NOTE TO THE SURVEY REPORT THIS SURVEY REPORT IS

61303 SECTION 613 ‑ CENTERLINE AND REFERENCE SURVEY MONUMENTS
BNZNINE REWARDS CONSUMER TRENDS SURVEY ISSN 2
KEY FINDINGS OF THE SURVEY ON CAPITAL CONTROLS

PALLIATIVE MEDICINE SURVEY FORM TO ACCREDIT TRAINING SETTINGS
REPORT ON SURVEY OF PLANT VARIETY PROTECTION REGIMES
TABLE OF CONTENTS PRINCIPAL’S SURVEY FOR EMERGENCY ASSIGNMENTS

S U R V E Y R E P O R T



Note to the Survey Report

This survey report is meant for guidance only. The text/items not applicable for a specific survey are to be disregarded. Text in blue color indicates our instructions and/or various alternatives/examples


H&M

S U R V E Y R E P O R T



M/V “………………”



This is to certify that at the request of…………..and on behalf of the Leading Hull Underwriters,
Gard AS the undersigned has on …………… (and subsequent days) surveyed the above named vessel while she was lying at………………….(and afterwards………………)



Present at the survey were also Representing


Mr. A. K. Example, Master The Owners

Mr. A. K. Example2, Superintendent The Owners

Mr. A. K. Example3, Service engineer Maker, B&W

Mr. A. K. Example4, Class DNV

…………………………………… ………………



Schedule (Dates, example)


The vessel’s last port of call, Hamburg (Cargo situation?) 15th of September 2008

The vessel arrived at Rotterdam 17th of September 2008

Discharging commenced ……….

Discharging completed ……….

Gas freeing commenced ……….

Gas freeing completed ……….

Repairs commenced ……….

The vessel docked ……….

The vessel undocked ……….

Repairs completed ……….

Loading commenced ……….

The vessel sailed ……….






Survey was held in order to ascertain the nature and extent of damage sustained on the following occasion:



Occurrence/s

Date of casualty On voyage/at port/ etc.

Nature of casualty

In ballast/loaded.


Information available Reports, log extracts etc.


(If more than one casualty, each occurrence to be labelled)


General information

Instruction date: 14 September

Owner ……….

Operator/Manager: ……….

Port of registry: ……….

Flag: ……….

IMO No: ……….

Year built: ……….

GRT: ……….

DWT: ……….

Class: ……….

SMC: ……….

DOC: ……….

Casualty reported acc. ISM ……….

Previously related incidents: ……….


Please insert a general description of the vessel, and/or equipment related to the casualty

Narrative

A short description of the incident, which gave rise to the damage


Inspection

A description of the findings during the survey, such as damages noted, previous temporary/permanent repairs carried out attributable to the casualty.


Cause consideration

Cause of damage. If the exact cause is difficult to ascertain, the surveyor’ s opinion of the most likely cause to be stated. If the cause is disputed, the Owners’ representative’s allegation should also be referred to and the surveyor’ s reasons for not accepting it.


Tendering

If tendering procedures have been executed, the results (table) and Owner’s choice of repairers to be stated.



Repairs

A description of the permanent/temporary repairs executed.



Cost of repairs

The above damage has been permanently repaired

Alternatively:

A part of the above damage has been permanently repaired, temporary repairs

also being involved.

Alternatively:

The above damage has been temporarily repaired


and the full specification of the work recommended, executed


and the prices agreed to were as follows EUR/USD/………



Drydoocking

If carried out separately the above work would have required……..days in drydock

Alternatively

……..days of the 1st drydocking and …….. days of the 2nd drydocking


Drydocking was only required in connection with the repairs to

the……………………………………………





Temporary repairs

The repair account concerns temporary repairs only

Alternatively

The repair account includes USD/EUR………………for temporary repairs to the………………….which required…….days to be completed.


Temporary repairs were carried out as it was not possible to effect permanent repairs

Alternatively

as it was inconvenient to effect permanent repairs due to the vessel’s sailing commitments.

Alternatively

to save time as waiting for drydock facilities, (or) the delivery of…. (or) Other reason

and subsequent permanent repairs would have detained the vessel a further ………weeks/days


Removal of temporary repairs

The repair account includes USD/EUR…………… for removal of temporary repairs.

This work required …….. days/hours


Extra expenses incurred to reduce delay

In connection with this occurrence extra expenses have been incurred by working overtime (1) for an amount of USD/EUR………………

By incurring extra expenses ………days in drydock, USD/EUR……….

…………days wharfage, USD/EUR………have been saved and/the total repair time has been reduced by ……….days

Alternatively but/ no reduction in the total repair time was achieved.



NOTES ON EXTRA EXPENSES INCURRED TO REDUCE DELAY

  1. Overtime during voyage repairs is considered to be a normal repair expense and to be disregarded in this context.



Supplied/arranged by Owners

Class, maker’s attendance, spare parts etc


Credit

The yard gave a credit of USD/EUR…………………for the condemned…………………………….


General expenses

Docking/undocking…………………………………………………………………USD/EUR…………

Tugboat assistance…………………………………………………………….…..USD/EUR…………

Etc.



Deferred repairs

  1. Detailed repair specification suitable for tendering purposes to be included

  2. Estimated cost of repairs and time to be reported in an Addendum to the Survey Report



Work not concerning average

Concurrently with the average repairs various maintenance works (please make a listed description) was carried out to an amount of USD/EUR…………

If carried out separately the above work would have required………….days in drydock

and/or ……..days alongside.




Time for repairs at…………

Total time for repairs from ………. To ………. -………days


If carried out separately the work involved would have required the following time


In drydock Afloat Total


Occurrence No. 1. ………… …….. ……..

Occurrence No. 2…………………………………


Total time for average repairs ………… …….. ………


Work not concerning average ………… …….. ………



Summary


Occurrence EUR…………………….


General expenses EUR……….….…………


Work not concerning average EUR…………..…………


Total amounts of repairers’ bills EUR…………….………



Date and place


Subject to the rights of the Underwriters according

to the Plan and Policy.


Printed name of the attending surveyor




Signature


---------------

Enclosures

1 “Statement of facts” from Master and/or Chief Engineer

  1. Technical information / drawings

  2. Relevant log book extracts

  3. Relevant Class reports / records

  4. Repairer / specialist’s report and invoice

  5. Copy of valid SMC/DOC certificate (with valid endorsements)

  6. Other relevant information, photos etc.



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