Professional Documents
Culture Documents
Surat Penyerahan Barang
Surat Penyerahan Barang
Surat Penyerahan Barang
ELSA JAYA
Head office : Jl. Slamet Riyadi No.09C RT.43 Loktuan Bontang Kalimantan Timur
RECEIPT/DELIVERY
Container Inspection Cheklist
NAMA KAPAL
NO
BENDERA
TANGGAL
HATCH. NO
DRIVER
No. Kendaraan
Deskripsi
Waktu
Dikirim
Diterima
Container Inspection
Nomor Container
No
Inspected
Bagian Atas/Atap
Bagian dalam
Bagian Kanan
Bagian kiri
Dinding Depan
Bagian Belakang
Lantai
Pintu/Kunci
Nomor Segel
Kondisi Container
Baik
Rusak
Penyok
Lobang
Berkarat
Tidak diketahui
Catatan *)
DIPERIKSA OLEH,
DITERIMA
KAPAL
PBM
MENGETAHUI,
EKSPEDISI
SECURITY KNI
:
:
:
Catatan
TY KNI
KNI
TALLY SHEET/DELIVERY/RECEIPT
Name Of Vessel
Voy. No
Loading Port
Discharging Port
NO
DATE
:
:
:
:
Kind Of Cargo
Total
Commenced
Finish
HOURS
HATCH
CONTAINER NO
SEAL NO
Bay No.
LOCATION
Row No.
:
:
:
:
FULL
Tier No.
20"
TOTAL
Aknowledge by,
PT. KNI
Prepared B
PBM ELSA
ULL
40"
d By,
SA JAYA
NETTO
Nama Kapal
Bendera
Loading Port
Discharging Port
NO
NOPOL
:
:
:
:
1
QUANTITY
3
300
300
590
580
1770
KONDISI PE
Front Wall
Blocks and Vents are visible
no hollow sound heards when tapped with a tool
Left Side
no unsual repairs to structural beams
repairs to inside wall are also visible on the outside
no hollow sound heards when tapped with a tool
Right Side
no unsual repairs to structural beams
repairs to inside wall are also visible on the outside
no hollow sound heards when tapped with a tool
Outside undercarriage
support beams are visible (use mirror to view underside)
Floor
Appears flat
only one floor height within container
Ceeling/roof
Blocks and Vents are visible
repairs to inside wall are also visible on the outside
no hollow sound heards when tapped with a tool
Inside/outside doors
Locking mechanism is in good working condition
no loose bolts, plates or repairs
CONTAINER INSPECTION CONDUCTED BY
NAME &DATE
SEAL INSPECTED & AFFIXED BY
NAME &DATE
CONTAINER LOADED BY
NAME &DATE
CONTAINER LOADING MONITORED BY
NAME &DATE
Baik
Rusak
EKLIST
KONDISI PEMERIKSAAN
Penyok
Lobang
SIGNATURE
SIGNATURE
SIGNATURE
SIGNATURE
Berkarat
Tidak diketahui