Ship’s Name :

Muster & Medical Assistance Drill

Port / Location :
SMS Checklist 8.3.14
Date / Time :

Check the following as applicable, if NO, suitable remarks are to be made in the observation section

Did all personnel muster correctly YES NO

Did the responsible persons report to the bridge YES NO
Was mustering completed in satisfactory time (2-3 min) YES NO
Were all personnel properly dressed YES NO
Were all personnel familiar with safety equipment appropriate
YES NO
to the drill/exercise
Were communication between parties satisfactory YES NO

Participants
Participant Name Rank Evaluation Signature Participant Name Rank Evaluation Signature
# #
1 17
2 18
3 19
4 20
5 21
6 22
7 23
8 24
9 25
10 Absence List
11 Name Rank Reason of Absence
#
12
13 1
14 2
15 3
16 4

Time used for the drill (Duration) – Minutes

5–7 7 – 10 10 – 15 15 – 20 20 – 25 25 – 30 30 – 35 35 – 40

Observations

Master Name & Signature : Date :

Muster and Medical Assistance Drill Page 1 of 2

8.3.14 EMERGENCY CHECKLIST - MEDICAL ASSISTANCE

ACTION PERSON CHECK

IDENTIFY NEED - CONSULT ‘SHIP CAPTAINS MEDICAL GUIDE' MASTER
OBTAIN DATA ON PATIENTS SYMPTOMS MASTER/ CHIEF OFFICER
PREPARE TO TRANSMIT - CONSULT RADIO SIGNALS FOR DETAILS O/O/W
RELAY DETAILS TO SHORE MASTER
CONTINUE TO MONITOR PATIENT MASTER/CHIEF OFFICER
SET UP COMMUNICATION LINK O/O/W
CARRY OUT INSTRUCTIONS FROM SHORE MASTER/CHIEF OFFICER
GIVE UPDATE TO SHORE MASTER
IS EVACUATION REQUIRED/POSSIBLE MASTER
CALCULATE NEAREST PORT/COURSE/ETA OOW
ARE HELICOPTERS AVAILABLE? MASTER
MAINTAIN COMMUNICATIONS LINK O/O/W
INFORM COMPANY BUT DO NOT INTERRUPT LINK TO MEDICAL TEAM ASHORE MASTER

Muster and Medical Assistance Drill Page 2 of 2