Appendix 1 – Format for Reporting Alleged Inadequacies of Port Reception Facilitiesfootnote
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Statutory Documents - IMO Publications and Documents - Circulars - Marine Environment Protection Committee - MEPC.1/Circular.834/Rev.1 - Consolidated Guidance for Port Reception Facility Providers and Users (1 March 2018) - Appendix 1 – Format for Reporting Alleged Inadequacies of Port Reception Facilities1

Appendix 1 – Format for Reporting Alleged Inadequacies of Port Reception Facilitiesfootnote

 The master of a ship having encountered difficulties in discharging waste to reception facilities should forward the information below, together with any supporting documentation, to the Administration of the flag State and, if possible, to the competent Authorities in the port State. The flag State shall notify IMO and the port State of the occurrence. The port State should consider the report and respond appropriately informing IMO and the reporting flag State of the outcome of its investigation.

1 SHIP'S PARTICULARS  
1.1 Name of ship: ______________________________
1.2 Owner or operator: ______________________________
1.3 Distinctive number or letters: ______________________________
1.4 IMO Numberfootnote: ______________________________
1.5 Gross tonnage: ______________________________
1.6 Port of registry: ______________________________
1.7 Flag Statefootnote: ______________________________
1.8 Type of ship: ______________________________
  Oil tanker Chemical tanker Bulk carrier
  Other cargo ship Passenger ship Other (specify) __________
       
2 PORT PARTICULARS  
2.1 Country: ______________________________
2.2 Name of port or area: ______________________________
2.3 Location/terminal name:
(e.g. berth/terminal/jetty)
______________________________
2.4 Name of company operating
the reception facility (if applicable):
______________________________
2.5 Type of port operation:  
  Unloading port Loading port Shipyard
  Other (specify) ______________________________
2.6 Date of arrival: __/__/____ (dd/mm/yyyy)  
2.7 Date of occurrence: __/__/____ (dd/mm/yyyy)  
2.8 Date of departure: __/__/____ (dd/mm/yyyy)  
       

  3 INADEQUACY OF FACILITIES

 3.1 Type and amount of wastes/residues for which the port reception facility was inadequate and nature of problems encountered

Type of wastes/residues Amount for discharge (m3) Amount not accepted (m3) Problems encountered
Indicate the problems encountered by using one or more of the following code letters, as appropriate.
A No facility available
B Undue delay
C Use of facility technically not possible
D Inconvenient location
E Vessel had to shift berth involving delay/cost
F Unreasonable charges for use of facilities
G Other (please specify in paragraph 3.2)
MARPOL Annex I-related      
Oily bilge water      
Oily residues (sludge)      
Oily tank washings (slops)      
Dirty ballast water      
Scale and sludge from tank cleaning      
Other (please specify ……………...….)      
MARPOL Annex II-related
Category of NLSfootnote residue/water mixture for discharge to facility from tank washings: 		     
Category X substance      
Category Y substance      
Category Z substance      
MARPOL Annex IV-related
Sewage 		     
MARPOL Annex V-related      
A. Plastics      
B. Food wastes      
C. Domestic wastes      
D. Cooking oil      
E. Incinerator ashes      
F. Operational wastes      
G. Animal carcasses      
H. Fishing gear      
I. E-waste      
J. Cargo residues (non-HME) footnote      
K. Cargo residues (HME)footnote      
MARPOL Annex VI-related      
Ozone-depleting substances and equipment containing such substances      
Exhaust gas-cleaning residues      

  3.2 Additional information with regard to the problems identified in the above table.

  • __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________

  3.3 Did you discuss these problems or report them to the port reception facility?

  • Yes No

  • If Yes, with whom (please specify)

    __________________________________________________________________________________________
    __________________________________________________________________________________________

  • If Yes, what was the response of the port reception facility to your concerns?

    __________________________________________________________________________________________
    __________________________________________________________________________________________

  3.4 Did you give prior notification (in accordance with relevant port requirements) about the vessel's requirements for reception facilities?

  • Yes No Not applicable

  • If Yes, did you receive confirmation on the availability of reception facilities on arrival?

  • Yes No

  4 ADDITIONAL REMARKS/COMMENTS

  • __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________
    __________________________________________________________________________________________




  • ______________________________  
    Master's signature Date: __/__/____ (dd/mm/yyyy)

Parent topic: MEPC.1/Circular.834/Rev.1 - Consolidated Guidance for Port Reception Facility Providers and Users (1 March 2018)
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