3.D-017A Abandon Ship Drill Report Rev 0

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Issued by: DMR Approved by: COO SQE/Form-D-017A

PT. VEKTOR MARITIM


SQE MANAGEMENT SYSTEM FORM August 01, 2012
Rev: 00
ABANDON SHIP DRILL REPORT Page 1 of 2

Ship File Office File

Vessell : SUCCESS ALTAIR XLII  CO-6  


Consecutive No. Of
drill this Month : Date of DEC, 24th 2014
Drill :

Latitude : 01° 42.43 N Longitude : 101° 28.15 E

Location : DUMAI ANCHORAGE

Other Absentees : NIL No. On duty 1


Absentees :

Reason For ON DUTY


Absence :

GENERAL INFORMATION
Type Of Drill : Abandon Ship Drill & Launching of life Raft
Commenced at : 1530 Lt Completed at : 1605 Lt

Date last lowered & Lowered on this


LifeBoat
manoeuverd in water occasion
Port Life boat : N/A N/A No
Stbd. Life Boat : N/A N/A No
Freefall Life boat : Lowered & man. Every 3 Months / Launched OR
17 Mei 2014 Yes
Launch simulated every 6 Months
Rescue Boat : Monthly 23 Nov 2014 Yes

MINUTES OF THE DRILL


Mention all events with times during the drill, begining from sounding of the alarms to carrying out the debriefing & stand down.

1530 H – Seven short blasts and one long blast sounded. Same as general alarm bell,
followed by Master announced thru public addresses “Abandon ship drill…3x”
1537 H – C/O commander report to Master, all crew were complete at muster station then
checked the equipment of the crew such as crew duties,life jacket, and life
saving.
1540 H – C/O at Lifeboat tested engine ahead & astern,wheel hard port & starboard and
checked the light.
1545 H – Muster station reported, Lifeboat was ready to lower.
1550 H – C/O lead the crew to enter the lifeboat on embarkation level then
they explained about On Load and Off Load Release System.
1552 H – Crew went out from L/B after explanation then started to heave up lifeboat.
1555 H – Lifeboat in the position and start securing.
1600 H – Lifeboat was secured. 3/O gave some explanation about launching of life raft,
some crew raised some question and all were responded and clarified.
1605 H – Completed explanation and drill dismissed. Proceed to the next drill.

Time Time Emergency Condition & Condition of GMDSS


Fuel
Boat Engine Engine Lighting launching L/jackets radio
Replenished checked.
Started stopped checked Arrangement Checked
Port N/A N/A N/A N/A N/A GOOD GOOD
Stbd. N/A N/A N/A N/A N/A
Freefall 1540 1545 FULL GOOD GOOD
Issued by: DMR Approved by: COO SQE/Form-D-017A

PT. VEKTOR MARITIM


SQE MANAGEMENT SYSTEM FORM August 01, 2012
Rev: 00
ABANDON SHIP DRILL REPORT Page 2 of 2

Rescue 1547 1550 FULL GOOD GOOD


Liferafts N /A N /A N / A- N /A GOOD
REVIEW PROCEDURE

This review shall be performed every time a Abandon Ship Drill has been carried out. The Master shall carry out a complete
review of the emergency procedures and drill along with all participants after completion of drill. The following areas are to be
covered (Put a tick mark in the relevant box against each item).

A. Are crew aware of their responsibilites Yes No


B. Was response of crew to the situation satisfactory Yes No
C. Are emergency procedures being followed Yes No
D. Are the emergency procedures in place effective for achieving the desired objectives. Yes No
Document review. (Put a tick in the box against documents reviewed)
1. Muster Lists properly posted and up to date. Yes No
2. Training manuals up to date & in place. Yes No
3. Emergency Contact numbers of Owners, Managers and Charterers are available and up to date. Yes No
4. List of P & I & H & M Correspondents are up to date and available. Yes No
5. Fire plans are in order and in place at the Gangway along with copy of latest crew list. Yes No
6. Log entries of Drills have been made. Yes No

Training Needs: (Please identify individual’s training needs, if applicable) Training imparted to be reported using D-014

Suggestions for improvement/ Lessons learnt


( Note: Suggestion may include identified improvement in contigency plans, duties & responsibilitie, crew response etc)

Any defects or shortfalls with any of the above items, must be rectified and the office is to be immediately notified using the
’Near Miss Reporting ‘ form.

SURAHMAN RAJPUT ANIL KUMAR Capt. SUPRIYADI


Issued by: DMR Approved by: COO SQE/Form-D-017A

PT. VEKTOR MARITIM


SQE MANAGEMENT SYSTEM FORM August 01, 2012
Rev: 00
ABANDON SHIP DRILL REPORT Page 3 of 2

SAFETY OFFICER CHIEF ENGINEER MASTER

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