BSM De-briefing Form Form no: FPM 66

SEAFARER DETAILS

Name: Adrian Flores Rank: Deck Cadet Date of debriefing: 20-12-2022

Vessel: Meridian Date sign off: 22-11-2022

Reason for sign off: End of Contract Availability Date: 09-12-2022

DEBRIEFING PERSONNEL IN OFFICE

Name Department / Position

DEBRIEFING GUIDANCE:

 Overall condition of vessel and Equipment.

 Safety Concerns /Crew awareness.
 Accidents /Incidents of serious nature, Gross Violations of Company Policies/procedures (where the
seafarer may have been directly or indirectly involved).
 Operational difficulties including Work Planning /Rest hour issues.
 PMS & Supply Chain matters.
 Living conditions, welfare, allotment issues if any.
 Communications -internal and external issues.
 Concerns on Regulatory Issues, Audits, Vetting etc.
 Personal matters.
 CMS activity log and CMS feedback

SUMMARY OF DEBRIEFING:

COMMENTS FROM SEAFARER:

 The vessel is in good conditions; the accommodation is clean.
 The crew was familiarized with safety procedures.
 Officers and crew were working according to the company policies.
 The supply chain is not the best. Lack of snacks and vegetables. We don’t have a proper diet on board, most of the
time we receive fried food.
 No allotment issues.

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BSM De-briefing Form Form no: FPM 66

 It would be good to have more internet onboard.

 No concerns on regulatory issues.
 I Have no concerns regarding the work on board.

OFFICE COMMENTS: (SMC / CSC)

ACTION PLANS (IF ANY) / CLOSURES:

SIGNATURE OF SEAFARER:

NAME & SIGNATURES & DEPARTMENT OF DEBRIEFERS:

1. ______________________________________

2. ______________________________________

3. ______________________________________

Posted in Crewing PAL -Y/N

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