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  • Blangko Forman

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    Aditya Jalasena Jiwandhono
    8 views9 pages
    This document summarizes the loading and discharge of a vessel. It includes details of the vessel name, ports, and times of berthing and departure. Cargo types are listed along with quantities discharged and loaded by container size and type. Signatures from the foreman, chief officer, and operational staff confirm the cargo details and transfer.

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    This document summarizes the loading and discharge of a vessel. It includes details of the vessel name, ports, and times of berthing and departure. Cargo types are listed along with quantities discharged and loaded by container size and type. Signatures from the foreman, chief officer, and operational staff confirm the cargo details and transfer.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views9 pages

    Blangko Forman

    Uploaded by

    Aditya Jalasena Jiwandhono
    This document summarizes the loading and discharge of a vessel. It includes details of the vessel name, ports, and times of berthing and departure. Cargo types are listed along with quantities discharged and loaded by container size and type. Signatures from the foreman, chief officer, and operational staff confirm the cargo details and transfer.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 9

    REPORT OF DISCHARGE / LOADING

    VESSEL : LAST PORT :


    VOYAGE : NEXT PORT :

    TIME BERTHING : JAM : WIB


    TIME DEPARTURE : JAM : WIB

    DISCHARGE
    COMMED DISCH : JAM : WIB
    FINISH DISCH : JAM : WIB
    20" FEET 40" FEET REMARK DISCHARGE
    TYPE FULL EMPTY FULL EMPTY 20" FEET 40" FEET
    DRY TL FULL EMPTY FULL EMPTY
    REFER TOTAL
    ISO TANK TRUCKING
    OPEN DOOR 20" FEET 40" FEET
    FLAT TRACK STACK FULL EMPTY FULL EMPTY
    OPEN TOP TOTAL
    UNCONTAINERIZED TRUCKING

    REMARK TOTAL : BOX


    TEUS

    Open Hatch Cover : Close Hatch Cover :

    LOADING
    COMMED LOAD : JAM : WIB
    FINISH LOAD : JAM : WIB
    20" FEET 40" FEET REMARK LOADING
    TYPE FULL EMPTY FULL EMPTY 20" FEET 40" FEET
    DRY TL FULL EMPTY FULL EMPTY
    REFER TOTAL
    ISO TANK TRUCKING
    OPEN DOOR 20" FEET 40" FEET
    FLAT TRACK STACK FULL EMPTY FULL EMPTY
    OPEN TOP TOTAL
    UNCONTAINERIZED TRUCKING

    REMARK TOTAL : BOX


    TEUS

    Diketahui dan diterima Surabaya,


    ( Chief Officer ) Tally Foreman Operasional
    STATEMENT OF FACT ( Pernyataan Fakta )
    VESSEL NAME ( Nama Kapal ) :
    AT PORT ( Di Pelabuhan ) :

    DISCH / LOAD
    Date Working Hours REMARK
    QUANTITY TYPE

    Diketahui dan diterima Surabaya,


    ( Chief Officer ) Tally Forman Operasional
    BERITA ACARA
    SPECIAL HANDLING CONTAINER IN PORT ( TPS / TTL / BJTI )
    VESSEL / VOYAGE : _______________________ DATE : _______________________
    NO CONTAINER CRANE : _______________________
    ACTIVITY : BONGKAR / MUAT

    SIZE / STATUS
    NO CONTAINER NO REMARKS
    20"FULL 40"FULL 20" MTY 40"MTY
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10

    Dilaksanakan Diketahui
    Berth Superintendent Stevadore Operasional temas Chief Officer
    …………………………… …………………………. ………………………. ……………………..
    BERITA ACARA
    SPECIAL HANDLING CONTAINER IN PORT ( TPS / TTL / BJTI )

    VESSEL / VOYAGE : _______________________ DATE : _______________________


    NO CONTAINER CRANE : _______________________
    ACTIVITY : BONGKAR / MUAT

    SIZE / STATUS
    NO CONTAINER NO REMARKS
    20"FULL 40"FULL 20" MTY 40"MTY
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10

    Dilaksanakan Diketahui
    Berth Superintendent Stevadore Operasional temas Chief Officer
    …………………………… …………………………. ………………………. ……………………..
    BERITA SERAH TERIMA MUATAN

    VESSEL / VOYAGE : _______________________ DATE : _______________________

    CARGO ON BOARD TUJUAN

    x
    x
    x
    x
    x
    x
    x
    x
    x
    x

    TANDA TANGAN
    FOREMAN Chief Officer Operasional

    …………………………… ………………………. ……………………..

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