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\ > LAPORAN LATIHAN PERAGAAN PERALATAN KeseL AME i Demonstration of Life Saving Equipments Drill Rep ‘Nema Kapa: = TanggalLaporan anaes Venatt Reine |LCT.CONTAINER PASIFIK 1 pe Pelebuhen Asai Pesbinan Tuan lpauapapan Port of Departure PertKieng Port rival “Tanggal Lathan reehikagalsastiation: | op aroun Je] s10ran zor [E * oa Date pssept2nz2 4 ship postion dung oil [ude Soe: Fal Waka Lathan: Too ean stan (Hou) ena 5 Fota ett Hour |Selesa Jam Komandan ethan (chet Officer | jFnisn coun ea, © ri commander tem yang Harus Dicek /Diperagakan anne Ketarangan Checked! Demonstrated kems | Remarks INFLATABLE LIFERAFT | |a.Harus a service cep 12 bulan ] Bok [Ey PUK oa Serves Feb 2029 | | _Mustbe serviceable yeaty (nce every 12 months) coon | Broken | |b-ontaner nar ttuis dengan els: Pabrik pembua, no Sei to Milubiohi/ MTA 15 4.02007 Feb ‘Service teak, apasas/jumlah person Dom Ya py Teak 2022/15 orang Folowing data on contsiner must be clearly wien: Manufacture, serial | yes |) No Ningbo sndongCRVF -A 15 |7|_ no las Service dat, eapacty otal personnel | 5001 0b 20 | |e Konds darting reo cotective tapes & release unt 7 Bal | Risak Release unit dalam konds balk Fiting rete roflctve tapes condtion&telease unit | ood |] Broken mudah untuk dlepaskan <4. Kons pengkatannya Bak | Rusak | Eek, | B82 ikat menggunakan wire : 5g aaa | Emboratonidder const |B cca | srokon| ak Daun |LIFEJACKET -Seluruh crew memperagakan pemakaianIifejacke, peragaan dipimpin oleh Safety Officer / Mualim I Tidak Digunakan Lifejacket — All crew member Demonstrate how to use Mejacket, lead by Safety Officer / Chief Officer | 0 Se eee jefiedive tapes era Tia pelabuhon pendataran Baik |] Rusak terkena cahaya, nome hapel & Each lfejacket equips with retroeflective tapes, vessel's name & port of| Good Broken pelabuhan pendaftaran terihat ‘eoisry | ae p baju pelampung dlengkapi dengan pekit dan lampu a Ya Gy Tak | Each fejacket equips with whistle and lights - le Pengecekan jumiah dan kondis\ iejacket tambahan yang ada di anjungan, contol room Kamar mesin dan di gudang wm BG Inspect quantity and condton for addtional ojackets onthe bridge, Good | contol roomy engine room and store room |) |PREMAN OUTFIT & BREATHING APPARATUS 6 Pelt iengkap dan lamp menyala Yes "—_No__jika terkena air ae amar evi ersw= 72 Poe Rusak Arungan= 2 Pee :cken Kamar mesin« 2 Pes |__| ott umta tejncet = 16 Pes Baik | Rosak = : Geog |) guren NO* Service BA March 2023 9 [-Uitetnes,ampu semter Bak |[5 Rusa [lite nes kondisl bagus, cahaya ie lines, flasiight a rats ocd [2 erobenlampu senterisese ie | ends! Breathing apparatus: bot, selang, masker & tekanan udara lar Bak Rusak POtO!, selang, masker dalam 4 lo eed | Broken ana bak tekanan utara s Breathing apparatus condton, bottle, hose, mask & air pressure lumen sir person yang terial dla aihan oe 119 Total personnel involved inci (Sea poese “44 Jumilah person yang absen sehubungan dengan tugas jaga Total personnel absent in il due fo watch keeping ty ~ | Orang /ABK yang tidak mengikutilthan Karena alasan lain a ee —} Berson _| ig[Ctew absent during exercise deo oer reason =) Orang ‘Sebutkan nama, jbatan dan alasannya: [ | *_| Person _| Please mention name, peston and reasons "Tanggaireneana lthan meninagatkan Kapa berikuiya: = ae "*3\next bandoned ship il planed date Berens pen Peragna alt Keselamatan tla dielaskan,diporagakan aan dane Evalnsi has latnan (dist Nekhoda) crew: bagaimans cara raya dan eeregakan dan apaharl oleh |" evaluation ited by Master) teslanatan yang an dete haat" 9" Sr masing ming at wee '_Peagean penggean Freman Ou & Breathing Apparatus 2meni eth Page 1 of2 LAPORAN LATIHAN PERAGAAN PERALATAN KESELAMATAN Demonstration of Life Saving Equipments Drill Report =~ _~ Faeeran Out & Breathing Apparatus —__Life Buoy ‘Dibuat oleh /Prepared by, | Orsetujui oleh / Approved by, Ah: kt | ‘AcmedNuvdn iki Muaiim 1/ Chief Offcer ‘Nakbods / Master Page 20f2

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