SAMPLE ENTRIES

PART 1(A) – Applicable To All Vessels

CAT A – Plastics, CAT B – Food Waste, CAT C – Domestic Waste1, CAT D – Cooking Oil, CAT E – Incinerator Ash,
CAT F – Operational Waste, CAT I – E waste

Record of GARBAGE DISCHARGES for ALL GARBAGE other than CARGO RESIDUES
Position of the ship
Estimated amount discharged Name
(latitude/longitude) or Estimated
Remarks: (e.g. start/stop time
Date / port if discharged Into Sea To reception amount
Category (UTC) and position of incineration;
Time (UTC) ashore or name of ship (m3) facilities or to incinerated
general remarks) Signature
if discharged to another ship (m3)
another ship (m3)
Start: 0815 Z
YYYY
04-Jun-2023 12o34.8’N 12o17.3’N 044o11.1’E
B - - 0.02
0830 Z 043o27.9’E Stop: 0830Z
Signed
12o34.8’N 043o27.9’E
Start: 1030 Z
YYYY
04-Jun-2023 13o26.9’N 12o56.9’N 043o12.7’E
C - - 0.30
1330 Z 042o48.3’E Stop: 1330Z
Signed
13o26.9’N 042o48.3’E
0.02 expired medicines, 0.05
10-Jun-2023 17o28.8’N Biohazard waste, 0.08 Others YYYY
C - - 0.15
0900 Z 029o42.4’E Start: 0500Z, 18o08.8’N 029o31.4’E Signed
Stop: 0730Z, 17o48.8’N 029o42.3’E
Start: 0815Z
YYYYY
16-Jun-2023 06o 25.5’N 05o 57.0’N 088o 47.3’E
F - - 1.0
1100 Z 089o 33.4’E Stop: 1100
Signed
06o 25.5’N 089o33.4’E
A 1.0 0.1 Biohazardous waste XXXXX
17-Jun-2023 C 0.6
SINGAPORE - -
1030 Z E 0.05 Off landed to garbage boat
Signed
F 0.15 (Receipt collected)
0.02 Expired pyrotechnics, 0.06
A 0.2 XXXXX
18-Jun-2023 Batteries, 0.02 Expired Medicines
SINGAPORE C - 0.1 -
1030 Z Off landed to garbage boat
I 0.10 Signed
(Receipt collected)
Start: 0820Z
YYYY
20-Jun-2023 16o22.1’N 16o 08.5’N 115o05.7’E
D/F - - 0.005 / 0.7
0950 Z 115o19.3’E Stop: 0950Z
Signed
16o 22.1’N 115o19.3’E

Vessel entered MARPOL XXXX

27-Jun-2023 07O 19.6’ N
- - - -
1424 Z 049O 59.6’ W
Special area for Garbage Signed

Comminuted XXXXX
27-Jun-2023 07O 22.6’ N
B 0.02 - -
1715 Z 047O 23.3’ W
Food waste Signed

Vessel exited MARPOL XXXX

29-Jun-2023 07O 21.1’ N
- - - -
1500 Z 050O 18.6’ W
Special area for Garbage Signed

XXXXX
30-Jun-2023 06o12.3’N
B 0.06 - -
1200 Z 053o11.9’E
Signed

NOTES
1. Special waste includes Batteries, light bulbs, medical waste, fluorescent tubes, expired pyrotechnics etc. and falls under
Cat C “Domestic Waste”. Type of special waste must be recorded in the remarks section.
2. Biofouling Waste- disposal of Biofouling waste should be recorded in the Biofouling Record Book and disposal
certificate to be attached in Biofouling Record book.

SAMPLE ENTRIES

1
(e.g. paper products, rags, glass, metal, bottles, crockery, etc.)
 PART 1(B) – Applicable To All Vessels

CAT A – Plastics, CAT B – Food Waste, CAT C – Domestic Waste1, CAT D – Cooking Oil, CAT E – Incinerator Ash,
CAT F – Operational Waste, CAT I – E waste

Record of EXCEPTIONAL DISCHARGE or LOSS OF GARBAGE

Port or position of the Remarks on the reason for the discharge or loss and
Estimated amount Name
Date / ship (latitude/ general remarks (e.g. reasonable precautions taken to
Category lost or discharged
Time (UTC) longitude and water prevent or minimize such discharge or accidental loss
(m3) Signature
depth if known) and general remarks)
Accidental Loss O/B due to rough weather and XXXX
04-May-2023 08o 18.3’N 110o53.4’E,
C/F 0.9/1.0 shipping of seas on main deck area. All the loose
1700 Z 400 M
equipment has been secured thereafter. signed

(e.g. paper products, rags, glass, metal, bottles, crockery, etc.)

PART 2 – Applicable to ships that carry solid bulk cargoes

CAT J – Cargo residues (Non-HME1), CAT K – Cargo residues (HME2)

Record of discharge of ALL CARGO RESIDUES

Estimated amount discharged Name
Position of the ship
Date / (latitude/ Into Sea (m3) To reception Start and stop positions of the ship for
Category
Time (UTC) longitude) or port if facilities or to discharges into the sea
Signature
discharged ashore another ship
(m3)
Start: 18o08.3’N 119o05.2’E XXXX
03-Jun-2023
18 22.3’N 119 19.9’ E
o o
J 4 -
0950 Z
Stop: 18o22.3’N 119o19.9’E signed

NA – off landed ashore XXXX

21/03/18
Singapore K - 2
1100 Z
(Receipt collected) signed

1
(e.g. paper products, rags, glass, metal, bottles, crockery, etc.)

2
(HME means cargo residues of solid bulk cargoes which are harmful to the marine environment in accordance with the criteria set out in
appendix I of Marpol Annex V and as declared by the shipper).