You are on page 1of 2

INSPECTION/AUDIT CLOSED-OUT FORM

Ships Name MT. GAS CAMELOT


(Nama Kapal)
Ship Owner/Operator PT. SUASA BENUA SUKSES
(Pemilik/Pengelola Kapal)
Date | Port of Inspection 30 October 2021 Pulau Sambu
(Tanggal | Pelabuhan Inspeksi)

VIQ / SSSCL Ref. Observation


(Temuan)

326 At least 5 pcs flood lights on weather deck were found unlit

Root Cause Flood lights bulb broken.


(Akar Masalah)

Corrective Action Replaced the old flood lights on deck


(Tindakan Perbaikan)
Preventive Action CH. Officer will regularly check the flood lights on deck and coordinate with
(Tindakan Pencegahan) electrician.
Close-Out evidence might be; documents, procedures, photos, certificate, service report, delivery order, etc.)
(Bukti tindak lanjut dapat berupa; dokumen, prosedur, poto, sertifikat, laporan kerja, bukti pengiriman, dll.)

Page 1 of 2
INSPECTION/AUDIT CLOSED-OUT FORM
Ships Name MT. GAS CAMELOT
(Nama Kapal)
Ship Owner/Operator PT. SUASA BENUA SUKSES
(Pemilik/Pengelola Kapal)
Date | Port of Inspection 30 October 2021 Pulau Sambu
(Tanggal | Pelabuhan Inspeksi)

Page 2 of 2

You might also like