M/V "GOLDEN STAR"

Edition: 19/05/2011 FORMS TO BE FORWARDED TO THE OFFICE ( Copy to be kept onboard excluding No. 62) ISM Manual Responsible to reference complete QP01 QP06 QP06 QP06 QP06 QP06 QP06 QP09 QP09 QP10 QP12 QP12 QP13 QP13 QP01 QP01 QP07 QP07 QP06 QP07 QP06 QP07 QP07 QP07 QP07 QP07 QP07 QP11 QP07 QP07 QP07 QP07 QP07 QP07 QP12 MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER MASTER C/E MASTER C/E C/E C/E C/E C/E C/E C/E C/E C/E C/E C/E C/E C/E C/E C/E

ISM Forms description

Reviewed by

Form No. 03 41 59 62 91 92 93 42 53 10 04 05 40 65 98 90 06 Rev No. 05 18 14 21 Rev. No 03 26 22 Rev. No. 01 24 Rev. No 01 95 Rev. 01 99 22 Rev. No. 01 23 Rev. No. 01 96 UNITOR 27 Rev. No 01 89 Rev. No 01

Reporting Interval Every 3 Months After any crew member signs on Every Month Every 6 Months Every Month One month after any deck officer signs on One month after any engineer officer signs on After any deck officer signs on Every 3 Months When Master signs off Every 3 Months Every 3 Months Monthly Monthly As per instruction manual As per instruction manual See Note (1) below Every 6 Months After any engine officer signs on Every 3 Months When Chief Engineer signs off On completion of each voyage See Note (2) below Monthly (*) Every 3 Months (*) As per PMS Intervals (*) As per PMS Intervals Monthly (*) Every 3 Months (*) As per PMS Intervals (*) Monthly (*) Monthly Monthly Every 3 months Every 3 months

Three months onboard publications list MARINE Safety familiarisation checklist DPA Trainning report DPA Seaman's evaluation report CREW Record of video training attendance DPA Questionnaire for the traning of deck officers DPA Questionnaire for the traning of engineer officers DPA Familiarization with bridge equipment DPA Three months chart correction report MARINE Master's handling over form CREW Inventory list MARINE Medicines list MARINE Safety drills / test records DPA Safety committee meeting minutes DPA Safety maintenance manual MARINE Fire training manual MARINE Deck planned maintenance report MARINE Deck planned maintenance report (Ballast tanks Inspection) MARINE Familiarization with engine equipment DPA 2 months master's condition & maintenance report TECH Chief engineer's handling over form TECH Abstract of engineer's log TECH Machinery planned maintenance report (This form has TECH
been revised separately for each vessel)

M/E and D/Gs running hours M/E Crankshaft deflection M/E Cylinder inspection M/E Bearing Clearances M/E Working condition report D/Gs Crankshaft deflection D/G inspection report D/G performance report Boiler - Cooling Water Treatment Programme Megger test Lubricants analysis Spare Parts Inventory list

TECH TECH TECH TECH TECH TECH TECH TECH TECH TECH TECH TECH

NOTES: (1) Deck PMS Form 100: To be kept on vessel / Form 110 Rev. No 01: To be sent to office monthly / Form 200: To be sent to office every 3 months (2) Engine PMS Form 100: To be kept on vessel / Form 110 Rev. No 01: To be sent to office monthly / Form 21 Rev. No 03: To be sent to office every three months (*) These forms must be sent to the office also by e-mail.