Ship to Shore Master / Pilot Exchange Form
| SHIP IDENTITY | |||||
| Name | Call Sign | Flag | |||
| Ship’s Agent | Year Built | IMO No | |||
| Cargo Type | Ship Type | Last port | |||
| ADDITIONAL COMMUNICATION INFORMATION | |||||
| Fax | Telex | Other | |||
| PILOT BOARDING | |||||
| Date/ETA | (UTC/LT) | Freeboard | |||
| Boarding station (if there is more than one) | |||||
| SHIP PARTICULARS | |||||||
| Draught fwd | Draught aft | Draught amidships | (salt water) | ||||
| Air draught | Length | Beam | |||||
| Displacement | Dwt | Gross | Net | ||||
| ANCHORS | |||||
| Port Anchor | Stbd Anchor | (length of cable available) | |||
| MANOEVRING DETAILS AT CURRENT CONDITION | ||||||
| Full Speed | Half speed | |||||
| Slow Speed | Min. steering speed | |||||
| Propeller direction of turn | Left/right Controllable pitched yes/no | |||||
| Number of propellers | No of fwd thrusters | No of aft thrusters | ||||
| MAIN ENGINE DETAILS | |||
| Type of engine | Motor/turbine/other | ||
| Max. number of engine starts | Time from full ahead to full astern | ||
| EQUIPMENT DEFECTS RELEVANT TO SAFE NAVIGATION |
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| OTHER IMPORTANT DETAILS e.g. berthing restrictions, manoeuvring peculiarities |
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