Beruflich Dokumente
Kultur Dokumente
I, certify that the following is a full and true statement of sea service performed by Mr. NAME
CDC No: XXXXXXX under my supervision in VESSEL NAME Off.No.XXXX/IMO NO: XXXXXXX Port of
Registry: XXXXX
Period of service
From
To
Nature of duties(for
appropriate
description see
below)
DD/MMM/Y DD/MMM/Y
YYY
YYY
RANK
IV (a)
Reports as to:
Ability
: VERY GOOD
Conduct : VERY GOOD
Sobriety : STRICTLY SOBER
___________________________
Sign. Of Master or Engr. Supt.
___________________________
Sign. Of Chief Engineer Officer.
at_
__________________________________________________________________________________________________________
DESCRIPTION OF DUTIES
I
NOTE: It is recommended that this form should be used when the Engineer is reported on or when the Chief
Engineer leaves the ship.
Page 1 of 2
1
0
REPORT______________________________________________________________________
_______________________________________________________________________________________________
VOYAGE PLANNING
General
Watch-keeping Arrangements
1
0
REPORT_______N/A_____________________________________________________________________
_______________________________________________________________________________________________
WATCH-KEEPING AT SEA
Protection of Marine Environment
Taking over the Watch
Performing the Engineering Watch
Watch-keeping in different
conditions/Areas
Restricted Visibility
Coastal and Congested waters
Ship at Anchor
1
0
REPORT__________N/A
_______________________________________________________________________________________________
WATCH-KEEPING IN PORT
Taking over the Engineering
Watch
Performing the Engineering
Watch
Protection of Marine
Environment
1
0
REPORT_______N/A______________________________________________________________________
_______________________________________________________________________________________________
Signature of Chief Engineer____XXXXXXXXXXXX___NAME