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Vessel Name:
Date:
Last examination Date:
IMO No.
Last surveyed:
Compressor no:
Place:
Verified by:
Place:
Date:
Cylinder Measurement:
Cylinder number
Cyl. dia. at
the upper
ring
Freespace
HT1
HT2
HT:
LT2
LT3
LT:
LT4
LT5
Athwartship
Fore-and-aft
Machinery part
High-pressure valves
Low pressure valves
Cylinders
Piston with rings
Connecting rods with bearings
Crank shaft with bearings
Crank case and covers
Coupling
Safety valves
High-pressure cooler
Low-pressure cooler
Cooling-water system
Lubrication-oil system
Other fittings and valves
Electric motor
Special remarks:
Good
Pressure
tested:
Cleaned:
Varnished:
Megger Test:
Please state below possible special repairs and renewals which as far as can be seen are necessary and proposal for the
execution.
Date:
S = Stock after the examination.
S
Pressure valve
HT
complete
LT
Suction valve
HT
flap complete
LT
Pressure valve
HT
flap complete
LT
Chief Engineer
Signature (Chief Engineer)