Domestic Shipping Report - S.1

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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

Introduction

Purpose

This survey collects data on domestic marine transport, that is vessels involved in the transport of domestic cargo between Canadian ports.

Confidentiality

Statistics Canada is prohibited by law from publishing any statistics which would divulge information obtained from this survey that relates to any identifiable business without the previous consent of that business. The data reported on this questionnaire will be treated in confidence, used for statistical purposes and published in aggregate form only. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other Legislation. To avoid duplication of data collection, Statistics Canada has entered into a data sharing agreement with Transport Canada and Canadian Coast Guard under section 12 of the Statistics Act. Transport Canada has the right to collect these data pursuant to the Canadian Transportation Act and the Carriers and Transportation Undertakings Information Regulations.

Under section 12 of the Statistics Act, you may refuse to share your information with Canadian Coast Guard by writing to the Chief Statistician and returning your letter of objection along with the completed questionnaire.

Security of emails and faxes

Statistics Canada advises you that there could be a risk of disclosure during the facsimile or other electronic transmission of information. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Reporting instructions

One copy of this report must be completed and filed with Statistics Canada upon arrival/departure at each Canadian port. These forms should be sent regularly and at least once a month.

Included: Cargo vessels, tugs or other vessels of fifteen net register
tons or more, moving between two Canadian ports in coastwise shipping.

Exempted: Canadian fishing vessels and naval vessels. Specialized operation such as, drilling, ice breaking, oceanography or cartography need not complete the form as they do not load or unload any type of commercial cargo.

General

Voyage No.

Report No.

General - Question identifier:1.

Port of arrival/departure

General - Question identifier:2.

Name of vessel

General - Question identifier:3.

Country of registry

General - Question identifier:4.

Gross register tonnage

General - Question identifier:5.

Net register tonnage

General - Question identifier:6.

Type of vessel

  • 1: Cargo
  • 2: Passenger Cargo
  • 3: Tanker
  • 4: Scow or barge
  • 5: Tug
  • 6: Other (specify)

Arrival

7. Day Month Year

8. Last port departed from

9. Port(s) where cargoes were loaded

10. Unloadings

Description of cargo

11. Net weight

  • 1: Containerized
  • 2: Non-containerized

12. Unit of measure

Departure

Departure - Question identifier:13.

Day Month Year

Departure - Question identifier:14.

First port departed for

Departure - Question identifier:15.

Port(s) where cargoes are to be unloaded

Departure - Question identifier:17.

Net weight

  • 1: Containerized
  • 2: Non-containerized

Departure - Question identifier:18.

18. Unit of measure

Respondent Information

Name of Canadian agency or company completing this report:

  • 1: Name in block letters
  • 2: Phone number
  • 3: Title
  • 4: E-mail address
  • 5: Address

Name of company operating this vessel if different above:

  • 1: Name in black letters
  • 2: Phone number
  • 3: Title
  • 4: E-mail address

I certify that the above statement is true.

Signature

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