Easy and detailed form for container inspections

1. STUDIO GALLIAN –Salita Priaro 3 – 16036 Recco GE (ITALIA)
Tel. 0185 1872208 – Mob. 3477862550 – C.F. GLLGLC77L07D969I – P. IVA 01992910990
E-mail: gianluca.gallian@gmail.com – www.cargoclaims.blogspot.com
CONTAINER DAMAGE REPORT
Without Prejudice
TO WHOM IT MAY CONCERN
Our ref.: Date:
This document is to be taken as confirmation of damage having being noted to:
Vessel:…………………………………. Booking:…………...…………..
Container:……………………………… Ocean Carrier:…………………………..
REPORTED (Tick)
EXPORT
□ On collection at container yard
□ On receiving at loading depot
□ After loading
IMPORT
□ On collection at wharf
□ On receiving at unloading depot
□ After discharge
APPARENTLY CAUSED (Tick)
□During loading
□During discharge
□During transit
□Unknown
TYPE OF DAMAGE (Tick)
□Dent / Hole
□Cut / tear
□Pushed in / out
□Water
□Other……………………………..
Remarks………………………………………………………………………………………
Name:………………………………… Signed:…………………………………..