TOM-FO-001-Defects-Damages Report

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No: TOM/FO/001

Issue No.: 02
DEFECTS / DAMAGES REPORT Rev No: 00
Page 1 of 2

A: To be filled up by Ship’s personnel


Report No. Date of issue
Voyage No. Name of ship
Date of failure Master
Department Deck Engine Radio C/O C/E

Ship’s condition:  Nav.(UMS)  Nav.(Watch)  In port  At anchor  In Dry-dock

Name of defective/damaged equipment/machinery: Manufacturer:

Type:

Year of installation: Running Hrs/time:

Mode of discovery  Alarm  Rounds/Inspection  Maintenance work  Abnormality during operation

Description of defect / damage

Possible reasons of defect / damage & proposals for repair

Proposed date of completion of repair


Proposed by C/E; C/O (Name and Signature)
Approved by Master (Name and Signature)

B: To be filled up by Company personnel:


Level of Importance LOW MEDIUM HIGH

Remarks and proposals for Corrective actions:

Target date of completion of CA:


Superintendent / GM Tech. Approved by Safety Committee / MD
Date Date

C: To be filled up by Ship’s personnel


Verified & Implemented repairs & Corrective actions:

Date of final completion of repairs: Date of final completion of Corrective Actions:


Verified by Master (Name, Signature and Date)

D: To be filled up by Company personnel


Follow up verification and comments: (The effective implementation will be verified and cleared by Office staff )

Verified by (Name, Signature and Date)


To be filed in File No. 314
No: TOM/FO/001
Issue No.: 02
DEFECTS / DAMAGES REPORT Rev No: 00
Page 2 of 2

To be filed in File No. 314

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