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KEMENTERIAN PERHUBUNGAN

BADAN PENGEMBANGAN SUMBER DAYA MANUSIA PERHUBUNGAN


POLITEKNIK PELAYARAN SURABAYA

SURAT KETERANGAN
MELAKSANAKAN PRAKTEK LAUT

Berdasarkan Surat Keputusan Direktur Politeknik Pelayaran Surabaya


Nomor : xxx Tahun 2019 tentang Evaluasi Hasil Pelaksanaan Praktek Laut
Bagi Taruna/i di Lingkungan Politeknik Pelayaran Surabaya pada Perusahaan
Pelayaran ……………… yang berlokasi di ……… , menerangkan :

Nama Taruna/i :

Nomor Induk Taruna/I :

Jurusan :

Instansi : Politeknik Pelayaran Surabaya

Telah melaksanakan kegiatan Praktek Laut selama xx bulan, terhitung pada


tanggal xx januari 20xx s.d. xx Desember 20xx dengan hasil :

 Pengalaman/kemampuan : ……………………………………………………………
 Catatan prilaku : ……………………………………………………………

Surabaya, xx Desember 20xx


Direktur/Capt. Direktur
Mualim I/ Masinis I Politeknik Pelayaran Surabaya

xxxxxxxxxxxxxxxxxx Capt. HERU SUSANTO, M.M.


NIP. 19711003 200502 1 001
HASIL EVALUASI PELAKSANAAN PRAKTEK LAUT

No Kompetensi Komponen Penilaian Predikat


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1 STCW Amandemen Manila 2010
a. Plan and conduct a passage and determine position Lulus
b. Maintain a safe navigational watch Lulus
c. Respond to emergencies Lulus
d. Respond to a distress signal at sea Lulus
e. Manoevre the ship Lulus
f. Ensure compliance with pollution prevention requirement Lulus
g. Maintaining seaworthiness of the ship Lulus
h. Prevent, control and fight fires on board Lulus
i. Operate life saving appliances Lulus
j. Contribute to safety of personnel and ship Lulus
k. Use of radar and ARPA to maintain safety of navigation Lulus
l. Use of ECDIS to maintain the safety of navigation Lulus
m. Use the IMO Standard Marine Communication Phrases and use English in written and oral form Lulus
n. Transmit and receive information by visual signaling Lulus
o. Monitor the loading, stowage, securing, care during the voyage and the unloading Lulus
p. Inspect and report defects and damage to cargo spaces, hatch covers and ballast tanks Lulus
q. Apply medical first aid on board ship Lulus
r. Monitor compliance with legislative requirments Lulus
s. Application of leadership and teamworking skills Lulus
Penguasaan IT
a. Perencanaan Baik
b. Definisi dan analisis masalah Baik
c. Permodelan (program dan using interface) Cukup
d. Coding dan testing Cukup
e. Run program Baik
f. Dokumentasi program Baik
Penguasaan Bahasa Inggris
a. Preparation test Lulus
b. Marlins test Lulus
c. Cadet Afternoon Speaking Lulus

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