Oil Tanker Ballast Water Inspection Report
Vessel Information
Vessel Name
IMO Number
Call Sign
Flag
Port of Registry
Inspection Details
Date
Time
Location
Inspector Name
Inspector Organization
Ballast Water Information
Number of Ballast Tanks Inspected
Total Ballast Water Capacity (m³)
Ballast Water Management System Type
Ballast Water Exchange Performed?
Yes
No
Details of Exchange / Treatment Performed
Tank Condition
Tank
Ballast Water Present
Condition Observed
Observations
Deficiencies / Remarks
Inspector's Signature
Date
Signature