F/SMSO/5/1-V1

PT. DIMENSI SURYA BAHARI

DRILL REPORT
Ship : Port :
Lat/Long :

Date of Drill : Time Start : Time End :

Details of Drill :

Lessons learned/Remarks :

Assessment of Personnel :

Corrective action Taken/Recommended (if any)

Verified by Master
1 of 1
 F/SMSO/5/2-V1
PT. CAKRA BAHANA

SEA STAFF PERFORMANCE APPRAISAL REPORT

Name : ................................................................ Vessel :.....................................

Rank : ................................................................ Port & Date Signed on : .....................................
Nationalty : ................................................................ Port & Date Signed off : ....................................
Purpose of Report * :May/Nov Sign-off Adhoc Date of appraisal : ....................................

1. This Appraisal Report is to be completed henever a sea staff signs off from the vessel
2. The Appraiser must discuss the entire appraisal report with the staff appraised

Please mark the box as applicable

SCORE 5 4 3 2 1
A Unsatisfactory for
Excellent Good Average Poor
ABILITY present position
Totally reliable
B Reliable - Little Normal level of Higher level of Unsatisfactory for
No supervision
DEPENDABILITY supervision required supervision required supervision required present position
required
C Hardworking Good - completes Average completes Below average - Poor - Does less
WORK Completes his job & his work & good alloted work most of slow in completing than his share of
ATTITUDE helps others team player the times work work
D Average -
Excellent command Good command of Poor - has difficulty
LANGUAGE understand basic Unsatisfactory
of English English in understanding
(ENGLISH) instruction

E Excellent
Good relationship Average relationship Temperamental/
PEOPLE relationships with Unsatisfactory
with people with people Quarrelsome
SKILLS people

Average -
F Self-stater and Can work Always require
sometimes guidance Unsatisfactory
INITIATIVE Motivated independently guidance
required
G
SAFETY Safety always a At times overlook
Safety conscious Average Unsatisfactory
prime concern safety
CONSCIOUSNESS
H Welcomes new Open to new ideas Accepts new ideas Reluctant to new Forced to accept
ADAPTABILITY ideas and change & change & change ideas & change change
A to H Total : /40
J
Takes initiative-a Takes charge when Average - takes
LEADERSHP* Lack Confidence Unsatisfactory
natural leader possible charge if asked
(Officer & Bosun)

Not ready needs

K Recommended Recommended after Recommended after
more training & Unsuitable
PROMOTION* Ready Now 3 months 6 months
experience

Additional Comments by Appraiser (if any) : ...........................................................................................................................

...........................................................................................................................................................................................
...........................................................................................................................................................................................
Recommended Training (if any) : ...........................................................................................................................................
..........................................................................................................................................................................................
Sea Staff Remarks (If any) : ..................................................................................................................................................
...........................................................................................................................................................................................

Sea Staff Signature C/E-C/O* Signature Master Signature

Name : ............................................... Name : ..............................................

Distribution : Original to PT. Cakra Bahana, copy in Master's File * where applicable
 /SMSO/5/2-V1

.......................
.........................
.........................
.........................

1
Unsatisfactory for
resent position

Unsatisfactory for
present position

Poor - Does less

than his share of
work

Unsatisfactory

Unsatisfactory

Unsatisfactory

Unsatisfactory

Forced to accept
change
/40

Unsatisfactory

Unsuitable

......................
................
................
.....................
...............
....................
................

.......................

1 of 1

PASTE PHOTO
HERE
Notes :
1) This booklet is the property of PT. Cakra Bahana and is to be
returned to the office whenever a crew signs off the ship. When
a crew transferred, this booklet is to be sent to the Master of the
next ship along with his/her other documents.
2) All sea staff must familiarise themselves before taking over any
duties.
3. On-the-Job training should be spread out within any period of two
months. The training should only be repeated if the sea staff is not
familiar with the equipment on that ship.
F/SMSO/5/3-V1
PT. DIMENSI SURYA BAHARI
Shipboard Familiarisation, onboard Training
&
On-The-Job Training Booklet
Name ........................................................................
Rank .....................................
Date of Joining Company ........................................
GENERAL INSTRUCTIONS TO JOINING SEA STAFF
On joining a ship, you will be given sufficient time, opportunity & help
to get acquainted with the equipment and arrangements that you will
be using, and specific watchkeeping, safety, environmental & emergency
procedures required to perform your duties.
It is also your duty to familiarise you self with the location of the safety
and emergency equipment as soon as possible and seek help from
your immediate superior if you have any difficulty.
Signature of Sea Staff
 Date ______________________

F/SMSO/5/3-V1

PT. DIMENSI SURYA BAHARI SHIPBOARD FAMILIARISATION TRAINING & ON-THE-JOB TRAINING RECORD

Ship's Name >

Task / Duties Officer's Officer's Officer's Officer's
Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date

ON BOARD TRAINING IN THE USE OF THE SHIP'S LIVE SAVING

THESE DUTIES/ACTIVITIES BEFORE THE VOYAGE BEGINS

- Familiarisation for all officers and rating (deck and engine)

1. Familiarise with the general layout and main places of work.

2. Don personal lifejacket and check location of spare lifejackets.
3. Know assigned emergency duties as in the muster list.
4. Escape route to embarkation deck and emergency stations
5. Recognise alarm signals for fire/emergency and abandonship.
6. Locate and use of fire fighting equipment : alarm activating point, alarm bells
extinguishers, hydrants, fire axes and hoses.
7. Activate under supervision, equipment to be used in routine duties.
8. Locate and use breathing apparatus and fireman's outfit, including chemical
suits, if applicable.
9. Demonstrate knowledge of rules on the proper disposal of waste and garbage
10. Know what to do if a person fall overboard.
11. Know what to do if fire or smoke is detected.
12. Code of Conduct as in the Articles of Agreement.
13. Brief on security duty and reponsibility.
14. Know what immediate action to take in case of any oil spill
15. Familiar with cargo and ballast line-up.
16. Familiarisation on ship's security system.

2/14

F/SMSO/5/3-V1

PT. DIMENSI SURYA BAHARI SHIPBOARD FAMILIARISATION TRAINING & ON-THE-JOB TRAINING RECORD

Ship's Name >

Task / Duties Officer's Officer's Officer's Officer's
Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date

ONBOARD TRAINING IN THE USE OF THE SHIP'S LIFE SAVING

APPLIANCES, INCLUDING SURVIVAL CRAFT EQUIPMENT, AND
IN THE USE OF THE SHIP'S FIRE-EXTINGUISHING APPLIANCES
SHALL BE GIVEN AS SOON AS POSSIBLE BUT NOT LATER THAN
TWO WEEKS AFTER A CREW MEMBER JOINS THE SHIP

- for deck ratings

1. Get acquainted with steering controls, telephones and light switches.
2. Locate and understand the operation of the emergency fire pump.
3. Donning of ELSA.
4. Emergency source of power
5. Operation and use of the ship's inflatable liferafts.
6. Problems of hypothermia, first-aid treatment for hypothermia and other
appropriate first-aid procedures.
7. Special instructions necessary for use of the ship's live-saving appliances
in servere weather and severe sea conditions.
 8. Operation and use of fire-extinguishing appliances
9. Working aloft and outboard.
10. Mooring and unmooring operations
11. Emergency Escape Breathing Devices (EEBD)
12. Environmental Management System (Shipboard Objective & Targets)

- for engine ratings

1. Locate and understand operation of emergency fire pump, general service
pump and foam system
2. Donning of ELSA.
3. Emergency source of power.

3/14

F/SMSO/5/3-V1

PT. DIMENSI SURYA BAHARI SHIPBOARD FAMILIARISATION TRAINING & ON-THE-JOB TRAINING RECORD

Ship's Name >

Task / Duties Officer's Officer's Officer's Officer's
Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date

4. Operation and use of the ship's inflatble liferaft

5. Problems of hypothermia, first-aid treatment for hypothermia and other
appropriate first-aid procedures
6. Special instructions necessary for use of the ship's life-saving appliances in
severe weather and severe sea conditions
7. Operation and use of fire-extinguishing appliances
8. Working aloft and outboard.
9. Emergency Escape Breathing Devices (EEBD)
 - for deck officer & deck cadets
1. Read, sign and date Master's standing orders.
2. Get acquainted with the bridge layout, equipment and displays
3. Know the nautical publications and voyage charts available.
4. Locate and understand the proper use of EPIRB, SART, Two-way VHF
radiotelephone apparatus, distress rocket flares, rocket line-throwing
appartus and other pyrotechnics.
5. Change-over procedures for autopilot and steering control.
6. Locate medical and first aid equipment.
7. Understand the cargo piping, pumping and tank gauging system.
8. Locate emergency stops for cargo pumps.
9. Understand the ballast/deballasting operations.
10. Understand the gas-freeing system.
11. Locate and understand correct operation of the cargo tank venting system.

4/14

F/SMSO/5/3-V1

PT. DIMENSI SURYA BAHARI SHIPBOARD FAMILIARISATION TRAINING & ON-THE-JOB TRAINING RECORD

Ship's Name >

Task / Duties Officer's Officer's Officer's Officer's
Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date

12. Donning of ELSA

13. Emergency source of power
14. Operate lifeboat engine and routine maintenance
15. Locate and operate the emergency fire pumps
16. Operate, test and maintain the breathing apparatus.
17. Demonstrate CPR and use of oxygen resuscitator.
18. Operation and use of the ship's inflamable liferafts.
19. Problems of hypothermia, first-aid treatment for hypothermia and other
appropriate first-aid procedures.
20. Special instructions necessary fo use of the ship's life-saving appliances in
severe weather and severe sea conditions.
21. Operation and use of fire-extinguishing appliances.
22. Emergency Escape Breathing Devices (EEBD).

- for engine officers and engine trainees

1. Read. Sign and date chief engineer's standing orders.
2. Identify critical and standby machinery.
3. Understand the ballast/deballasting operations.
Understan the gas-freeing system.
Locate and understand correct operation of the cargo tank venting system.

5/14

F/SMSO/5/3-V1

PT. DIMENSI SURYA BAHARI SHIPBOARD FAMILIARISATION TRAINING & ON-THE-JOB TRAINING RECORD

Ship's Name >

Task / Duties Officer's Officer's Officer's Officer's
Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date

4. Familiarise with M/E change-over and manoeuvring procedures.

 5. Familiarise with safety devices and cut-outs of M/E, auxiliaries and boiler/
thermal oil heater.
6. Locate and understand the operation of quick closing valves, vents and
remote stops for oil pumps in E/R.
7. Donning of ELSA.
8. Emergency source of power.
9. Operate and maintain the emergency fire pump
10. Operate and maintain the lifeboat engine
11. Demonstrate CPR and use oxygen resuscitator
12. Operation and use of the ship's inflatable liferafts.
13. Problems of hypothermia, first-aid treatment for hypothermia and other
appropriate first-aid procedures.
14. Special instructions necessary for use of the ship's life-saving appliances
in severe weather and severe sea conditions.
15. Operation and use of fire-extinguishing appliances.
16. Emergency Escape Breathing Devices (EEBD)

6/14

F/SMSO/5/3-V1

PT. DIMENSI SURYA BAHARI SHIPBOARD FAMILIARISATION TRAINING & ON-THE-JOB TRAINING RECORD
 Ship's Name >
Task / Duties Officer's Officer's Officer's Officer's
Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date

ON-THE-JOB TRAINING FOR DECK OFFICERS AND DECK CADETS

SHALL BE COVERED WITHIN ANY PERIOD OF TWO MONTHS.

1. Operate, test and maintain the following equipment :

a. Radar/ARPA
b. GPS
c. Echo Sounder
e. Gyro compass
f. Magnetic compass
g. GMDSS
h. Navigation lights and sound signals
i. Steering system
j. Weather fax, if installed
k. Speed log, if installed
2. Operate the emergency steering system
3. Locate the fixed gas detectors and alarm system
4. Locate and operate the engineroom / pumproom CO2 smothering system
5. Locate and operate the GS pump and fixed foam system.
6. Test and operate the ODME.
7. Locate and test COT high and high high level alarms
8. Locate and test pumproom bilge high level alarm.
9. Proper use of MMC tapes and sampling device.
10. Operate, test and calibrate the following equipment :
a. Oxygen analyser.
b. Explsive gas meter.
c. Toxic gas meter.
d. Training on the personal multi gas meter.
11. Check and maintain fire extinguishers
12. Operate and maintain tank level gauging system.
7/14
 F/SMSO/5/3-V1

PT. DIMENSI SURYA BAHARI SHIPBOARD FAMILIARISATION TRAINING & ON-THE-JOB TRAINING RECORD

Ship's Name >

Task / Duties Officer's Officer's Officer's Officer's
Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date

13. Check and maintain MMC tapes and sampling device

14. Service and maintain the tank venting system.
15. Overhaul and maintain cargo valves.
16. Correct and safe use butterwoth machines.
17. Test for electrical continuity of butterworth hoses.
18. Demonstrate use of wilden pump.
19. Watch schedule/hours of rest.
20. Understand ballast water management plan.
21. Read and demonstrate understanding of the SMS.
22. Read and demonstrate understanding of the SOPEP/SMPEP.
23. Read and demonstrate understanding of the SOLAS.
24. Read and understand the relevant management & technical circulars.
25. Emergency Escape Breathing Devices (EEBD)

ON-THE-JOB TRAINING FOR ENGINE OFFICERS AND ENGINE TRAINEES

SHALL BE COVERED WITHIN ANY PERIOD OF TWO MONTHS

1. Operate the emergency steering system.

2. Locate and test the E/R bilge high level alarm
3. Locate and test the pumproom bilge high level alarm.
4. Operate and maintain :
a. Emergency air compressor
b. Emergency generator
8/14

F/SMSO/5/3-V1

PT. DIMENSI SURYA BAHARI SHIPBOARD FAMILIARISATION TRAINING & ON-THE-JOB TRAINING RECORD

Ship's Name >

Task / Duties Officer's Officer's Officer's Officer's
Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date Initial/Rank/Date

c. Emergency lighting.
d. Emergency batteries.
e. Emergency bilge suction.
f. Oily water separator.
g. Breathing apparatus compressor.
h. Steering gear.
5. Locate the fixed gas detectors and alarm system.
6. Locate and operate the engine room/pumproom CO2 smothering system
7. Locate and operate the GS pump and fixed foam system.
8. Test and operate the ODME.
9. Overhaul and maintain cargo valves.
10. Demonstrate use of wilden pump.
11. Watch schedule/hours of rest.
12. Understand ballast water management plan.
13. Read and demonstrate understanding of the SMS.
14. Read and demonstrate understanding of the SOPEP/SMPEP.
15. Read and demonstrate understanding of the SOLAS.
16. Read and understand the relevant management & technical circulars.
17. Operate, test and calibrate the following equipment :
a. Oxygen analyser.
b. Explosive meter
 c. Toxic gas meter
d. Training on the personal multi gas meter.
18. Emergency Escape Breathing Devices (EEBD)

9/14
 F/SMSO/5/3-V1
PT. DIMENSI SURYA BAHARI

RECORD OF EMERGENCY DUTIES

Ship's Name

Boat Muster Duties

Fire/Emergency Muster

Oil Spill Duties

Chemical Duties

Master's Name
BLOK LETTERS

Master's Signature

Date

Instruction : Please enter the relevant code number (s) for the various duties as listed in the 'Description of Emergency Duties'.
An additional entry is to be made in the column whenever there is a change of duty.
10/14
 F/SMSO/5/3-V1
PT. DIMENSI SURYA BAHARI
DESCRIPTION OF EMERGENCY DUTIES

CODE CODE FIRE/EMERGENCY CODE CODE

NO BOAT MUSTER DUTIES NO NO OIL SPILL DUTIES NO CHEMICAL DUTIES
MUSTER DUTIES
IN CHARGE OF DECK FIRE FIGHTING ASSESS SITUATION,CHECK MSDS AND ASSESS SITUATION,CHECK MSDS AND
B01 IN CHARGE OF LIFE BOAT F01 S01 C01
AND BACK UP FOR ENGINE ROOM FIRE TAKE ACTION AS PER MASTERS ORDERS TAKE ACTION AS PER MASTERS ORDERS

ASSIST MASTER WITH BRIDGE COMMS, IN CHARGE OF ENGINE ROOM FIRE AND COLLECT AND DON BA SET AND
B02 F02 S02 IN CHARGE OF EMERGENCY PARTY 2 C02
RELAY MESSAGES & STBY DOCUMENTS BACK UP FOR DECK FIRE CHEMICAL SUIT

IN CHARGE OF SUPPORT PARTY AND

ASSIST MASTER WITH BRIDGE COMMS,
B03 IN CHARGE OF LIFE BOAT ENGINE F03 PREPARATION OF LIFE BOATS / LIFE S03 C03 RUNNER FOR COMMUNICATIONS
RELAY MESAGES & STBY DOCUMENTS
RAFT

REMOVE SECURING ARRANGEMENTS ASSIST MASTER WITH BRIDGE COMMS, I/C OF SUPPORT PARTY, RENDER FIRST RELAY MESSAGES AND ASSIST MASTER
B04 F04 S04 C04
(GRIPES) RELAY MESSAGES & STBY DOCUMENTS AID AS PER MFAG WITH COMMUNICATIONS

COLLECT FIRST AID KIT AND

B05 MAKE FAST PAINTER F05 DON BA SET AND FIREMAN'S OUTFIT S05 C05 STEERING ON BRIDGE
RESUSCITATOR

TEND TO INJURED AND PREPARE I/C OF SUPPORT PARTY, RENDER FIRST

B06 CLEAR HARBOUR PIN F06 CHARGING OF BA BOTTLES S06 C06
STRETCHER AID AS PER MFAG

START EMERGENCY FIRE PUMP, FOAM

TEND TO INJURED AND ASSIST AS COLLECT FIRST AID KIT AND
B07 LOWER EMBARKATION LADDER F07 SYSTEM AND FIXED SMOTHERING S07 C07
REQUIRED RESUSCITATOR
SYSTEM

COLLECT FIRST AID KIT AND OIL COLLECTION AND ASSIST IN CLEAN TEND TO INJURED AND PREPARE
B08 COLLECT SART/EPIRB FROM BRIDGE F08 S08 C08
RESUSCITATOR UP OPERATION STRETCHER

TEND TO INJURED AND ASSIST AS SHUT DOWN DISCHARGE OUTLETS TEND TO INJURED AND ASSIST AS
B09 LOWERING OF LIFE BOAT F09 S09 C09
REQUIRED STOP/ REDUCE OIL LEAKAGE REQUIRED

SHUT VENTILATORS AND WATER TIGHT SET VALVES AND TRANSFER SPILLED STOP ALL SOURCES OF IGNITION AND
B10 STEERING ON BRIDGE F10 S10 C10
DOORS OIL TO EMPTY / SLACK TANK(S) CHARGE BA BOTTLES

COLLECT EXTRA PROVISIONS, FRESH FIRE HOSE PARTY / FIRE EXTINGUISHER CHECK AIR CON ON CIRCULATION AND
B11 F11 S11 STEERING ON BRIDGE C11
WATER AND BLANKETS PARTY CHARGE BA BOTTLES

PREPARATION OF CLEAN UP
B12 BOWMAN / STERNSHEET F12 STEERING ON BRIDGE S12 C12 PREPARE MAIN ENGINES
EQUIPMENT

ISOLATE ELECTRICALS, START

B13 ASSIST AS REQUIRED F13 S13 IN CHARGE OF ROVING PARTY C13 S\TANBY FOAM SYSTEM
EMERGENCY GENERATOR
 ISOLATE ELECTRICALS, START
B13 ASSIST AS REQUIRED F13 S13 IN CHARGE OF ROVING PARTY C13 S\TANBY FOAM SYSTEM
EMERGENCY GENERATOR

B14 ASSIST AS REQUIRED F14 IN CHARGE OF ROVING PARTY S14 ASSIST AS REQUIRED C14 START WATER ON DECK

11/14
 F/SMSO/5/3-V1
PT. DIMENSI SURYA BAHARI
Staff Name : ..............................................................................

Training Records (Videos, Films, Lectures, Seminars, Workshops, Forums, External & In-house Courses) excluding onboard training and
on-the-job training onboard vessel
Trainer's
No. Title of training Ship Trainer (Name) Staff Initials
Signature & date
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.
12.

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 F/SMSO/5/4-V1

PT. DIMENSI SURYA BAHARI

Date :

Port : Ship :

Logbook Entries Checklist

Item Checkpoint Yes/No Remarks

Steering gear testing and Within 12 hours before departure.

drills Emergency steering drills to be carried
out every three (3) month

Each member of the crew every month.

Within 24 hours after departure if more than
25% of the crew have not participated in drills.
Abandon ship drills Each lifeboat to be launched and operated
and fire drills every three (3) months
Rescue boats to be launched and operated
each month as far as possible, but at least
once every three (3) months

Within two (2) weeks after a crew member

joins the ship, on-board training in the use of
the ship's life-saving appliances incl.survival
craft equipment.
On-board training Instructions in the use of the ship's life-saving
and instructions appliances and in survival at sea to be given
at the same internal as the drills.
Individual instruction in the use of the ship's
life-saving equipment and appliances to be
given within a period of two (2) months.

Visual inspection of all survival craft, rescue

boats and launching appliances.
Weekly inspections all engines in lifeboats and rescue boats to be
run a head and astern for three (3) min.
Testing of the general emergency alarm.

Inspection of life-saving appliances and

Monthly inspection lifeboat equipment to be carried out using the
checklist required Reg.52.1.
Note : This checklist is to be completed when required and kept onboard

Duty Officer / Engineer Master / Chief Engineer

Name : ___________________ Name : __________________________

1 of 1
 F/SMSO/5/5-V1

PT. DIMENSI SURYA BAHARI

Date :

Port : Ship :

Safety in General Checklist

Item Checkpoint Yes/No Remarks

Permanently exihibited in accomodation

spaces

Permanently stored in watertight cases

Fire control plan outside the accomodation main entrances
(Port & Starboard)

Language understood by crew

Kept up-to-date

Instruction book for Readily available in an accessible

maintenance and operation position under one cover.
of fire fighting system
Language understood by crew

Exhibited in W/H, E/R and crew

accommodation spaces.

Muster List
To show duties acc.to.Reg.53.

Language understood by crew

Provided in each crew messroom and

recreation room, or in each crew cabin,
Training Manual complying with requirements of Reg.51.

Language understood by crew

Available on board and including all items

Instructions for onboard showed by Reg.52.
maintenance
Language understood by crew.
 1 of 2

F/SMSO/5/5-V1

PT. DIMENSI SURYA BAHARI

Safety in General Checklist

Item Checkpoint Yes/No Remarks

Provided on or in vicinity of lifeboats, liferafts,

rescue boats and their launching controls
Posters or signs
Use of symbols according to the
recommendations of IMO

Condition in good order, side ropes, rubber

Pilot ladders steps, wooden steps

Proper handholds available

Any discription found ( Yes / No ) ; Details : __________________________________________________________

______________________________________________________________________________________________
______________________________________________________________________________________________

Note : This checklist is to be completed by Chief Officer as part of handover. The Incoming Chief Officer
should report any major discrepancies to Designated Person in the office.

Incoming Chief Officer, Out-going Chief Officer Master / Date,

Name : ____________________ Name : ________________________ Name : _____________________

december 2010/ns (Rev.0) 2 of 2
__________
___________
___________
 F/SMSO/5/6-V1

PT. DIMENSI SURYA BAHARI

Date :

Port : Ship :

Testing and Drills Checklist

Item Checkpoint Yes/No Remarks

Communication system
W/H and E/R, W/H and
Testing between each compartment
steering gear room, W/H
and Radio Room

Operational test

Confirmation of F.O. Tank level.

Emergency generator
Condition of starting devices.

Ease of operation by crew

Operational test

Sufficient delivery pressure.

Discharge test of fire fighting Isolation valves operable.

system by operation of main
fire pumps and emergency No leakage of fire lines.
fire pump.
Confirmation of F.O. Tank level for emergency
fire pump engine.

Ease of operation by crew.

Operation of main and aux. S/G (full

movement of the rudder).

Language understood by crew

Steering gear (S/G) system
(Within 24 hours before Remote control system.
departure).
Emergency power supply.

Rudder angle indicators in relation to actual

position.
 1 of 3

F/SMSO/5/6-V1

PT. DIMENSI SURYA BAHARI

Testing and Drills Checklist

Item Checkpoint Yes/No Remarks

Testing of Alarms.

Use of symbols according to the

Steering gear (S/G) system Automatic isolating arrangement (if any)

(Within 24 hours before
departure) Visual inspection of S/G and connecting
linkage.

Operating instructions with block diagram in

W/H, S/G room.

Practice of emergency steering procedure (Inc.

Emergency steering gear
drill (every 3 month) direct control, communication, alternative
power).

Summoning of the crew to muster stations

with emergency alarm according to the muster
list.

Confirmation of the duties stated in the muster

list
Abandon ship drills (every
month & within 24 hours of Life jackets worn correctly by crew.
departure if 25% of the crew
have not participated Lowering of at least one boat
onboard the ship) (Different boats shall be lowered in turn at
successive drills).

Starting & operating the engine (s).

Emergency lighting test.

 Each boat to be launched and manoeuvred
by the assigned crew in the water every
three (3) month.

Fire drills (every month and

within 24 hours of departure Summoning of the crew stations
if 25% of the crew have not according to the muster list
parcipated onboard the ship)

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F/SMSO/5/6-V1

PT. DIMENSI SURYA BAHARI

Testing and Drills Checklist

Item Checkpoint Yes/No Remarks

Starting a main and emergency fire pump in see the above

turn, and discharging test using the two jets
of water

Checking fireman's outfit and other personal

Fire drills (every month and equipment, including fitting on crew member
within 24 hours of departure in turn.
if 25% of the crew have not
parcipated onboard the ship) Checking the communication equipment

Checking the operation of fire doors,

watertight doors and fire dampers.

Operating shut-off valves of F.O. Tanks and

emergency stop fans.

Note : This checklist is to be completed when required and kept onboard

Duty Officer / Engineer Master / Chief Engineer

Name : ___________________ Name : __________________________

3 of 3
 F/SMSO/5/7-V1

PT. DIMENSI SURYA BAHARI

TRAINING REPORT
Please tick ( V ) the appropriate box

Additional drills Video viewing Lecture

On the job training Demonstration Others
Please specify :_____________________

Ship : Port : Date :

Comments :

Attendance :
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Absent : _____________________________________________________________________________________

Conducted by : _____________________________________________________________________________________

Sign / Date ____________________________________________

Master / Chief Engineer
1 of 1
_______

_____________
_____________
_____________
_____________
___________

____________
 9.
8.
7.
6.
5.
4.
3.
2.
1.

11.

13.
12.
10.
No.
Rank
Ship : ........................................

Name
PT. DIMENSI SURYA BAHARI

Company Policy

Responsibility & Authority

Communication

Health, Safety & Envirenmental Protection

Training & Drills

Risk Mnagement & Work Permits

HALF YEARLY SMS REPORT APPRAISAL REPORT (*Deck / Engine)

Management of Change
SOPM Vol. 1

Document control, Audit & Inspection

Non-Conformance & Near Misses &

Investigation & Analysis

Emergency Contingency plan

Dispiclinary code

Cargo Operation

Navigation
[*Delete as appropriate ]
Repot for the period endi

SOPM Vo. 2
* March / September ......
Note : 1. For evaluation scale use Y = satifactory, N = not satisfactory & NA = not applicable
2. This form is to be completed at half yearly intervals in March & in September.
Office Use :
Signature (Dept. Head ) ................................................................... Master ........................... Signature .............................................................

Name ........................................................*C / ENGR - C / OFF Date ............................. Date ....................................................................

Distribution : - Original to the DP Name ............................ Name ..................................................................

- Copy in MASTER'S CONFIDENTIAL FILE
 F/SMSO/5/8-V1

CONFIDENTIAL

ot for the period ending

arch / September ....................

SOPM Vo. 2
Shipboard Maintenance (Deck&Engine)

Procedures for Docking & Survey

Engineering Procedures

s appropriate ]
...............................

...............................

..............................

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 F/SMSO/5/9-V1

PT. DIMENSI SURYA BAHARI

RECORD OF EMERGENCY EXERCISE

1. Date of Exercise Name of Ship / Head Office :

Time Start : Time Completed :

Lat : Long :

Port :
2. Details of exercise

3. Result/ Lessons learned

4. Assessement of Personnel

5. Corrective Action Taken / Recommended (if any)

6. Signed : Master

Name :

Note : If this sheet has insufficient space, separte sheets may be attached
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 \
PT. DIMENSI SURYA BAHARI

EMERGENCY DRILLS SCEDULE / RECORD FOR ______________ (Year)

S/N Jan Feb Mar Apr May Jun Jul Aug Sep Oct
1. Abandonship (Lifeboat)
2. Fire / Explosion
3. Oil/Chemical Pollution
4. Emergency Steering
5. Power Failure
6. Enclosed Space Entry & Rescue
7. Main Engine Failure
8. Cargo Tank Explosion & Fire
9. Man Overboard
10. Collision
11. Grounding/Stranding/Flooding
12. Gyro/Compass Failure
13. Bridge Control/Telegraph Failure
14. Gas/Toxic Vapour Release
15. Serious Injury
16. Helicopter Operations
17. Heavy Weather Damage
18. Structural Failure

Note :
1. The above drills schedule record is to be maintained onboard.
2. Drills at SI.no.1 to 3 shall be conducted monthly.
3. Life boat to be launched once in three months.
4. In the event of any other drill can not be carried out due operational reasons, that shall be the held during the following month.

MASTER
 F/SMSO/5/10-V1

___ (Year)

Nov Dec
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 F/SMSO/5/12-V1

PT. DIMENSI SURYA BAHARI

ABANDON SHIP MUSTER STATION

MT._________________________
SEAT
PORT LIFE BOAT DUTIES STBD LIFE BOAT
NO.
Rank Name OVERALL IN CHARGE MASTER Name
ASSIST MASTER, RECORDER, COLLECT CHART/
NAV.EQUIPT,DOC & COMMUNICATION
STEERING ON BRIDGE
IN-CHARGE OF LIFE BOAT, COLLECT VHF RADIO
IN-CHARGE OF LIFE BOAT ENGINE
COLLECT SART & EPIRB ON BRIDGE
BOAT LOWERER, CLEARING BOAT FALL (AFT)
(ON STEERING)
REMOVE FWD&AFT GRIPES,FWD&AFT CRADLE STOPPER
CLEAR ELECTRICAL PLUG & PUT DRAIN PLUG
MAKE FAST FWD PAINTER ON UPPER DECK
CLEARING BOAT FALLS(FWD),LOWER EMBARKATION
LADDER
COLLECT PYROTECHNICS ON BRIDGE&PREPARE L/RAFT
COLLECT EXTRA PROVISION,FRESH WATER&BLANKET
ASSIST AS REQUIRED

Communication : VHF CH 06 Back up channel : VHF CH 69

L/BOATS STATION : BOAT DECK PORT & STBD
(IN CASE OF EMERGENCY AT ONE MUSTER STNS, ALL WILL MUSTER AT THE OTHER)
1. Boat Muster Station signal : AT LEAST 7 SHORT BLAST AND ONE LONG BLAST OF THE SHIP GENERAL ALARM OR/AN WHISTLE
2. Abandon ship signal : VERBAL ORDER FROM THE MASTER
3. Man over board : EMERGENCY SIGNAL FOLLOWED BY 3 LONG BLASTS
4. Rescue boat : STBD / PORT LIFE BOAT

C/O : 2 nd in command. Overall In-Charge of LSA/FFA Maintenance

Officer in Command team shall be designated peson in charge of distress radio communication
NOTE : The Master shall allocate duties according to Rank & competence of crew. Seat numbers to be accordingly indicated for all
crew in the Muster Station List.

Date : MASTER
F/SMSO/5/12-V1

SEAT
NO.

VHF CH 69

N WHISTLE
dicated for all

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 F/SMSO/5/13-V1

PT. DIMENSI SURYA BAHARI

EMERGENCY (CHEMICAL SPILL) MUSTER STATION
MT._________________________

Command Centre Support Party

Roving Party Bridge Duties Mess Room Duties
Master Overall in-charge In-charge of suppo
Mess Room Duties Assist Master with render first AID as
C/E In charge of roving bridge comms,relay Collect fist AID kit &
party prepare M/E message & st/by resuscitator
St/by foam system doc Tend to injured & p
Stop all sources of stering on bridge strecher
ignition & charge BA Assist as required
bottles

Emergency Party 1
Emergency Party 1
Mess Room Duties
Poop Deck (port) Duties
C/O In-charge of emergency party 1,Assess 2/E In-charge of emergency party
situation, check MSDS & taake action as Start water on deck & start po
per Master order. Stby/Collect,Don BA set & Ch
Assist.C/O (Assist.as required) Stby/Collect,Don BA set & Ch
Collect, Don BA SET & Chemical suit Prepared of clean up equip, A
Operate v/vs, stop/reduce leakage&Chem suit required.
Check A/C on circulation&charge BA bottles Stby/ Chemical suit
Plug deck scuppers & chem.suit.
Collect Chemical suit

Back up channel : VHF CH 69

Communication : VHF CH 06
Emergency station signal : Continuous ringing of the ship's general alarm or/and whistle, followed by and announcement on P.A. System.
 1. Emergency on deck : Emergency party 1 will take charge and emergency party 2 will serve as back-up.
2. Emergency in engine room : Emergency party 2 will take charge and emergency party 1 will serve as back-up.
3. C/O is overall in-charge of LSA & FFA maintenace.
4. Alternate muster station : Bridge.
5. In absence of Master and/or Chief Engineer, Chief Officer and/or 2 nd Engineer will assume their respective duties.
6. All crew must carry ELSA to mess room at Muster station.
7. Office in command team is designated person in charge of distress communication.
NOTE : The Master shall allocate duties according to rank & competence of crew. Emergency (Chemical Spill) Muster Station List to be maintained
MASTER
Date :
 F/SMSO/5/13-V1

Support Party
Duties
In-charge of support party &
render first AID as per MFAG
Collect fist AID kit &
resuscitator
Tend to injured & prepared

Assist as required

ency Party 1

Duties
-charge of emergency party 2
tart water on deck & start portable pump
tby/Collect,Don BA set & Chem.suit
tby/Collect,Don BA set & Chem.suit
repared of clean up equip, Assist.as
on List to be maintained accordingly

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 F/SMSO/5/14-V1

PT. DIMENSI SURYA BAHARI

EMERGENCY (FIRE) MUSTER STATION
MT._________________________

Command Centre Support Party

Roving Party Bridge Duties Hospital Duties
Master Overall in-charge In-charge of support pa
ECR Duties Assist Master with preparation L/Boat & L/
C/E In charge of roving bridge comms,relay Collect fist AID kit &
party message & st/by resuscitator
Start emergency fire doc Tend to injured & ass.A
pump,foam system & stering on bridge required
fixed smothering Assist as required
system
Isolate electrical,start
emergency generator

Emergency Party 1 Emergency Party 1

Poop Deck (stbd) Duties Poop Deck (port) Duties
C/O In-charge of Party 1 2/E In-charge of party 2
Ass.C/O (Assist.As.required) & Charging Shut ventilators water tight door
BA bottles Don BA SET & FMO (Steering Ge
Don BA SET & FMO (Bosun store) Don BA SET & FMO (Bridge)
Don BA SET & FMO (Pump room)) Fire Hose/Portable Extinguisher p
Fire Hose/Portable Extinguisher party Fire Hose/Portable Extinguisher p
Fire Hose/Portable Extinguisher party
Assist As Required

Communication : VHF CH 06 Back up channel : VHF CH 69

1. Emergency station signal : Continuous ringing of the ship's general alarm or/and whistle, followed by and announcement on P.A. System.
2. Emergency on deck : Emergency party 1 will take charge and emergency party 2 will serve as back-up.
3. Emergency in engine room : Emergency party 2 will take charge and emergency party 1 will serve as back-up.
4. Alternate muster station : Boat deck starboard side.
5. C/O is overall in-charge of LSA & FFA maintenace.
6. In absence of Master and/or Chief Engineer, Chief Officer and/or 2 nd Engineer will assume their respective duties.
7. Office in command team is designated person in charge of distress communication.

NOTE : The Master shall allocate duties according to rank & competence of crew. Emergency (Fire) Muster Station List to be maintained accor

Date : Master
 F/SMSO/5/14-V1

Support Party
Duties
In-charge of support party &
preparation L/Boat & L/Raft
Collect fist AID kit &
resuscitator
Tend to injured & ass.As

Assist as required

ency Party 1
Duties
-charge of party 2
hut ventilators water tight door
on BA SET & FMO (Steering Gear)
on BA SET & FMO (Bridge)
re Hose/Portable Extinguisher party
re Hose/Portable Extinguisher party
List to be maintained accordingly

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 F/SMSO/5/15-V1

PT. DIMENSI SURYA BAHARI

EMERGENCY (OIL SPILL) MUSTER STATION
MT._________________________

Command Centre Support Party

Roving Party Bridge Duties Poop Deck (Stbd) Duties
Master Overall in-charge In-charge of support p
ECR Duties Assist Master with render first AID as per
C/E In charge of roving ; bridge comms,relay Collect fist AID kit &
prepare engine message & st/by resuscitator
Operate pump, record doc Tend to injured & prep
keeping & stering on bridge stretcher
communication Assist as required
Assist.C/E (Assist. As Assist as required
required)

Emergency Party 1
Emergency Party 1
Poop Deck (stbd) Duties
C/O In-charge of Party 1 Poop Deck (port) Duties
Ass.C/O (Assist.As.required) 2/E In-charge of emergency party 2
Shut down discharge outlets; secure spill Transfer spilled oil into empty tan
area; stop/reduce leakage Oil collection & assist.In clean up
Operate valves & transfers spilled oil to Oil collection & assist.In clean up
empty/slack tank(s). Oil collection & assist.In clean up
Start Air Driven portable pump Oil collection & assist.In clean up
Operate valves & transfers spilled oil to
empty/slack tank(s).

Communication : VHF CH 06 Back up channel : VHF CH 69

1. Emergency station signal : Cotinuous ringing of the ship's general alarm or/and whistle, followed by and announcement on P.A. System.
2. Emergency on deck : Emergency party 1 will take charge and emergency party 2 will serve as back-up.
3. Emergency in engine room : Emergency party 2 will take charge and emergency party 1 will serve as back-up.
4. Alternate muster station : Boat deck starboard side.
5. C/O is overall in-charge of LSA & FFA maintenace.
6. In absence of Master and/or Chief Engineer, Chief Officer and/or 2 nd Engineer will assume their respective duties.
7. Office in command team is designated person in charge of distress communication.

NOTE : The Master shall allocate duties according to rank & competence of crew. Emergency (Oil) Muster Station List to be maintained accord

Date : Master
 F/SMSO/5/15-V1

Support Party
Duties
In-charge of support party,
render first AID as per MFAG
Collect fist AID kit &
resuscitator
Tend to injured & prepared

Assist as required
Assist as required

ency Party 1

Duties
-charge of emergency party 2
ansfer spilled oil into empty tank (s)
il collection & assist.In clean up.
il collection & assist.In clean up.
il collection & assist.In clean up.
il collection & assist.In clean up.
ist to be maintained accordingly

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 F/SMSO/5/16-V1

PT. DIMENSI SURYA BAHARI

SHIPBOARD SAFETY CHECK LIST

For use with ICS Guide to Helicopte/Ship Operations

To be checked by the officer in charge

1. GENERAL
(a) Have all loose objects within and adjacent to the operating area been secured or remove ?
(b) Have all aerials, standing or running gear above and in the vicinity of the operating area
been lowered or secured ?
(c) Has a penant or windsock been hoisted where it can be clearly seen by the helicopter pilot ?
(d) Has the officer of the watch been consulted about the ship's readiness ?
(e) Does the leader of the deck party have portable radio trnsceiver (walkie talkie) for
communicating with the bridge ?
(f) Are the fire pumps running and is there adequate pressure on deck ?
(g) Are fire hosees ready (hoses should be near to but clear of the operating area) ?
(h) Are foam hoses, monitors and portable foam equipment ready ?
(i) Are powder fire extinguishers available and ready for use ?
(j) Is the deck party complete, correctly dressed and in position ?
(k) Are the fire hoses and foam nozzles pointing away from the operating area in case of
inadvertent discharge ?
(l) Has a rescue party been detail ?
(m) Is a man overboard rescue boat ready for lowering ?
(n) Are the following items of equipment to hand ?
(i) Large axe
(ii) Crowbar
(iii) Wire cutters
(iv) Red emergency signal/torch
(v) Marshalling Batons (at night)
(vi) First aid Equipment
(o) Has the correct lighting (including special navigation light) been switched on prior to night
operations ?
(p) Is the deck party ready, wearing brightly colour tabards (waistcoasts) and protective
helmets, and all passanger clear of the operating area ?
(q) Has the hook handler been equipped with helmet, strong rubber gloves and rubber-soled
shoes to avoid the danger of static discharge ?
(r) Is access to and egress from the operating area clear ?

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 F/SMSO/5/16-V1

PT. DIMENSI SURYA BAHARI

2. LANDING ON
(a) Is the deck party aware that leading is to be made ?
(b) Is the operating area free of heavy spray or seas on deck ?
(c) Have side rails and, where necessary, awnings, stanchions and other obstructions
been lowered or removed ?
(d) Where applicable, have portable pipes been removed and have remaining apex ends
been blanked off ?
(e) Are rope messengers to hand for securing the helicopter, if necessary ? (Note : only
the helicopter pilot may decide whether or not to secure the helicopter).
(f) Have all personnel been warned to keep clear of rotors and exhausts ?

3. TANKERS : additional items for Check List

(a) Ships not fitted with an inert gas system : has pressure been released from tanks within
30 minutes of commencement of helicopter operations ?
(b) Ships fitted with an inert gas system : has pressure in cargo tanks been reduced to slight
positive pressure ?
(c) All tankers : have all tank opening been secured following venting operations ?

4. BULK CARRIERS AND COMBINATION CARRIERS : Additional item

for Check List
Has surface ventilation to dry bulk cargoes ceased, and have all hatch openings been
fully battened down prior to helicopter operations ?

5. GAS CARRIERS : Additional Item for Check List

Have all precautions been taken to prevent vapour emission on deck ?

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 F/SMSO/5/11-V1

PT. DIMENSI SURYA BAHARI

MT.
LIFE BOAT SEATING ARRANGEMENT

FORWARD

01 02

03 04

05 24 06

07 08

09 23 10

11 12
22

13 14

15 16

17 18

19 20
21*

NOTE :
AFT *: ALTERNATIVE

NOTE : Seat Number to be marked as per ship specific Life boat on board.
Date :
MASTER