Form No: CHEM/016

CARGO TANK CLEANING PLAN

MT __________________________________
Voyage No.
Ship’s Route From To
Tanks to be cleaned
Cleaning Period
Estimated Total T.C. Time (in hours)
ETA Next Load port Port ETA
Previous Cargo Name Annex-I / II (Pol. Cat)
Next Cargo Name Annex-I / II (Pol. Cat)
Slop/washings disposal arrangement
Cleaning Requirement
Visual inspection or WWT
(indicate WWT criteria – e.g. HC – nil /
CL – 0.5ppm / PPT – 50 min at ˚20 C)
Overall In charge of operation
(Name and Signature) Chief Officer:_____________________________________
Operational Duty
(Name and Signature) MR.________________________ Mr. _______________________ Mr. ___________________________

Estimated required quantity of detergents/Freshwater for cargo tank cleaning

No. Chemicals/Freshwater Estimate required quantity Remark

1
2
3

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 Form No: CHEM/016

CARGO TANK CLEANING PLAN

4
5

Cleaning procedures
Step Cleaning Method (e.g. Cleaning Medium Wash Cleaning Any precaution Action to be Additional remarks (e.g.
Butterworthing, Temp Duration against Toxic / taken in the Number of B/W machines,
e.g. SW, FW, e.g. injection,
recirculation, rinsing, Flammable event of drops etc.)
DI water, recirculation,
steaming, ventilating, or vapour / Oxygen emergency
detergent/che hand wiping
drying) Deficiency (in line with
mical etc. etc.
MSDS)

Approved by Master: __________________________________

(Name & Signature)

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