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ShipBoard Exercise

This document is an internal form for recording shipboard exercises related to emergency procedures. It includes sections for vessel information, exercise type, description, objectives, core components exercised, lessons learned, and signatures. The form must be maintained on board for at least three years and not sent to external parties.

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22 views1 page

ShipBoard Exercise

This document is an internal form for recording shipboard exercises related to emergency procedures. It includes sections for vessel information, exercise type, description, objectives, core components exercised, lessons learned, and signatures. The form must be maintained on board for at least three years and not sent to external parties.

Uploaded by

pruva53
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INTERNAL DOCUMENTATION FORM – SHIPBOARD EXERCISES

1.0 VESSEL INFORMATION


Vessel Name: IMO/Official #:

Date (DD/MM/YYYY): Time (GMT):


Conducted after normal business hours
2.0 EXERCISE TYPE: (check the box for the applicable exercise)
Remote Assessment and
QI Notification Only Emergency Procedures
Consultation (RACE)
Combined Combined
QI Notification and Emergency Procedures Emergency Procedures and RACE

3.0 DESCRIPTION OF EXERCISE: For emergency procedures exercises only - provide a description
of the exercise scenario, including whether it was a salvage, marine firefighting, or oil spill exercise,
and if the exercise was unannounced.

Unannounced
4.0 OBJECTIVES: Check the following box upon completion of the exercise if satisfactory
Objectives of exercise were met

5.0 CORE COMPONENTS EXERCISED: From 2016 PREP Appendix A


QI Notification A.1 Notifications
Emergency Satisfies PREP requirement, but does not exercise core
Procedures components
RACE A.5 Assessment: 1a – Remote Assessment and Consultation

6.0 LESSONS LEARNED/COMMENTS: Provide any notes or comments from exercise

7.0 MASTER OR DESIGNEE SIGNATURE


Name / Title: Signature:

Maintain a copy of this exercise documentation for your records on board the vessel with
the VRP/NTVRP to make available upon request for at least three (3) years.
Do NOT send a copy to the QI or SMFF provider.

© O’Brien’s 2016_Revision 0 | www.obriensrm.com | 24 HR: +1 985 781 0804 | [email protected]

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