M.V. ___________________ Department ____________________ Date _________________

Date	Location	Details

___________________________________ _________________________________

Chief Officer / Chief Engineer Master

Note: To be filled with description of works done additionally to Voyage Maintenance Plan

To be completed every voyage and filed in both office's file and ship's file.

To retain for 5 years.

Issue date: 03.11.2003/Rev. 00 PBO-TD02-F04 Page: 1/1

VOYAGE MAINTENANCE REPORT

QSMS PBO-TD02-F04 Rev. No.00

---