POLITEKNIK PELAYARAN SURABAYA PM-02-2-R04
DRILL SCHEDULE REPORT FORM MRDF | NONTHEY
Cision | Mast: Designated Peon Issue Date | UApal 2018
Retention [3 Years Revision 7 | Page 1 of 7
VESSEL: KL, BUNG TOMO.
Month/Year: JANUARY! 2023,
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NO_[ ENTER DATEDONE >>> ESE 1
Z| Bites of crew amustered, viv oiv we [
2] Grewia proper PPE viv iv iv it
3 | Growin ligckes ve |
| Fie Pap and owes v
5 “Emergency fire pump tested Vv
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73 | Line throwing equipment v ee T -
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38 | (ace matasiey a | ide i
6 _| First Aid and CPR Temonstaied v viv |
47 | Reltrenceto COE v viv
‘Reference to JAMSAR Manual and | q
S| Soiscames bal fide Bad |
rata
] |] ee
__| required alarm? ca it
[777] Was it ensured that the crew is aware of the onder to |
abandon ship, as spocified in the muster list?
B | Were the exew members suitable dressed?
t
9 | Were the Hifsjackets correctly donned?
To War at hast one Without lowered aller the mecesary |
preparations for launching was done and found |
scepiable?
i | Was starting and operating the lifeboat engines) ‘carried | 7
out satisfactorily? | E # A
|| Wes epeaton of ti Sis a Trosing Heats | AT]
| acceptable’
Tig [Wes the emerges Taking tated ia way of ars oF
(28 | nmostering and abandonment? it
Ta [Ate crew members familar withthe Gir sssgned 6
hom during abandon ship operation? =
GE" [Mave the crew members in charge of @ sural erat [A |[—]
complete knowledge of operation and equipment ofa’? |
COMMENTS, ANALYSIS AND COI Ke
et
Master : Capt. Anak Agung Ngurah Ade D P Y / JAN 2023
Signature ‘DatePOLITEKNIK PELAY ARAN SURABAYA
PM-02-2-F0S
| EMERGENCY DRILIS REPORT FORM
RDP I MONTY
Aste
| Castdian | str, Designated Pas issue Date | TApal 2008
[Retention [3 Yeas e Revision O [Page 6 of 8
NO | MOB7MAN OVER BOARD DRILL
NO [REMARKS
1 | Did anyone shouling the alert “MOB?
Did anyone raise the dana and undlewtand Whe signal code
cconectly?
3] Was instruction to allocate a sictimoriber To pot atthe
(MOB in te water and tell them to Keep pointing and not
to lore sight ofthe M0
4 | Did officers undersiand how to send a DSC distress alert
| and a Mayday?
| weighted down with a bucket ora coil of rope demonstratod?
| Was practice such as by throwing @ fender overboard |
el Ps a fas UF
(COMMENTS, ANALYSIS AND CORRECTIVE ACTION:
on