Inspecao de Poroes - RQ / OP - 001

• Numero do documento / Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Inspecao de Poroes / Holds Inspections

Ao / To the

• Master / Chief Officer of MV:

• Bandeira / Flag:

• Porto / In Port:

• Berco / Shed:

Informacoes de Atracacao / Arrival information's

• Solicitamos a gentileza de nos prestar as seguintes informacoes / We kindly beg you to give us the folowing information's.

• Chegada do navio (Barra) / Vessel's arrival outteroads:

  Date

• Piloto a bordo / Pilot on bord:

  Date

• Atracacao / Vessel berth:

  Date

• Calados / Draft:

• Vante / FWD:

• Re / AFD:

• 4 Ultimas cargas / 4 Last cargoes

• Ultima Carga / Last Cargo:

• Penultima Carga / 2nd Cargo

• Antepenultima Carga / 3rd Cargo

• Anterior a antepenultima carga / 4th Cargo

• Portos / Ports

• Ultimo porto / Last port:

• Proximo porto / Next port

Inspecao / Inspection

• Inicio / Commenced:

  Date

• O porao foi inspecionado? / The hold was inspected?

#Porao / #Hold

• Fotos do porao: / Hold pictures:

  Media

• Termino / Completed:

  Date

• Termino / Completed:

  Date

• Certificamos que os poroes / We certify that the holds

• estavam vazios, secos, limpos e em condicoes adequadas para o recebimento e tranporte das cargas de:/ were found emoty, dry, clean and in suitabl condition to receive and carry the cargo of:

Embarque / Loading

• Inicio: / Commenced:

  Date

• Porao: / Hold:

• Plano de Carga: / Cargo Plan:

#Porao / #Hold

• Quantidade: / Amount:

• Capacidade dos Poroes: / Holds Capacity:

• Unidade de Medida: /

  Pes cubicos / Cubic feet

  Metros cubicos / Cubic meter

Assinaturas: / Signatures:

• Sao Francisco do Sul,

  Date

• Schutter do Brasil Surveyor

  Sign

• Vessel's Stamp

  Media

• Officer (Rank & Signature)

  Sign