FCV-08.04.02.

04

Disposal of Expired Pyrotechnics From

The environment compliance officer shall complete this form and attach it to the Garbage Record Book upon
disposal of expired pyrotechnics.

Note: Refer Garbage Management Plan for company procedures.

Section 1: General Information

Vessel
Date
Location

Section 2: Details of Expired Pyrotechnics

S.No. Pyrotechnics Details Quantity
1
2
3
4
5
6
7
8
9
10
Section 3: Disposal Method
Note: Dispose expired pyrotechnics to shore reception facilities, refer to flag guidance for alternate options
due to unavailability of suitable reception facilities.
Method:

Master Name (in capital letters) / Signature Date / Time

C/Eng Name (in capital letters) / Signature or Date / Time

Shore Representative or Agent / Signature

C/Officer Name (in capital letters) / Signature Date / Time

  Completed  

Uncontrolled when printed - make sure this is the latest revision before using it. 1of1
Revision 2.0 – published date: 30-Dec-1899