MB02-M-73-01
BUNKER ON/OFF-HIRE CHECKLIST No.: ........................................
Date:
To: C/Engineer of M/v. “_______________________________”
We, as the Marine surveyor of The Inspection J.S Company, for and on behalf of the
Shipowners & Charterers, did attend on board the vessel M/v. “___________________________” for
a joint bunker on/off-hire survey. We would like the vessel Master/Chief Officer to supply us the
following information and copies of documents in your convinence.
1. Bunker consumption:
Consumption/ day: H.F.O M.D.O
At sea ........................... MT ............................... MT
At anchorage ........................... MT ............................... MT
At port ............................... MT ............................... MT
2. Lastest bunker supplied: (Copies of bunker receipt)
Place of supply: 1.................................................................... 2....................................................................
Date/ Time of 1................................................................... 2....................................................................
supply:
Quantity: 1................................................................... 2....................................................................
Log-book quant. F.O________________ Mts D.O_________________ Mts
3. Participants by fascimile / telex by Charterer /Owner instruction (Copies not
avail. or avail.)
No In name of Name of company Remakrs
.
1 Ship’s owners
2 Ship’s operators
3 Charterer (Disponent
onwers)
4 1st sub-charterer
5 2nd sub-charterer
4. Place/ Time of : Delivery Re-delivery by fascimile / telex (Copies not avail.
or avail.)
Place of: delivery / re-delivery Date/ time of: delivery / re-delivery
Local time GMT Date
Acknowleged by Surveyor
No.
………….M/HCM
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