VESSEL : __________________________ DATE : __________________
NO CHECK POINT CHECKED
1. EMERGENCY ALARM (INTERNAL AND EXTERNAL) SOUNDED, ( ) MASTER & ENGINE ROOM INFORMED. 2. SHIP IS MANOEUVERED AS TO BEST CONDITION, CREW ( ) MUSTERED AT EMERGENCY STATIONS. 3. TANKS, BILGES & SPACES SOUNDED. RATE OF WATER INGRESS ( ) CALCULATED. 4. WATERTIGHT DOORS, HATCHES AND VENTILATORS SECURED. ( ) 5. EMERGENCY SQUAD UTILIZED & EXTENT OF FLOODING ( ) DETERMINED. 6. ALL AVAILABLE PUMPS UTILIZED IN CONTROL WATER INGRESS. ( ) 7. LIFEBOATS & LIFE SAVING EQUIPMENT PREPARED. ( ) 8. VESSEL’S POSITION AVAILABLE IN RADIO ROOM, SATELLITE TERMINAL & OTHER DISTRESS TRANSMITTERS, UPDATED AS ( ) NECESSARY. 9. DAMAGE INSPECTION AND CONTROL CARRIED OUT, MASTER IS ( ) NOTIFIED OF LATEST DEVELOPMENT. 10. RE-ASSESSMENT OFSHIP’S STABILITY AND POLLUTION ASPECT. ( ) 11. REPORT INCIDENT TO COMPANY AS PER ECM-03, FOLLOW-UP ( ) STATUS REPORT, NOTIFY OTHER PARTIES AS NECESSARY. 12. RECORD OF ALL ACTIONS TO BE ENTERED IN SHIP’S LOG, ( ) COMMUNICATION RECORDS TO BE MAINTAINED.
TIME (GMT): ___________________ SHIP’S POSITION: __________________
__________________________ ________________________ NAME & SIGNATURE OF O.O.W. VERIFIED BY MASTER