PCG FormE5Man - Overboard
PCG FormE5Man - Overboard
PCG FormE5Man - Overboard
Man-Overboard
(Type of Drill)
Passenger Vessel
Cargo Vessel
Passenger Cargo Vessel
Tanker Vessel (Type: )
Tugboat
High Speed Craft
Others, if any
MAX ASGD
REQUIREMENT REMARKS
CREDIT CREDIT
I. PREPARATION AND READINESS: 10%
A. Man-overboard Bill/Muster List is up to date, 2.0%
posted in conspicuous place throughout the
vessel, and in accordance with the Ship
Safety Manual (SSM) or Station Bill of the
vessel and Billet Card (BC) of personnel.
MAXIMUM ASSIGNED
TIME IN MINUTES REMARKS
CREDIT CREDIT
01 - 50 Mins
Max 10.0%
51 – 80 Mins,
Max 7.0%
but not more than 80 Mins
ACTUAL TIME: (_______MINS)
V. TIME
ADJECTIVE EVALUATION:
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_________
RATINGS
A. COMMENTS :
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________________________________________________________________________________
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______
INSPECTORS:
_____________________________ _____________________________
_____________________________ _____________________________
______________________________________
(Team Leader)
CONCUR:
_____________________________ _____________________________
(Master/Skipper) (Chief Engineer)