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quay is (nautical) a stone or concrete structure on navigable water used for loading and unloading vessels; a wharf while berth is a fixed bunk for sleeping in (caravans, trains, etc).
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Both are for loading and off-loading.
quay is for navigable
berth is to be fixed.
A quay is for smaller ships or boats and is available for general use, these are frequently owned and operated by the local governments/council for the benefits of local fishermen. Passengers ship would usually dock at quays.
A berth is simply the space that could be occupied by one ship, it is not a fixed size, but would rather depend on the size of ship usually found in that place.
A quay is a structure made of stone, concrete or metal on navigable water (sea or river) and lying alongside or projecting into water. It is used for loading and unloading vessels and it has one or more berths where vessels can moor to it.