Bulk Liquid Cargo Damage Report Form
Date of Report
Report Number
Vessel/Ship Name
Voyage Number
Port
Terminal/Berth
Cargo Type
Quantity (MT/Barrels)
Cargo Tank(s) / Compartment(s) Involved
Nature of Damage
Suspected Cause of Damage
Extent of Damage
Actions Taken
Additional Remarks
Reported By
Position
Signature