| Vessel Name: |
Date: |
Time: |
Location: |
| Chief Engineer: |
Voyage No.: |
Weather Conditions: |
|
| Check Item | Status | Remarks |
|---|---|---|
| Pumps Operational | ||
| Valve Operation | ||
| Remote Indicators Working | ||
| Level Gauges Checked | ||
| Pipelines Leak Inspection |
| Check Item | Status | Remarks |
|---|---|---|
| Bilge Pumps Operational | ||
| Valves Free and Operable | ||
| Alarms Functioned Test | ||
| Bilge Lines Leak Inspection |
| Chief Engineer: |
Date: |
Master: |
Date: |