Marine Cargo Damage Report
1. Shipment Details
Shipper Name
Consignee Name
Vessel Name / Voyage No.
B/L Number
Container / Package No.
Port of Loading
Port of Discharge
Arrival Date
Survey Date
2. Cargo Information
Description of Goods
Quantity / Weight
Packaging Type
3. Damage Details
Narrative of Damage
Extent of Damage
Estimated Loss (Value)
Cause of Damage (if known)
4. Packaging / Container Condition
Packaging / Container Observations
5. Additional Remarks
6. Surveyor / Inspector
Name
Signature
Date