Medical Matter (Death) Check List: Company Forms and Check Lists

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MEDICAL MATTER (DEATH) CHECK LIST

Company Forms and Check Lists ACTION Location of vessel


RADIO ADVICE

Date : 03.04.01 Rev.No : 1 Prep. : MGV App. : CAP Section : 03 Page : 1 of 1


WRITEN REPORT
DOCUMENTS

EVIDENCE

1 2 3 4 5 6 7 8 9

Name and position of deceased

Cause of death/witnesses statements

Notify Pleiades office

Prepare account of wages

Date of last allotment Prepare personal effects inventory with witness if effects landed, then obtain receipt.

Fumigate/disinfect berth, cabin of deceased.

Enter facts in medical and official log books.

Check with managing company regarding disposal of 10 remains. 11 Complete accident / incident report

12 Notify interested parties.


INSTRUCTIONS :
To be filled in if loss of life occurs onboard. Checklist to to be kept in the Safety Officer's file and a copy to be forwarded to the office together with the relative incident/accident forms

C:\FORMS\03_0005.PDF

MT LADON

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