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GENERAL REGULATION ON SHIPBOARD DUTIES

Rekaman Medis di Atas Kapal/Medical Care on Shipboard Record

The person acting as Medical Officer should enter Table 1 the date of commencing duties together with their name, rank and
signature. When a person ceases to act as Medical Officer the date together with their signature should be entered. The duties of
the Medical Officer are detailed in JP07 Purchase, Supply, & Resource Management Procedure Ch. 04 Controlling Inventory Point
4.3.3 (7) Medical Control (1) The Medical Officer Responsibility.

Details of all illness / medical treatment etc. should be entered on Table 2 of this form. When completed the Medical Care on
Shipboard Record should be retained on board in accordance with JP07 Ch. 04 Point 4.3.3 (7) (1).

Tabel 1 Rekaman Petugas Kesehatan yang Bertugas (Table 1. Assigned Medical Officer Records)
Tanggal Mulai Tugas
Nama Posisi Tanda Tangan Tanggal Berakhir Tugas Tanda Tangan
(Date of Assuming
(Name) (Rank) (Signature) (Date of Ceasing Duties) (Signature)
Duties)

JSKS-SSHQE FORM-JG-02-10-
V(1/2)/1/2013.01.08
GENERAL REGULATION ON SHIPBOARD DUTIES

Rekaman Medis di Atas Kapal/Medical Care on Shipboard Record

Sakit/Kecelakaan Tanggal
Perawatan
Tanggal Waktu Nama Posisi (Illness/Injury, include Kadaluarsa Obat Tanda Tangan
(Treatment, include medicines
(Date) (Time) (Name) (Rank) temperature, pulse and (Drugs Expired (Signature)
and materials used)
respiration if relevant) Date)

Tabel 2. Rekaman Awak Kapal yang Sakit dan Pengobatannya (Table 2. Crew Illness and Treatment Records)

Tanda Tangan Nakhoda (Master’s Signature) __________________________

JSKS-SSHQE FORM-JG-02-10-
V(2/2)/1/2013.01.08

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