DIAP-DAELIM JV

TUAS TERMINAL PHASE 1 PROJECT

Health Declaration & Screening

Vessel Name : Tolak 11
TEMPERATURE READING
Checked by : Master
( √ or X )
dd/mm/yy dd/mm/yy dd/mm/yy dd/mm/yy dd/mm/yy dd/mm/yy dd/mm/yy
NO NAME POSITION NRIC/FIN NO.
_________ _________ _________ _________ _________ _________ _________
1 Meidhia Priyosuseno Master G6551688N

2 Muhammad Saddam Aziiz CHIEF OFFICER G9063820W

3 Iis Adianto CHIEF ENGINEER G7774782L

4 Bagoes Adityo Nugroho 2ND ENGINEER G6507118K

5 Nyoto Sudarko AB G6997284K

6 Muhammad Kalkausar Bin Zubaidi AB G8615812X

7 Ralph Rafson Rint Limon OILER G2971241M

Note :
^ √ is tempereature less than 37.5 degree Celcius
^ If temperature more than 37.5 degree celcius is considered not OK. Must reported to doctor immediately