Form No:1.2.

1 Revision:_____
Series of 2019 Date of Revision:_____
Reference: Guidance For Dry-Docking Survey Requirement Page 1 of 3

ANCHOR CHAIN CALIBRATION NO.____

I. GENERAL PARTICULARS
NAME OF SHIP:
M/V ADOLFO SR.
VESSEL PARTICULARS

SHIPOWNER/COMPANY: LOA 46.00 : meters

LBP 45.00 : meters
LIOK SHIPPING LINES DEPTH 5.35 : meters
DRAFT (FULL LOAD) : meters
DISPLACEMENT (FULL LOAD) : tonnes
ADDRESS: PALOMPON, LEYTE JOB ORDER NO : JO-S1-19-033
DATE :

II. BACKGROUND INFORMATION

DRY-DOCKING ITEMS : ☐ INITIAL ☐ INTERMEDIATE☐ MANDATORY/RENEWAL TYPE / CLASS OF SHIP
DATE OF DRY DOCKING : May 07, 2019
PLACE OF DRY DOCKING :SANGAT SAN FERNANDO, CEBU PASSENGER FISHING
INSPECTED BY : VILLARBA, JUNELL CARGO TUGS/DREDGERS
HSC BARGE
TANKERS OTHERS: __________

III. DIAGRAM

DIAGRAM 1

DIAGRAM 2
Form No:_____
Series of 2019
Reference: Guidance For Dry-Docking Survey Requirement

IV. TABLE OF RESULTS (STBD SIDE)

ANCHOR CHAIN (ANCHOR SIDE)
Actual Chain Reading
Rule Diameter Link
Shackle No d1
( 1 + 2)

D1<0.88
(Dc) No. (mm) d2 (mm) 1= 2

Compliant / Renew
D1 (mm)

10 30.70 23.70
I 20 31.40 23.20
30 31.40 24.90
II 10 31.10 24.40
20 31.10 23.60
30 31.40 24.40
III 10 29.90 21.70
20 27.90 22.90
30 30.30 22.60

IV 10 27.80 25.50
20 28.80 23.50
30 23.50 23.80
V 10 28.70 27.10
20 28.70 28.20
30 27.50 27.20
VI 10 32.40 30.60
20 32.50 30.40
30 32.90 31.30

Note: Chain Calibration should be done on all chain links and shackles

MEASURED BY: _________________________ CERTIFIED BY: ____________________________

MACHINE SHOP AND FOUNDRY DEPT. SHIPYARD MANAGER

Form No:_____
Series of 2019
Reference: Guidance For Dry-Docking Survey Requirement
PORT SIDE
ANCHOR CHAIN (CHAIN ANCHOR SIDE)
Actual Chain Reading
Rule Diameter Link
Shackle No d1
( 1 + 2)

D1<0.88
(Dc) No. d2 (mm) 1=
(mm) 2

Compliant / Renew
D1 (mm)

I 10 32.70 32.50
20 32.70 24.60
30 31.40 23.80
II 10 31.10 23.40
20 32.90 22.80
30 30.30 23.40
III 10 29.80 22.90
20 37.90 24.10
30 28.40 22.90

IV 10 27.50 25.30
20 29.80 25.10
30 24.80 28.40
V 10 29.10 28.50
20 28.70 26.80
30 29.90 28.90
VI 10 32.70 30.40
20 32.90 30.70
30 32.90 30.80

Note: Chain Calibration should be done on all chain links and shackles

MEASURED BY: _________________________ CERTIFIED BY: ____________________________

MACHINE SHOP AND FOUNDRY DEPT. SHIPYARD MANAGER