DRY CARGO OPERATION Revision 00

FORMS Date 04 Jan 2022

Notice Of Damage By Stevedores To Ship
DRY-02
Gear Or Equipment
Page 1/1

Owner’s.
Original: PSM
Copies: Time Charterers
Ship’s file
Stevedores

NOTICE OF DAMAGE BY STEVEDORES TO SHIP GEAR OR EQUIPMENT

M/V Date:

Voy. No. OUTWARD At Port of

HOMEWARD

To: Stevedores at above Port.

I hereby advise that on the above date you damaged my ship and/or equipment as specified below
and I hereby notify you that you are responsible therefore and that cost of replacement and/or
repair will be billed against you.
Date Master:

ITEM No. DAMAGE CONSISTS OF CAUSE

This notice received, read and checked against damage.

Witness Capacity For the Stevedore Company