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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)

250 Rendering point for all mooring winch not sighted

Root Cause
(Akar Masalah) There is no rendering point on mooring winches

Corrective Action Setting and installed Rendering point on all mooring winches
(Tindakan Perbaikan)
Preventive Action Ch. Regularly checked all mooring winches.
(Tindakan Pencegahan)
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

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