VESSEL DEFECT / BREAKDOWN REPORT

VESSEL NAME : ____________________________________________________

COMPANY : ____________________________________________________
DATE/TIME : ____________________________________________________
SUBJECT : ____________________________________________________

NATURE OF DEFECT / BREAKDOWN EQUIPMENT

ROOT CAUSE / POSSIBLE CAUSE

REMEDIES / ACTION TAKEN

PARTS REQUIRED / SHORE ASSISTANCE REQUIRED (ATTACHED PR OR SERVICE REQUEST)

REPORTED BY :- ACKNOWLEDGE BY :-

____________________________ __________________________
( ) ( )
MASTER / CHIEF ENGINEER TECHNICAL SUPERINTENDENT
DATE : DATE :