Damage Survey Report
No.DSR-2026-042
Damage Survey Report
1. General Information
Record the incident date, location, description, and surveyor details.
| Inspection date | 6/20/2026 | Time | 9:00 AM — 12:30 PM |
| Address | Port of Hamburg, Quay 7 | Basis for inspection | Collision with berth during docking |
2. Object of Inspection
Identify the damaged vessel.
| Object type | Vessel | Object name | M/T Nordsee (IMO 9876543) |
| Technical condition | not filled in |
3. Damage Assessment
Document each damage item with component, type, extent, cause, photos, and repair estimate.
| No. | Damage description | Photos |
|---|---|---|
| 1 | - | not filled in |
| 2 | - | not filled in |
4. Additional Information
Provide overall assessment and recommendations.
| Identification was carried out | Vessel identified as M/T Nordsee |
| There are remarks | Damage confined to starboard side shell; no structural breach. |
5. Inspection Participants
List the surveyor and owner representative.
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Klaus Weber | Marine Surveyor | Lead surveyor |
| 2 | Heinrich Schmidt | Owner Representative | Present during survey |
Signatures
Collect signatures from surveyor and owner representative.