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INTEGRATED SAFETY MANAGEMENT SYSTEM OC-12

Version: 1-00
SENIOR OFFICERS Issued: 01.03.2019
Pages: 1 of 1
DE-BRIEFING CHECKLIST

Name: Rank:
Vessel: License:
Disembarkation
Date:
Port:
Period of Service on board Months of Service Years with Company
From: Till:
Last Service Appraisals Average: General Appraisals Average:

DE-BRIEFING TABLE
Department De-Briefing by Time Date Comments Signature
(position/name) Spent

Crew Dept.

OPS Dept.

Technical Dept.

Marine Dept.

Procurement
Dept.

Security Dept.

I.T. Dept.

Accounts Dept.
(for Masters only)

The undersigned certifies that he has been De-briefed by the above Personnel:

Officer Signature: Date:

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