CLEARANCES BETWEEN PISTON SKIRT & LINER

M/V:		Date / Place:
M/E (Maker/Type):		Date /Place Last Inspected:

Measurement Point Cylinder No.	PORT	AFT	FWD	STBD	X
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

CH.ENG.	DATE:
FOR OFFICE USE ONLY DATE RECEIVED:	CHECKED BY:

ATLANTIC UNITED MARINE INC.

Form / 4733

Safety Management System Manual - IMO Res. A.741 (18)
Developed by	: SMS Designated Person	Authorized by	: Managing Director
Date of Initial Issue	: 03 February 1998	Revision No / Effective Date	: 2 / 07-1999
Chapter	: 10	Page	: 1

---