ATT: CREW DEPT

ON BOARD FAMILIARIZATION FORM

To be completed by On-Signers prior Sailing.
(The Off-signing Master/Chief Engineer must do the familiarization to the Signing-on Master/Chief Engineer)

M/V ______DESPINA ANGEL__ SEAMAN’S NAME MAHMOUD ABDELMOHSEN ELSOUDY ________ RANK _CADET

DATE JOINED THE VESSEL _____17-05-2018___________ PLACE _________POINTE NOIRE______________________

1. APPLICABLE TO ALL CREW

All Officers and/or Ratings must complete the columns of this form which are related to them as indicated at the right column

Completed Tick  Completed by Tick 

by
Vessel’s Particulars ALL  The importance of safe Operation and Job training ALL OFF.
Codes of safe working practices and operations ALL  Passage Plan Pre-arrival – Pre-sailing DECK OFF.
Introduction to work place and duties ALL  Description of Vessel, its machinery, trading pattern and the background ENG. OFF.
to current technical problems, if any
Life Saving Appliances: Lifejacket position & donning. ALL  Description of the recording, reporting and follow up system for: ENG. OFF.
Lifeboats equipment, start of engine, Liferafts a. Daily consumption of lubricating oils and water
positions and launching, Lifebuoys type & position b. Boiler/cooling water treatment and analysis reports
onboard c. Service hrs for M/E and A/ES
Fire Fighting Appliances ALL  New crew member’s documentation MASTER
Mustering Stations and Boats Station ALL  Vessel’s certification/Documentation MASTER
International shore connection ALL  Machinery/Safety devices ALL 
Pollution Control Equipment ALL  Showing proper Engine Log Book entries and proper Oil Record Book C/E &
keeping. ENG OFF
Showing proper Deck Log Book entries, entries in DECK OFF. Explaining Security duties/responsibilities for SSO, OOW, Look out, ALL 
Deck Charts (corrections etc.), Official Publications Gangway Watch, Patrols and Escorts.
and Safety Records

Responsible Officer for familiarization

(Signature): Name: HASSAN KHATIB Date: 18-05-2018
Seaman
(Signature): Name: MAHMOUD ABDELMOHSEN Date: 18-05-2018
ELSOUDY

Note: If more than 25% of the crew is replaced, then fire and abandon drill should be carried out within 24hrs after vessel’s departure from the port and crew was changed

Page 1 of 2 AST.213.01
 ATT: CREW DEPT
ON BOARD FAMILIARIZATION FORM
(To be completed by On-Signers within two (2) weeks from the date joined the Vessel)

NAME OF ON-SIGNER ____________ MAHMOUD ABDELMOHSEN ELSOUDY ___ RANK ________CADET______________

DATE JOINED THE VESSEL ________17-05-2018______________ DATE OF FORM COMPLETION ___________23-05-2018___________

2. APPLICABLE TO ALL CREW

All Officers and/or Ratings must complete the columns of this form which are related to them as indicated at the right column

Completed Tick  Completed by Tick

by 
Company’s safety & Environmental protection policy ALL  Presentation of Company’s Procedures, Circulars & All Off.
Relevant Documents
Company’s “Drug and Alcohol” Policy ALL  Explanation of Control Reporting, procedures for Incident- All Off.
(to be recorded in Form AST.204) Accidents, “Audit” findings
(N/C or Observations), PSC Deficiencies and corrective
actions
Reporting Non Conformities, DEFECTS and Near Misses ALL  Garbage Management Plan All Off. &
(to be recorded in Form AST.209) C/Cook
Presentation of Safe Working Practices ALL  Ballast Management Plan Deck Off.
Emergency Procedures as per Company’s SMS-SOPEP etc ALL  Portable extinguishers ALL 
Test Checks of Critical Equipment as per form AST.629 C/Engineer Types of Fire extinguishing means onboard, use & ALL 
location
Use of Self Contained Breathing Apparatus (SCBA) and Emergency ALL  CO2 (if applicable) ALL 
Escape Breathing Devices (EEBDS)
Responsible Officer for familiarization
(Signature): Name: HASSAN KHATIB Date: 23-05-2018
Seaman
(Signature): Name: MAHMOUD ABDELMOHSEN ELSOUDY Date: 23-05-2018

REMARKS:

Page 2 of 2 AST.213.01