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海事声明和海事事故报告的标准格式doc

海事声明和海事事故报告的标准格式doc

海事声明和海事事故报告的标准格式.doc海事声明和海事事故报告是海事领域中非常重要的文件,它们记录和描述了发生在船舶和海洋环境中的事件和事故。

为了确保这些文件的准确性和一致性,一般会采用标准格式进行撰写。

以下是海事声明和海事事故报告的标准格式的一个示例:1. 标题在文件的顶部,应该标明文件的类型,例如“海事声明”或“海事事故报告”,以及相关的船舶或事故的名称。

2. 前言在文件的开头,应该包含一个简短的前言,用于介绍文件的目的和背景。

这个部分应该概括性地描述事件或事故的背景信息,例如时间、地点和相关的船舶或人员。

3. 事件或事故的描述接下来,应该详细描述事件或事故的经过。

这个部分应该包括以下内容:- 事件或事故的发生时间和地点- 相关的船舶或人员的身份和名称- 事件或事故的起因和过程- 事件或事故的影响和后果4. 相关证据和证人证言如果有相关的证据或证人证言支持事件或事故的描述,应该在这个部分进行陈述。

这可以包括照片、视频、日志、记录和证人的陈述。

5. 调查结果和结论在这个部分,应该阐明对事件或事故进行的调查的结果和结论。

这个部分应该包括以下内容:- 调查的方法和过程- 对涉及方的采访和询问- 对相关文件和证据的分析和评估- 对事件或事故的责任的判断6. 建议和建议措施如果适用,可以在这个部分提出建议和建议措施,以预防类似事件或事故的再次发生。

这可以包括改进船舶设备、培训人员和加强安全措施等。

7. 结尾在文件的结尾,应该对文件进行总结,并提供相关的联系信息和日期。

这个部分还可以包括签名和机构或公司的标识。

英文书写海事报告等

英文书写海事报告等

英文书写海上声明、海事报告、业务函电一、海事声明:船舶在锚泊,系泊,装货,航行,卸货等某一运输环节中,遭到了自然灾害袭击,船员虽然竭尽全力保护船舶和货物安全,但仍然担心或认为船体,设备和货物有某种程度的损失或损坏,则应在到达受灾袭击后的第一个停泊港口时尽快向有关方面提出海事声明,取得签证后,抄送货方及其他有关方,这种声明是日后宣布损失,索赔或申报免责的初步证明文件,其正文一般包括下列内容:1本船船名,船籍港,吨位,货种,货物数量,出发港,目的港及挂靠港等。

2遭遇自然灾害的时间,地点或海域。

3自然灾害的性质,程度。

4声明对可能发生的损失或损坏不负责任。

5保留适当时间和地点延伸该声明的权利。

海事声明要有2到3名经历灾难的人员作证并签字,常应附有记录当时海况,天气及争取的措施等航海日志摘要。

二、海事报告:船舶在航行或是停泊中发生事故,对船舶,货物,水域环境造成了损害,为了说明事故发生的过程和责任情况,船长应向有关方面提交海事报告,这是船长在履行的一项法律义务,其格式与内容要严格按照当地主管机关饿规定,应以陈述事实为主,切记推断,更不必检讨个人过失,船长应召集全体驾驶员和值班水手认真回忆事故经过,并画出示意图,依照事实剔除记忆误差,最后谨慎的将有关情况填在正式报告中,其内容一定要与航海日志,车钟记录簿和海图作业相符,附送的材料要尽可能详尽齐全,其格式一般有以下几部分构成:1、海事报告封面包括标题,接受海事报告的机关,事故发生的时间和水域,附送材料的份数,以及船长签字船章和递交报告的日期。

2、本船概况,该部分应按照当事船舶所持有的国籍证书中的有关资料填写,国籍证书中涉及的项目按船舶的其他资料填写。

3、船舶航行及避让情况,当船舶发生碰撞事故时才填写本部分。

4、发生事故的详细经过。

5、事故示意图要求标明船名,时间,船位,航迹或队形。

6、损失情况,包括本船损失情况和他船损坏情况,重点为本船损失情况。

7、附件:根据事故性质和具体情况,通常在海事报告后附有下列材料:航海日志,机舱轮机日志摘要,海图,原航线和船位的记录,船舶受损部位简图以及海事经过简图,船舶检验或坚定报告,船员证明材料等等。

海事声明范本

海事声明范本

海事声明范本
海事声明
我,__________(填写声明人姓名),在此郑重声明:
1. 我已充分了解并遵守所有与本次航行有关的国际海事法规、公约和国内法律法规。

2. 我已全面评估了本次航行的所有风险,包括但不限于天气、海况、导航、安全、货物运输等方面,并已采取了必要的预防措施,以确保本次航行的安全和顺利进行。

3. 我已妥善安排了本次航行所需的所有证书、文件和记录,包括但不限于船员证书、船舶证书、航海日志、轮机日志、油类记录簿等,以确保本次航行的合法性和安全性。

4. 我已为本次航行配备了合格、称职的船员和设备,并已进行了必要的培训和演练,以确保在紧急情况下能够迅速、有效地采取适当的措施。

5. 我已向所有有关方面,包括但不限于港口当局、船东、货主、保险公司等,通报了本次航行的装载情况、航行计划和应急措施,并已做好了随时接受监督和检查的准备。

6. 我已明确本次航行的目的、路线和停靠港口,并已了解了沿途的天气、海况和航行限制等情况,以确保本次航行能够安全、顺利地完成。

我郑重声明,本声明是真实、准确、完整的,我愿意承担由此产生的所有法律责任。

声明人:__________
日期:__________
签名:__________
请注意,这只是一个范本,具体的海事声明应根据具体情况进行修改和调整。

在填写声明时,应确保所有信息的准确性和完整性,并应注意法律责任和义务。

海事声明和海事事故报告的标准格式解读

海事声明和海事事故报告的标准格式解读

海事声明和海事事故报告的标准格式(中英文对照)目录1……………………………………………………………………………………前言2…………………………………………………………海事声明与海事报告比较表3……………………………………………………………………碰撞责任通知书4…………………………………………………………………英文碰撞责任通知书5……………………………………………………碰撞事故在对方通知书上的批注6-7………………………………………………………………英文海事事故报告8-9………………………………………………………………英文海事声明10-11………………………………………………………………中文海事声明12-13……………………………………………………………英文海事延伸声明14-15……………………………………………………………中文海事延伸声明前言近期,发生许多船长写的海事声明和海事事故报告,由于书写的格式不对受到了主管机关的拒签,造成了无法进行索赔,同时也给海事事故处理带来了许多麻烦,为了使船长今后规范书写海事声明和海事事故报告,特将海事声明和海事事故报告的标准格式发放给船长,请船长妥善保存、并列入交接。

海事声明与海事事故报告比较表碰撞责任通知书船名:“”日期:“”港口:“”致:“”轮船长与船东先生们:事由:“”轮碰撞我“”轮我代表我的船东,现正式通知你们,我轮停泊/锚泊于码头/锚位,被你轮于年月日时碰撞的结果,我船东和我轮所遭受的所有损失或损坏均要由你船东和你轮完全的负责。

同时我要求你在此信所有各份上签名并盖船章以示承认你对此项碰撞事故之责任,然后及时退还给我以兹备案。

____________________船长签名并盖船章__________________________来碰船船长签名并盖船章日期:____________________M.V. “”Date: “”Port: “”TO: The Master And Owners Of M.V. “”Gentlemen:Re: Collision Caused By“”To My“”On behalf of my owners I give you formal notice holding you and your owners solely responsible for all loss or damages whatsoever sustained by my vessel and my owners in consequence of the collision caused by your vessel to my vessel which occurred at(hours) on (date) (month) (year)while my vessel was berthing alongside at (berth)or (another position).At the same time, I request you to acknowledge your responsibility or the collision by endorsing copies of this letter with your signature and your vessel’s stamp and to return them to me in due time for record._________________________Master’s sig.&ship’s stamp Liability for collision acknowledge_______________________________Sig. of master&stampof“”date:碰撞事故在对方通知上的批注在对方送来的通知上表示的批注:1.I acknowledge the receipt of your letter .dd.2.Notice received on.3.Received only.以上批注只要任选一项即可;Report On Marine Casualty(Collision)Ship’s Name: Nationality:Port of Registry:Owners Name:G.R.TYear of Built:Last Port From And Sailing Date:Next Port of Call:Place The Casualty Happened:Weather Condition:Damaged Caused To (Include:Personnel、The Ship、The Cargo):_________________________Condition of Damage_________________________ A: PersonnelB: The ShipC: The Cargo_______________________________________________________________________________ *All Damage And Loss Described Here Checked By Our Crew And Subject To Further Examination By Surveyor._____________________________Particulars of Casualty___________________________________________________________________________________________________________ *All Damage And Loss Described Here Checked By Our Crew And Subject To Further Examination By Surveyor.NOTE OF SEA PROTESTDate:Port: “”To: Port AuthorityName of Ship: __________________ King of Cargo: _________________________ Gross Tonnage: __________________Tons of Cargo: _________________________ Net Tonnage: _________________Port of Registry: ___________________________ Sailing from port of on Bound from port of and arrived at the port of on 。

1.17 英文书写海事声明,海事报告及业务函电

1.17 英文书写海事声明,海事报告及业务函电

船上见习记录簿附页(EXTRA PAPERS FOR ON BOARD TRAINING RECORD BOOK)职能:航行(管理级)训练内容顺序号:NO。

1。

17 英文书写海事声明,海事报告及业务函电日期:15/7/2005 (FUNCTION): (NUMBER OF THE TASK):NO. DA TE:1.17 英文书写海事声明,海事报告,业务函电一.NOTE OF SEA PROTESTPORT: FANGCHENGDA TE:NOV 16TH 2008TO: Port AuthorityName of Vessel: “CHS MAGNIFICENCE”Tonnage of cargo: 161022MTGross tonnage:89659MTS Sailed from Port Hedland on 07-NOV-2008Port of Registry: HONG KONG Bound for FANGCHENG,CHINAShip owner: Whole World Shipping LTD Arrived at 1936LT on 16TH -NOV-2008Kind of Cargo: IRON OREIn view of the followingThe said vessel encountered very heavy weather during the voyage on the way between Lat 06ْ 34’N,Long 109 10’E and Lat 15 31’N, Long109 44’E as per Logbook abstracts attached.And fearing loss and/or damage, I hereby note my protest against all loss, damage, etc and reserving the right to extend the same at time and place convenient.Witnesses on board:______________Chief Officer______________Bosun PAGE 57_____________ A.B.Master of MV “C H S MAGNIFICENCE”_________________Enclosures: Abstract of deck logbook covering the said accidentNOV 13,2008, at sea1200 -- 24001200 GPS fix Lat 06ْ 34’N Long 109 10’E2400 GPS fix Lat 08ْ 41’.7N Long 109 36’.5ESouthwest wind force 8 to 9, rough to high sea, VSL rolling and pitching heavily, Shipping heavy seas and spraying over hatch covers and main deck frequently, overcast with poor visibility.C/O Sun Zheng Yu,2/O Si Tu Cao Fu,3/O Fan Xin SuNOV 14,2008, at sea0000 –24000000 GPS fix Lat 08ْ 41’7N Long 109 36’.5E2400 GPS fix Lat13 ْ13’.8N Long 109 53’.9ESouthwest wind force 8 to 9, rough to high sea, VSL rolling and pitching heavily, Shipping heavy seas and spraying over hatch covers and main deck frequently, overcast with poor visibility.C/O Sun Zheng Yu,2/O Si Tu Cao Fu,3/O Fan Xin SuNOV 15 2008, at sea0000 –12000000 GPS fix Lat13 ْ13’.8N Long 109 53’.9E0800 GPS fix Lat15ْ 31’0N Long 109 44’0ESouthwest wind force 8 to 9, rough to high sea, VSL rolling and pitching heavily, Shipping heavy seas and spraying over hatch covers and main deck frequently, overcast with poor visibility.C/O Sun Zheng Yu,2/O Si Tu Cao Fu,3/O Fan Xin Su二.海事报告1.船舶,设施发生海上交通事故,必须用VHF或其他有效手段向就近港口的港务监督报告。

海事声明和海事事故报告的标准格式

海事声明和海事事故报告的标准格式

海事声明和海事事故报告的标准格式(中英文对照)目录1……………………………………………………………………………………前言2…………………………………………………………海事声明与海事报告比较表3……………………………………………………………………碰撞责任通知书4…………………………………………………………………英文碰撞责任通知书5……………………………………………………碰撞事故在对方通知书上的批注6-7………………………………………………………………英文海事事故报告事声明事声明伸声明伸声明并同时我要求你在此信所有各份上签名并盖船章以示承认你对此项碰撞事故之责任,然后及时退还给我以兹备案。

____________________船长签名并盖船章__________________________来碰船船长签名并盖船章日期:____________________M.V.“”Date:“”Port:“”TO:TheMasterAndOwnersOfM.V.“”Gentlemen:Re:CollisionCausedBy“”ToMy“”OnbehalfofmyownersIgiveyouformalnoticeholdingyouandyourownerssolelyr esponsibleforalllossordamageswhatsoeversustainedbymyvesselandmyownersinc onsequenceofthecollisioncausedbyyourvesseltomyvesselwhichoccurredat(hourReportOnMarineCasualty(Collision)Ship’sName:Nationality:PortofRegistry:OwnersName:G.R.TYearofBuilt:LastPortFromAndSailingDate:NextPortofCall:PlaceTheCasualtyHappened:WeatherCondition:DamagedCausedTo(Include:Personnel、TheShip、TheCargo):_________________________ConditionofDamage_________________________A:Personnelr.r.“”_AsFearingLossorDamageOwingto___________________ Duringthevoyage,Iherebynotemyprotestagainstalllosses、damagesetc.,Reservingmyrighttoclaimagainstpartiesconcernedandtoextendthesameattimeand placeconvenient.WitnessOnBoard(Sig./Position)______________________________________________________________________________________________________________________Master’sSig.Ship’sStampEnclosure:ExtractsFromDeckLogBook.海事声明致:出事地港监或第一港港监船名总吨净吨船长签名并盖船章附件:航海日志摘要。

船舶的海事声明及海事报告如何拟稿?

船舶的海事声明及海事报告如何拟稿?

船舶的海事声明及海事报告如何拟稿?▲船舶的海事声明及海事报告如何拟稿?一、海事声明海事声明(SEA PROTEST OR NOTE OF SEA PROTEST)是船舶在航行中或停泊时遭遇恶劣天气或发生意外事故而估计可能造成船舶和(或)货物损失或损坏时,由船长签署的一项声明。

此声明表明本船不可抗力所造成的任何损失或损坏不负任何责任,同时保留向有关方面索赔,并保留在适当时间和适当地点延伸或补充声明的权利。

二、补充海事声明补充海事声明(SUPPLEMENTARY SEA PROTEST)是船舶在递交了海事声明之后,认为在原海事声明中有不详细或不清楚而作的必要的补充。

三、延伸海事声明延伸海事声明(EXTENDED SEA PROTEST)是对原海事声明的具体补充报告。

船舶在递交海事声明时,往往还不能确定船货是否损失或损坏,或对船货损失或损坏的程度和原因不明确,后经开舱卸货或检验发现有与原声明的海事有关的损失或损坏,现船舶提交更为详细更为具体的补充,并重申对损失或损坏不负任何责任或保留向有关方面索赔的权力。

四、海事报告海事报告(MASTERS REPORT OR MARINE ACCIDENT REPORT)是船舶在航行中或停泊时,不慎发生碰撞、搁浅、触礁、触损、浪损、火灾、风灾和其他海损事故后,船长向有关当局及船东提交的书面报告。

五、海事声明与海事报告有哪些区别?海事声明(NOTE OF PROTEST)和海事报告(ACCIDNT REPORT)是船舶发生遭遇海损事故时必须备的文件,严格地来讲海事报告与海事声明是两种不同性质的文件,其主要区别如下:在国内一般情况下,海事报告可以代替海事声明。

通俗来讲海事声明是船舶发生海损事故后船方向保险人(公司)发通告、打招呼、挂号,就是通知其所投保的船舶发生了事故了,要保险人作好赔偿的准备。

海事声明只将船舶发生海损事故时间、地点和可能的损失简要陈述及船方不负责任并保留在适当时间和地点延伸声明的权力。

海事声明与海事报告

海事声明与海事报告

海事声明与海事报告一、海事声明(SEA PROTEST OR NOTE OF SEA PROTEST)是船舶在航行中或停泊时遭遇恶劣天气或其它意外事故而估计可能造成船舶和(或)货物损失或损坏时,由船长签署的一项声明。

该声明申述本船对不可抗力所造成的任何损失或损坏不负任何责任,同时保留向有关方面索赔,并保留在适当时间和地点延伸或补充声明的权利。

海事声明经第一抵达港的航政机关或公证机构或船籍国驻当地领事馆或大使馆签证后,就成为保险人所必须取得的文件。

船舶在递交海事声明之后,认为原海事声明写的不详细或不清楚而必须作必要的补充时,应递交补充海事声明。

(SUPPLEMENTARY SEA PROTEST)延伸海事声明(EXTENDED SEA PROTEST)是对原海事声明的具体补充报告。

船舶在递交海事声明时,往往还不能确定船、货是否损失或损坏,或者对船、货损失或损坏的程度和原因不明确,因而在海事声明中写明“保留在适当的时间和地点提出延伸海事声明的权利”,后经开舱卸货或者检验发现确有与原声明的海事有关的损失或损坏,船舶必须提交更为详细和具体的补充;并重申对损失或损坏不负任何责任或保留向有关方面索赔的权利。

二、海事报告(MASTER’S REPORT OR MARINE ACCIDENT REPORT)是船舶在航行中或停泊中发生碰撞、失火、触礁、搁浅等海损事故后,船方向有关当局提交的书面报告。

其中内容包括事故的时间、地点、详细经过、原因和损害以及船方所采取的措施。

在递交海事报告时并应附上:1、有关船舶技术状态的记载。

2、航海日志和轮机日志的摘要(发生事故前12小时起),必要时应附航海日志和轮机日志。

3、有关海图和原航线、船位等记录(标明发生事故前后的船舶动态)。

4、受损部位的简图。

5、与海损事故有关的其它文件。

目前各国对海事报告的要求和作法不一。

有的要求把事实经过记入海事声明之中;有的要求在航海日志和轮机日志中写明;有的只要求提供海事声明,不要求另行提供海事报告。

海事声明与海事报告

海事声明与海事报告

• Signed before me _______, British Consul/Notary Public at _______ • Master of __________ (Signed) • British Consul/Notary Public_______ (Signed) • This _____ day of ______ , Two Thousand and __________.
• I certify the foregoing to be a true and correct copy of the original Note of Protest, entered in the Acts of this Consulate and copied thereform. • British Consulate, ______ of _____ , 20___
MARINE NOTE OF PROTEST
• On this twenty-third day of june,1992, before me, L. Smith, General Consul from American consulate at Nagoya and dependencies thereof, personally appeared Thomas Y. Parka, Master of the vessel called Blue Stream motor ship of the burden of 35,261 tons or thereabout, and declared that on the ninth day of June last past he sailed in and with the ship from the port of Singapore, laden with Logs, and arrived in the ship on the twenty-third day of June and having experienced boisterous weather and heavy seas,

海事起诉状范例

海事起诉状范例

海事起诉状范例起诉人:张三被诉人:李四案号:2021海事民事诉讼案件第001号一、案情概述根据我作为起诉人的权益受损,特向贵法院提起海事民事诉讼,要求赔偿损失。

现将案情概述如下:1. 事发时间和地点2021年5月1日,事发于南海XX海域。

2. 事发经过当日,我作为船只"海洋之星"的船长,与被诉人李四的船只"海洋之宝"在南海进行航行。

在航行过程中,被诉人李四的船只突然违反规定,迅速转向并与我方船只发生碰撞。

碰撞造成我方船只严重受损,船员受伤,货物损失严重。

3. 损失情况根据船只维修报告和货物清单,我方船只维修费用共计100万元人民币,货物损失共计50万元人民币。

同时,我方船员因此次事故导致身体受伤,已经支付医疗费用10万元人民币。

二、法律依据我方提出以下法律依据,证明被诉人李四应承担赔偿责任:1. 《中华人民共和国海商法》第XX条根据该法第XX条规定,船只在航行中应当保持安全距离,不得妨碍其他船只的正常航行。

2. 《中华人民共和国海事法》第XX条根据该法第XX条规定,船只发生碰撞事故,责任应当由违反航行规则的一方承担。

3. 《中华人民共和国民法通则》第XX条根据该法第XX条规定,因违反法律规定给他人造成损害的,应当承担侵权责任。

三、诉讼请求基于以上事实和法律依据,我方提出以下诉讼请求:1. 被诉人李四赔偿我方船只维修费用100万元人民币;2. 被诉人李四赔偿我方货物损失50万元人民币;3. 被诉人李四赔偿我方船员医疗费用10万元人民币;4. 被诉人李四承担本案的诉讼费用。

四、证据清单我方拥有以下证据,以支持本案的事实和诉讼请求:1. 船只维修报告2. 货物清单3. 医疗费用支付凭证4. 目击证人证言五、诉讼费用我方请求被诉人李四承担本案的诉讼费用,包括律师费、鉴定费、公证费等。

六、诉讼代理人我方委托律师王五担任本案的诉讼代理人,代理我方进行诉讼事务。

七、附带请求我方请求贵法院判决被诉人李四立即停止违反航行规定的行为,确保海上航行的安全。

船舶海事证明格式 -回复

船舶海事证明格式 -回复

船舶海事证明格式-回复以下是一个船舶海事证明的格式范例:船舶海事证明一、船舶概况1. 船舶基本信息:船名:[船名]IMO 号码:[IMO号码]船旗国:[旗国]船舶类型:[船舶类型]建造日期:[建造日期]船籍港口:[船籍港口]船舶所有人:[船舶所有人]船舶经营公司:[船舶经营公司]2. 船舶规格:总吨位:[总吨位]净吨位:[净吨位]长度:[船长]宽度:[船宽]吃水:[吃水深度]最大船速:[最大船速]二、船舶安全1. 船舶设备:主机:[主机信息]辅机:[辅机信息]起重设备:[起重设备信息]通信设备:[通信设备信息]导航设备:[导航设备信息]救生设备:[救生设备信息]2. 船舶安全管理体系:船级社:[船级社信息]ISM体系认证:[ISM认证机构信息] 证书有效期:[证书有效期]三、船员管理1. 船员组成:船长:[船长姓名]驾驶员:[驾驶员姓名]技术人员:[技术人员姓名]艇员:[艇员姓名]2. 船员证书:船长:[船长证书信息]驾驶员:[驾驶证书信息]技术人员:[技术人员证书信息] 艇员:[艇员证书信息]四、航行记录1. 航行区域及航次记录:航行区域:[航行区域]航次记录:[航次记录]2. 事故和故障记录:事故记录:[事故记录]故障记录:[故障记录]五、船舶维护1. 维护记录:船舶维修记录:[维修记录]船舶保养记录:[保养记录]2. 年检和检修:船舶年检记录:[年检记录]船舶检修记录:[检修记录]六、其他1. 保险:船舶保险公司:[保险公司]保险金额:[保险金额]保单有效期:[保单有效期]2. 船舶历史:前任所有人:[前任所有人]前任船舶经营公司:[前任船舶经营公司]船舶过往事故:[事故记录]以上是我对船舶海事证明格式的一份范例,具体内容可以根据实际情况进行调整和补充。

船舶海事证明涵盖了船舶基本信息、船舶安全、船员管理、航行记录、船舶维护以及其他相关信息,对于评估船舶的安全性和可靠性非常重要。

海事起诉状范例

海事起诉状范例

海事起诉状范例起诉人:张三被诉人:李四案号:2022海事起诉字第001号恭敬的法院:我是起诉人张三,现向贵院提起海事诉讼,特此向贵院提交起诉状,请求贵院依法审理并作出公正判决。

一、案情概述1. 根据我所拥有的证据和事实,我与被诉人李四在2022年10月1日签订了一份海运合同,合同约定我将货物运送至目的地,并支付相应运输费用。

2. 然而,在运输过程中,被诉人李四未按照合同约定的时间和方式履行运输义务,导致货物延误,给我造成为了经济损失。

3. 尽管我多次与被诉人李四进行沟通和催促,但被诉人仍未采取任何措施解决该问题,严重违反了合同约定。

二、诉讼请求基于上述事实和证据,我向贵院提出以下诉讼请求:1. 判决被诉人李四按照合同约定的时间和方式履行运输义务,将货物安全送达目的地。

2. 被诉人李四应承担由于货物延误所导致的一切经济损失,包括但不限于运输费用、滞期费用、仓储费用等。

3. 被诉人李四应支付我因此次诉讼所产生的合理费用,包括律师费、诉讼费等。

三、证据列表1. 合同正本及复印件:证明双方签订了海运合同,并约定了运输时间和方式。

2. 货物延误证明:包括物流公司提供的货物运输跟踪记录、目的地仓库签收时间等证据,证明货物延误。

3. 沟通记录:包括我与被诉人李四之间的书面沟通记录、电话通话记录等,证明我多次催促被诉人履行合同义务。

四、法律依据1. 《中华人民共和国合同法》2. 《中华人民共和国海商法》3. 《中华人民共和国民事诉讼法》五、案件评述1. 根据上述事实和证据,被诉人李四明显违反了合同约定的运输时间和方式,导致货物延误,给我造成为了经济损失。

2. 根据《中华人民共和国合同法》和《中华人民共和国海商法》的相关规定,被诉人应当承担违约责任,并赔偿我因此次违约行为所遭受的一切损失。

3. 我在与被诉人李四进行沟通和催促的过程中,已经尽到了合理的努力,但被诉人仍未履行合同义务,故我不得不向法院提起诉讼,维护自己的合法权益。

渔民船舶承诺书

渔民船舶承诺书

渔民船舶承诺书尊敬的海事管理部门:本人/单位(以下简称“承诺人”),作为渔民船舶的所有人或负责人,为了确保船舶安全航行,遵守相关法律法规,保护海洋环境,特此向贵部门作出以下承诺:1. 船舶合法性:承诺人保证所拥有或管理的船舶已依法取得必要的登记、检验和航行许可证书,且船舶符合国家有关安全和环保标准。

2. 船员资质:承诺人保证所有船员均已接受专业培训,持有有效的船员证书,具备相应的操作技能和安全意识。

3. 安全操作:承诺人将严格按照国家和地方的海事安全规定,确保船舶在航行、停泊和作业过程中遵守安全操作规程,防止事故发生。

4. 环境保护:承诺人承诺在船舶航行和作业过程中,遵守环保法规,不进行任何可能污染海洋环境的活动。

5. 应急准备:承诺人将制定并实施船舶应急预案,确保在紧急情况下能够迅速有效地采取行动,减少损失和影响。

6. 法律法规遵守:承诺人保证将严格遵守国家法律法规,不参与任何非法捕捞、走私等违法活动。

7. 信息报告:承诺人将按照规定及时向海事管理部门报告船舶动态、安全状况及其他相关信息。

8. 责任承担:承诺人愿意承担因违反上述承诺而产生的一切法律责任和经济赔偿。

9. 持续改进:承诺人将不断学习和改进,提高船舶安全管理水平,确保船舶航行安全。

本承诺书自签署之日起生效,有效期至船舶注销或转让之日止。

承诺人签字:_____________________身份证号码/单位名称:______________联系电话:___________签署日期:____年____月____日(注:本承诺书模板仅供参考,具体内容应根据实际情况进行调整。

)。

海事劳工符合声明ii课件

海事劳工符合声明ii课件
体检证书的有效期* *由船旗国国家法律依据以下要求而 定:
体检证书的最长有效期为两年,未满18岁海员的体检证书的 最长有效期为一年(标准A1.2,第7(a)段);
色觉视力证书的最长有效期应为六年(标准A1.2,第7(b)段)。
* 依据经修正的《1978年海员培训、发证和值班标准国际公 约》(“1978年STCW公约”)签发的体检证书或满足那些要求 的实质性内容的体检证书应同样予以接受。(标准A1.2,第3 段)。
直接法
间接法
国家要求:船上就起居舱室、娱乐设施开展经常性检 查
船东措施:应明确规定出检查频率、检查人员、检查 记录、检查标准、缺陷纠正等要素
直接法:船上三副(或管事)应每月对船上所有起居舱 室(包括办公室、盥洗室、餐厅、厨房、会议室、医务 室、洗衣房、烘衣间、更衣室以及其他生活区工作场 所)、娱乐设施(包括多功能餐厅、娱乐室、阅览室、 健身房、吸烟室)进行检查,确保所有舱室体面干净、 所有设施妥善维护,对检查中发现的所有问题要记录在 起居舱室、娱乐设施检查簿上,并提出纠正的时限。船 长每季度检查记录簿,对未按期纠正的问题在全船安全 委员会上提出批评,并报公司指定人员。
船长或其指定海员查验每个新上船海员的健康证书,重 点核实证书的有效期、限制项目(如有)和签发单位资 质等,并在船员名单中记录健康证书的有效期和限制项 目(如有),船长或其指定海员每次开航前均对船员名 单中有关证书的有效期进行持续检查。
船长或其指定海员如对海员健康证书的有效期、限制项 目或签发单位资质有疑问时,应及时向公司主管人员沟
第4款:海事劳工符合声明的编写应用词明确,以帮 助所有相关人员(FSCO,PSCO,SEAFARER)来核查 各项要求得到落实。该款是对用语的要求。
第5款:附录B5-1给出了一个海事劳工符合声明中可 能包含的信息种类的范例。

海事声明与海事报告

海事声明与海事报告
_____________ of the United States of America
Attested: ____________ Master
__________________ (Date & Place)
• I HEREBY CERTIFY that the within documents is a true copy of Marine Note of Protest, the original of which is deposited as a part of the permanent archives of the American consulate at ______________ of the United States of America.
☆ 本船船名、船籍港、吨位、货种、货物数量、 出发港、目的港及挂靠港等;
☆ 遭遇自然灾害的时间、地点或海域;
☆ 自然灾害的性质、程度;
☆ 声明对可能发生的灭失和/或损坏不负责任; ☆ 保留在适当时间和地点延伸该项声明的权利;
• 署名
通常由船长署名,然后交由船旗过驻当地 的外交代表或公证人员或港务局长,作为 永久文件存藏。海事处理中用到的海事声 明是由上述人员签字的原海事声明的复印 件。
to serve and avail him hereafter, if found necessary.
L. Smith, Consulate at Nagoya General Consul of the United States of America
Attested: Thomas Y. Parka, Master of Blue Stream motor ship 23rd June 1992, Nagoya

海事承诺书范文

海事承诺书范文

海事承诺书范文一、背景说明海事承诺书是指在海上运输、航行等相关业务中,承运人或船舶所有人向货主或使用人做出的服务保障承诺。

海事承诺书通常包括船舶的技术、安全设备、人员素质等方面的保障内容,以保证海上运输的安全和通畅。

海事承诺书在海上运输和航行中具有重要的意义。

它不仅是保证船舶和货物安全的一种承诺,还是海上承运人与货主或使用人之间信任、合作的基础。

二、海事承诺书范文1.船舶运输服务保障承诺我们承诺在船舶运输中,提供以下服务保障:1.完善的技术设备:我司的船舶都装备有现代化的技术设备,包括导航系统、通信设备、避碰装置等,确保技术设备的可靠性和准确性;2.安全设备保障:我司的船舶均配备了一系列有效的安全设备,包括救生艇、救生筏等,以保障船员和乘客的生命安全;3.优秀的船员素质:我司的船员都经过严格的专业技术培训和安全知识教育,具备扎实的专业知识和过硬的操作技能,能够胜任各种复杂的海上运输任务;4.灵活高效的运输方案:我司的运输方案针对不同货物特性,采取了灵活多样的服务模式和优化方案,以确保货物准时、安全地运抵目的地。

2.运输安全保障承诺在货物运输过程中,我们承诺做出以下安全保障:1.严格的装载要求:我司在货物装载前,会仔细审查货物的性质、数量和装载位置,并严格按照要求进行装载,以避免货物运输中的损坏和安全事故;2.安全的航行路线:我司选择最安全、最合适的航行路线,并采取多种措施,避免船舶遭受恶劣天气、海盗袭击等不安全因素的威胁;3.全程监管:我司会全程跟踪货物的运输情况,及时掌握货物运输的安全情况,并在需要时采取相应的措施,使货物运输安全可控。

3.优质配套服务保障承诺我们承诺,在船舶运输过程中,提供以下优质配套服务:1.及时沟通反馈:我司在运输过程中,会随时与货主或使用人保持沟通,及时反馈运输进展情况、风险预警等信息;2.完善的售后服务:如果在货物运输过程中出现了问题,我司会立即协调各方,采取有效措施进行解决,并提供及时的售后服务,以保障客户的利益和安全;3.订制性服务:我司的服务可以针对不同客户的需求进行定制,例如提供包装、仓储、物流等配套服务,以满足客户个性化的需求,提高服务质量和满意度。

海事起诉状范例

海事起诉状范例

海事起诉状范例【起诉状】被告人:XXX被告人住所地:XXX原告人:XXX原告人住所地:XXX一、案情概述根据我作为原告人的权益受到侵害,特向贵庭提起起诉,请求依法保护我的合法权益。

二、事实经过我与被告人XXX在XXXX年XX月XX日签订了一份海事合同,合同约定我将货物运送至XXX港口,并支付相应的运费。

然而,被告人未按照合同约定履行义务,导致我遭受了巨大的经济损失。

具体事实如下:1. 根据合同约定,我将货物交付给被告人,并支付了运费。

2. 被告人未按照约定时间将货物运送至XXX港口,违反了合同约定。

3. 被告人未能提供货物运输的准确信息,导致我无法及时掌握货物的运输情况。

4. 被告人未能按照约定时间支付相应的运输费用,严重影响了我的经济利益。

三、法律依据我作为原告人,基于以下法律依据,请求贵庭支持我的诉讼请求:1. 《中华人民共和国海商法》第XX条:货运合同应当按照约定的时间、路线、方式和费率履行。

2. 《中华人民共和国合同法》第XX条:当事人应当按照合同约定履行自己的义务。

3. 《中华人民共和国民事诉讼法》第XX条:当事人有权依法向人民法院提起诉讼,维护自己的合法权益。

四、诉讼请求基于上述事实和法律依据,我作为原告人请求贵庭做出以下判决:1. 要求被告人按照合同约定的时间、路线、方式和费率履行货运合同,并支付我因此遭受的经济损失。

2. 要求被告人支付我因此诉讼所支出的合理费用。

3. 其他应由被告人承担的法律责任。

五、证据清单我作为原告人,将提供以下证据支持我的诉讼请求:1. 合同签订的相关文件及证据。

2. 货物运输的相关记录和凭证。

3. 支付运费的相关证明文件。

4. 其他与本案有关的证据。

六、诉讼费用根据《中华人民共和国民事诉讼法》的规定,我作为原告人愿意承担本案的诉讼费用。

七、陈述要点我作为原告人,将从以下几个方面陈述本案的要点:1. 合同的签订和履行情况。

2. 被告人违反合同约定的行为及其对我的损失。

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LIST OF EXAMPLES - back to M-GE 007/00 -1-A. HIDDEN DAMAGESUNABLE TO CONFIRM DAMAGES IN CARGO HOLDS DUE TO COVERED BY CARGOES.1-B. LETTER FROM STEVEDORECONFIRMATION LETTER OF REPAIRE BY STEVEDORE.1-C. STEVEDORE DAMAGE REPORT.HOLDING RESPONSIBILITY OF STEVEDORE DAMAGES.2-A. CARGO DAMAGE.PROTEST AGAINST WETTED CARGOES.3-A. REMARKS ON MATE’S RECEIPT.IN CASE FAILING REMARKS ON MATE’S RECEIPT.4-A. CARGO EXCESS/SHORTAGE.4-B. EXAMPLE : 4 – B SAME AS 4-A.4-C. EXAMPLE : 4 - C SAME AS 4-A.4-D. E XAMPLE : 4 – D SAME AS 4-A.4-E. DEADFREIGHT.SPACE AVAILABLE TO LOAD UP TO CHATERERS/OPERATORS INSTRUCTIONBUT CARGO CUT DOWN DUE TO SHORE REQUEST.4-F. EXAMPLE : 4 –FSAME AS 4-E.4-G. E XAMPLE : 4 – G SAME AS 4-E.5-A. EXAMPLE : 5-A WATER CONTENTS IN CARGO.WATER FOUND IN CARGO AFTER LOADING.5-B. EXAMPLE : 5-BSLOW LOADING/UNLOADING.PROTEST AGAINST SLOW LOADING AND UNLOADING, ETC.BY SHORE REASON.SAME AS 5-B.5-D. E XAMPLE : 5-DCOUNTER PROTEST.AGAINST CARGO SHORTAGE.6-A. SURGE DAMAGE.PROTEST LETTER RECEIVED FROM A VESSEL.6-B. EXAMPLE : 6-BSURGE DAMAGE.COUNTER PROTEST AGAINST “6-A”.7-A. COLLISION.HOLDING RESPONSIBILITY AGAINST COLLISION.7-B. EXAMPLE : 7-BSAME AS 7-A.7-C. EXAMPLE : 7-CSAME AS 7-A.7-D. E XAMPLE : 7-DSAME AS 7-A.7-E. EXAMPLE : 7-E SAME AS 7-A.8-A. FORM OF MARINE NOTE OF PROTEST8-B. ROUGH WEATHER. EXAMPLE :8-B8-C. BOTTOM TOUCH. EXAMPLE :8-C8-D. T OUCHING SEBMERGED OBSTACLES. EXAMPLE :8-D8-E. TOUCHING AGAINST PIER OR WHARF. EXAMPLE :8-E 9-A. DAMAGE FOUND IN DRY DOCK.9-B. EXAMPLE : 9-B SAME AS 9-A.EXAMPLE : 1 – AHIDDEN DAMAGES*NOT BE ABLE TO FIND OUT DAMAGE WHILE LOADING DUE TO COVERING BY CARGO, AND MAYBE FIND OUT AFTER DISCHARGING SUCH AS STEEL SCRAP ETC.PORT:DATE:TO: (name of stevedores/shippers, etc.)GENTLEMEN:THIS IS TO ADVISE THAT I RESERVE THE RIGHT TO HOLD YOU RESPONSIBLE FOR HIDDEN DAMAGES WHICH MAY BE DISCOVERED AFTER DISCHARGING WHICH WERE DONE TO MY VESSEL, MV.(name of vessel), DURING THE LOADING OF CARGO (name of cargo) AT (name of port) DURING THE VOYAGE COVERED BY CHARTER PARTY DATED AT (name of place signed, date/month/year).(Stevedores/Shippers, etc.) Capt. (Your Name)Master, M.V(Name of Vessel)NOTE:IF YOU FIND OUT DAMAGES AFTER COMPLETION OF DISCHARGE CARGO, IT IS REQUIRED TO ISSUE “NOTICE”, “DAMAGE REPORT”, “STATEMENT OF FACT”, ETC. AS SOON AS POSSIBLE, USUALLY WITHIN 24 HOURS. (REF. CHARTER PARTY) OTHERWISE CHARTERERS WILL NOT ACCEPT SUCH DAMAGES CAUSED BY STEVEDORE. DETAILS OF DAMAGES SHOULDEXAMPLE : 1 –BLETTER FROM STEVEDORE*MAYBE YOU HAVE CHANCES TO RECEIVE FOLLOWING LETTER FROMSTEVEDORES ETC. AFTER COMPLETION OF LOADING.PORT:DATE:TO: MASTERTHIS IS TO CERTIFY THAT ANY OR ALL STEVEDORE DAMAGES SUSTAINED BY MY VESSEL WHILE LOADING (name of cargoes) AT (name of port/date) HAVE BEEN REPAIRED AND/OR REPLACED TO MY ENTIRE SATISFACTION.MASTER, (your name/or ships name) NOTE:YOU MAY SIGN IF STEVEDORE ACTUALLY REPAIRED ALL DAMAGESAT YOUR SATISFACTION.BUT YOU MAY NOT SIGN, WITHOUT ANY REMARKS, IN CASE UNABLE TO CONFIRM DAMAGES DUE TO CARGO HOLDS ARE COVERED BY CARGOES.(REF. EXAMPLE: 1-A)EXAMPLE : 1 – C*STEVEDORE DAMAGE REPORT.DATE:PORT:REPORT (notice) OF DAMAGE BY STEVEDORE.DEAR SIR,THIS IS TO NOTIFY THAT, ON BEHALF OF OWNERS AND/OR CHARTERERS, I HOLD YOU RESPONSIBLE FOR THE DAMAGE / LOSS DUE TO THE ACCIDENT MENTIONED BELOW, ALONG WITH THE NECESSARY REPAIRS BEING TO BE CARRIED OUT AT EARLIETST CONVENIENCE AT YOUR TIME AND COST.1. VOYAGE NUMBER :2. TIME AND DATE OF ACCIDENT :3. NAME OF PORT AND BERTH :4. DETAIS OF THE ACCIDENT :A) CAUSE OF DAMAGE:B) EXTENT OF DAMAGE AND/OR LOSS:5. DAMAGE WAS SURVEYED BY:(name and rank of ship’s officer)WITNESSED BY:(name of stevedore representative)6. DISPOSITION OF DAMAGE:KINDLY ACKNOWLEDGE THE RECEIPT OF THIS LETTER BY SIGNING BELOW.YOURS FIATHFULY, (signature)(stevedore representative) MASTER MV.( )(name of stevedore company)NOTE:IT IS REQUIRED TO NOTIFY TO CHARTERES AND AGENT, USUALLY WITHIN 24 HOURS UNLESS OTHERWISE CONTRARY DESCRIBED IN YOUR CHARTER PARTY.OTHERWISE CHARTERERS WILL NOT ACCEPT AS A STEVEDORE DAMAGE. REFERENCE SHOULD BE MADE AS EXAMPLE: 1-A, 1-B REGARDING HIDDEN DAMAGE.EXAMPLE : 2 – A CARGO DAMAGE*PROTEST AGAINST WETTED CARGOES.DATE:PORT:TO (charteres/shippers/agents, etc)I, MASTER OF MV. (your vessel’s name), HEREBY FILE MY PROTEST FOR FUTURE REFERENCE.PLEASE BE NOTIFIED THAT THE VESSEL IS NOT RESPONSIBLE FOR WET DAMAGED CARGO AS A RESULT OF CARTERER’S/SHIPPER’S CARGO WORK AT PORT OF (name of port) UNDER RAINFALL FROM (time/date) TO (time/date).IN RESPECT OF ABOVE, I HEREBY CONFIRM THAT THE STEVEDORES DID NOT COMPLY WITH INSTRUCTION FROM VESSEL TO STOP CARGO WORK AND CLOSE HATCHES UNDER THREATENING WEATHER, AS A RESULT, CARGO GOT SET.YOURS FAITHFULLY.(signature)(charterers/shippers/stevedore/ MASTER, MV.(yours) agents, etc.)NOTE:IN THIS CASE, FIRST OF ALL, YOU SHOULD TRY TO STOP LOADING DAMAGED CARGO AS FAR AS POSSIBLE AND REPORT TO US IMMEDIATELY.YOU SHOULD ISSUE PROTEST LETTER IMMEDIATELY AND RECEIVE SIGNATURE OF PARTIES CONCERNED, IF YOU ARE OBLIGED TO KEEP LOADING SUCH A DAMAGED CARGO DUE TO SHORE REPRESENTATIVES REFUSED YOUR ORDER.AND KEEP IN MIND THAT CARGO WORKS IS UNDER YOUR SUPERVISIONAND RESPONSIBILITY SO YOU HAVE A RIGHT TO STOP LOADING.REFERENCE TO OFFICIAL LETTER TEMM-026 SHOULD BE MADE.EXAMPLE : 3 – A*FAILING TO TAKE REMARKS ON MATE’S RECEIPTDATE:PORT:TO (charteres/shippers, etc.)SIRS,MV.(your ship’s name) COMPLETED LOADING CARGO AT (time/date) AT PORT OF(name of port).MEANTIME I FOUND FOLLOWING CARGO DAMAGES REFERRING TO MATE’S RECEIPT NO. (mate’s receipt NO.)(or noted following cargo damages before loading)IN VIEW OF ABOVE, AND FAILING TO MAKE APPROPRIATE REMARKS ON MATE’S RECEIPT ACCORDINGLY, DUE TO THE OBJECTIONS BY (name of person and/or reason), I HEREBY HOLD MYSELF/OWNERS OF THE VESSEL NOT RESPONSIBLE FOR ANY RESULTS TO BE INCURRED BY ABOVE DAMAGES IN ANY CIRCUMSTANCES.YOURS FAITHFULLY. ACKNOWLEDGED BY: (signature)(signature)MASTER, MV.(yours) (charterers/shippers, etc.)DETAILS OF CARGO DAMAGES:( should be stated details )NOTE:SHOULD YOU FAILED TO REMARK ON MATE’S RECEIPT DUE TO OBJECTION OF SHORE REPRESENTATIVES OR SOMEONE ELSE, YOU ARE REQUESTED TO ISSUE PROTEST LETTER. OTHERWISE YOU WILL BE HOLD RESPONSIBILITY AT DICHARGING PORT.EXAMPLE : 4 – A*CARGO EXCESS/SHORTAGE.DATE:PORT:TO (whom it may concern/suppliers/shippers, etc.)PROTEST FOR CARGO EXCESS/SHORTAGEGENTLEMEN:THIS IS TO INFORM YOU, THAT AS PER SHIP’S DRAFT CALCULATION, THE VESSEL HAS LOADED A QUANTITY OF (xxxxx.xx) (MT/LTON/BBLS,ETC.) CARGO AT THIS PORT.THERE IS A DIFFERENCE OF (xxx.xx) (MT/LTON/BBLS,ETC.) EXCESS/SHORTAGE OF CARGO ON BOARD IN COMPARISION WITH FIGURES PROVIDED BY YOU.I STRONGLY NOTE PROTEST THIS EXCESS/SHORTAGE, BELIEVING SHIP’S FIGURES OF THE QUANTITY OF CARGO LOADED TO BE CORRECTED, I RESERVE THE REIGHT, ON BEHALF OF MY OWNERS, TO CLAIM FREIGHT/DEAD FREIGHT FOR THIS DIFFERENCE OF (xxx.xx)(MT/LTON/BBLS,ETC).PLEASE ACKNOWLEDGE RECEIPT OF THIS PROTEST LETTER, BY SIGNING AND RETURNING THE DUPLICATE COPY.SHIP’S FIGURE : xxxxx.xxB/L FIGURE(SHORE) : xxxxx.xx (MT/LTON/BBLS,ETC.)YOURS FAITHFULLY. ACKNOWLEDGED: (signature)(signature)MASTER, MV.(yours) (shippers/suppliers, etc.)(and/or agents/surveyors)NOTE:ANY CARGO DISCREPANCY FOUND BETWEEN YOUR FIGURES AND SHORE (B/LADING) FIGURES, YOU SHOULD PROTEST, ESPECIALLY IN CASE SHIP’S FIGURES LESS THAN SHORE FIGURES. OTHERWISE YOU WILL BE HOLD RESPONSIBILITY REGARDING CARGO QUANTITY AT DISCHARGING PORT.EXAMPLE : 4 – B*CARGO EXCESS/SHORTAGEDATE:PORT:VOY:NOTE OF PROTESTTO MESSRS. (suppliers/shippers, etc.)SIRS,THIS IS TO DRAW YOUR ATTENTION TO THE DISCREPANCY BETWEEN THE QUANTITY OF CARGO GIVEN IN THE BILL OF LADING AND THAT CERTAINED BY THE SHIPAS FOLLOWS:SHIP’S FIGURE: xxxxx.xx (L/T, M/T, BBLS, ETC.)B/L FIGURE : xxxxx.xx (L/T, M/T, BBLS, ETC.)THE BILL OF LADING IS ACCORDINGLY SIGNED UNDER PROTEST.KINDLY ACKNOWLEDEGE RECEIPT BY RETURNING A COPY OF THIS LETTER DULY SIGNED.YOURS FAITHFULLY. ACKNOWLEDGED: (signature)(signature)MASTER, MV.(your ship) (shippers/suppliers, etc.)NOTE:SEE NOTE ON EXAMPLE 4-A, 4-G.EXAMPLE : 4 - C*CARGO EXCESS/SHORTAGEDATE:PORT:VOYAGE:NOTE OF PROTESTMV. (ships name), UNDER MY COMMAD, COMPLETED LOADING AT (time/date)AT PORT OF (name of port), AND LOADED CARGO TONNAGE IS (xxxx.xx)(L/T, M/T,BBLS, ETC.)BY SHORE SCALE WHILE DRAFT SURVEY (TALLY RECORD) REVEALS THAT CARGO TONNAGE IS (xxxx.xx)(L/T. M/T, BBLS, ETC.).IN VIEW OF ABOVE AND FAILING TO MAKE APPROPRIATE REMARKS ON MATE’S RECEIPT ACCORDINGLY, DUE TO OBJECTION BY (person/reason), I HEREBY HOLD MYSELF/OWNERS OF THE VESSEL NOT RESPONSIBLE FOR ANY RESULTS TO INCURRED BY ABOVE DISCREPANCY IN ANY CIRCUMSTANCES.YOURS FAITHFULLY. ACKNOWLEDGED: (signature)(signature)MASTER, MV.(your ship) (shippers/suppliers, etc.)NOTE:REF. NOTE LISTED ON EXAMPLE: 4-A, 4-G.EXAMPLE : 4 – D*CARGO EXCESS/SHORTAGETO (whom it may concern/shippers/suppliers, etc.)PORT:DATE:PROTEST FOR DIFFERENCE OF CARGO QUANTITY.DEAR SIR,BY REASON OF LARGE DIFFERENCE BETWEEN B/LADING FIGURES AND SHIP’S FIGURES AS SHOWN BELOW, I MASTER OF MV. “”, HEREBY SIGN THE SHIPPING DOCUMENTS UNDER PROTEST.SHIP’S FIGURES :B/LADING FIGURES :DIFFERENCE :I HEREBY HOLD YOU FULLY RESPONSIBILITY FOR ANY CONSEQUENCE ARISING THEREFROM.YOURS FAITHFULLY. ACKNOWLEDGED BY: (signature)(signature)MASTER, MV.(yours) (shippers/suppliers, etc.)NOTE:REF. NOTE ON EXAMPLE: 4-A, 4-G.EXAMPLE : 4 - E*DEADFREIGHTPORT:DATE:TO (whom it may concern/shippers/suppliers, etc.)PROTEST FOR DEADFREIGHTDEAR SIR,DUE TO INSUFFICIENT OF CARGO, (xxxx.xx) L/TONS WERE SHORTSHIPPED PERSUBJECT HOLDS AS FOLLOWS:HOLD NO. UNUSED CUBIC CAPACITY S/FACTOR L/TONS #1 xxxx cu.ft/cu.mtr. xx.x xxx.x#2 xxx xx.x xx.x#3 xxx xx.x xx.x#4 xxxx xx.x xxx.xTOTAL: xxxx.x L/TONSTHE ABOVE WERE SURVEYED BY RELIABLE INDEPENDENT SURVEYOR.I, MASTER OF MV. ( ), HEREBY STRONG NOTE PROTEST THIS SHORTSHIPPING.I RESERVE THE RIGHT, ON BEHALF OF MY OWNERS, TO CLAIM DEADFREIGH FOR ABOVE MENTIONED.YOURS FAITHFULLY.(signature)(signature)MASTER, MV.( ) (shippers/suppliers/agents/surveyors, etc.)NOTE:AMOUNT OF SHORTSHIPPED QUANTITY SHOULD BE CLARIFY THEORETICALLY.REF. NOTE ON EXAMPLE: 4-G.EXAMPLE : 4 –F*DEADFREIGHT*EXAMPLE: SAME AS 4-EPORT:DATE:TO (shippers/suppliers, etc.)NOTE OF PROTESTDEADFREIGHTDEAR SIR,THIS IS TO INFORM YOU THAT MV.( ) REQUESTED (quantity of cargo)OF (name of cargo), AS INSTRUCTED TO LOAD BY OUR CARTERES.BUT FINALY (quantity loaded) OF CARGO SUPPLIED, THEREFORE FOLLOWING SHORTSHIPMENT WAS INCURRED.VESSEL’S REQUIREMENT:B/LADING FIGURES :VESSEL’S FUGURES :I HEREBY HOLD YOU RESPONSIBLE FOR THE SHORT SHIPMENT AND I RESERVE THE RIGHT, ON BEHALF OF OUR OWNERS/CHRTERERS, TO CLAIM DEADFREIGHT FOR ABOVE MENTIONED.PLEASE ACKNOWLEDGE RECEIPT OF THIS LETTER BY SIGNING.YOURS FAITHFULLY.(signature)(signature)MASTER, MV.( ) (shippers/suppliers, etc.)NOTE:REF. NOTE ON EXAMPLE: 4-G.EXAMPLE : 4 – G*DEADFREIGHT*EXAMPLE: SAME AS 4-EPORT:DATE:DEADFREIGHT STATEMENTVESSEL : ( ) VOYAGE NO. : ( )PORT OF LOADING : ( ) DATE : ( ) APPLICABLE DEADWEIGHT (summer) DARFT: M/TONS. ALLOWANCE FOR CONSUMPTION: ( DAYS X M/TONS) M/TONS. ALLOWABLE TOTAL SAILING DEADWEIGHT:QUANTITIES TO BE DEDUCTED:BUNKER M/TONS.WATER M/TONS.CONSTANT M/TONS.SLOP M/TONS.OTHERS M/TONS.TOTAL: M/TONS.TOTAL CAPACITY AVIALABLE FOR CARGO : M/TONS.B/LADING FIGURES : M/TONS.DEADFREIGHT : M/TONS. NOTE:THE REASON FOR DEADFREIGHT SHOULD BE CLARIFY: SUCH AS DRAFT LIMITATION AT LOADING AND/OR DISCHARGING PORT,SUPPLIERS/SHIPPERS UNABLE TO DELIVER MORE CARGO, INSTRUCTEDFROM CAHRTERERS/OPERATORS TO LOAD PART CAROG ONLY, SAGGINGAND/OR STRESS, OTHERS.EXAMPLE : 5-A*WATER CONTENTS AFTER LOADING CARGO.(OIL/CHEMICAL/TANKERS, LPG CARRIERS)PORT:DATE:VOYAGE:NOTE OF PROTESTTO (shippers/suppliers, etc.)DEAR SIR,I, MASTER OF MV.( ), HEREBY NOTE PROTEST AT THE AMOUNT OF WATER FOUND IN THE CARGO ON COMPLETION OF LOADING FOUND TO BE TOTAL xxx.x BBLS.I RESERVE THE RIGHT TO EXTEND THIS PROTEST AT ANY TIME AND PLACE CONVENIENT.YOURS FAITHFULLY.(signature)(signature)MASTER, MV.( ) (shippers/suppliers, etc.)NOTE:YOU ARE STRONGLY REQUESTED TO CHECK ALL TANKS AFTER LOADING, AND PROTESTIF YOU FIND OUT ANY WATER, SEDIMENT, IMPURITIES, ETC, OTHER THAN CARGO. OTHERWISE YOU WILL BE RECEIVED CLAIM AT DISCHARGING PORT ALSO CAUSED DAMAGE TO YOUR CARGO PUMPS, ESPECIALLY OIL TANKERS, CHEMICAL TANKERS AND LPG CARRIERS.EXAMPLE : 5-B*PROTEST AGAINST SLOW DISCHARGE.PORT:TO (receivers/consignees, etc) DATE:NOTE OF PROTESTSIRS,BY THE TERMS OF THIS CHARTER PARTY WE WERE REQUIRED TO DISCHARGE THIS CARGO WITHIN 24 HOURS, OR MAINTAIN 100 PST SHIPS RAIL.WE HAVE NOT BEEN ABLE TO MEET THIS REQUIREMENT, BECAUSE OF ONLY TWO BY 12 INCH HOSES WERE MADE AVAILVBLE AND YOU HAVE RESTRICTED OUR PRESSURE AT THE RAIL TO KEEP YOUR SBM FROM LEAKING.THEREFORE ON BEHALF OF MY OWNERS/OPERATORS I WISH TO PROTEST THESE RESTRICTIONS, SO THEY MAY REFER TO THIS AT A LATER DATE IF NECESSARY.YOURS FAITHFULLY.(signature)(signature)MASTER, MV.( ) (shippers/suppliers, etc.)NOTE:IF YOU DELAYED LOADING/DISCHARGING BY SHORE REASONS, YOU SHOULD PROTEST BY LETTER, OTHERWISE YOU WILL BE CLAIMED FROM PARTIES CONCERN IN FUTURE.EXAMPLE : 5-C*PROTEST AGAINST SLOW LOADING AND LOW TEMPERATURE OF CARGO.PORT:TO (shippers/suppliers, etc.) DATE:NOTE OF PROTESTSIRS,ON ARRIVAL AT BERTH (name of berth) ON (date), WE WERE INSTRUCTED BY YOUR REPRESENTATIVE TO LOAD APPROXIMATE 2,500 TONS PER HOUR, WHEN OUR LOADING RATE IS APPROXIMATE 4,000 TONS, TWO CARGO HOSES OF TWELVE-INCH WERE CONNECTED AND ALSO INSTRUCTED TEMPERATURE OF CARGO IS APPROXIMATE 123 F.AT SHORE TANKS.VESSEL IS NOT RESPONSIBLE FOR THE SLOW LOADING AND LOW CARGO TEMPERATURE, AND HOLD YOU RESPOSIBLE FOR THE COSTS AND CLAIMS THAT MAY ARISE FOR ABOVE MENTIONED SLOW LOADING AND LOW CARGO TEMPERATURE.YOURS FAITHFULLY.(signature)(signature)MASTER, MV.( ) (shippers/suppliers, etc.)NOTE:REF. NOTE ON EXAMPLE: 5-B.EXAMPLE : 5-D*PROTEST AGAINST CARGO QUANTITY AND/OR CARGO SHORTAGE.DATE:TO (receivers/consignees, etc. ) PORT:RE ALLEGED SHORT DELIVERY OF CARGOSIRS,YOUR LETTER OF PROTEST IS TOTALLY REJECTED FOR THE FOLLOWING REASONS:-1. THE BILLS OF LADING WERE SIGNED UNDER PROTEST DUE TO A DIFFERENCE BETWEEN SHIP AND SHORE FIGURES.(REF. ATTACHED LETTER OF PROTEST)2. THERE COULD BE NO LOSS IN TRANSIT AS THE SHIP HAS A PRESSURISED CONTROLVENTILATION SYSTEMS.3. THERE ARE NO FACILITIES AT THE DISCHARGE TERMINAL FOR SHIPS STAFF TO WITNESS AND VERIFY THE MEASURING OF THE SHORE TANKS BEFORE AND AFTER DISCHARGE.4. ALL CARGO IN THE SHIP HAS BEEN DISCHARGED ASHORE AND THE CARGO TANKS ARE EMPTY AND NO PUMPABLE CARGO REMAINED ONBOARD.YOURS FAITHFULLY.(signature)(signature)MASTER, MV.( ) (receivers/consignees, etc.)NOTE:SHOULD YOU HAVE ANY CARGO DISCREPANCY AT LOADING PORT, YOU HAVE TO MAKE A PROTEST LETTER, OTHERWISE YOU WILL BE RECEIVED PROTEST AGAINST CARGO QUANTITY AT DISCHARGING PORT AND YOU HAVE NO WITNESS.EXAMPLE : 6-A*SURGE DAMAGE*YOU MIGHT HAVE AN OPPORTUNITY TO RECEIVE A FOLLOWING LETTER FROM A VESSEL. MOORING IN PORT.DATE:TO:MASTER MV.(your ships name) PORT:DEAR SIR,SURGE DAMAGE TO (name of encountered vessel)THIS IS TO ADVISE YOU THAT WHEN YOUR VESSEL, ENTERING(leaving) (name of port) HARBOUR, PASSED AT AN EXCESSIVE SPEED BY MY VESSEL, MOORED ALONGSIDE(name of berth), AT xxxx HOURS TODAY, CAUSED MY VESSEL TO SURGE AND INFLICTED AN EXTENSIVE DAMAGE ON HER HULL AND/OR GANGWAY IN CONSEQUENCE.WE HEREBY GIVE NOTICE TO YOU AND HOLD YOU ENTIRELY RESPONSIBLE FOR ALL THE DAMAGES INCURRED AND WILL ADVISE YOU OF THE COST OF REPAIRES WHEN IT IS EFFECTED.PLEASE ACKNOWLEDGE RECEIPT OF THIS LETTER SIGNING THE ATTACHED COPY OF THIS LETTER AND RETURN IT TO THE UNDERSIGNED.YOURS FAITHFULLY.MASTER, MV.(name of vessel damaged) MASTER, MV. (name of your vessel)NOTE:YOU MAY NOT ALLOWED TO SIGN WITHOUT REMARKS, BECAUSE THE MOMENT YOU RECEIVE LIKE THIS LETTER, NO BODY KNOWS THAT YOU MADE ACTUAL DAMAGE TO THAT VESSEL. IN THIS CASE YOU SHOULD CONTACT WITH US AS SOON AS POSSIBLE IN ORDER TO INVESTIGATE AND ARRANGE A LAWYER TO PROTECT YOURSELF AND OWNERS.(REF. ON EXAMPLE: 6-B FOR COUNTER PROTEST AND NOTE)EXAMPLE : 6-B*SURGE DAMAGECOUNTER LETTER AGAINST SURGE DAMAGE.DATE:PORT:TO:MASTER(vessel which you received a letter)ALLEGED SURGE DAMAGE TO (name of vessel which you received a letter)WE RECEIVED YOUR LETTER DATED (date) REGARDING THE ABOVE SUBJECT.WE HAVE THOROUGHLY INVESTIGATED THE CIRCUMSTANCES AND FOUND THAT THE DAMAGE WAS NOT RESULT OF ANY NEGLIGENCE ON OUR PART.PLEASE NOTE THAT OUR VESSEL ENTERED (left) THE HARBOUR IN A NORMAL MANNER. WITH A NORMAL SPEED UNDER THE SUPERVISION OF AN EXPERIENCED PILOT.WE, THEREFORE, DEFINITELY DENY THE LIABILITY OR RESPONSIBILITY FOR THIS ALLEGED DAMAGE.YOURS FAITHFULLY. ACKNOWLEDGED:(signature)MASTER, MV.(name of your ship) MASTER, MV. (vessel received)NOTE:AS SOON AS YOU RECEIVE A PROTEST LETTER, YOU HAVE TO MAKE A COUNTER PROTEST LETTER, PROVIDED YOU DID NOT CAUSEDAMAGE TO MOORED VESSEL, AND YOU HAVE TO LET US KNOW SOONEST WITH DETAILS OF ACCIDENT. EXAMPLE : 7-A*COLLISION.HOLDING RESPONSIBILITY AGAINST COLLISION AND ACKNOWLEDGE RECEIPT.DATE:PORT/PLACE:TO MASTER MV.( )DEAR SIR,COLLISION BETWEEN MV.(name of your vessel) AND MV.( )WE HEREBY ADVISE YOU THAT WE HOLD THE MV.(name of adversary), HER MASTER, OWNERS AND/OR AGENTS RESPONSIBLE FOR AND LIABLE TO ALL DAMAGES, COSTS, DELAY AND/OR EXPENSES ARISING FROM THE COLLISION BETWEEN MV.(name of your vessel)AND MV. (name of adversary), WHICH TOOK PLACE IN(place) AT/OR ABOUT(time) HOURS ON(date/month/year).PLEASE ACKNOWLEDGE RECEIPT OF THIS LETTER SIGNING THE ATTACHED COPY OF THIS LETTER AND RETURNING IT TO THE UNDERSIGNED.YOURS FAITHFULLY. ACKNOWLEDGED: (signature)MASTER, MV.(your ship name) MASTER, MV. (name of adversary)NOTE:IF YOU RECEIVE THIS KIND OF LETTER, YOU MAY NOT ALLOWED TO SIGNWITHOUT REMARKS.AND YOU SHOULD MAKE COUTER PROTEST LETTER.EXAMPLE : 7-B*COLLISION.AN EXAMPLE ADDING ABOUT SURVEY TO EXAMPLE 7-A.DATE:PORT:TO MASTER MV.(name of vessel adversary)SIR,WHEN OUR VESSEL WAS ENTERING THE PORT THIS MORNING TO GO ALONGSIDE THE WHARF SHE WAS RUN INTO BY YOUR VESSEL OFF (place for point) AND SUSTAINED QUITE AN EXTENSIVE DAMAGE TO HER PORT BOW.THEREFORE THE UNDERSIGNED HOLD YOUR VESSEL RESPONSIBLE FOR THIS COLLISION AND LIABLE FOR ALL THE DAMAGE, LOSS AND EXPENSE CAUSED BY THIS COLLISION. THE (name of classification, etc.) SURVEYOR IS EXPECTED TO COME ON BOARD OUR VESSEL AT ABOUT (time/date) TO INSPECT THE EXTENT OF THE DAMAGE AND YOU ARE REQUESTED TO ATTEND THIS SURVEY JOINTLY.FURTHER, WE WILL ATTEND WITHOUT PREJUDICE A SURVEY OF DAMAGE CAUSED TO YOUR VESSEL, SO WE REQUEST YOU TO LET US KNOW WHEN AND WHERE IT WILL TAKE PLACE. PLEASE SIGN AND RETURN THE DUPLICATE OF THIS LETTER FOR ACKNOWLEDGEMENT.YOURS FAITHFULLY.(signature)ACKNOWLEDGE RECEIPT OF THIS LETTER,(signature) MASTER, MV.(your vessel name)MASTER, MV. (vessel name of adversary)NOTE:REF. NOTE ON EXAMPLE: 7-A.EXAMPLE : 7-C*COLLISION.COLLISION WHILE YOU ARE MOORING:TO MASTER MV.( ) PORT:DATE:THE UNDERSIGNED NOTIFY YOU THAT YOUR VESSEL TOUCHED MY VESSEL AT ABOUT (time/date) WHILE YOUR VESSEL WAS MANEUVERING IN DOCK (name of dock/horbour/anchorage, etc.) TO PROCEED TO BERTH (berth No./name), AND MY VESSEL SUSTAINED A CONSIDERABLE DAMAGE TO HER PORT QUARTER.AT THE TIME OF THE ACCIDENT, MY VESSEL WAS MOORED FORE AND AFT, TO (name of berth, etc.) AND DISCHARGING (loading) CARGO.I HEREBY NOTIFY YOU THAT I HOLD YOU LIABLE FOR THE DAMAGE AND LOSS CAUSED BY THIS COLLISION.THE (name of classification, etc.) SURVEYOR IS EXPECTED TO COME ON BOARD OUR VESSEL AT ABOUT (time/date) TO INSPECT THE EXTENT OF THE DAMAGE RESULTING FROM THIS COLLISION AND YOU ARE REQUESTED TO ATTEND THIS SURVEY J O I N T L Y. AFTER THIS SURVEY THE DAMAGE REPAIR WILL BE CARRIED OUT AT THIS PORT.PLEASE SIGN THE ATTACHED DUPULICATE OF THIS LETTER FOR ACKNOWLEDGEMENT.YOURS FAITHFULLY.(signature) ACKNOWLEDGE RECEIPT OF THIS RECEIPT.MASTER, MV.(name of your vessel) (signature)MASTER, MV. (vessel name adversary)NOTE:YOU MAY NOT SIGN WHEN YOU RECEIVE LIKE THIS LETTER WITHOUT REMARKS SUCH AS RECEIPT ONLY.EXAMPLE : 7-D*COLLISION.LETTER TO HOLD RESPONSIBILITY.DATE:PORT:TO MASTER MV AND OWNERS OF MV.( )ON BEHALF OF MY OWNERS AND UNDERWRITERS I GIVE YOU FORMAL NOTICE HOLDING YOU AND YOUR OWNERS SOLELY RESPONSIBLE FOR ALL LOSS AND DAMAGE WHATSOEVER SUSTAINED BY MY OWNERS IN CONSEQUENCE C ONSEQUENCE OF THE COLLISION BETWEEN MY VESSEL AND YOUR VESSEL (MV. ) ON (date/time/place,etc.).I ALSO GIVE YOU A NOTICE THAT THE DAMAGE CAUSED BY MY VESSEL HAD BEEN INSPECTED BY (name of classification, etc.) CLASS SURVEYOR, PLEASE SEND YOUR REPRESENTATIVE TO THE VESSEL FOR WITNESSING.ALSO I REQUEST YOU TO ACKNOWLEDGE YOUR RESPONSIBILITY FOR THE COLLISION BY ENDORSING A COPY OF THIS LETTER WITH YOUR SIGNATURE TOGETHER WITH VESSEL’S STAMP AND RETURN IT TO ME.YOURS FAITHFULLY.(signature)LIABILITY FOR COLLISIONACKNOWLEDGED:(signature) MASTER, MV.(yours)MASTER, MV. ( )NOTE:SHOULD YOU RECEIVE LIKE THIS LETTER, YOU MAY NOT ALLOWED TO SIGN WITHOUT REMARKS AND REQUESTED TO ISSUE COUNTER PROTEST LETTER.REFERENCE TO “NOTE” ON OTHER EXAMPLES SHOULD BE MADE.EXAMPLE : 7-E*COLLISION.CLAIM NOTICE AND SECURITY IN CASE OF COLLISION UNDER WAY.DATE:PORT/PLACE:TO THE OWNERS OF MV.( aaaaa )MV. (your vessel) / MV.(aaaaa )COLLISION ON (date/month/year)IN THE STRAIT OF SINGAPORETHIS IS TO INFORM YOU THAT WHILE THE MV. (your vessel) WAS SAILING IN THESTRAIT OF SINGAPORE AT ( hours) ON (date/month/year), YOUR VESSELMV. (aaaaa ) COLLIDED AGAINST HER AND GAVE HER STERN SERIOUS DAMAGES.WE, AS THE OWNERS OF MV. (your vessel), HEREBY HOLD YOU RESPONSIBLE FOR ALL HER LOSS AND DAMAGE ARISING OUT OF ABOVE COLLISION AND URGE YOU TO PROVIDE US WITH ENOUGH SECURITY TO COVER OUR LOSSES.KINDLY ACKNOWLEDGE RECEIPT OF THIS NOTICE BY SIGNING AND RETURN AN EXTRA COPY ATTACHED.YOURS FAITHFULLY.(signature)THE OWNERS OF MV.( ) THE OWNERS OF MV.(aaaaa )EXAMPLE : 8-A*ONE OF THE FORM OF MARINE NOTE OF PROTEST.MARINENOTEOFPROTESTVESSEL NAME :DESCRIPTION :OFFICIAL NUMBER :GROSS TONNAGE :FLYING LIMIT :PORT OF REGISTRY :OWNER NAME :ADDRESS :MASTER NAME :ADDRESS :CLASS,GRADE AND NO. OF CERTIFICATE :ENGINE DESCRIPTION :NOMINAL HORSE POWER :CHIEF ENGINEER NAME : (only in case machinery is concerned)ADDRESS :CLASS, GRADE AND NO. OF CERTIFICATE :PORT OF DESPATCH :PORT OF ARRIVAL :PORT WHERE PROTEST OCCURRED :AND DATE, HOURS OCCURRENCE :DETAILS OF MARINE PROTEST:(details should be stated here)***(examples are attached “EXAMPLE 8-B~8-E.”)I HEREBY AFFIRM THE CORRECTINESS OF THE ABOVE REPORT.(signature)CAPT. ( )MASTER MV.( ) EXAMPLE : 8-B*ROUGH WEATHER(To be stated where marked ***on Example 8-A)MV. xxxxx, UNDER MY COMMAND, SAILED FROM xxxxxxx, JAPAN AT xxxx HOURS ON xxTH SEPTEMBER 200x, ALL HATCHES AND ALL OPENINGS WERE TIGHTLY CLOSED AND SECURED AGAINST ROUGH SEAS, LADEN WITH xxxx.xx MT. OF WOODEN PRODUCTS AND STEEL PRODUCTS, DRAFT FORE/x.xx M. AFT/xx.xx M. AND ARRIVED xxxxxxx AT xxxx HOURS ONxxTH 19xx.ON THE DATE AND POSITION AS MENTIONED, THE VESSEL ENCOUNTERED STORMY WEATHER AND BOISTEROUS SEAS, WIND DIRECTION xx TO xx FORCE x TO xx, CAUSING VESSEL TO ROLL AND PITCH VERY HEAVILY AND SHIPPING HEAVY SEAS OVER DECKS.NO PERSONAL INJURY BUT FEARING LOSSES AND DAMAGES MIGHT HAVE CAUSED TO THE VESSEL AND CARGOES.NOTE:WIND DIRECTION AND FORCE SHOULD BE SAME AS RECORD ON LOG BOOK. EXAMPLE : 8-C*ROUGH WEATHER(To be stated where marked ***on Example 8-A)ON THE OUTBOUND OF BOYAGE NO. xx, THE VESSEL LEFT xxxxx FOR xxxxxx ATxxxx HOURS ON xxTH SEPTEMBER 19xx, WITH xxxx UNITS OF UNPACKED AUTOMOBILE ONBOARD, DRAWING DRAFT FORWARD x.xx M. AND AFT. xx.xx M., UNDER COMMAND OF HARBOUR PILOT CAPT. xxxxxxxx WITH ASSISTANCE OF TUGS NO.1 ON HER PORT BOW ANDNO.2 ON HER PORT AFT.ON PASSING SOUTH BREAKWATER, WE FELT A SLIGHT SHOCK ON HER BOTTOM AT THETIME AND PLACE MENTIONED ABOVE, IMMEDIATELY STOPPED ENGINE AND ANCHORED AT OUTER BAR AND CARRIED OUT SOUNDING ALL TANKS AND BILGES AND INSPECTED HER FROM INSIDE AS FAR AS POSSIBLE, BUT FOUND NO IMPORTANT EFFECT TO HER SEAWORTHINESS C O N S E Q U E N T L Y. HER VOYAGE WAS CONTINUED WITH PROFOUND PRECATIONS AND ARRIVED AT xxxxx ON xxTH SEPTEMBER 20xx AT xxxx HOURD.SOME DAMAGES TO HER BOTTOM PLATES, HULL APPENDAGES AND CARGOES ARE ANTICIPATED.NOTE:DEPTH OF WATER WHERE OCCURRED SHOULD BE REASONABLE ONE.IF THERE WERE ANY STRONG WIND OR SUDDEN CAHNGE OF WEATHER ETC., THE FACT OF DETAILS SHOULD BE ENTERED, SAME RECORD ON LOG BOOK. EXAMPLE : 8-D*TOUCHING TO SUBMERGED OBSTACLES.(To be stated where marked ***on Example 8-A)THE VESSEL LEFT xxxxxx FOR xxxxxx AT xxxx HOURS ON xxTH MAY 19xx,WITH BALLAST CONDITION (or laden……), DRAWING DRAFT x.xx METERS ANDx.xx METERS AFT.ON THE DATE AND PLACE MENTIONED ABOVE, A SLIGHT SHOCK ON HER HULL WAS FELT ANDSOON AFTER STOPPED HER ENGINE, SOUNDED ALL TANKS AND BILGES BUT NO DOUBTFUL POINTS WERE OBSERVED FROM THE POINT OF VIEW OF SEAWORTHINESS.HER VOYAGE WAS CONTINUED WITH PROFOUND PRECAUTION AND ARRIVED xxxxxx AT xxxx HOURS ON xxTH MAY 20xx.CIRCUMSTANCES ON THE CASUALTY WERE CALM SEA AND MOONLESS NIGHT WITH GENTLE BREEZE AND NO SUSPICIOUS ECHO ON THE RADAR SCOPE WAS OBSERVED.NO PERSONAL INJURY BUT SOME DAMAGES TO HER HULL, APPENDAGE AND CARGOES ARE ANTICIPATED.NOTE:THE FACT SHOULD BE RECORDED ON LOG BOOK WITH WEATHER CONDITION AND DEPTH OF WATER, ETC.EXAMPLE : 8-E*TOUCHING AGAINST PIER OR WHARF.(To be stated where marked ***on Example 8-A)THE VESSEL LEFT xxxxxxxx FOR xxxxxxxxx, AT xxxx HOURS ON xxTH MAY 20xx, DRAFT FORE xx.xx M. AFT. xx.xx M., WITH CARGO xxxx.xx MT. OF GENERAL CARGO AND ON THE DATE AND TIME MENTIONED ABOVE, ON COMING ALONGSIDE xxxxxxx PIER NO.x UNDER COMMAND OF HARBOUR PILOT CAPT. xxxxxxxxxx, HER STARBOARD SIDE TOUCHED TO THE WESTERN EDGE OF THE SAID PIER TWICE WITH MODERATE SHOCKS.AFTER THE VESSEL MOORED TO TH PIER, SEVERAL DAMAGES WERE FOUND ON MIDDLE PART OF HER STARBOARD SIDE HULL PLATES BUT NO CHANGE OF MEASURES WERE OBSERVED AFTER CAREFULL SOUNDING CARRIED OUT AROUND ALL TANKS AND BILGES, AND NO IMPORTANT EFFECT TO HER SEAWORTHINESS WAS OBSERVED.HOWEVER, SOME MINOR DAMAGES TO HER HULL BELOW WATERLINE AND CARGO WERE ANTICIPATED.NOTE:THE FACT SHOULD BE RECORDED ON LOG BOOK.EXAMPLE : 9-A*DAMAGE FOUND IN DRY DOCK.DATE:PLACE:STATEMENT OF FACTDAMAGE FOUND IN DRY DOCKTO WHOM IT MAY CONCERNS:THE VESSEL KEELED ON NO.1 DRYDOCK OF xxxxxx SHIPYARD AT xxxx HOURS ON xxTH MAY 200x.。

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