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IN-WATER SURVEY REPORT

1. General

Shipowner

Name of ship

Class No.

Type of ship

Gross tonnage

RO

Attending Surveyor

Date of Survey

Place of Survey

2. Condition of ship

Fore

Draft

Aft

Mooring position

( )
(Including anchoring)

Portside alongside
Stb'dside alongside

At anchor

3. Sea state

Weather

Tide

Visibility in water

Flood

Ebb

Speed of tide

m/sec

4. Company and technician of In-water survey

Name of Company

Approval organization of
IWS company

Name of diver

Qualification of diver

210mmX297mm

( 60g/())
5. In-water survey equipment
Form No. SUP-RPT-IS(2007.05)
: .
NOTICE: This report should be made only for ship subject to Korean laws.

 Name

Manufacturer

6. Details of Survey
/ Fore part/Bulbous Bow

() Side shell(Port, Stb'd side)

Bottom

Form No. SUP-RPT-IS(2007.05)

: .
NOTICE: This report should be made only for ship subject to Korean laws.

 Bilge keel

Seachest

(Anode ) Anticorrosive method(Anode etc.)

Form No. SUP-RPT-IS(2007.05)

: .
NOTICE: This report should be made only for ship subject to Korean laws.

/ Stern Tube/Rope Guard

TAIL SHAFT
Bearing Clearance
Upper Part

Propeller [

mm

Blades X

Lower Part

No.]

Form No. SUP-RPT-IS(2007.05)

: .
NOTICE: This report should be made only for ship subject to Korean laws.

mm

 RUDDER UNIT

[PINTLE CLEARANCE]

=
=

Fore =

mm

Aft =

mm

mm

mm

Others

Form No. SUP-RPT-IS(2007.05)

: .
NOTICE: This report should be made only for ship subject to Korean laws.

 Result of Survey

:
Attending Surveyor Name

( )
(Endorsement or Signature)

:
IWS technician
Name

( )
(Endorsement or Signature)

Attached Documents
( , ,
)
(Documents such as Photos taken during In-water survey, License of technician, Certificate approved by
registration organization, Calibration record for equipment, etc.)

Form No. SUP-RPT-IS(2007.05)

: .
NOTICE: This report should be made only for ship subject to Korean laws.