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Document No : QHSE 100-6 Title : Forms Manual Date of Issue : June 2014 TABLE OF CONTENTS S. No Description Rev. No Revision Date 1 Daily Checklist and Tests of Bridge Equipment SMS/01/Rev.3 01/06/2015 2 Daily Deck Machinery Checklist SMS/02/Rev.2 01/06/2015 3 Recruitment Form SMS/03/Rev.2 06/07/2014 4 Non-Conformance/Observation Report SMS/04/Rev.2 06/07/2014 5 Quick response of Accident/ Near Miss SMS/05/Rev.1 06/07/2014 6 Test Record Emergency Lighting SMS/06/Rev.1 06/07/2014 7 Test Life Jacket & Lighting SMS/07/Rev.2 jl01/06/2 015 8 Test Record for Emergency Steering SMS/08/Rev.1 06/07/2014 9 Fire Extinguisher Inspection Record SMS/09/Rev.1 06/07/2014 10 Monthly Inspection for Self- contained Breathing Apparatus SMS/10/Rev.1 06/07/2014 11 Safe Working Permit SMS/11/Rev.1 06/07/2014 12 Crane Monthly Inspection SMS/12/Rev.1 06/07/2014 13 Group Safety Meeting SMS/13/Rev.1 06/07/2014 14 Bunkering Checklist SMS/14/Rev.2 10/11/2014 15 Emergency Muster Drill SMS/15/Rev.1 06/07/2014 16 Monthly deck Preventive Maintenance & Greasing Schedule SMS/16/Rev.1 06/07/2014 17 Food Safety &Housekeeping Inspection Checklist SMS/17/Rev.1 06/07/2014 18 Marine Crew HSE Training Status SMS/18/Rev.2 10/11/2014 Revision Date: 30/09/2014
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Document No : QHSE 100-6Title : Forms Manual Date of Issue : June 2014
TABLE OF CONTENTS
S. No Description Rev. No Revision Date
1 Daily Checklist and Tests of Bridge Equipment SMS/01/Rev.3 01/06/2015
2 Daily Deck Machinery Checklist SMS/02/Rev.2 01/06/2015
3 Recruitment Form SMS/03/Rev.2 06/07/2014
4 Non-Conformance/Observation Report SMS/04/Rev.2 06/07/2014
5 Quick response of Accident/ Near Miss SMS/05/Rev.1 06/07/2014
6 Test Record Emergency Lighting SMS/06/Rev.1 06/07/2014
7 Test Life Jacket & Lighting SMS/07/Rev.2 jl01/06/2015
8 Test Record for Emergency Steering SMS/08/Rev.1 06/07/2014
9 Fire Extinguisher Inspection Record SMS/09/Rev.1 06/07/2014
10Monthly Inspection for Self-contained Breathing Apparatus
SMS/10/Rev.1 06/07/2014
11 Safe Working Permit SMS/11/Rev.1 06/07/2014
12 Crane Monthly Inspection SMS/12/Rev.1 06/07/2014
13 Group Safety Meeting SMS/13/Rev.1 06/07/2014
14 Bunkering Checklist SMS/14/Rev.2 10/11/2014
15 Emergency Muster Drill SMS/15/Rev.1 06/07/2014
16Monthly deck Preventive Maintenance & Greasing Schedule
SMS/16/Rev.1 06/07/2014
17 Food Safety &Housekeeping Inspection Checklist SMS/17/Rev.1 06/07/2014
18 Marine Crew HSE Training Status And Plan SMS/18/Rev.2 10/11/2014
19Training Record SMS/19/Rev.1 06/07/2014
Revision Date: 30/09/2014
Document No : QHSE 100-6Title : Forms Manual Date of Issue : June 2014
20 Familiarization with Bridge & E/R Equipment SMS/20/Rev.1 06/07/2014
21 Shipboard Familiarization SMS/21/Rev.1 06/07/2014
22 Passage Plan SMS/22/Rev.1 06/07/2014
23 Preparation For Departure/Arrival SMS/23/Rev.2 10/11/2014
24 Sea Watch Sailing Taking Over SMS/24/Rev.2 10/11/2014
25 ISM System Familiarization Checklist SMS/25/Rev.201/11/2014
26 Crew List SMS/26/Rev.1 06/07/2014
27 SOPEP Initial Notification SMS/27/Rev.1 06/07/2014
28 500 Meter Checklist SMS/28/Rev.1 30/09/2014
29 Work Order SMS/29/Rev.1 06/07/2014
30 Material Requisition Form SMS/30/Rev.1 06/07/2014
31 vessel certificate registry SMS/31/Rev.2 10/11/2014
32 Safety Equipment Checklist SMS/32/Rev.1 06/07/2014
33 Master's Hand Over Form SMS/33Rev.1 06/07/2014
34 Chief Officer's Hand Over Report SMS/34/Rev.1 06/07/2014
35 Chief engineers Hand Over Report SMS/35/Rev.1 06/07/2014
36 Permit to work aloft/Height SMS/36/Rev.030/09/2014
37 SMS Dynamic Doc Action Sheet - landscape SMS/37/Rev.2 10/11/2014
38 Diving Work Permit SMS/38/Rev.0 30/09/2014
39 General Electrical Work Permit SMS/39/Rev.0 30/09/2014
40 Master Review of SMS SMS/40/Rev.1 06/07/2014
Revision Date: 30/09/2014
Document No : QHSE 100-6Title : Forms Manual Date of Issue : June 2014
41 Accident/ incident Detail Investigation Report SMS/41/Rev.1 30/09/2014
42 Daily Progress Report SMS/42/Rev.1 06/07/2014
43 NCR/Observation LOG SMS/43/Rev.1 30/09/2014
44 Fleet Daily Report SMS/44/Rev.1 30/09/2014
45 ON/Off hire Survey SMS/45/Rev.130/09/2014
46 Audit Agenda SMS/46/Rev.130/09/2014
47Audit PlanAudit Program
SMS/47/Rev.1SMS/47.A/Rev.1
30/09/2014
48 Training Evaluation SMS/48/Rev.130/09/2014
49 Training External/Internal Matrix Office SMS/49/Rev.130/09/2014
50 Subcontractor Assessment questionnaire SMS/50/Rev.106/07/2014
51 Supplier Evaluation Form SMS/51/Rev.130/09/2014
52 Questioner for Supplier Form SMS/52/Rev.130/09/2014
53 Supplier Registration Form SMS/53/Rev.130/09/2014
54 Local Purchase order SMS/54/Rev.130/09/2014
55 Delivery note SMS/55/Rev.130/09/2014
56 Customer satisfaction Survey SMS/56/Rev.330/09/2014
57 Customer Complaint register SMS/57/Rev.130/09/2014
58 Customer satisfaction Survey Summary SMS/58/Rev.130/09/2014
59 Performance Appraisal Form SMS/59/Rev.130/09/2014
60 Visa application Form SMS/60/Rev.130/09/2014
61 Induction Form SMS/61/Rev.130/09/2014
Revision Date: 30/09/2014
Document No : QHSE 100-6Title : Forms Manual Date of Issue : June 2014
62 leave application SMS/62/Rev.130/09/2014
63 Warning Letter SMS/63/Rev.130/09/2014
64 Employee information form SMS/64/Rev.130/09/2014
65 Quotation Form IMS/Quotation/23/Rev.012/06/2014
66 Weekly meeting Form SMS/66/Rev.130/09/2014
67 Document transmittal Form SMS/67/Rev.230/09/2014
68Tool Box Talk SMS/68/Rev.1 01/11/2014
70 Document Change Request SMS/70/Rev.130/09/2014
71 Management Review Meeting SMS/71/Rev.130/09/2014
72 Delegation Of Authority Letter SMS/72/Rev.130/09/2014
73 Pre-charter questionnaire SMS/73/Rev.1 12/10/2014
74 Training request Form SMS/74/Rev.1 13/10/2014
75 Weekly Petty Cash monitoring Form SMS/75/Rev.129/10/2014
76 Cash Receipt Form SMS/76/Rev.129/10/2014
77 Petty Cash Request Form SMS/77/Rev.129/10/2014
78Dry Deck, Equipment Status, PMS System Review & Spare Parts Inventory Reports SMS/78/Rev.1
30/09/2014
79PMS of STB. Diesel Generator
SMS/79.A/Rev.1 30/09/2014
79PMS of Port Diesel Generator
SMS/79.B/Rev.1 30/09/2014
80PMS FOR MAIN ENGINE Report (STB)
SMS/80.A/Rev.1 30/09/2014
80PMS FOR MAIN ENGINE Report (PORT)
SMS/80.B/Rev.1 30/09/2014
81Main Engine Reduction Gear Maintenance, Planned Maint. Critical and Safety Checklist Report
SMS/81/Rev.1 30/09/2014
Revision Date: 30/09/2014
Document No : QHSE 100-6Title : Forms Manual Date of Issue : June 2014
82Planned Maintenance Monthly checklist
SMS/82/Rev.1 30/09/2014
83Planned Maintenance Quarterly checklist
SMS/83/Rev.1 30/09/2014
84Planned Maintenance six Month checklist
SMS/84/Rev.1 30/09/2014
85Planned Maintenance Yearly checklist
SMS/85/Rev.1 30/09/2014
86Engine Week Report Part 1 Part2
SMS/86/Rev.1 30/09/2014
87Engine Daily Report
SMS/87/Rev.1 30/09/2014
90HASSEN Form
SMS/90/Rev.2 02/19/2014
91COMPANY BELONGINGS Form
SMS/91/Rev.1 28/12/2018
92Senior Crew - Cv Verification Form
SMS/92/Rev.1 12/01/2015
93Supplier Product or Services BID Analysis Form
SMS/93/Rev.1 15/01/2015
94Monthly HSE Performance Report
SMS/94/Rev.1 30/09/2014
95Vessel Inspection Form SMS/95/Rev.1 30/09/2014
96 Employees Evaluation Form SMS/96/Rev.1 01/01/2015
97 Risk Assessment Review Form SMS/97/Rev.1 17/02/2014
98
99 Management visit to vessel report SMS/99/Rev.1 30/09/2014
100 Ill Health Report SMS/100/Rev.1 23/02/2015
101 Purchase Return of Good SMS/101/Rev.1 08/03/2015
Revision Date: 30/09/2014
