CONDITION SURVEY REPORT

Part I – General Information & Summary

Index Page
Vessel’s Particulars & Information........................................................................................2
Surveyor’s Summary and Findings.......................................................................................3
List of Deficiencies................................................................................................................4

Name of Ship

Date of Survey: 29/3/2024

Port / Place of Survey: P&V Anchorage, Mumbai

 This entire report, together with its summary of deficiencies and/ or recommendation actions (if any) including any accompanying documentation or photographs
has been compiled for us for the sole use of insurance purposes only and it should not be disclosed to third parties without prior written permission/ consent from
us.
 The information contained in this report including any accompanying documentation or photographs is given in good faith and while it is accurate as far as the
authors are aware, it is not exhaustive as to the general condition of the ship or its completeness and should not be relied upon by any other party as any
assurance, representation or warranty as to the condition of the ship and nothing herein shall prejudice our rights under the insurance policy in the event of a
dispute relating to the condition of the ship.
 We expressly disclaims any liability or responsibility of any type, direct or indirect, including for damage or loss resulting from the use, or misuse, or non-use of any
information contained in it and it is also conditional upon the clear understanding that in no circumstances whatsoever shall we and/ or its insurer be held
responsible and/ or liable for any inaccuracy in this report or information or advice supplied herein or for any act, omission or negligence of its staff or its appointed
surveyor howsoever arising.

Condition Survey Report – Part I_Version 1.1

 Vessel’s Particulars & Information
Name of Vessel: IMO No.:
Port of Registry: Flag:
GT: NT: Type of Vessel:
Call Sign: Official No.:
Summer Draft: m Deadweight (DWT): tonnes
Length [LOA/ LBP]: …../ …..m Depth: …..m Breadth: …...m
Year of Keel Laid: Year of Built/ (Re)Built:
Builder/ Rebuilder: Place of Build:
Registered Owner: Owner’s IMO No.:
Email: Ownership since:
Registered Operator/ Manager: Manager’s IMO No.:
Email: Manager since:
Recognised Organisation (RO):
Recognised Safety/ Securiry Organisation (RSO):
Classification Society: Class No:
Class Notation:
Last bottom inspection date: Last Class H&M special survey date:
Method of inspection: In-Water Survey (IWS)
Current/ Intended trading area:
Last five (5) ports call: .
Last three (3) cargoes carried:
Next Port (if applicable): Next Cargo (if applicable):
Previous Ship’s Name:
Previous Registered Owner:

Survey Organization:
Attending Surveyor(s):
Name of owner’s rep: Master of the Vessel (Shipboard Rep.)

Name of accompanied rep. during inspection/ test: Master/ Chief Engineer (Shipboard Rep.) –

Other Attendee(s) if applicable:

Vessel’s condition: Afloat1 Anchored1
Ballasted only1
Type of cargo handled at time of inspection (if applicable):
Was the Master informed/ awared of the scheduled inspection? Yes
Time Survey commenced: Time Survey Completed:
Language survey conducted (Main): Working Language of the vessel:

1
If others, please specify

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 Surveyor’s Summary and Findings

Areas not inspected (NI)

Areas not covered during the current inspection and any items marked NI (giving details of item number and description), including the
reason for not carrying out a full inspection and recommendation forward actions deem necessary based on the general observation
and indication, should be stated below.

Condition Survey Report – Part I_Version 1.1 Page 3 of 5

 Areas not inspected (NI)
Areas not covered during the current inspection and any items marked NI (giving details of item number and description), including the
reason for not carrying out a full inspection and recommendation forward actions deem necessary based on the general observation
and indication, should be stated below.

Condition Survey Report – Part I_Version 1.1 Page 4 of 5

 List of Deficiencies
Name of Vessel: IMO/ Official No.:

Total deficiencies Total pages: Page No.:

# Description of Deficiency Nature Remarks

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Non-accomplished Inspections (if any). Start numbering with an ‘X’ (x.1, x.2 etc).#
X....
X....
X....
X....

Issued by/ on behalf of:

Commercial address:
Telephone No.: Fax No.:
Email:
For receipt on behalf of the vessel
Surveyor’s Name: Master’s Name:
(signature & official stamp) (signature & vessel’s stamp)

Date: Date:

# #
To add row, please click on the last existing row of the section and then click on the “+” at the bottom right of to add row

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