VESSEL CONSUMABLE

SURVEY

Sheet 1 of 2

Job Ref.: Report No.:

Vessel/ Unit: 0 Owners: 0

Type of Survey: 0 Location: 0

Date/Time of Survey: 0

Draft Fw.: 0 Draft Aft.: 0 Trim: 0 List: 0

Sea Condition: 0

Sounding Method: 0

Comments: 0

Tank Calibration Tables Onboard: Provided / Nil

Trim Correction Tables Onboard: Provided / Nil

Type of Bunkers: MDO

Total Diesel Fuel Onboard at Survey: 3

Total Fresh Water Onboard at Survey: 0

Master: 0 Chief Engineer: 0

Surveyor: 0 Client Rep.: 0

Vessel Stamp Client Stamp

3 Copies: (Vessel, Client, Surveyor)

 Sheet 2 of 2
Diesel Fuel Space Dip Quantity Capacity

0 0 0 0
0 0 0 0
0 0 1 0
0 0 1 0

0 0 1 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

Total Diesel Fuel Onboard at Survey: 3

Fuel Meters
Position Reading Serial No.

Fresh Water Space Dip Quantity Capacity

0 0 0

0 0 0
0 0 0

0 0 0
0 0 0

0 0 0

0 0 0
0 0 0
0 0 0

Total Fresh Water Onboard at Survey: 0

Lubricants Dip Quantity

Vessel: Date:

Surveyor: