O-2-Third Party Damage Report

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SHIP MANAGEMENT – INDIA FORMS & CHECKLISTS

O-2
Date :08/2008
Revision No. 2 / Page 1 of 1
Bulk + Other Cargo

THIRD PARTY DAMAGE REPORT

Vessel: PORT: DATE

TO,

_____________________________________________________________________________________
LOCATION OF DAMAGE:

_____________________________________________________________________________________
DESCRIPTION OF DAMAGE:

_____________________________________________________________________________________
EXTENT OF DAMAGE:

____________________________________________________________________________________
I hold you responsible for these damages and request you to arrange repair to the original
condition prior sailing of my vessel from ………………………………………
All delays and cost incurred in rectifying the damage will be on your account ( )
Please acknowledge receipt of this “Damage Report”

MASTER CHIEF OFFICER OOW/(Witness)

_____________________________________________________________________________________
STEVEDORE / AGENT REPRESENTATIVE:

NAME & DESIGNATION: SIGNATURE:

_____________________________________________________________________________________

ORIGINAL : Job Completion Date/Time & Place


COPY :
COPY :
COPY :
COPY :
TO BE SENT – AS APPLICABLE
WE MANAGE SHIPS SAFELY
SHIP MANAGEMENT – INDIA FORMS & CHECKLISTS
O-2
Date :08/2008
Revision No. 2 / Page 2 of 1
Bulk + Other Cargo

TO BE SENT – AS APPLICABLE
WE MANAGE SHIPS SAFELY

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