Greatship (India) Limited

OS / O / 15 / R-0
:
: :
: :
1) This Form shall be filled immediately after person joins the RIG.
2) To be filed in RIG's File no. XXX.
Locate and don life jackets
Raise the alarm and have a basic knowledge of the use of portable fire extinguishers
(as required by Section A-VI, paragraph 1, of the STCW Code)
2-C
2-D
3-D
3-E
3
3-A
3-B
3-C
Close and open the fire, weathertight and watertight doors fitted in the particular ship, other
than those for hull openings
NAME RANK
2-B
Take immediate action upon encountering an accident or other medical emergency before
seeking further medical assistance on board
Understand safety information symbols, signs and alarm signals
Know what to do if :
A person falls overboard
Fire or smoke is deteted
ELEMENTARY BASIC SAFETY FAMILIARISATION
The fire or abandon ship alarm is sounded*
SNr
1
TASK / DUTY
DESIGNATED OFFICER RESPONSIBLE FOR PROVIDING ESSENTIAL INFORMATION
RIG NAME
NAME OF PERSON
DATE OF JOINING
Be able to :
Communicate with other persons on board on elementary safety matters
RANK
PLACE
2-A
1-A
1-B
2
*[Note : In practice abandon ship is a verbal command, however an alarm is sounded when
exercising an abandon ship (boat) drill.]
Be able to :
Identify muster and embarkation stations and emergency escape routes
RIG PERSONAL'S INITIALS & DATE :
DATE SIGNATURE DATE
DESIGNATED PERSON'S INITIALS & DATE :
SIGNATURE