CHIEF OFFICER'S HAND OVER REPORT

Company Forms and Check Lists VESSEL: PORT: DATE: 1.CARGO DISCHARGE PLAN
REMARKS:

Date : 03.04.01 Rev.No : 1 Prep. : MGV App. : CAP Section: 01 Page : 1 of 2

YES

NO

2.SHIP / SHORE CHECKLISTS SIGNED?

REMARKS:

YES

NO

3.MOORING, GANGWAY, TIDAL RANGE, CURRENTS, LOCAL REGULATIONS.

REMARKS:

YES

NO

4.FIRE AND POLLUTION CONTROL EQUIPMENT DEPLOYED AS REQUIRED?

REMARKS:

YES

NO

5. NEXT VOYAGE AND CARGO CARE INSTRUCTIONS ON BOARD

REMARKS:

YES

NO

C:\FORMS\01_0028.PDF

MT LADON

CHIEF OFFICER'S HAND OVER REPORT

Company Forms and Check Lists 6. STATUS OF FFA AND LSA EQUIPMENT,
REMARKS:

Date : 03.04.01 Rev.No : 1 Prep. : MGV App. : CAP Section: 01 Page : 2 of 2

YES NO

7. MAINTENANCE RECORD BOOK, SAFETY OFFICER's RECORD BOOK AND MEDICAL LOG UP TO DATE?
REMARKS:

YES

NO

8. SUPPLIES EXPECTED AT THIS PORT?

REMARKS:

YES

NO

9. DECK MAINTENANCE PAST AND PLANNED RECORDED

REMARKS:

YES

NO

ATTACHED DOCUMENTS
MEDICINE INVENTORY DECK EQUIPMENT INVENTORY (Gas Instruments, MMC tapes, Walkie Talkies + batteries, Antipollution Equipment etc.) DECK STORES INVENTORY ( Paints, ropes,wires,etc)

DISTRIBUTION
COPY TO SHIP'S FILE COPY TO OFFICE

CHIEF OFFICER LEAVING

NAME: NAME:

CHIEF OFFICER JOINING

SIGNATURE

SIGNATURE

INSTRUCTIONS :
To be filled in upon each Chief officer's change and to b kept with vessel's Chief Officer's familiarization records. Copy of the check list should be forwaded to Pleiades office.

C:\FORMS\01_0028.PDF

MT LADON