Vessel Survey Report (VSR)

• Document Reference (YY MM DD WB000 VSR)

• Prepared By

  Lee Chisnall

  Luke Cooke

  Wayne Challis

  Liam Challis

  Louis Challis

• Date & Time of Survey

  Date

Project Details

• Charterers

• Location

• Asset Name

  Select Haven Sun Haven Moon Haven Shore Haven Sand Haven / Nato 1 Haven / Nato 2 Haven / Nato 3 Nato 4 Challis 10 Challis 1 Challis 2 Taska 1 TM Sky

  • Haven Sun
  • Haven Moon
  • Haven Shore
  • Haven Sand
  • Haven / Nato 1
  • Haven / Nato 2
  • Haven / Nato 3
  • Nato 4
  • Challis 10
  • Challis 1
  • Challis 2
  • Taska 1
  • TM Sky

• Asset Number

  Select WB001 WB004 WB006 WB007 WB008 WB009 WB010 WB011 WB012 WB013 WB015 WB017 WB023

  • WB001
  • WB004
  • WB006
  • WB007
  • WB008
  • WB009
  • WB010
  • WB011
  • WB012
  • WB013
  • WB015
  • WB017
  • WB023

• Type of Survey

  On Hire

  Off Hire

  General Condition

• Place of Survey

• Surveyed By

  Select Lee Chisnall Luke Cooke Wayne Challis Liam Challis Louis Challis

  • Lee Chisnall
  • Luke Cooke
  • Wayne Challis
  • Liam Challis
  • Louis Challis

• Survey Notes

General Condition

• General Condition Photographs

  Media

• Hull Bow

  Good

  Fair

  Poor

  N/A

• Push Bow Fenders

  Good

  Fair

  Poor

  N/A

• Hull Port

  Good

  Fair

  Poor

  N/A

• Hull Stern

  Good

  Fair

  Poor

  N/A

• Hull Starboard

  Good

  Fair

  Poor

  N/A

• Fenders

  Good

  Fair

  Poor

  N/A

• Propeller(s)

  Good

  Fair

  Poor

  N/A

• Rudder Blade

  Good

  Fair

  Poor

  N/A

• Deck

  Good

  Fair

  Poor

  N/A

• Deck Hatches

  Good

  Fair

  Poor

  N/A

• Wheelhouse / Helm

  Good

  Fair

  Poor

  N/A

• Main H-Bitt / Towing Hook

  Good

  Fair

  Poor

  N/A

• Mooring Bollards

  Good

  Fair

  Poor

  N/A

• Handrails

  Good

  Fair

  Poor

  N/A

• Engine / Engine Room

  Good

  Fair

  Poor

  N/A

• Engine Details

Engine

• Engine Side

  Port

  Starboard

• Engine Hours

• Fuel Level

  Select Empty 1/4 Full 1/3 Tank 1/2 Tank 2/3 Tank 3/4 Tank Full

  • Empty
  • 1/4 Full
  • 1/3 Tank
  • 1/2 Tank
  • 2/3 Tank
  • 3/4 Tank
  • Full

Deck Equipment

• Anchor(s)

  Good

  Fair

  Poor

  N/A

• Quantity

• Winches(s)

  Good

  Fair

  Poor

  N/A

• Quantity

• Navigation Lights

  Good

  Fair

  Poor

  N/A

• Windscreen Wipers

  Good

  Fair

  Poor

  N/A

• Towing Rope(s)

  Good

  Fair

  Poor

  N/A

• Quantity

• Mooring Rope(s)

  Good

  Fair

  Poor

  N/A

• Quantity

• Spill Kit(s)

  Good

  Fair

  Poor

  N/A

• Quantity

• Lifting Accessories

  Good

  Fair

  Poor

  N/A

• Lifting Equipment Details

Lifting Accessory

• Quantity

• Serial / ID Number(s)

• Type

  Webbing Sling

  Chain Sling

  Bow Shackle

  Dee Shackle

  Wire Rope Sling

• Detail (i.e. Length, width, S.W.L)

• Is the Certificate present and correct?

• Date of Next Examination

  Date

Safety Equipment

• Life Ring / Perry Buoy(s)

  Good

  Fair

  Poor

  N/A

• Quantity

• Light Details

Light

• Expiry Date

  Date

• Life Jackets

  Good

  Fair

  Poor

  N/A

• Life Jacket Details

Life Jacket

• Quantity

• Light Expiry Date

  Date

• Life Raft(s)

  Good

  Fair

  Poor

  N/A

• Quantity

• Life Raft Details

Life Raft

• Serial Number

• Person

• Date of Next Inspection

  Date

• Hydrostatic Release

  Good

  Fair

  Poor

  N/A

• Quantity

• Hydrostatic Release Details

Hydrostatic Release

• Serial Number

• Date of Next Inspection

  Date

• Coastal Flare Pack

  Good

  Fair

  Poor

  N/A

• Flare Information

Flare

• Flare Type

  Select Red Parachute Red Hand Held Flares Orange Hand Held Flares Orange Smoke Signal Flares

  • Red Parachute
  • Red Hand Held Flares
  • Orange Hand Held Flares
  • Orange Smoke Signal Flares

• Quantity

• Expiry Date

  Date

• Thermal Protective Aids

  Good

  Fair

  Poor

  N/A

• Quantity

• Fire Extinguishers

  Good

  Fair

  Poor

  N/A

• Extinguisher Details

Fire Extinguishers

• Quantity

• Type

  ABC Powder

  Foam

  Carbon Dioxide

  Water

  Wet Chemical

• Size

  Select 1KG 2KG 4KG 6KG 5KG 2L 3L 6L 9L Fixed System

  • 1KG
  • 2KG
  • 4KG
  • 6KG
  • 5KG
  • 2L
  • 3L
  • 6L
  • 9L
  • Fixed System

• Expiry Date

  Date

• Fire Bucket(s)

  Good

  Fair

  Poor

  N/A

• Quantity

• Safety Harness

  Good

  Fair

  Poor

  N/A

• Quantity

• Lanyards

  Good

  Fair

  Poor

  N/A

• Quantity

• First Aid Kit

  Good

  Fair

  Poor

  N/A

• Quantity

• First Aid Kit Details

First Aid Kit

• Type

• Expiry Date

  Date

• Oars

  Good

  Fair

  Poor

  N/A

• Quantity

• Daylight Signals

  Good

  Fair

  Poor

  N/A

• SOLAS Signal Table

  Good

  Fair

  Poor

  N/A

• Quantity

• ALMANAC

  Good

  Fair

  Poor

  N/A

• Quantity

• Fog Horn

  Good

  Fair

  Poor

  N/A

• Quantity

• Compass

  Good

  Fair

  Poor

  N/A

• Quantity

• Torch

  Good

  Fair

  Poor

  N/A

• Quantity

• Maintenance Recommendations

• Comments / Remarks

Taska Marine Report Declaration

• I declare that this report is a true reflection of the referenced vessels condition. The images were taken during the survey on the date referenced at the start of this report.

• Lee Chisnall

  Luke Cooke

  Wayne Challis

  Liam Challis

  Louis Challis

• Signature

  Sign

• Select date

  Date

Client Representative Declaration

• I declare this to be an accurate and true reflection of the condition of the referenced vessel at the time of the survey.

• Name

• Signature

  Sign

• Select date

  Date