JOINT DRILL REPORT (SHIP-SHORE) - SIAM LUCKY MARINE

FORM NO : SEHQ/SHE-54A
NO VESSEL SENNA DATE

TYPE OF DRILL

1 Grounding Collision Manoverboard

Fire Onboard Power Failure - Blackout Other

VESSEL POSITION DURING SIMULATED DRILL

2 Vessel Position at sea Lat. Long.

Vessel in port

ACTIVITIES OF EXERCISE
3
Beginning Time hrs. Closing Time hrs.

4 COMMUNICATION

Receive by Receive Person

SCENARIO/DESCRIPTIONS

EMERGENCY SITUATION TO BE ANALISISED BY MASTER

6 Violence and urgency level evaluation Response action done

Damaged evaluation Vessel's status during damage occurred
SHORE EMERGENCY RESPONSE TEAM SET UP

7 Team Leader All members gather to muster point

Inform Members Inform MD/FRD/GM/DPA
INITIAL ACTION AFTER SHORE ERT SET UP

In-Out Telephone contact record Prepared emergency contact list

8
Decision making record Prepared charts, drawing and necessay
Contacted local agent or insurance representative
ACTION TAKEN FROM ERT LEADER AFTER RECEIVE REPORT FROM SHIP

Violence evaluation carried out, prepare for inspection

Set up communication as easy as necessary
Set up communication as easy as necessary
9 Prepare chart and necessary domestic information
Confirm check of Pollution prevention management
Maintain close contact the ship and give her advise
Each department managers are well carry out their roll call duties
Prepare contingency plan to assist and support
 JOINT DRILL REPORT (SHIP-SHORE) - SIAM LUCKY MARINE
FORM NO : SEHQ/SHE-54A
CONTINGENCY PLAN PREPARATION IN CASE SUITATION CAN NOT CONTROL BY OWN

Emergency contact list is prepared

Discuss with local contactor to estimate the cost
10
Make a list of necessary things which to be supplied
Prepare salvage party by closely contact with insurance
Prepare for evacuation, take the crew back in case cannot proceed to sail

STEMENT TO BE ISSUE AND CONTROL TO PUBLIC AS NECESSARY

Statement issued by Rank

Type of media
11
Given statement only positive and operation attempt scope only
Information mainly given in basis of reference record
Prepare reasonable answer

RESULT OF EXERCISE EVALUATED BY THE COMPANY AND THE MASTER

COMPANY MASTER OF THE VESSEL

Satisfactory Satisfactory
12
Unsatisfactory Unsatisfactory
If unsatifactory (give details)
Confirm the Master's evaluation by Ship Email and FFB telephone (See attach)

DRILL PARTICIPANTS

Name Rank Signature

13

EXCECISE APPLY

Annually
14
Original keep in Head Office
Copy send to Vessel Send by

Remark : Record to be kept 3 years

Managing Director Designated Person