M.V. ________________________________________ Name of Seafarer _____________________________________ Date Joined ________________________
Name of training	Date	Signature	Date	Signature	Date	Signature	Date	Signature
Fire drill
Boat drill
Anti-pollution drill
Man overboard
Personal injury or illness
Collision/ Grounding/ Flooding
Emergency steering
Anti-pirate/ stowaways
Salvage of own ship
Critical plant/ Structural failures
Cargo shifting
Safety video screening
Master's/Chief Engineer's Name Signature Date _______________________________ ____________________________ ___________________

Note: To be completed every time and filed in both office's file and ship's file.

To retain for 5 years.

Issue date: 03.11.2003/Rev. 00 PBO-PD01-F05 Page: 1/1

TRAINING RECORDS FOR SEAFARER ON-BOARD

QSMS PBO-PD01-F05 Rev. No.00

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