Shore to Ship Pilot / Master Exchange Form
| SHIP REQUESTING PILOTAGE DETAILS | |||
| Ship Name | Call signs | ||
| ORIGINATING AUTHORITY | |||
| Contact Name | VHF Channel | ||
| Other means of contact | |||
| PILOT BOARDING INSTRUCTIONS | |
| Date/arrival at pilot boarding station (UTC/LT) | |
| Position pilot will board | |
| Embarkation side port/starboard/tba | |
| Approach course and speed | |
| Requested boarding arrangement |
| BERTH AND TUG DETAILS | |
| Intended berth and berthing prospects | |
| Side alongside port/starboard | |
| Estimated transit time to berth | |
| Tug rendezvous position | |
| Number of tugs | |
| Tug arrangement | |
| Total bollard poll | |
| LOCAL WEATHER AND SEA CONDITIONS at the pilot boarding station on arrival | |
| Tidal information (heights and times) | |
| Expected currents | |
| Weather forecast | |
| DETAILS OF THE PASSAGE PLAN including abort points / emergency plans |
| REGULATION including VTS reporting, anchor/lookout attendance, max. allowable draught |
| OTHER IMPORTANT DETAILS including navigation hazards etc |
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