Revision : 0 - Date . 13.01.

2012
SMS FORM NO. COMP / 007
Page 1 of 2

ISM FORMS FOLLOW SHEET

YEAR
VESSEL NAME : MV IRMAK S 2014
:

Form No Form Adı Zaman JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
001001 Certificate Follows Sheet Her ay
x Class Survey Report Olunca
x Port State Inspection Reports Olunca
x Flag State Inspection Reports Olunca
x P&I Inspection Reports Olunca
x On-Off-hire/Other Insp. Rep. Olunca
005001 Deficiency Reports Olunca
005001A Deficiency Follow Sheet Olunca
006002 Document Change Req. Olunca
x External Audit Reports Olunca
006004 Master review Reports Olunca
007001 Non-conformity Olunca
Accident Olunca
Near Miss Accident Olunca
Incident Olunca
007001A Accident Follow Sheet Olunca
008001 Claim,Pollution Olunca
Claim,Cargo Olunca
Claim,Crew Olunca
Claim,Hull Olunca
Claim,Machinery Olunca
Claim,Others Olunca
011001 Handover form, Master Olunca
CREW/02 Crew off-sign form Olunca
012001 Deport report Olunca
012002 Evaluation form for ratings Olunca
012003 Evaluation form for officers Olunca
x Crew written application Olunca
012005 Crew Data Record Form Her ay
015002 Arrival-Departure Reports Olunca
016001 Monthly Cash Statement Her ay
016002 Distrb. of Foreign Currency Her ay
016003 Slopchest Report Her ay
016004 Master Bonded Store Report Her ay
017001 Crew Communication Her ay
017002 Charterer Inm-C Her ay
017003 Charterer Inm-F Her ay
017004 Owner Inm-C Her ay
017005 Owner Inm-F Her ay
018001 Request for Consumables Olunca
Request for Provision Olunca
Request for Cabin Olunca
Request for Paint Olunca
019001 Dispatch-receipt form/ In Olunca
019001 Dispatch-receipt form/ Out Olunca
021001 Risk Assessment Form Olunca
101001 Stevedore Damage Report Olunca
104001 Daily Work Report Her ay
104002 Wire Rope Report Her ay
 Revision : 0 - Date . 13.01.2012
SMS FORM NO. COMP / 007
Page 2 of 2

104003 Deck Mach. Sys. Oil Change Her ay

104004 Water Lev. Deduct. Syst. Rep. Her ay

Form No Form Adı Zaman JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
105001 Handover form, Chf. Off. Olunca
106001 Deck Dep.Consuming List Her ay
106002 Cabin Equip.Cons. List Her ay
106003 Paint Stock List Her ay
201001 Handover form, 2nd. Officer Olunca
201002 Handover form, Radio Officer Olunca
202001 Crew Hospital / Doctor Visit Olunca
Patient Log / Medicine Cons.
202002 Her ay
Record
30200B Record of Drill Her ay
302001 Safety Equipment Quarterly 3 Ay 1
302002 Expire Dates of All LSA/FFA Her ay
302003 Record of Training Video Her ay
302005 Safety Meeting Report Her ay
302006 Publication List Her ay
304001 Handover form, 3rd. Officer Olunca
005001 Deficiency Reports Olunca
005001A Deficiency Follow Sheet Olunca
007001 NC/Accd./Near Miss Accd. Olunca
007001A Accident Follow Sheet Olunca
401003 Document Change Request Olunca
401004 Claim, Machinery Olunca
404001 Chf.Eng Handover Form Olunca
405001 Evaluation form for ratings Olunca
405002 Evaluation form for officers Olunca
407001 Req. for Cons.&Chem. Olunca
407002 Req. for Spare Parts Olunca
407003 Req. for Bunker-Oil Olunca
408001 Motor Monthly Engine Rep. Her ay
409001 M/E Running Hours Record Her ay
409002 D/G Running Hours Record Her ay
410001 M/E Performance Report Her ay
410002 D/G Performance Report Her ay
412001 Safety Device Check List Her ay
414001 Cooling Water Treatment Her ay
414002 Boiling Water Treatment Her ay
415001 Meger Test Report 3 Ay 1
504001 Handover form, 1st.Engineer Olunca
505001 Daily Work Report Her ay
506001 Eng. Dep. Cons. List Her ay
506002 Electric Equip. Cons. List Her ay
506003 Monthly Spare Cons. List Her ay
506004 Chemical Stock List Her ay
506005 Ball Bearing Stock List Her ay
506006 Oil Stock List Her ay
601001 Handover form, 2nd. Engineer Olunca