Ballast Water Reporting Form – Fill Out and Use This PDF

Ballast Water Reporting Form PDF Details

The Ballast Water Reporting Form documents vessel compliance with the IMO Ballast Water Management (BWM) Convention, adopted in 2004. Ships carrying ballast water internationally must record each ballast water operation in detail to pass port state control inspections.

Who Must Complete This Form

Captains and responsible officers of ships carrying ballast water must submit this form to port state control authorities. This applies to cargo vessels, tankers, and container ships on international voyages. The ship's Ballast Water Management Plan must align with data recorded here.

Key Sections of the Form

The form collects vessel name, type, and IMO number, voyage details, ballast water sources by port of origin, volumes discharged in cubic meters, treatment methods, and officer certifications. Missing entries are a common reason for port state detention. For other compliance records, see the Solid Waste Origin Disposal Form.

Treatment Methods and Documentation

Vessels must document the treatment method used: open-ocean exchange (200 nautical miles from shore), UV radiation, or a type-approved chemical system. Record the equipment name, approval type, and operational parameters. For additional waste compliance records, see the Industrial Waste Manifest.