Fe LOGINDO
PT Logindo Samudramakmur Tok,
‘No, Dok : SEF/SSPI0S
Rev. O1/ Maret 2015
SECURITY EXERCISE FORM
Formulir Simulasi Keamanan.
VESSELiKapat:_ PSV. Servewell Sincere
* Please complete as appropriateltistonlangkap! sepertunya
Tew DESCRIPTION
Penal Ural
Date iT Sepi 2019
Tonaoa!
LIT ype of exercise 1 BTS = Response for Bomb ThreaSearch Exercises
(to sas) omnes Fearn -
Tine exercise Sta 09.00 LT | Timeexercse endes 0920. UT
Location of exorcise Belanak Field
(es sr
‘Vessel position at ime of Position rosa) | Lat 04 08 501N
Ft tgo! poo con mls! Long 106713345
(Weather f Guacs (" cp Urn Uloc Lisn
(-)Sea Condition’ondisi Laut (7) Ucm Usm_ Esc
{()Current Condition arnt") Ms. es
Vainerabiiny | tevels +
ati
Exacioe alan nsniat
encase: Seourity Level] Level
‘eve Reamanon
Remais | Exercise Wh Thid Pary
| ae
| Banyis) involved Mvesseven ClprSO C80
Pinak yong tobat Dowie
Crew Pariiipation
FestispasiAvak Kapat
Name Rank inal Name Rank may
No " saan guat_| NO % Sisson Part
Tose Rorimpandes | Master 10. [RegarSetiawan [AB a
2 fanley Famamilang | Chet ofier Th Raw Sidon Oe LA
3. Freaky Tampilang | 2" Officer 12. Rania AR [Oiler
[ism Wigano FS [1S fa Faioo Pier ze
5. Silas Tengah 14~ FFirdaus Gangsa [Cook =
&._ [Rdiiano Famed 15, fikam Fain S_PeckCade—c
7 [Eitis Bale 16. Gags Gah Pfingine Cader
Mahanmad Afinnaal AD 17 [oaks Perdinan 77 fEngine Cader
T_Nouy D Ranindong [AT 5
Overall exercises Resuls(@ Dex er Oro
(Haat kosouranan sna
Remarks Traterngar:
Conducted Exercise Without third Pany causad the efficiency of ining
Page tet 2PT Logindo Samudramakmur Tbk.
Fi LoGInDo Wier Dok. Ser/esroe
Rev. O1/ Maret 2015,
SECURITY EXERCISE FORM
Formutir Simulasi Keamanan
Recommendation for development
Fevomendast untuk pengembangan
For all Crew Sugest to do quik for the alarm
‘To remember all of the duty On Muster list Security drill
()Please fliwin tne civen code Nota: Allexercise tobe conduoted reaularty based on yearly schedule
(O)lelan dangen kode yang ade Cate, Ser palathan skan dadakar berdasarkan jaca lelrantehman
** Weather / cuac:
CD=Cloudy RN=Rainy OC=Overcast SN= Sunny
Berawan Ayan Menaung Geran
“** Sea Condition / Kondisi laut:
CM= Calm SM
Tenang
“*" Current Condition / Arah Arus:
SL= Slack — EB= Ebb
Pasang ‘Sut
# Overall Exercise Result report by MasteniShip Security Officer on board:
Excellent SF = Satisfactory PO = Poor
‘Sempurns Memuaskan ‘Suruk
Prepared by SSO ‘Approved by Master
Diseokan olen SSO Disotuju ch Nakhoas
Date/ Tenge: 21 Sept 2018 Datel rangge!: 21 Seo
Name/nana:: Royke Rorimpandey Namelwama
Signature! rande tampon: _d Signatures Tonal tangan
ed
inetanuf ote CSC
Date/Tengget
Name/Nama :
Signature! Tanda angen
Page? ot?