|
Date
|
Code
|
Item No.
|
Record of operations/signature of officer in charge
|
| dd-MONTH-yyyy
|
D
|
13
|
xx m3 bilge water from [Name of sec 3.3 Tank &
Designation]
|
|
|
|
|
Capacity xx m3, xx m3 retained
|
|
|
|
14
|
Start: hh:mm, stop: hh:mm
|
|
|
|
15.1
|
Through 15 ppm equipment overboard
|
|
|
|
|
Position start: xx deg xx min N/S, xx deg xx min E/W
|
|
|
|
|
Position stop: xx deg xx min N/S, xx deg xx min E/W
|
|
|
|
|
signed: (Officer-in-charge, Name & Rank) dd-MONTH-yyyy
|