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Doc. No.

: FRM/DPR-001
Rev No. : 00
Date: : 30.10.2015
Page : 1/6

VESSEL:

Client:

Date DPR No.


Client
Fax No.
(To):
E-mail:
Contract
CC
No.
From:

1.0 QUALITY

Categories To date Today Total Remarks


Non Conformities
QA Audit
Marine Compliance Audit

1.1 HSE

Categories To date Today Total Remarks


Tool Box Meetings
Drills
HSE Inspections
HSE Audits
Safety Familiarization
Risk Assessment
House Keeping Inspection
Near Misses
Observation Report
Accident Summary
 Fatality
 Lost Time Incident (LTI)
 Restricted Work Injury (RWI)
 First Aid Cases
 MTC without LTI/RWI
 Material Damage
Environmental Incidents
Doc. No. : FRM/DPR-001
Rev No. : 00
Date: : 30.10.2015
Page : 2/6

2.0 LOG OF EVENTS LAST 12 / 24 HRS

Time Description

3.0 PLANNED OPERATIONS NEXT 12 / 24 HRS:

Sr No Description

4.0 Summary of jobs completed.

Item Activity Today Today Cumulative

5.0 DETAILED LOG OF OPERATIONS - DIVING


Summary of Dives Today

Dive #. Work Done


Doc. No. : FRM/DPR-001
Rev No. : 00
Date: : 30.10.2015
Page : 3/6

6.0 DETAILED LOG OF OPERATIONS - ROV

Item #. Work Done


Doc. No. : FRM/DPR-001
Rev No. : 00
Date: : 30.10.2015
Page : 4/6

7.0 DETAILED LOG OF OPERATIONS - Others

Item #. Work Done

8.0 GAS
Transfer/
Type Start M³ Used Received Back-load ROB
Mixed

9.0 CONSUMABLES

Consumables Start Recd/ made Used ROB


FW (T)
Fuel (KL)
Lube oil
Grease

10.0 Maintenance and/or Breakdown

10.1 Time not categorized under downtime (break down not affecting vessels’
performance of responsibilities described under box 17 of the Charterparty and
therefore no down time required).

Total*
Company From To Comments
(Monthly)
Doc. No. : FRM/DPR-001
Rev No. : 00
Date: : 30.10.2015
Page : 5/6

10.2 Time not associated to down time i.e., covered under clause 13 (c) of the
Charterparty as maintenance time.

Total*
Company From To Comments
(Monthly)

10.3 Break down – attributable under down time i.e., covered under clause 13 (b) –
liability for Vessel not working.

Total*
Company From To Comments
(Monthly)

*Total Maintenance/Breakdown timer resets to 0 at the start of every Calendar Month.

11. ENVIRONMENTAL CONDITIONS

Type 06:00 12:00 18:00 24:00


Swell (fts)
Sea State
Wind Speed (kts)/
Direction.

12. WEATHER DOWNTIME/STANDBY TIME

Date From To Total (Hrs.) Remarks

13. Divers Saturation Records.


Name Date in Time in Hrs Today Start Total.
Doc. No. : FRM/DPR-001
Rev No. : 00
Date: : 30.10.2015
Page : 6/6

14. Personnel on Movements:

Sr.No# Name Company Designation Arrive Depart

15. Personnel on Board:

Sr.No# Name Company Designation Arrive Depart Total

16. ………………………. (CONTRACTOR’S) COMMENTS

17. CLIENTS COMMENTS

Client Representative Master/ Company Representative

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