MA-57_Drydock_Report - Copy.pdf

U.S.Department

Maritime of Transportation

Administration

N A M E O F V E S S E L

DRYDOCK REPORT

C O M P L E T E D V OYA G E AT

P L A C E D I N D RY D O C K N O. T I M E D A Y M O N T H Y E A R L E F T D RY D O C K - T I M E

V OYA G E N U M B E R

D A Y M O N T H Y E A R

D AT E L A S T D RY D O C K E DD R A F T E N T E R I N G D RY D O C K

I N C H E SF E E TA F T :I N C H E SF E E TF O R W A R D :

S P E C I A L P U R P O S E F O R D RY D O C K I N G �

C O N D I T I O N O F S H I P U N D E R WAT E R B E F O R E A N D A F T E R C L E A N I N G

B O T T O M R E PA I N T E D W I T H (Brand and Manufacturer)

C O N D I T I O N O F P R O P E L L E R S

P R O P E L L E R S H A F T S O U T C L E A R A N C E O F S T E R N B U S H I N G S

DAT E A N C H O R C H A I N R A N G E D

P O RT

A M O U N T A N D C O N D I T I O N O F C H A I N

S TA R B O A R D

INSTRUCTIONS FOR LOCATING VESSEL ON KEEL BLOCKS

Distance of center of f i rst keel block to forward face of stem, distance center to center of keel blocks, and width of keel blocks to be recorded on sketch below.

Master of vessel to be given a copy of this repor t for his guidance at next drydocking in order that vessel may be shif ted on blocks to assure al ternate paint ing of keel plates from one drydocking per iod to the next .

NOTE:

Use Reverse Side for Listing of Underwater Repairs Completed.

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D B

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D AT E

N A M E

N A M E

T I T L E

R E P R E S E N T I N G

N A M E

T I T L E

R E P R E S E N T I N GM A R I N E S U R V E YO R

M A R I T I M E A D M I N I S T R AT I O N

FORM MA-57 ( 2 -82 )