ARTEMIS MARINE INC.

Equipment defect report

Record operational consequences and tell the responsible person.

Form defect | Template 1.1.0

Complete locally and print or save as PDF before closing. Entries are not submitted or automatically saved. Apply vessel-specific procedures and approval before use.

Vessel and official numberRecord reference and datePrepared by and roleEquipment and date discoveredDefect symptoms and evidenceSafety significance and operating restrictionImmediate containment and person notifiedRepair owner work order and due dateTest evidence return to service authority and date