IMO no:

Survey date:
ENTRY/CONDITION SURVEY
REPORT

<VESSEL>
The Swedish Club <Ship’s name>
<IMO No.>

CONDITION SURVEY REPORT

1 PARTICULARS
Ship’s name :
Ex. names :
IMO No. :
Port of Registry :
Built :
Builder :
Class :
Ship type :
GT :
DWT :
Last docking :
Next docking :
Last SS :
Next SS :
Name of attending surveyor :
Owner’s representative :
Place of survey :
Operational status of ship during survey.............:
Date survey completed :

1
The Swedish Club <Ship’s name>
<IMO No.>

2 HULL EXTERNAL

applicabl
Unsatis-

verified
factory

factory
Satis-

Not

Not

e
Coating
Shell plating
Draught marks
Other marks
Remarks:

3 DRY-DOCK INSPECTION

applicabl
Unsatis-

verified
factory

factory
Satis-

Not

Not

e
Coating
Shell plating
Weld seams
Propeller
Bow thrusters
Rudder
Bilge keels
Anodes
Impressed current
Sea chests
Remarks:

4 CARGO HOLD/TANKS
applicabl
Unsatis-

verified
factory

factory
Satis-

Not

Not

Coating
Plating & bulkheads
Frames
Brackets
Tween decks
Reefer insulation
Cell guides
Lighting
Tank tops
Ladders
Bilge wells
Anodes
Piping
Heating coils
Remarks:

5 BALLAST/FO TANKS AND VOID SPACES

verified
factory

factory
Satis-

Not

Not

2
The Swedish Club <Ship’s name>
<IMO No.>

Coating
Plating & bulkheads
Frames
Brackets
Manhole covers
Anodes
Piping
Heating coils
Remarks:

6 HATCH COVERS, TANK LIDS AND CARGO SECURING ARRANGEMENTS

applicabl
Unsatis-

verified
factory

factory
Satis-

Not

Not

e
Hatch cover
Tank lids
Operating machinery
Packings
Compression bars
Drain channels
Non return valves
Cleats
Coamings
Cargo securing gear
Remarks:

7 DECK FITTINGS AND MACHINERY

verified
factory

factory
Satis-

Not

Not

3
The Swedish Club <Ship’s name>
<IMO No.>

Coating
Plating
Bulwarks/railings
Ladders / handrails
Lighting
Fire main / hydrants
Pipes and valves
PV-valves
Mast riser
Cow machines
Sounding pipes
Ventilator
Dampers
Watertight opening
Bosun’s store
Deck stores
Windlass
Anchor chain
Chain securing arr.
Emergency towing
Mooring winches
Mooring ropes
Fair leads and rollers
Provision crane(s)
Accom ladders
Pilot ladders
Remarks:

8 INERT GAS PLANT

verified
factory

factory
Satis-

Not

Not

Boilers
Fans
Deck water seal
Scrubber
PV breaker
Non return valve
Oxygen analyser
Remarks:

9 CARGO ARRANGEMENTS
applicabl
Unsatis-

verified
factory

factory
Satis-

Not

Not

4
The Swedish Club <Ship’s name>
<IMO No.>

Cranes / derricks
Winches
Conveyor system
Cargo elevators
Ramps
Stern and side doors
Cargo control room
Remarks:

10 PUMP ROOM, COFFERDAMS AND BOW THRUSTERS COMPARTMENT

applicabl
Unsatis-

verified
factory

factory
Satis-

Not

Not

e
Cargo pumps
Ballast pumps
Bilge pumps
Stripping pumps
Pipes/ valves
ODM
Bow thruster room
Cofferdams
Remarks:

11 SAFETY EQUIPMENT
applicabl
Unsatis-

verified
factory

factory
Satis-

Not

Not

Emergency generator
Deck foam system
Halon / CO2 plant
Emergency fire pump
Fire stations
BA equipment
Fire extinguishers
Life boats and davits
Life rafts
Life buoys
Life jackets
Distress signal
General alarm system
Gas alarm system
Portable instruments
Emergency lighting
Remarks:

12 ACCOMMODATION
applicabl
Unsatis-

verified
factory

factory
Satis-

Not

Not

5
The Swedish Club <Ship’s name>
<IMO No.>

General condition
Fire appliances
Signs / plans
Galley (fixed fire-fighting)
Hospital
Medicine locker
Remarks:

13 ENGINE DEPARTMENT

applicabl
Unsatis-

verified
factory

factory
Satis-

Not

Not

e
Main engine(s)
Auxiliary engines
Boiler(s)
Exhaust pipes insulation
Pumps
Pipes and valves
Purifiers and filters
Oily water separator
Reefer plant
Steering gear
Emergency switch board
Workshop
Control room
Main switchboard
Engine control console
Alarm system
Fire flaps
Overhead crane
Lighting
Cleanliness
Remarks:

14 CONCLUSION

15 RECOMMENDATIONS

16 ENCLOSURES

Listing of Surveys
List of recommendations
Certificate Status
Photos
Crew list
Master’s statement

6
The Swedish Club <Ship’s name>
<IMO No.>

This survey report, which is and shall remain the property of the Club, is solely intended for the
exclusive use of the Club to assess the general condition of the vessel at the time of the entry or
during the currency of the insurance period. The report is not intended to be a definite review of
the vessel’s condition, and nothing herein shall prejudice the Club’s right under the insurance
policy should a dispute arise between the Club and the member relating to the condition of the
vessel. Any and all parties interested in or affected by this report accept to be bound by these
terms.

<place> 4 September 2023

/nn/