Title Page
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Are your reporting a defect or non-conformity?
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Conducted on
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Vessel name
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Prepared by
Description of the defect or non-conformity
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Describe the non-conformity or defect/problem with equipment, machinery, etc.
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undefined
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Describe the corrective action (time frame for completion, action taken on board, company action required, parts required, outside contractors, etc.)
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section for shore-based management
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Describe the corrective action taken or required:
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undefined
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Corrective Action Resolution Date
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Accepted by:
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Verified by:
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Date
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Siganture
