux.
|
……………….....HRS
|
……………….....HRS
|
……………….....HRS
|
Aux.
|
……………….....HRS
|
……………….....HRS
|
……………….....HRS
|
Aux.
|
……………….....HRS
|
……………….....HRS
|
……………….....HRS
|
-
Class inspections carried out Yes ……. No ……. ( ATTACH REPORT
)
-
PSC inspections carried out Yes ……. No ……. ( ATTACH REPORT
)
-
Workshop repairs carried out Yes ……. No ……. ( ATTACH REPORT
)
-
Spare parts received Yes ……. No ……. ( ATTACH
RECEIPTS )
-
Engine requisitions received Yes ……. No ……. ( ATTACH
DELIVERY NOTES )
N.B. Attached to this report
i)
Engine requisition .
ii)
Engine maintenance forms .
Chief
Engineer Stamp
Name
:....................................
Signature :................…...........
Date :.............................
|
Monthly Report
6 – Engine
Maintenance Activities Report
and Spare Parts
Consumed
M.V.:
.................................. Date.................................
A.
Maintenance
Work :
|
B.
Spare Parts
Consumed :
|
Chief Engineer:
Name:
.......................................
Signature:
..................................
Monthly Report
7
– Critical Equipment Report
M.V.:
.................................. Date:................................
1. Emergency Generator: |
Tested
: Yes / No On date:
|
Condition:
|
2. Emergency Fire Pump: |
Tested
: Yes / No On date:
|
Condtion:
|
3. Emergency Air Compressor:
|
4. Steering
|
(Single pump – Two Pumps – communication)
|
5. Alarms:
|
6. Fire Equipment:
|
(Extinguishers
– fireman outfit -
|
7. Emergency Stop Devices:
|
-Emergency stop for :●Main
Engine: -----------●Main Engine Room Fans:--------------
|
●Fuel
Oil Pumps--------- ●Quick closing valves-------------------
|
●Airfans
and flaps--------●Foam flaps-------------------------------
|
Chief Engineer:
Name:
...................................... Signature:
..................................
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