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S. No Description Rev. No Revision Date

This document provides a forms manual containing 101 forms with revision numbers and dates. The forms relate to various shipboard operations and procedures such as checklists, inspections, reports, permits, training records, audits and more. The manual was issued in June 2014 and last revised in September 2014.

Uploaded by

Jeet Singh
Copyright
© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
56 views

S. No Description Rev. No Revision Date

This document provides a forms manual containing 101 forms with revision numbers and dates. The forms relate to various shipboard operations and procedures such as checklists, inspections, reports, permits, training records, audits and more. The manual was issued in June 2014 and last revised in September 2014.

Uploaded by

Jeet Singh
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

Document No

Title
Date of Issue

: QHSE 100-6
: Forms Manual
: June 2014

TABLE OF CONTENTS
S.
No

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Description

Rev. No

Daily Checklist and Tests of Bridge


Equipment

SMS/01/Rev.3

Daily Deck Machinery Checklist

SMS/02/Rev.2

Recruitment Form

SMS/03/Rev.2

Non-Conformance/Observation Report

SMS/04/Rev.2

Quick response of Accident/ Near Miss

SMS/05/Rev.1

Test Record Emergency Lighting

SMS/06/Rev.1

Test Life Jacket & Lighting

SMS/07/Rev.2

Test Record for Emergency Steering

SMS/08/Rev.1

Fire Extinguisher Inspection Record

SMS/09/Rev.1

Monthly Inspection for Self-contained


Breathing Apparatus

SMS/10/Rev.1

Safe Working Permit

SMS/11/Rev.1

Crane Monthly Inspection

SMS/12/Rev.1

Group Safety Meeting

SMS/13/Rev.1

Bunkering Checklist

SMS/14/Rev.2

Emergency Muster Drill

SMS/15/Rev.1

Monthly deck Preventive Maintenance


& Greasing Schedule
Food Safety &Housekeeping Inspection
Checklist
Marine Crew HSE Training Status And
Plan
Training Record

19

Revision Date: 30/09/2014

SMS/16/Rev.1
SMS/17/Rev.1
SMS/18/Rev.2
SMS/19/Rev.1

Revision
Date

01/06/2015
01/06/2015
06/07/2014
06/07/2014
06/07/2014
06/07/2014
jl01/06/201
5
06/07/2014
06/07/2014
06/07/2014
06/07/2014
06/07/2014
06/07/2014
10/11/2014
06/07/2014
06/07/2014
06/07/2014
10/11/2014
06/07/2014

Document No
Title
Date of Issue

20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

: QHSE 100-6
: Forms Manual
: June 2014

Familiarization with Bridge & E/R


Equipment

SMS/20/Rev.1

Shipboard Familiarization

SMS/21/Rev.1

Passage Plan

SMS/22/Rev.1

Preparation For Departure/Arrival

SMS/23/Rev.2

Sea Watch Sailing Taking Over

SMS/24/Rev.2

ISM System Familiarization Checklist

SMS/25/Rev.2

Crew List

SMS/26/Rev.1

SOPEP Initial Notification

SMS/27/Rev.1

500 Meter Checklist

SMS/28/Rev.1

Work Order

SMS/29/Rev.1

Material Requisition Form

SMS/30/Rev.1

vessel certificate registry

SMS/31/Rev.2

Safety Equipment Checklist

SMS/32/Rev.1

Master's Hand Over Form

SMS/33Rev.1

Chief Officer's Hand Over Report

SMS/34/Rev.1

Chief engineers Hand Over Report

SMS/35/Rev.1

Permit to work aloft/Height

SMS/36/Rev.0

SMS Dynamic Doc Action Sheet landscape

SMS/37/Rev.2

Diving Work Permit

SMS/38/Rev.0

General Electrical Work Permit

SMS/39/Rev.0

Master Review of SMS

SMS/40/Rev.1

Revision Date: 30/09/2014

06/07/2014
06/07/2014
06/07/2014
10/11/2014
10/11/2014
01/11/2014

06/07/2014
06/07/2014
30/09/2014
06/07/2014
06/07/2014
10/11/2014
06/07/2014
06/07/2014
06/07/2014
06/07/2014
30/09/2014

10/11/2014
30/09/2014
30/09/2014
06/07/2014

Document No
Title
Date of Issue

41

: QHSE 100-6
: Forms Manual
: June 2014

Accident/ incident Detail Investigation


Report

42

Daily Progress Report

43

NCR/Observation LOG

44

Fleet Daily Report

45

ON/Off hire Survey

SMS/41/Rev.1
SMS/42/Rev.1
SMS/43/Rev.1
SMS/44/Rev.1

30/09/2014
06/07/2014
30/09/2014
30/09/2014
30/09/2014

SMS/45/Rev.1
30/09/2014

46

Audit Agenda

SMS/46/Rev.1

47

Audit Plan
Audit Program

SMS/47/Rev.1
SMS/47.A/Rev.1

30/09/2014
30/09/2014

48

Training Evaluation

SMS/48/Rev.1
30/09/2014

49
50

Training External/Internal Matrix Office


Subcontractor Assessment
questionnaire

SMS/49/Rev.1
06/07/2014
SMS/50/Rev.1
30/09/2014

51

Supplier Evaluation Form

SMS/51/Rev.1
30/09/2014

52

Questioner for Supplier Form

SMS/52/Rev.1

53

Supplier Registration Form

SMS/53/Rev.1

30/09/2014
30/09/2014
54

Local Purchase order

SMS/54/Rev.1
30/09/2014

55

Delivery note

SMS/55/Rev.1
30/09/2014

56

Customer satisfaction Survey

SMS/56/Rev.3
30/09/2014

57

Customer Complaint register

SMS/57/Rev.1
30/09/2014

58

Customer satisfaction Survey Summary

SMS/58/Rev.1
30/09/2014

59

Performance Appraisal Form

SMS/59/Rev.1

60

Visa application Form

SMS/60/Rev.1

30/09/2014
30/09/2014
61

Induction Form
Revision Date: 30/09/2014

SMS/61/Rev.1

Document No
Title
Date of Issue

: QHSE 100-6
: Forms Manual
: June 2014

30/09/2014
62

leave application

SMS/62/Rev.1
30/09/2014

63

Warning Letter

SMS/63/Rev.1

64

Employee information form

SMS/64/Rev.1

30/09/2014

65

Quotation Form

66

Weekly meeting Form

IMS/Quotation/23/Re
v.0

12/06/2014

30/09/2014
SMS/66/Rev.1
30/09/2014

67
68

Document transmittal Form


Tool Box Talk

SMS/67/Rev.2
SMS/68/Rev.1

01/11/2014

30/09/2014
70

Document Change Request

SMS/70/Rev.1
30/09/2014

71

Management Review Meeting

SMS/71/Rev.1

72

Delegation Of Authority Letter

SMS/72/Rev.1

73

Pre-charter questionnaire

SMS/73/Rev.1

74

Training request Form

SMS/74/Rev.1

30/09/2014
12/10/2014
13/10/2014
29/10/2014
75

Weekly Petty Cash monitoring Form

SMS/75/Rev.1
29/10/2014

76

Cash Receipt Form

SMS/76/Rev.1
29/10/2014

77

Petty Cash Request Form

78

Dry Deck, Equipment Status, PMS System


Review & Spare Parts Inventory Reports
PMS of STB. Diesel Generator

79
PMS of Port Diesel Generator
79
PMS FOR MAIN ENGINE Report (STB)
80
PMS FOR MAIN ENGINE Report (PORT)
80

81

Main Engine Reduction Gear Maintenance,


Planned Maint. Critical and Safety
Checklist Report

Revision Date: 30/09/2014

SMS/77/Rev.1
SMS/78/Rev.1

30/09/2014

SMS/79.A/Rev.1

30/09/2014

SMS/79.B/Rev.1

30/09/2014

SMS/80.A/Rev.1

30/09/2014

SMS/80.B/Rev.1

30/09/2014

SMS/81/Rev.1

30/09/2014

Document No
Title
Date of Issue

: QHSE 100-6
: Forms Manual
: June 2014

Planned Maintenance Monthly checklist


82
Planned Maintenance Quarterly checklist
83
Planned Maintenance six Month checklist
84
Planned Maintenance Yearly checklist
85
Engine Week Report Part 1 Part2
86
Engine Daily Report
87
HASSEN Form
90
COMPANY BELONGINGS Form
91
Senior Crew - Cv Verification Form
92
93

Supplier Product or Services BID Analysis


Form
Monthly HSE Performance Report

94
95
96
97

Vessel Inspection Form


Employees Evaluation Form
Risk Assessment Review Form

SMS/82/Rev.1

30/09/2014

SMS/83/Rev.1

30/09/2014

SMS/84/Rev.1

30/09/2014

SMS/85/Rev.1

30/09/2014

SMS/86/Rev.1

30/09/2014

SMS/87/Rev.1

30/09/2014

SMS/90/Rev.2

02/19/2014

SMS/91/Rev.1

28/12/2018

SMS/92/Rev.1

12/01/2015

SMS/93/Rev.1

15/01/2015

SMS/94/Rev.1

30/09/2014

SMS/95/Rev.1

30/09/2014

SMS/96/Rev.1

01/01/2015

SMS/97/Rev.1

17/02/2014

SMS/99/Rev.1

30/09/2014

SMS/100/Rev.1

23/02/2015

SMS/101/Rev.1

08/03/2015

98
99

Management visit to vessel report

100

Ill Health Report

101

Purchase Return of Good

Revision Date: 30/09/2014

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