Hours of Rest Form DR (3)
Hours of Rest Form DR (3)
Flag: Rank:
IMO Number: Month/Year
Watchkeeper: Yes ☐ No ☐
Not to be completed by seafarer
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Hours of Rest in Any Comments/ Reference Hours of rest, as
24 HR Per to entry in Official Log applicable in any 7- day
book period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
I agree that this record is an accurate reflection of the hours of rest of the seafarer concrened. Any deviations to the hours of rest to be noted in the corresponding columns
detailed in the Official Log Book along with information on compensatory rest hours as applicable. A copy of this record is to be given tp the seafarer.