COVID-19 Risk Assessment

Date and place of embarkation / Thermometry

   
Sosire X Plecare Numărul paginii
Arrival Departure Page Number 1
1.1 Numele navei 1.2 Numărul IMO
Name of ship M/V RIVER GRACE IMO number 8865963
1.3 Indicativul de apel 1.4 Numărul voiajului
Call sign 3EDP7 Voyage number 07/2020
2. Portul de sosire/plecare 3. Data sosirii/plecării
Port of arrival/departure CONSTANTA/ROMANIA Date of arrival/departure 04.2020
4. Statul pavilionului navei 5. Ultimul port de escală
Flag State of ship PANAMA Last port of call ROSTOV ON DON/RUSSIA
6. Nr. 7. Numele, prenumele 8. Funcţia sau gradul 9. Naţionalitatea 10. Data și locul îmbarcării 11. Termometrizare
No. Family name, given names Rank or rating Date and place of embarkation Thermometry*
Nationality (temperature values)

1. ABIYEV ILHAM MASTER AZERBAIJAN SAMSUN/TURKEY 36.4

2. MEHMET ESAT ENGIN CHF OFF TURKEY ZONGULDAG/TURKEY 36.2
3. RIZVANLI AGIL 2nd OFF AZERBAIJAN ROSTOV ON DON/RUSSIA 36.6
4. JAFAROV SHAMKHAL CHF ENG AZERBAIJAN POLIPORT/TURKEY 36.3
5. TAUZHNIANSKYI YEVGEN 2ND
ENG UKRAINE AZOV/RUSSIA 36.6
6. REMENIAK OLEKSANDR ELECTRICIAN UKRAINE ROSTOV ON DON/RUSSIA 36.5
7. ABDULLAYEV RAMIN A/B AZERBAIJAN ZONGULDAG/TURKEY 36.5
8. SALAYEV BABULLA A/B AZERBAIJAN SAMSUN/TURKEY 36.4
9. KARIMOV ALIM A/B AZERBAIJAN POLIPORT/TURKEY 36.3
10. KYRYLO YATSIUK O/S UKRAINE ROSTOV ON DON/RUSSIA 36.6
11. ALIYEV VUSAL D.CADET AZERBAIJAN SAMSUN/TURKEY 36.4
12. DINCER OMER OILER TURKEY SAMSUN/TURKEY 36.5
13. KARIMLI SHAMISTAN OILER AZERBAIJAN ROSTOV ON DON/RUSSIA 36.2
14. BABAYEV JEYHUN COOK AZERBAIJAN ROSTOV ON DON/RUSSIA 36.6

12. Data şi semnătura comandantului, agentului sau ofiţerului autorizat

Date and signature by master, authorized agent or officer 04.2020

*the entire crew will have temperature monitored on the ship, at least two times a day, and the results and any
change in the health status will be communicated through the agent to the Medical-Sanitary Border Cabinet