Revision : 0 - Date . 01.01.

2010
SMS FORM NO. COMP / 003
Page 1 of 1

VESSEL INTERNAL INSPECTION AND AUDIT SCHEDULE FORM

VESSEL NAME : MV ADA

YEAR : 2014

INTERNAL INSPECTION
JAN FEB MAR APRIL MAY JUNE JULY AUGUST SEPT OCT NOV DEC

X X

INTERNAL AUDIT
JAN FEB MAR APRIL MAY JUNE JULY AUGUST SEPT OCT NOV DEC

Note : All internal inspection and ISM audit planned beginning of each year . ISM audit should be carried out once in a year . Internal Inspection should be carried out every 6 monts .

DPA NAME & SIGN