standard formulir aktivitas kapal di pelabuhan
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7/25/2019 Standard Formulir Aktivitas Kapal Di Pelabuhan
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7/25/2019 Standard Formulir Aktivitas Kapal Di Pelabuhan
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PT PERTAMINA (PERSERO)SHIPPINGMARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
COMPARTMENT LOGSHEETAFTER/BEFORE/LOADING/DISCHARGING
VESSELS NAME : DRAFT (Mtr) F M A
PORT / DATE : BEFORE LOAD / DISCH :
VOYAGE : AFTER LOAD / DISCH :
LOADING MASTER PT. PERTAMINA (PERSERO) CHIEF OFFICERShipping Representative/Agent
CARGOTANKS
NO
TANK OBSERVATION SAMPLES OBSDENSITY@ 15C
(TABLE 53)
VOL CORFACTOR
(TABLE 54)
NET KL@ 15C
VOLUMECONV
FACTOR(TABLE 52)
BARRELS@60F
WEIGHTCONV
FACTOR(TABLE 57)
LONGTONS
METRTONGRADE
CORRULL
GROSSVOL (KL)
FREE WATER NETVOL(KL)
DENSTEMP(oC )DIP
VOL(KL)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17PORT
1
2
3
4
5
6
7
8
CENTER
1
2
3
4
5
6
7
8
STBD
1
2
3
4
5
6
7
8
TOTAL
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
DELIVERY CERTIFICATE
It was also agreed at that time that the vessel had onboard bunker and freshwateras follows :
Marine Fuel Oil : Metric Ton.
Marine Diesel Oil : Metric Ton.
Autogas (HSD) : Metric Ton.
Fresh Water : Ton.
Port
:Date :
PT PERTAMINA (PERSERO) Master MT / SS / TB
Representative
(For and on behalf of Charterer) (For and on behalf of Owner)
This is to certify that MT / SS / TB : Call Sign
Flag : Gross Tons : was duly delivered
by the Master (for and on behalf of Owner), to and accepted byPT PERTAMINA (PERSERO)
(for and on behalf of Charterer), at
hours local time, on
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Name of Ship Disch. Port
Voy No. F : . . . . . . . .
Date Loading Port M : . . . . . . . .
Berth/Jetty A : . . . . . . . .
:
:
:
:
Load/Disch. Rate / Pressure at Manifold as Agreement : . . . . . . . . . . . . .KL/hrs - . . . . . . . . . . .kg/cm2
Remark :
Note :
Line : Pipa (muat / bongkar) SFBD : Ship's Figure Beofore Discharge F : Forward (depan)
LA : Loading Arm (pipa muat) Voy No.: Voyage No. (No. Pelayaran) M : Mid (tengah)
COP : Cargo Oil Pump (pompa utama) KL Obs : Kilo Liter Observasi (pengamatan) A : After (belakang)
Line : Diameter pipa dalam inchi Shore : Darat Hrs : Jam
Grade : Jenis Muatan
Berth/Jetty : Nama tempat sandar (dermaga/SBM)
- Kegiatan bongkar harus direcord dalam pumping log dan ditandatangani pihak kapal dan pihak darat.
-
Line= inchiGrade
1.
Estimated Completed Load/Disch. time
(including stripping):
3.
. . . . . . . . . . . . . . . . . . .hrs
RECEIVING AVAILABILITY AND CAPACITY
Shore Ship's
kg/cm2kg/cm2
M
PT. PERTAMINA (PERSERO)
DIREKTORAT PEMASARAN DAN NIAGA - PERKAPALAN
LOADING/DISCHARGING AGREEMENT
COP
2.
Quantity Load/Dis
in KL ObsLine = inchi
. . . . . . . . . . . . . . . . . . . . . . . . .
: . . . . . . . . . . . . . . . . . . . . . . . . . .
: . . . . . . . . . . . . . . . . . . . . . . . . . .
: . . . . . . . . . . . . . . . . . . . . . . . . . .
: . . . . . . . . . . . . . . . . . . . . . . . . . .
Draft
M
. . . . . . . . . . . . . . . . . . .
In the event the discharging rate/pressure at manifold of the vessel is below the agreement mention above
then the vessel will be claim for slow pumping, if the slow pumping is caused by the vessel fault.
M
Loading Master
Pressure
C O P use
Line(LA) use &
Load/Disch. Rate
Penurunan tekanan / rate atas permintaan darat/kapal harus dibuat secara tertulis dan ditandatangani pihak kapadarat
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
: . . . . . . . . . . . . . . . . . . . . . .
: . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
KL/hrs KL/hrs
Total Quantity Load/ Discharge =
Master
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
DRY CERTIFICATE(After Discharging)
To:
I, the Loading Master, have inspected all ships tanksat hours local time, on 20
and found dry & empty.
All cargo on board has been delivered in good order and condition
Remark:Quantity of ROB :
or OBQ
Yours truly,
Loading Master
To Loading Master,
We confirmed acceptance of your written dry certificate at
hours local time, on
Yours truly,
Master
PORT:
DATE: 20
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
DRY CERTIFICATE(Before Loading)
To:
I, the Master of , have inspected all ships tanks
at hours local time, on 20
and found dry & clear.
And ready to commence loading of the cargo
Remark:Quantity of ROB :
or OBQ :
Yours truly,
Master
To Master of MT,
We confirmed acceptance of your written dry certificate at
hours local time On
Yours truly,
Loading Master
PORT:
DATE: 20
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PT PERTAMINA (PERSERO)SHIPPINGMARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
INSPECTION RECORD
SHIPS COMP.
BOTTOM WALL VALVE HEATING COILS HEATING COILS
EmptyFree
WaterClean D/S/WP Clean D/S/WP O/C Sealed
SealedNumber
D/S Leak Empty Content
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
PORT 1
2
34
5
6
7
8
CENTER 1
2
3
4
5
6
7
8
STBD 1
2
3
4
5
6
7
8
Cofferdam
Slop Tank
Fore Peak Tank
After Peak Tank
Notes: Oil Inspector for Cleanliness : P&T Agent Oil Inspector/ Loading Master Mualim I / Chief Officer
Loading Master: for Cargo
Discharging Master
Discharging Master
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
SURAT PERBEDAAN ANGKA MUATAN
LETTER OF DISCREPANCY
Tanggal:
Date
Voyage :
Pelabuhan:
Port
Kepada:
To
Dari Nakhoda:
From Master
Setelah pengecekan kembali dengan teliti figuresmuatan yang dimuat serta disesuaikan dengan draftdan deadweight dari kapal kami, maka terdapatperbedaan lebih dari setengah () persen antara B/Lfigures dengan ships figures dengan perinciansebagai berikut :
After having been rechecked the figures of thecargo loaded carefully and compared it with thedraft and deadweight of our vessel, a differenceof more than half () percent between B/L andthe ships figures has been found as follows :
Jenis Angka Kapal No. dan angka B/L Selisih
Grade Ship Figures No. and B/L figures Difference
Bbls Bbls %
Bbls Bbls %
Bbls Bbls %
Berdasarkan figures tersebut diatas dengan ini kamimenyatakan bahwa B/L telah kami tandatanganidibawah protes dengan ketentuan bahwa kapaltidak dapat dipertanggung jawabkan atas figurespembongkaran pada pelabuhan bongkar.
Catatan :
Tanker Ullage Report pertama dan kedua diukur
dan dihitung bersama-sama Loading Master sertaAgen dan telah diserahkan ke perwakilan/AgenPT. PERTAMINA (PERSERO).
Base on above mentioned figures, we here bydeclare that the B/L has been signed underprotest, notably that the ship could not be holdresponsible for the outturn figures at thedischarging port.
Remarks :
The first and the second Tanker Ullage Report
already measure and calculated together withLoading Master and Agent and send toPT. PERTAMINA (PERSERO) Representative.
Hormat kami Diketahui
Yours faithfully Known by
NakhodaPT PERTAMINA (PERSERO)
Representative
Master
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
LETTER OF PROTEST
Slow Pumping
DATE :
PORT :
BERTH :
To :
As recorded, that my vessel is capable to loading / discharging cargo at
TONS/BBLS/M per hour with
line inches connection. However, shore can only supply /receive of
TONS/BBLS/M3per hour
line. Equivalent to hours actual loading /discharging time.
In view of the foregoing, I Master of MT protest the delay of
loading / discharging and on behalf of my Owners and Consignee / Charterer reserves
their right to claim you for all time losses and expenses incured, if any, and that such
claims to forthcome at an appropriate time and place my principal deemed it.
Loading Master Master / Duty Officer
Port of :
Date :
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PT PERTAMINA (PERSERO)SHIPPINGMARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
LOG ABSTRACT(The voyage should cover the period End of Sea Voyage as per Log at first Loading Port until return same position Next Loading Port, after discharging all cargo)
VESSEL NAME : VOYAGE NO :
PORT TIME : (Loading / Discharging)
PortEnd of Sea Voyage Begin Of Sea Voyage Port Time
(Hours)
Cargo Load / Disch. (Long Ton)Activity Date Time Description Hours
Fuel & FW Counsumption (MT)
Date Time Date Time B / L SFAL/SFBD Grade MFO MDO HSD FW
St. by. Eng. (EOSV) Steaming in/out
FWE Idle
St. by. Eng. Load/ Disch
FWE Ballast/ Deballast
Remark : Comm. Load/Disc. Cargo HeatingComplt. Load/Disc. IGS
St. by. Eng. Total
FWE
St. by. Eng. ROB ATA
Full Away (BOSV) ROB ATD
REPLENISHMENT
SEA PASSAGE : (Laden / Ballast)
From
(BOSV)
To
(EOSV)
Distance
(Miles)
Steaming
Time (Hours)
Av. Speed
(Knots)
Fuel & FW Consumption (MT) Description Hours
MFO MDO HSD FW Heat
Port: Port: Tk. Clean
Date: Time: Date: Time: IGS
PORT TIME : (Loading / Discharging)
PortEnd of Sea Voyage Begin Of Sea Voyage Port Time
(Hours)
Cargo Load / Disch. (Long Ton)Activity Date Time Description Hours
Fuel & FW Counsumption (MT)
Date Time Date Time B / L SFAL/SFBD Grade MFO MDO HSD FW
St. by. Eng. (EOSV) Steaming in/out
FWE Idle
St. by. Eng. Load/ Disch
FWE Ballast/ Deballast
Remark : Comm. Load/Disc. Cargo Heating
Complt. Load/Disc. IGS
St. by. Eng. Total
FWE
St. by. Eng. ROB ATA
Full Away (BOSV) ROB ATDREPLENISHMENT
SEA PASSAGE : (Laden / Ballast)
From(BOSV)
To(EOSV)
Distance(Miles)
SteamingTime (Hours)
Av. Speed(Knots)
Fuel & FW Consumption (MT) Description Hours
MFO MDO HSD FW Heat
Port: Port: Tk. Clean
Date: Time: Date: Time: IGS
State exast periods of delay caused by accident engine troublecrewheavy weather and the like :
Deviation to storing and / or repair port :
Master :
Distance to go at time of deviation to next loading / discharging port : Miles.
lace / Point of Deviation Date / Hour
Returned to point of deviation or corresponding position Date / Hour
Actual periode of deviation : Days Hour Chief Engineer :
Bunker and F.W. consumed during the deviation periode FO : DO : HSD : FW :
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
RE : DEPARTURE MASTER CABLE
ROC. 1863 / OT II DATED 18 / 08 / 1999 AS TO GET A COMPLETE DEPARTURE
MESSAGE. YOU ARE REQUESTED TO ADVISE ALL DETAILS BELOW AT THE FIRST
PRIORITY FOR EACH ACTIVITY:
AA.
BB.
CC.
DD.
EE.
FF.
GG.
DD.
EE.
FF.
GG.
HH.
II.
JJ.
KK.
LL.
MM.
NN.
OO.
PP.
QQ.
RR.
SS.
TT.
UU.
VV.
WW.
XX.
YY.
THANKS FOR YOUR ATTENTION COOPERATION ACK REGARDS.
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PT PERTAMINA (PERSERO)SHIPPINGMARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
MASTERS REQUISITION
Port :
Date :
Dear Sir :Please supply my vessel the as / my : With,
MARINE FUEL OIL KL / MT
Maximum viscosity redwood 1 @ 100 o F Seconds
Rate per hour for delivery
MARINE DIESEL FUEL KL / MT
Rate per hour for delivery
GAS OIL KL / MT
Rate per hour for delivery
DRINGKING WATER Tons
BOILER WATER Tons
And charge same to my Principals namely :
I require the grades to be supplied in the following order :And * will / * will not appoint a representative to withness and check either the opening and closing meterreadings/ calculations or if meters no available, the opening and closing tank dips/calculations onlybehalf.The ship / * there will give the final stop pumping signal.
Your very truly
Master MT :
( )
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
NOTICE OF READINESS
Voy. No.
PORT :
DATE :
TIME TENDERED :
To:
Dear Sir,
I hereby tender you the MT
at the date time shown above as being ready in all respect to commence the
loading/ discharging of her cargo
consisting of:
Description of cargo Approximate amount/Bill of Lading quantity
Laytime will commence as specified in the charter party covering this voyage
ACCEPTED Very truly yours
Date : Hour:
By :as Agent Master
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
NOTICE OF SEALINGNo :
After completing : cargo
Loaded in tank :
Of the MV / MT :
On the :
The following valves and tanklide were sealed by Loading
Number and name valves/tanklide sealed :: pcs
: pcs
: pcs
: pcs
: pcs
: pcs
: pcs
: pcs: pcs
: pcs
: pcs
Total : pcs
20
Scaling Acknowledge by : Signature
Chief Engineer Loading Master
Cc : ConsigneeChief OfficerPelsusInst. Tank
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 11
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
OFF HIRE CERTIFICATE
This is to certify that MT / SS / TB :
Call Sign: Flag :
DWT : was dulyoff hire by PT PERTAMINA (PERSERO)
(for and on behalf of Charterer), to and accepted by Master (for and on behalf of
owner), at hours local time, on
It was also agreed at that time that the vessel had onboard bunker and freshwater
as follows :
Marine Fuel Oil (180cst/380cst)* : Metric Ton.
Marine Diesel Oil : Metric Ton.
Autogas (HSD) : Metric Ton.
Marine Gas Oil (MGO) : Metric Ton.
Fresh Water : Ton.
*)coret yang tidak perlu
Port :
Date :
Master MT / SS / TB PT PERTAMINA (PERSERO)Representative
(For and on behalf of Owner) (For and on behalf of Charterer)
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
LAPORAN PEMERIKSAAN PENCEGAHAN TUMPAHAN MINYAK DI PERAIRAN
1. Kapal Terminal
2. Pemilik Kapal
3. Dioperasikan oleh
4. Agen Nama Alamat
5. Nama Nakhoda
6. Tiba di Tgl jam
Di dermaga Tgl jam
7. Berlabuh jangkar dari jam Tgl sampai jam Tgl
8. Jenis muatan
9. Apakah Oil Boom dipasang
10. Apakah kerangan-kerangan pipa pembuangan air ballast kotor / air got ke laut tertutup rapat sebelum
penyegelan
11. Apakah semua penutup lubang untuk mengukur minyak di tangki muatan (ullage cover screens) ada pada
tempatnya sebelum pemompaan dimulai
12. Jumlah segel yang digunakan
13. Jumlah dispersant yang ada di kapal
Jenis Merk Pabrik
14. Tanda tangan Perwira dan Pemeriksa Darat yang melaksanakan penyegelan :
( ) ( )
Perwira Kapal Pemeriksa Darat
15. Apakah saluran pembuangan air dekkapal sudah disumbat sebelumpompa dihidupkan
Apakah talang penadah tumpahanminyak berada dibawah manifoldkapal
Apakah talang penadah tumpahanminyak untuk kapal tersedia di darat.
16. Slang terakhir telah terpasang jam tgl 20
Pembongkaran/pemuatan dimulai jam tgl 20
17. Selesai pembongkaran/pemuatan jam tgl 20
Slang terakhir dilepas jam tgl 20
Apakah ujung slang terakhir telah tertutup rapat waktu dimulainya pemompaan ballast diatas kapal
sebelum diturunkan ke darat jam tgl 20
Waktu segel dibuka untuk pengisian air ballast apakah segel-segel masih utuh sebelum dibuka
jam tgl 20
18. Tanda tangan Perwira Kapal dan Pemeriksa Darat waktu membuka segel :
( ) ( )
Perwira Kapal Pemeriksa Darat
19. Apakah saluran pembuangan airdek kapal sudah disumbatsebelum pompa dihidupkan
Apakah talang penadah tumpahanminyak berada dibawah manifold kapal
Apakah talang penadah tumpahanminyak untuk kapal tersedia di darat.
20. Bilamana ada minyak terlihat diatas air disekitar kapalberikan laporan terperinci dibawah ini :
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
ON HIRE CERTIFICATE
This is to certify that MT / SS/ TB :
Call Sign: Flag :
DWT : was dulyon hire by the Master
(for and on behalf of Owner) to and accepted by PT PERTAMINA (PERSERO)
(for and on behalf of Charterer),
at hours local time, on
It was also agreed at that time that the vessel had onboard bunker and fresh water
as follows :
Marine Fuel Oil (180cst/380cst)* : Metric Ton.
Marine Diesel Oil : Metric Ton.
Autogas (HSD) : Metric Ton.
Marine Gas Oil (MGO) : Metric Ton.
Fresh Water : Ton.
*)coret yang tidak perlu
PT PERTAMINA (PERSERO) Master MT / SS / TBRepresentative
(For and on behalf of Charterer) (For and on behalf of Owner)
Port :Date :
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
ON HIRE CERTIFICATE
This is to certify that MT / TT/ TB :
Call Sign: Flag :
DWT : was dulyon hire by the Master
(for and on behalf of Owner) to and accepted by PT PERTAMINA (PERSERO)
(for and on behalf of Charterer),
at hours local time, on
It was also agreed at that time that the vessel had onboard bunker and fresh water
as follows :
Marine Fuel Oil : Metric Ton.
Marine Diesel Oil : Metric Ton.
Auto as HSD : Metric Ton.
Fresh Water : Ton.
PT PERTAMINA (PERSERO) Master MT / TT / TBRepresentative
(For and on behalf of Charterer) (For and on behalf of Owner)
Port :
Date :
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MT PRESS ALLOW BY SHORE ON HOSE : kg/m2
PORT OF DATE AVERAGE PRESS MAINTAINED SHIP RAIL : kg/m2
NO OF PUMP NORMAL SERV. RPM NO OF HOSE : SIZE : inches
SHORE LINES NO : SIZE : inches
RPM
PRESS
AT RAIL
(kg/cm2)
PUMPING
RATE
(m3/h)
RPM
PRESS
AT RAIL
(kg/cm2)
PUMPING
RATE
(m3/h)
RPM
PRESS
AT RAIL
(kg/cm2)
PUMPING
RATE
(m3/h)
RPM
PRESS
AT RAIL
(kg/cm2)
PUMPING
RATE
(m3/h)
NOSG/
DENSITY
1 DATE HOUR MINUTE DATE HOUR MINUTE
2
3
4
5
6
7
PRESSURE RECORDED SHIP' RAIL / UPPER PUMP ROOM / LOWER PUMP ROOM :
IF ANY PUMP WAS NOT IN OPERATION ADVISE REASON :
IF DISCHARGEING INTERUPTED ADVISE REASON :
IF NORMAL RPM WERE NOT MAINTAINED ADVISE REASON :IF ANY DELAY INCURRED DUE TO SHORE ORDER ATTACH WRITTEN INSTRUCTION :
PT PERTAMINA (PERSERO) CHIEF OFFICER MASTER
DATE HOURS
MAIN PUMP NO.3MAIN PUMP NO.1 MAIN PUMP NO.2
REMARKS
MAIN PUMP NO.4
::
PT PERTAMINA (PERSERO)
SHIPPING OPERATION DIVISION, PT PERTAMINA (PERSERO) HEAD OFFICE 11TH
Floor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816369, 3816353, 3816217. Fax : 3455430, 3816348, 3507121
E-mail: opstanker@pertaminashipping.com
CARGO GRADE AND
QUANTITY
TEMP OBSERVED
(oC)
PUMPING / DISCHARGE LOG
SHIPPING - MARKETING & TRADING DIRECTORATE
:
::
COMMENCED DISCHARGE COMPLETED DISCHARGE DISCH.
TIME
STOP DISCHARGE TOTAL
STOPREASON
FROM TO
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 11
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
REDELIVERY CERTIFICATE
This is to certify that MT / SS / TB : Call Sign :
Flag : DWT : was duly redel ivered by
PT PERTAMINA PERSERO
(for and on behalf of Charterer), to and accepted by Master (for and on behalfOwner), at hours local time, on
It was also agreed at that time that the vessel had onboard bunker and freshwateras follows :
Marine Fuel Oil (180cst/380cst)* : Metric Ton.
Marine Diesel Oil : Metric Ton.
Autogas (HSD) : Metric Ton.
Marine Gas Oil (MGO) : Metric Ton.
Fresh Water : Ton.*) coret yang tidak perlu
Port :
Date :
Master MT / SS / TB PT PERTAMINA (PERSERO)Representative
(For and on behalf of Owner) (For and on behalf of Charterer)
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PT PERTAMINA (PERSERO)SHIPPINGMARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 11
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
BUNKER REMAIN ON BOARD
ATA / ATD
VESSELS NAME :
VOYAGE :
DATE :
PORT :
DRAFT
F : Mtr
M : Mtr
A : Mtr
MFO / IFO TANKS :
NO TANKULLAGE /
SOUNDINGVOLUME(KL / M3 )
TEMP(o C)
SGTANKS
VCFMETRIC
TON
TOTAL
MDO / HSD / MGO TANKS :
NO TANKULLAGE /
SOUNDINGVOLUME(KL / M3 )
TEMP(o C)
SGTANKS
VCFMETRIC
TON
TOTAL
All bunker tanks has been inspected and calculated together between :
PT. PERTAMINA (PERSERO) Chief Engineer :
Representative
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
SAILING ORDER
To : Master MT/TT/TB Date :
No :
Dear sir,
Please proceed to on after completion
of Loading/Discharging at , for Loading/Discharging as follows :
Cargo : Quantities : Destination
The complete information about next port will sent via telex if necessary.Please follow the instruction from Tanker Operation.
Yours trulyPT PERTAMINA (PERSER0)Representative
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PT PERTAMINA (PERSERO)SHIPPINGMARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
SHIP CONDITION
MT
Master / Chief Officer
( .. )
LAST PORT CONDITION FROM : ARRIVAL : REPLENISHMENT DEPARTURE TO:
DATE : DATE : DATE : DATE :
TIME : TIME : TIME : TIME :
BUNKER BUNKER BUNKER BUNKER
MFO : MT MFO : MT MFO : MT MFO : M
MDO : MT MDO : MT MDO : MT MDO : M
HSD : MT HSD : MT HSD : MT HSD : M
FRESH WATER FRESH WATER FRESH WATER FRESH WATER
BW : Tons BW : Tons BW : Tons BW : To
FW : Tons FW : Tons FW : Tons FW : To
DRAFT DRAFT DRAFT
Fore : Mtr FORE Mtr Fore :
After : Mtr AFTER : Mtr After :
TotalDistance
: N /Miles
PORT:
PELABUHAN
DATE :
TANGGAL
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 11
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
Statement Of Fact
(Ship Unreadiness and Readiness)
To whom it may concern
I the Master of MT/SS/TB. Call sign :Flag : DWT :
Declare that vessel is not ready on the date : hour :
(hours local time) In the position whileROB for MFO (180cst/380cst) : MT.
MDO : MT.
HSD : MT.
MGO : MT.FW : Ton.
Remarks :
Vessel is ready for :
Date : Hour : (hours local time)
ROB for MFO (180cst/380cst) : MT.
MDO : MT.
HSD : MT.
MGO : MT.
FW : Ton.
Remarks :
Port :
Date :Acknowledge
PT. PERTAMINA (PERSERO)Representative
Master MT /SS/ TB :
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
Statement of Reduce Rate
of Loading / Discharging
To whom it may concern
I, Master MT stated that, today,
date at port
at hours local time, as requested by The Loading Master,
,to temporary reduce discharging/ loading rate of cargo
from M3/ sec to M
3/ sec
from hours local time,
until hours local time.
due to :
Kindly sign and return the copy of this letter of acknowledgement.
Loading Master Master / Duty Officer
.
Port of :
Date :
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
Statement of Temporary Stop
for Loading / Discharging
To whom it may concern
I, Master MT stated that,
today , date
In port at hours local time, as requested by
the Loading Master,Mr. ,to temporary stop
discharging/ loading cargo from hours local time,
until hours local time.
due to :
Kindly sign and return the copy of this letter of acknowledgement.
Loading Master Master / Duty Officer
...
Port of :
Date :
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
TANKER TIME SHEET
STATEMENT OF ACTIVITY DATE HOURTOTAL
REMARKSPART TIME
Actual Time ArrivedBAnchor at Outer Bar
Pilot On BoardAnchor Up
AAnchor at Inner AnchorageFree Pratique Granted
BPilot On BoardAnchor Up
NOR TenderedNOR AcceptedFirst Line to Shore
AAll Made FastedCargo Hose Connected CCommenced Ballast / Deballast
ACompleted Ballast / DeballastCommenced Load / Disch (1)
A/C
Stopped Load / Disch order by Ship / ShoreResume Load / Disch (2)Stopped Load / Disch order by Ship / ShoreResume Load / Disch (3)Completed Load / DischReduced Load / Disch rate order by Ship / ShoreContinues to Agreement Rate Load/ Disch (1)Reduced Load / Disch rate order by Ship / Shore
Continues to Agreement Rate Load/ Disch (2)Reduced Load / Disch rate order by Ship / ShoreContinues to Agreement Rate Load/ Disch (3)Cargo Hose Disconnected C
Ships Paper & Cargo Document on Board B ROB Bunker (Metric Ton)
Commenced BunkerA
Grade Arrv. Repl. DepCompleted Bunker MFOCast Off
AMDO
Anchor at Inner Anchorage HSD
Pilot On Board B FWAnchor Up
ALO
Actual Time Departure / Sailed
SHORE FIGURE (BL / AR) SHIP FIGURE (AL / BD)GRADEKL Obs
KL 15CBbls 60FLTMT
TOTAL TIME FOR : SHIP (A) : AGENT (B) : SHORE (C) : PORT TIME HExplanation of Delay : LAYTIME USED H
From : To : : LAYTIME ALLOWED HFrom : To : : EXCESS TIME HFrom : To : :
Vessel Name : Port of : Next Port :
Flag : Date : ETA :
Master : Voy No. : Draft on Fwd Mean Aft
GRT : Last Port : Arrival :
DWT : B/L No. : Departure :
PT PERTAMINA (PERSERO) MT/ TTRepresentative MASTER
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PT PERTAMINA (PERSERO)SHIPPING MARKETING & TRADING DIRECTORATESHIPPING OPERATION DIVISION, HEAD OFFICE 19
THFloor, Jln. Merdeka Timur 1A Jakarta 10110
Phone : (62-21) 3816367, 3816314, 3816339, 3816353, 3816217. Fax : 3455430, 3816348, 3507121E-mail: opstanker@pertaminashipping.com
ULLAGE / SOUNDING - REPORT
M / T :
VOYAGE :
DATE :
PORT :
DRAFT
F : Mtr
M : Mtr
A : Mtr
TANK NOULLAGES /
SOUND*
(CM)
OBSERVEDTEMP
CARGO (oC)
GRADE REMARKSTEMP(
oC)
DENSITY 15oC
PORT
1
2
3
4
5
6
7
CENTER
1
2
3
4
5
6
7
STBS
1
2
3
4
5
6
7
Note: If any compartement used for ballast tank or empty, must be explained in the remarks column
.CHIEF OFFICER
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