Shipboard Oil Record Book Entry Form
for Bilge Water Discharge
Date of Operation
Time (Ship's Time)
Position (Latitude/Longitude or Port)
Tank or Space from which Bilge Water was Discharged
Quantity Discharged (m³ or liters)
Method of Discharge (e.g., Oily Water Separator)
Oil Content (ppm)
Overboard Discharge Valve (Open/Closed)
Open
Closed
Officer in Charge (Name & Rank)
Remarks
Signature