Non-Conformity Report Form (NCR



Non-Conformity Report Form (NCR

Vessel Name:             ……………..                 Date: ………………..                   Report No: ……/………..                        

-Deck Dept:                                                    
-Engine Dept:                                                                                                                                                                                                                                   
-Catering Dept:                                               
-Entry made in Log Book:                              
-Voyage No: ………………………………….
- At Sea?     ………………………………
- At Port (in /out) …………………………………
- Date of Incident: ……………………………...
Description of Non-conformity:




Cause:




Corrective Action Taken:



Recommended Preventive Action:


Agreed / Expected completed date:

Responsible Officer:                                                                 Master:
Name:                                                                                         Name:
Signature:                                                                                   Signature:
Closing the Report:
This report is now closed .
Final corrective action was:
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Date:                                                                                          Master :
                                                                                                   Name :
                                                    Signature :

Near Miss Report Form (NMR)

INCIDENT REPORT SYSTEM
Near Miss Report Form (NMR)


Vessel Name: ……………..                 Date: ………………..                   Report No: ……/………..                        
-Deck Dept:                                                           
-Engine Dept:                                                                                                                                                                                                                                        
-Catering Dept:                                                      
-Entry made in Log Book:                                     
-Voyage No:  …………………………………….
- At Sea ?     ………………………………………
- At Port (in /out) ………………………………
- Date of Incident: ……………………………...
Description of Near Miss:




Cause:




Corrective Action Taken:



Recommended Preventive Action:


Agreed / Expected completed date:
Responsible Officer:                                                              Master:
Name:                                                                                      Name:
Signature:                                                                                Signature:
Closing of the Report:
This Report is now closed.
Final Corrective action was:



Date:                                                                             Master:
                                                                            Name:
                                                                                         Signature:


INCIDENT REPORT SYSTEM

Incident Report Circular Form (IRC)


 Circular No.: ………………….                                                                       Date: …………
Incident Description:










Cause:





Action Taken:




Preventive Action:





DPA:
Signature: ………………….                                                                              Date:  …………..



Vessel Internal Audit Checklist sample


Vessel Internal Audit Checklist

M/V:……………………..                                                                         Date:……………………….

I.      – VESSEL TOUR
      ITEMS
COMMENT
q  Is the vessel moored correctly along side quay / or at anchors?

q  Are ship’s staffs wearing promptly as required by company’s instructions?

q  Is their any defect in the ship’s hull or equipment?
q  (If any, are actions taken according to company’s system?)

q  Are lists for equipment posted in safety equipment lockers?

q  Condition of accommodation spaces.

q  Condition of ship’s galley & provision stores.

q  Safety signs & symbols, including operational instructions, are posted?

q   

q   

q   

q   

q   

q   

q   

q   

q   

q   

q   




II.          Master
    1- Documents
COMMENT
q  Official logbook.

q  Registration certificate.

q  Load Line Cert.

q  Safety Equipment Cert.

q  Safety Construction Cert.

q  Safety Radio Cert.

q  IOPP Cert.

q  International sewage certificate

q  Tonnage 66 Cert.

q  Lifting Appliances Certificate

q  Cargo Gear Book.

q  Quarterly List for Class.

q  Hull and machinery Class certificate.

q  Dangerous Goods Cert.(if applicable)

q  Servicing documents for FI.FI. Portable Extinguishers

q  Servicing cert. for foam plant

q  Servicing cert. for halon plant

q  Servicing documents for life-rafts.

q  Insurance Cert. for Oil Pollution.

q  Certificates of competency & training for crew.

q  Breathing apparatus certificate.

q  Crew List.

q  Minimum Safe Manning.

q  DOC (copy)

q  SMC.

q  Sailing Permit

q   

q   

q   

q   

q   

q