437 



ANNEX B 



Form of Oil Record Book 



I.-FOR TANKERS 



Date of entry 



(a) Ballasting of and discharge of ballast from cargo tanks 



1. Identity numbers of tank (s) 



2. Type of oil previously contained in tank(s) 



3. Date and place of ballasting 



4. Date and time of discharge of ballast water 



6. Place or position of ship.. 



6. Approximate amount of oil-contaminated water transferred 



to slop tank (s) 



7. Identity numbers of slop tank(s) 



(6) Cleaning of cargo tanks 



8. Identity numbers of tank (s) cleaned 



9. Type of oil previously contained in tank(s) 



10. Identity numbers of slop tank(s) to which washings trans- 



ferred 



11. Dates and times of cleaning 



(c) Settling in slop tankis) and diBcharge of water 



12. Identity numbers of slop tank(s) 



13. Period of settling (in hours) 



14. Date and time of discharge of water. 



15. Place or position of ship 



16. Approximate quantities of residue . , 



(d) Disposal from ship of oily residues from slop tank{s) and other 

 sources 



17. Date and method of disposal .\.- 



18. Place or position of ship :. 



19. Sources and approximate tiuiintitles -i 



(Signature of Offlcer or Officers in charge of the operations concerned) 

 (Signature of Master) 



II.— FOR SHIPS OTHER THAN TANKERS 



Date of entry 



(o) Ballasting, or cleaning during voyage, of 

 bunker fuel tanks 



1. Identity number of tank (s) 



2. Type of oil previously contained in 



tank(s) 



3, Date and place of ballasting 



4, Date and time of discharge of ballast 



or wishing water 



6. Place or position of ship............... 



6. Whether separator used: if 80, give 



period of use ......... 



7. Disposal of oily residue retained on 



board 



(6) Disposal from ship of oily residues from 

 bunker fuel tanks and other sources 



8. Date and method of disposal........ 



9. Place or position of ship 



10. Sources and approximate quantities. 



(Signature of Officer or Officers In charge of the operations concerned) 

 (signature of Master) 



35-416 O - 78 - 29 



