Cargo Discharge Condition Survey Form
Document the condition and details of cargo at the time of discharge. Please complete all relevant sections accurately.
Vessel/Ship Name
*
Date and Time of Discharge
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Cargo Description/Type
*
Discharge Port/Location
*
Cargo Quantity/Weight (specify units)
*
General Cargo Condition Assessment
*
Rows
Rating (1 = Poor, 5 = Excellent)
Packaging/Sealing
1
Physical Damage
2
Contamination
3
Shortage/Overage
4
Stowage
5
Were there any discrepancies observed at discharge?
*
No discrepancies observed
Yes, discrepancies observed
If discrepancies were observed, please describe them
Additional Remarks or Observations
Surveyor's Name
*
Submit Survey
Should be Empty: