Code:

dAmico Societ di Navigazione

SQE/Form-N-010
Date: October 15, 2006

SQE MANAGEMENT SYSTEM FORM

Rev: 0

NAVIGATING IN ICE CHECKLIST

Page 1 of 1

Issued: SQE Dept.

SHIP NAME:
This Checklist is to be completed by the officer on Watch on each occasion
that ice is expected and a Log Entry made

INITIALS*

1. Have the following been informed of the conditions?

2. The Master?
3. The Engine-room?
4. The Crew?
5. Have all Watertight Doors been shut, as appropriate?
6. Has Speed been adjusted?
7. Have Lookouts been posted?
8. Is Deck Machinery running?
9. Have instructions been issued on the following matters?
10. Monitoring Ice Advisory Service Broadcasts?
11. Transmitting Danger Messages in accordance with SOLAS 1974 - Chapter V Regulation 31.1 ?
12. Have any local ice navigation regulations been followed?

Remarks:

CHIEF OFFICERS
NAME & SIGNATURE:

DATE:

* Initialling confirms compliance. If not applicable enter N/A. Any additional items to be
entered in remarks column.

Distribution: All Ships

Approved: DPA