CREW PRE-JOINING CHECKLIST
ALLIANZ-FRM-0202.27
Name               AKBAR PRASETIA                                            Rank              A/B
Vessel Name                                                                  Date of
                                                                             Joining
                                                                  Yes / No
  Sl. No                    Certificate Description                        Issue Date        Expiry Date           Remarks
                                                                    / NA
     1.     Company Application Form (CV)                         YES
     2.     Employment Contract
     3.     National Passport
     4.     National Seaman book
     5.     Office Attendance
     6.     Certificate Of Competency (COC)
     7.     COC Endorsement
     8.     Certificate Authentication
     9.     COC Flag Endorsement
     10.    Flag Seaman Book
     11.    GMDSS Certificate
     12.    Radar & ARPA Simulator
     13.    Ships Security Officer (SSO)
     14.    ECDIS - Deck Officers
     15.    Bridge Team / Resource Management
     16.    Watch keeping Certificate (AB / OLR)              YES        22/11/2022 22/11/2027
     17.    Basic / Medical First Aid                         YES        19/09/2019 19/09/2024
     18.    Basic / Advanced Fire Fighting                    YES
     19.    Personal Sea Survival Techniques
     20.    Personal Safety and Social Responsibility
     21.    Proficiency in Survival Craft & Rescue Boat
            ILO medicals (Home Country) + Hep + HIV +
     22.
            Alcohol
     23.    Client Medical Fitness Certificate
     24.    CICPA
     25.    Compliance with vessel MSM STCW Regulation
     26.    Vaccination Crad (2 dose)                         YES
                                    Safety Training as per Charter / Client Requirement
           Basic Offshore Safety Induction Emergency        YES        30/11/2022 29/11/2026
     1.
           Training (BOSIET) - OPITO
   2.      H2S OPITO                                        YES        10/11/2022 10/11/202
   3. Basic / Advance offshore Safety
   4. Safe Lifting Operations
   5. Safe Welding Certificate
   6. Essential Food Safety Training
   7. Cargo Hazardous
   8. ADPC Musaffah Familiarization Certificate
   9. ADNOC OPTIMA CARD
Checked by
Crewing Officer Name                                                          Signature
Verified by
Crewing Superintendent
(Signature)
 Revision 00. Original Date: 03/06/2021 Version date: N/A.
 Prepared by: ALLIANZ Crewing Manager. Approved by: ALLIANZ General Manager. Validated by: ALLIANZ QHSE Manager.         1 /1