WORK EXPERIENCE SHEET

Instructions: 1. Include only the work experiences relevant to the position being applied to.

2. The duration should include start and finish dates, if known, month in abbreviated form,
if known, and year in full. For the current position, use the word Present, e.g., 1998-
Present. Work experience should be listed from most recent first.
Sample: If applying to Supervising Administrative Officer

 Duration: September 2023 – present

 Position: Health and Safety, Environment Officer
 Name of Office/Unit: HSEQ Division
 Name of Company: Gulf Marine Services

 Summary of Actual Duties

 Lead SHEQ SSHEQMS fully updated and implemented on site.

 Overseas and monitors the effectiveness of on-board reporting of incidents, accidents,
near misses and non-conformances.
 Oversees FSA and LSA compliance.
 Assists the on-board medic with the reporting of medical treatment injuries.
 Continuous improvement of emergency response plans.
 Assists the Master with the continuous improvement of the company SSHEQ.
 To ensure SSHEQ is updated with the latest revisions.
 Ensure all emergency contacts are current.
 Identifies the need for and implements the Company SSHEQ training presentations to all
personnel.
 Oversees all familiarization including record keeping and the updating of familiarization
checklists.

 Duration: March 2020 – February 2022

 Position: Health and Safety Officer
 Name of Office/Unit: Health, Safety, Environment Quality Division
 Name of Company : Seafox

 Summary of Actual Duties

 Support Seafox management system implementation in accordance to ISO 9001, ISM

Code adopted by IMO requirements
 Ensure all scaffolding work are closely monitored and compliance of the HSE NOC
Standards.
 Liaise with OIM and deck foreman with daily safe lifting and rigging activities.
 Coordinate and participate the overall emergency response/procedure to attain effective
and efficient emergency response.
 Lead the QHSE Management System fully compliance on site.
 Assist in compliance in Environmental regulations (MARPOL).
 Liaise with Master fully HSE implementation on site.
 Monitor PPE compliance in accordance to PPE Matrix.
 Ensure workers competencies are aligned in Company’s Training Matrix.
 Assist Master by providing recommendation in accordance to HSE aspects.
 Identifies HSE gaps in every aspects of work procedures, instruction and drills.
 Jan Mikhael Rey M. Nagba
Attachment to CS Form No. 212 (Signature over Printed Name
of Employee/Applicant)

Date: October 23, 2023