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Reference Number
Date (dd/mm/yyyy)
Name of vessel
IMO Number
Company Name
Email
Phone Number
Type of stern tube equipment
Lip sealAir SealFace seal (Cedervall)Single screw propulsion systemDouble screw propulsion system
Manufacturer of leaking equipment
Name
Type
Age of seal
Shaft diameter (mm)
Lube Oil System
Oil Company
Product Name
Lube Oil volume (liters)
After seal system
Stern tube system
Forward seal
Are filters fitted in the leaking system? YesNo
Filter size
Leakage
Problem: LeakageWater Ingress
Leakage / water ingress in liters per day
From which tank system is the oil leaking from? Aft. seal systemStern tube systemForward seal system
Has sea water entered: Aft. seal systemStern tube systemForward seal system
How did the leakage start: GraduallySuddenly
Circumstances (E.g. Fishing line, after long stand still)
Please provide and attach system diagram.
Other information
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