Ship Medical Waste Disposal Documentation
Ship Name:
IMO Number:
Date of Disposal:
Port/Location:
Responsible Officer Name & Rank:
Receiving Facility Name:
Medical Waste Details
| Type of Waste |
Quantity |
Unit |
Container Description |
Remarks |
|
|
|
|
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|
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|
|
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Signature of Responsible Officer:
Signature of Receiving Facility Representative:
Date & Time: