BS APPLICANT PANEL INTERVIEW SELF-EVALUATION FORM Instruction: 1.

Fill-up this form based on the competency signed (considered competent) by your training officer on your On Board ISF Training Record Book. 2. On the appropriate box Check YES if it was signed and NO if it was NOT signed. Function 1- Competence: Navigation at the Operational Level CAN I..?
1 2 3 4 5 6 7 8 9 Plan and conduct a passage and determine position Maintain a safe navigational watch Use of radar and ARPA to maintain safety of navigation Respond to emergencies Respond to a distress signal at sea Use IMO Standard Marine Communication Phrases and write and speak English Transmit and receive information by visual signaling Use the International Code of Signals to interpret messages given by flags and pennants Maneuver the ship

YES

NO

Function 2- Competence: Cargo handling and stowage at the operational level CAN I..?
1 2 3 5

YES

NO

Monitor the loading, stowage, securing, care during the voyage and the unloading of cargoes FOR CADETS ON TANKERS ONLY (Do NOT fill-up if you are NOT on TANKER VESSEL) Monitor loading of cargoes Monitor discharging of cargoes Maintain and overhaul cargo systems and associated equipment

Function 3- Competence: Controlling the Operation of the Ship and Care for Persons on Board at the Operational Level YES CAN I..?
1 2 3 4 5 6 Ensure compliance with pollution prevention requirements Maintain seaworthiness of the ship Prevent, control and fight fires on board Operate life-saving appliances Apply medical first aid on board ship Monitor compliance with legislative requirements

NO