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  • Joining Checklist

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    pavloshtein
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    This form is a checklist that must be completed by the master or designated crew member to verify that any personnel joining the vessel possess the required qualifications and certifications for their position. The checklist lists qualifications like licenses, medical certificates, training certifications in areas like security awareness and firefighting. It requires verifying that the documents are valid and have not expired for each new person joining the vessel.

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    10110 Joining Checklist

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    This form is a checklist that must be completed by the master or designated crew member to verify that any personnel joining the vessel possess the required qualifications and certifications for their position. The checklist lists qualifications like licenses, medical certificates, training certifications in areas like security awareness and firefighting. It requires verifying that the documents are valid and have not expired for each new person joining the vessel.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    Joining Checklist

    Uploaded by

    pavloshtein
    This form is a checklist that must be completed by the master or designated crew member to verify that any personnel joining the vessel possess the required qualifications and certifications for their position. The checklist lists qualifications like licenses, medical certificates, training certifications in areas like security awareness and firefighting. It requires verifying that the documents are valid and have not expired for each new person joining the vessel.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Joining Checklist Form 10110

    Vessel: FALCON PEARL Date:


    Employee/Contractor Shtein, Pavlo
    Sign:
    Print Name:
    Position onboard: 3rd Engineer Company: Seacor Marine
    Prepared by: Sign:
    This form is to be completed by the Master and/or a designated crewmember to ensure they possess the
    required documents for their intended position onboard. This checklist must be verified on each occasion
    personnel joining the vessel. If equivalent is provided, please note the nature of the document in comments.
    REQUIRED ISSUE EXPIRY COMMENTS
    QUALIFICATION
    YES NO DATE DATE OR N/A
    Merchant Mariner’s Credential/License/Certificate x 22.04.2019 27.03.2024 Officer in Charge of
    an Engineering
    Watch End. - Motor-
    STCW Reg. III/1
    USCG Medical Certificate or Equivalent x 04.09.2023 04.09.2024 Med MI

    T.W.I.C (US Requirement) x


    STCW Endorsement for Rank (Capt/AB/Etc) x 11.05.2021 27.03.2024 COC MI

    GMDSS Operator Permit / Endorsement (IV/2) x


    Radar Certification / ARPA Training if equipped x
    STCW Basic Training (VI/1) x 05.09.2023 05.09.2028

    Vessel Security Officer and/or Endorsement (VI/5) x


    Security Awareness Training / Endorsement (VI/6) x 13.03.2019 13.03.2024

    Rigger Certification (API Standards) x 27.05.2021 27.05.2026 Rigging and slinging

    First Aid / CPR x 06.03.2019 06.03.2024 MFA

    Safe Gulf Certification or Equivalent x 05.09.2023 05.09.2028 PSCRB

    H.U.E.T. and/or Tropical H.U.E.T. x 07.05.2021 07.05.2026

    Crane Operator Certificate x


    Identification as applicable: (Government ID, x 08.07.2016 08.07.2026 Passport
    Passport, Company ID)
    Fire Fighting required by Administration/Contract x 05.09.2023 05.09.2028 AFF

    Dynamic Positioning Certification x


    (note level of certificate in comments)

    Retention Period – 3 years

    RESET

    SMSR17 APPROVED BY: DPA EFFECTIVE DATE: 1 JAN 2020

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