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INSPECTION CLOSED-OUT FORM

Ships Name RATU SYAHRA


(Nama Kapal)
Ship Owner/Operator PT ARMADA SAMUDRA GLOBAL
(Pemilik/Pengelola Kapal)
Date | Port of Inspection 17 JUNI 2022 BALIKPAPAN
(Tanggal | Pelabuhan Inspeksi)

VIQ / SSSCL Ref. Observation


(Temuan)

5.12 Familiarization crew for new joining crew were not sighted on barge.

Root Cause Lack of awareness


(Akar Masalah)
Corrective Action crew conduct familiarization for new joining crew
(Tindakan Perbaikan)
Preventive Action crew conduct familiarization for new joining crew based on manual company
(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 CLOSED-OUT FORM
Ships Name RATU SYAHRA
(Nama Kapal)
Ship Owner/Operator PT ARMADA SAMUDRA GLOBAL
(Pemilik/Pengelola Kapal)
Date | Port of Inspection 17 JUNI 2022 BALIKPAPAN
(Tanggal | Pelabuhan Inspeksi)

Page 2 of 2

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