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  • E-22 - Landing Items Ashore

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    This document is a safety management system manual form for recording information when landing items from a ship ashore for repair. It includes fields to document the name of the landed item, ship details, date and port of landing, reason for landing, description of damage, receiver details, and receipt details upon return onboard. Additional documents and sketches can be attached if necessary. The form must be signed by the chief of department and master.

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    This document is a safety management system manual form for recording information when landing items from a ship ashore for repair. It includes fields to document the name of the landed item, ship details, date and port of landing, reason for landing, description of damage, receiver details, and receipt details upon return onboard. Additional documents and sketches can be attached if necessary. The form must be signed by the chief of department and master.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2 views1 page

    E-22 - Landing Items Ashore

    Uploaded by

    ghonwa hammod
    This document is a safety management system manual form for recording information when landing items from a ship ashore for repair. It includes fields to document the name of the landed item, ship details, date and port of landing, reason for landing, description of damage, receiver details, and receipt details upon return onboard. Additional documents and sketches can be attached if necessary. The form must be signed by the chief of department and master.

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    of 1

    Eikano Shipping & Trading SA .

    Date DEC 2020


    SAFETY MANAGEMENT SYSTEM MANUAL Issue 01
    LANDING ITEMS ASHORE Form No. E-22

    Landing Items Ashore


    ‫اﺧﺮاج ﻗﻄﻊ ﻟﻼﺻﻼح ﻓﻲ اﻟﺒﺮ‬

    M.V. Osprey Bulker Department : Deck ‫اﻟﺴﻄﺢ‬


    ‫اﺳﻢ اﻟﺴﻔﯿﻨﺔ‬ ‫ اﻟﻘﺴﻢ‬Engine ‫اﻟﻤﺤﺮﻛﺎت‬

    Landed Item Report No.:


    ‫اﺳﻢ اﻟﻘﻄﻌﺔ‬ ‫رﻗﻢ اﻟﺘﻘﺮﯾﺮ‬

    Date of Landing : Port of:


    ‫إرﺳﺎل اﻟﻘﻄﻌﺔ‬ ‫ﻣﯿﻨﺎء‬
    Detail of the item to be landed: ‫ﺗﻔﺎﺻﯿﻞ ﻋﻦ اﻟﻘﻄﻌﺔ اﻟﻤﻄﻠﻮب إرﺳﺎﻟﮭﺎ إﻟﻰ اﻟﻮرش اﻟﺨﺎرﺟﯿﺔ‬

    Additional Details:............................................................................................................................................. ‫ﺗﻔﺎﺻﯿﻞ اﺧﺮى‬


    Reasons for landing: (Recondition, Repair, etc.) (.‫اﻟﺦ‬،‫ إﺻﻼح‬،‫أﺳﺒﺎب إرﺳﺎل اﻟﻘﻄﻊ إﻟﻰ اﻟﻮرش اﻟﺨﺎرﺟﯿﺔ )إﻋﺎدة ﺗﺄھﯿﻞ‬

    Description of the damage for the item to be landed ‫ﺑﯿﺎن اﻷﻋﻄﺎل اﻟﻼﺣﻘﺔ ﺑﺎﻟﻘﻄﻌﺔ اﻟﻤﺮﺳﻠﺔ‬

    Name and address of the receiver of the item ashore ‫إﺳﻢ وﻋﻨﻮان ﻣﺴﺘﻠﻢ ھﺬه اﻟﻘﻄﻌﺔ‬

    To be filled on receiving the item on board: (state the condition of receiving)


    (‫ﯾﺠﺐ إﻣﻼء ھﺬه اﻟﺨﺎﻧﺔ ﻋﻨﺪ اﺳﺘﻼم اﻟﻘﻄﻌﺔ اﻟﻤﺮﺳﻠﺔ إﻟﻰ اﻟﺴﻔﯿﻨﺔ )ﯾﺠﺐ ﺑﯿﺎن ﺣﺎﻟﺔ اﻟﻘﻄﻊ اﻟﻤﺴﺘﻠﻤﺔ‬

    Date of Receive: Port:


    ‫ﺗﺎرﯾﺦ اﻻﺳﺘﻼم‬ ‫اﻟﻤﯿﻨﺎء‬

    * Attach other papers and sketch if necessary ‫ﯾﻤﻜﻦ إرﻓﺎق رﺳﻮﻣﺎت وأوراق أﺧﺮى ﻋﻨﺪ اﻟﻀﺮورة‬
    Chief of Department Master
    ‫رﺋﯿﺲ اﻟﻘﺴﻢ‬ ‫اﻟﺮﺑﺎن‬

    Issued: 1st July 2018, Revision 0. Prepared by D.P.A. Page 1 of 1

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