PCG FormE5Man - Overboard

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FORM E - 5

PUNONGHIMPILAN TANODBAYBAYIN NG PILIPINAS


(HEADQUARTERS PHILIPPINE COAST GUARD)
139 25th Street, Port Area
1018 Manila

EMERGENCY READINESS EVALUATION (ERE) CHECK-OFF LIST

Man-Overboard
(Type of Drill)

Check the appropriate type of Vessel:

Passenger Vessel
Cargo Vessel
Passenger Cargo Vessel
Tanker Vessel (Type: )
Tugboat
High Speed Craft
Others, if any

NAME OF SHIP EVALUATED: ______________________________ GT/NT: ________/_______

LOCATION: _____________________________________________ DATE: ________________

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.

1. Man-overboard Bill/Muster List is up to date (0.8%)


2. Man-overboard Bill/Muster List is posted in (0.6%)
conspicuous place throughout the vessel
3. Man-overboard Bill/Muster List in (0.6%)

ERE – Man Overboard Check-off List


accordance with the Ship Safety Manual
(SSM)
B. The station bill/muster list indicated the
individual duties of all personnel on board 2.0%
and all crew members been given with
written duties and responsibilities (Billet
Card).
1. The station bill/muster list indicated the (1.0%)
individual duties of all personnel on board
2. All crew members are given written duties (1.0%)
and responsibilities (Billet Card).
C. Emergency Readiness Drill (Man 2.0%
Overboard) was conducted regularly or as
scheduled and properly recorded on a
logbook.
1. Emergency Readiness Drill (Man-overboard)
was conducted regularly or as scheduled. (1.0%)
(frequency of the conduct of drills shall be
based on the provisions of the vessel’s
SMS. If not indicated, drills should have
been conducted at least once every three
(3) months)
2. Emergency Readiness Drills (Man-
overboard) are properly recorded on a (1.0%)
logbook
2.0%
D. All crew concerned mustered and wearing
the appropriate clothing/ uniform.
1. Concerned crew mustered at the designated
(1.0%)
area
2. Wearing of appropriate uniform
(1.0%)
E. Appropriate equipment/implements and
2.0%
personnel
(1) Sufficient equipment/implements
(1.0%)
(2) Sufficient number of persons
(1.0%)
MAX ASGD
REQUIREMENT REMARKS
CREDIT CREDIT
II. ORGANIZATION: MAN OVERBOARD
ORGANIZATION PROVIDED FOR THE 10%
FOLLOWING REQUIREMENTS:
A. Providing Section: 2.0%
1. Recovery Detail
2. Jumper crew
3. Special Lookouts (e.g. shark watch,
2.0%
extra look-out for man-overboard and

ERE – Man Overboard Check-off List


etc.)
B. Medical Team and equipment/implements
2.0%

C. Boat detail 2.0%


1 Personnel assigned posted (1.0%)
2. Knowledgeable of his designation (1.0%)
D. Bridge Watch 2.0%
1. Personnel assigned posted (1.0%)
2. Knowledgeable of his designation (1.0%)
MAX ASGD
REQUIREMENT REMARKS
CREDIT CREDIT
III. COMMUNICATIONS: 10.0%
A. Adequate and effective internal
communication system throughout the ship
2.0%
(control/ bridge station, providing party,
and boat detail.
B. Good flow of communication between the
2.0%
bridge and the recovery detail. If no other
means of communication is available,
utilized crew member to act as messenger
between control station/bridge, muster
station and boat detail.
1. Adequate flow of communication between
(1.0%)
the bridge and the recovery detail
2. Utilized crew member to act as messenger
(1. 0%)
between bridges and recovery detail as
back-up communication.
C. “OSCAR” flag hoisted (at Day Time) or
display two (2) pulsating red-lights or fire 2.0%
one (1) white rocket (at Night Time).
Comment ALMC 13-13
1. OSCAR flag hoisted at day time
2. Two(2)pulsating red lights or fire one (1)
white rocket at night
E. Inform the Designated Person Ashore
(DPA) to coordinate and cooperate with the
1.0%
Philippine Coast Guard.
F.
G. Adequate and effective external 3.0%
communication: immediately notify / inform
the Philippine Coast Guard, the Port
Authority and other vessels / crafts within
the vicinity by radiotelephone or other
means of communication.

ERE – Man Overboard Check-off List


“This is a Drill 3X; Pan Pan 3X; this is
(name of vessel) - (call sign), this is
(name of vessel) - (call sign), this is
(name of vessel) - (call sign), my position
is at Latitude ____degs ___mins North,
Longitude ___degs ___mins East or at
vicinity (nearest island/shoreline) we have
man-overboard, we have man-overboard,
we have man-overboard. All vessels and
watercrafts in the vicinity is advise to
maintain a sharp look-out. “Pan Pan 3X;
This is a Drill 3X”. Rqst Ack.

1. Name of vessel (1.5)


2. Position of vessel (1.5)
MAX ASGD
REQUIREMENT REMARKS
CREDIT CREDIT
IV. PERFORMANCE:
60.0%
A. Person sighted the Man-overboard: 6.0%
1. Instantly called-out “Man-overboard Port/
Starboardside, man-overboard port/ 2.0%
starboard to obtain awareness.
2. Throw a ring buoy overboard, as
near/close to the person overboard as 2.0%
possible.
3. Brought the situation to the attention of
2.0%
the duty officer.
B. Word passed twice through the public
address system: Man-overboard, man-
overboard port/ starboard side in order to 1.0%
prepare and make aware the rescue party
and the riding public.
C. Officer designated and posted a look-out to
1.0%
keep the person overboard in sight.
D. Following sounds and visual made: 6.0%
1. General Alarm sounded intermittently. 2.0%
2. Six or more short blasts sounded on
2.0%
ship’s whistle:
3. “OSCAR” Flag hoisted (Day Time) or 2
pulsating red-light displayed whistle 2.0%
rocket (flare) fired (Night Time)
E. Duty officer initially ordered his rudder over
the same side where Man Overboard to
2.0%
bring ships steering away from man.
F. The Master take full control of the situation
2.0%
and order to wheel and engines promptly

ERE – Man Overboard Check-off List


and correctly.
Note: In awarding of
credit, the chosen
manuever technique will
be graded. The other two
G. Duty Officers are acquainted and be able to
30.0% (2) manuever technique,
discuss the following doctrines:
credit will be based on
the discussion of the
Officer as per points
stated.
1. Williamson Turn (Man Overboard is not
in sight). 10.0%
a. Full rudder towards side where man
falls overboard; (4.0)
b. Rudder shifted to opposite side when
ship’s head varies from 60 to 90 (3.0)
degrees or as determined; and
c. Ship maneuvered to reciprocal course
and within 10 yards from man (3.0)
overboard.
10.0%
2. Direct method or Single turn. (Man
Overboard in sight).
(4.0)
a. Course held for one (1) minute after
Man-overboard is sounded;
b. Execute full rudder (Left/Right)
(3.0)
smartly at maximum speed until
ships heading for man; and
c. Ship manoeuvred correctly within 10
(3.0)
yards from man-overboard.
3. Two turn maneuver (Man-overboard in
sight). 10.0%
a. Executed full rudder turn (180 degs)
until ship is on reciprocal course and (4.0)
maneuvered until man is 30 degs
abaft the beam;
b. Executed another full rudder turn
(180 degs) until ship is back original (3.0)
course heading for man; and
c. Ship maneuvered and accurately (3.0)
stopped within 10 yards or so from
the man-overboard.
H. Appropriate signal posted at the bridge
2.0%
(refer to III.C and IV.C and D) additional
points.
(1.0%)
1. refer to III.C
(1.0%)
2. IV.C and D

ERE – Man Overboard Check-off List


2.0%
I. Fix taken the moment the man is reported
overboard
(1.0%)
1. Personnel or QM take last fix position man Refer to SSM
reported overboard
(1.0%)
2. MOB at GPS man reported overboard
J. Providing Section on the double to 2.0%
designated stations with necessary
provisions.
1. Providing section on designated position (1.0%)
2. Provided with provisions (1.0%)
K. Look-outs continuously reported the bearing 2.0%
and range of man overboard, correctly and
distinctively.
1. Look outs continuously reported the position (1.0)
of man overboard
2. Proper reporting of look out (1.0)
L. Intended recovery side relayed by
2.0%
Conn/bridge to providing section.
M. Special look-outs were posted at strategic
places. 2.0%

N. A crew member put on a lifejacket; attach a


safety line, and standby to jump into the
2.0%
water to assist the person overboard if
necessary
O. Notify the Philippine Coast Guard and other
vessels in the vicinity by radiotelephone if 2.0%
the person is not immediately located.
P. Appropriate first aid was applied after man
6.0%
is recovered.
1. Assess the overall condition of the victim 2.0%
2. Determine whether or not assisting the
victim with the resources at hand is 2.0%
possible or if further help is required.
3. Identification and personal circumstance
2.0%
of the victim

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)

ERE – Man Overboard Check-off List


SUMMARY:

MAX CREDIT ASGN CREDIT

I. PREPARATION AND READINESS 10%

II. ORGANIZATION 10%

III. COMMUNICATION 10%

IV. PERFORMANCE 60%

V. TIME

TOTAL RATING: 100%

ADJECTIVE EVALUATION:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
_________

RATINGS

1. ABOVE STANDARD =================== 100 – 90


2. STANDARD ======================== 89 – 80
3. BELOW STANDARD==================== 79 – Below

A. COMMENTS :
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
______

ERE – Man Overboard Check-off List


B. RECOMMENDATIONS:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
______

INSPECTORS:

_____________________________ _____________________________

_____________________________ _____________________________

______________________________________
(Team Leader)

CONCUR:
_____________________________ _____________________________
(Master/Skipper) (Chief Engineer)

ERE – Man Overboard Check-off List

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