MAN OVERBOARD CHECK LIST

Company Forms and Check Lists

Date : 03.04.01 Rev.No : 1 Prep. : MGV App. : CAP Section : 03 Page : 1 of 2

WRITTEN DOCUMENTS REPORT EVIDENCE

ACTION Release lifebuoy with light and smoke signal on side that man fell overboard Turn on side that man fell overboard Turn vessel on side where man fell overboard

RADIO ADVICE

2 4 5 6 7 8 9 10

Plot vessel's position with respect to man

Plot lifebuoy's position

Commence Williamson turn

Sound alarm

Post lookout with binoculars

Call master Place engines on stand by advising engine room the reason

11 Muster accident board crew 12 Complete Williamson turn 13 Alert by radio vessel's in vicinity and shore stations 14 Manoeuver to pick up man

C:\FORMS\03_0004.PDF

MT LADON

MAN OVERBOARD CHECK LIST

Company Forms and Check Lists

Date : 03.04.01 Rev.No : 1 Prep. : MGV App. : CAP Section : 03 Page : 2 of 2

15 16

Note other vessels in the vicinity warning them as necessary by sound or verbally Treat recovered man for shock and injuries as per medical guide

17 Recover accident boat and crew and re-secure boat 18 Complete accident / incident report 19 Enter facts in log book 20 Notify interested parties
INSTRUCTIONS :
To be filled in every time there is a Man Overboard situation. Checklist to to be kept in the Safety Officer's file and a copy to be forwarded to the office together with the relative incident/accident forms

C:\FORMS\03_0004.PDF

MT LADON