25 ISM System Familiarization Checklist

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ALLIANZ MIDDLE EAST SHIP MANAGEMENT LLC ISM System Familiarization Checklist Date: Appointed onboard M/V: Employee's Name Employee's Rank Mark in box to indicate that you have covered the item. During my familiarization session, I have been introduced to the following: Received My responsibilities Received a copy of the current SMS Manual Received a copy of vessel's PMS Company's Organization Chart Company's SMS Documentation system Company's Policies Company's Designated Person Company's Emergency Response Team Have been introduced to Company's Manuals SMS Manual Fleet Instruction Manual Contingency Plans Manual Deck & Catering work instructions manual Bridge Orders & procedures Manual Procedures Manuals Garbage Management Plan Master Register Have been introduced to Company's Drills Plan Have been introduced to Company's Internal Audit Plan Have been introduced to Company's Forms I HAVE HAD ALL OF THE ABOVE EXPLAINED TO ME. Signed: ____________________________________________ Familiarization conducted by: ____________________________________________ Signed: ____________________________________________ CONSENT TO INSPECT It is the policy of Allianz-ME to absolutely prohibit the use, possession or transportation of illegal drugs, alcoholic beverages, firearms, explosives or paraphernalia on inland or offshore facilities. FOR YOUR PROTECTION AND THE PROTECTION OF OTHERS WITH WHOM YOU WILL BE WORKING , YOU ARE REQUESTED TO SUBMIT YOUR PERSONAL BELONGINGS AND ALL ITEMS CARRIED ON OR Form No: SMS/25/Rev.1 Date: 01/11/2014

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familiarization checklist

Transcript of 25 ISM System Familiarization Checklist

Page 1: 25 ISM System Familiarization Checklist

ALLIANZ MIDDLE EAST SHIP MANAGEMENT LLCISM System Familiarization Checklist

Date:Appointed onboard M/V:Employee's NameEmployee's Rank

Mark in box to indicate that you have covered the item.

During my familiarization session, I have been introduced to the following:

Received My responsibilities Received a copy of the current SMS Manual Received a copy of vessel's PMS Company's Organization Chart Company's SMS Documentation system Company's Policies Company's Designated Person Company's Emergency Response Team Have been introduced to Company's Manuals

SMS Manual Fleet Instruction Manual Contingency Plans Manual Deck & Catering work instructions manual Bridge Orders & procedures Manual Procedures Manuals Garbage Management Plan Master Register

Have been introduced to Company's Drills Plan Have been introduced to Company's Internal Audit Plan Have been introduced to Company's Forms

I HAVE HAD ALL OF THE ABOVE EXPLAINED TO ME.

Signed: ____________________________________________Familiarization conducted by: ____________________________________________Signed: ____________________________________________

CONSENT TO INSPECT

It is the policy of Allianz-ME to absolutely prohibit the use, possession or transportation of illegal drugs, alcoholic beverages, firearms, explosives or paraphernalia on inland or offshore facilities.

FOR YOUR PROTECTION AND THE PROTECTION OF OTHERS WITH WHOM YOU WILL BE WORKING , YOU ARE REQUESTED TO SUBMIT YOUR PERSONAL BELONGINGS AND ALL ITEMS CARRIED ON OR BY YOUR PERON FOR INSPECTION AT ANY TIME WHILE ON OR BOARDING TRANSPORTATION EN ROUTE TO THE WORK SITE. IF ANY OF THE ABOVE NAMED ITEMS OR ANY OTHER ITEMS PROHIBITED ABOARD COMPANY FACILITIES ARE FOUND OR IF YOU REFUSE TO SUBMIT TO A SEARCH OF YOURSELF AND/OR YOUR EFFECTS, YOU WILL BE DENIED ACCESS TO ANY Allianz Middle East Ship Management LLC.

Your signature below constitutes your consent to inspection of your personal belongings and your person at this time and at any time before your departure to or from the work site. Your presence is required during inspection of your belongings.

Signed: ____________________________ Date: ___________________________

Form No: SMS/25/Rev.1 Date: 01/11/2014