NATIONAL MARITIME PALOMPON INSTITUTE OF

POLYTECHNIC (NMP) TRAINING TECHNOLOGY (PIT)

CENTER Evangelista St., Palompon, 6538 Leyte
Cabalawan, Tacloban City, 6500, Leyte
PERFORMANCE FEEDBACK
FOR SAFETY ON BOARD PRACTICES

NAME OF CADET
NAME OF SHIP
TYPE OF SHIP
GROSS TONNAGE (GT)
SHIPOWNER OR OPERATOR
WEEKS O/B SINCE EMBARKATION

Rater (Please check) RATING SCALE:

Onboard Training Officer 5 Very Good
Department Head 4 Good
Other _____________ 3 Average
2 Below Average
1 Poor

Basic tasks and safety procedures

Rating Scale
TASK/DUTIES 5 4 3 2 1
1 Is able to communicate regarding on board safety matters
2 Understands the safety symbols, signs and alarm signals
3 Knows how to act if a person falls overboard
4 Knows how to act when detecting fire or smoke
5 Knows how to act if the fire or abandon ship alarm is sounded
6 Is able to locate and done a lifejacket correctly
7 Knows how to operate portable fire extinguishers
8 Is able to performed assigned duties in abandon ship drill
9 Is able to perform assigned duties in a fire drill
10 Is able to perform assigned duties SOPEP drill
11 Knows how to act in case first aid assistance is required
12 Is able to operate watertight doors and other closing devices
13 Knows when, and how to use personal protective aids correctly
14 Is able to operate internal communication devices
15 Knows the onboard procedures for the segregation of garbage
16 Knows the location of and is able to operate the fire dampers
17 Is able to read and explain the contents of the ships Safety Plan
18 Is able to communicate about work related items with others
19 Understands the duties and responsibilities of all crewmembers
20 Understands the basics of the shipboard ISPS procedures
21 Knows how to operate the emergency fire pump
 NATIONAL MARITIME PALOMPON INSTITUTE OF
POLYTECHNIC (NMP) TRAINING TECHNOLOGY (PIT)
CENTER Evangelista St., Palompon, 6538 Leyte
Cabalawan, Tacloban City, 6500, Leyte
PERFORMANCE FEEDBACK
FOR SAFETY ON BOARD PRACTICES

Shipboard Safety Familiarization

KNOWS THE LOCATION Y N

1 The breathing apparatus and fire man’s outfit(s)
2 The medical and first aid equipment
3 The line throwing apparatus
4 The pyrotechnics
5 The alarm points to activate the general alarm
6 The emergency stops for the bilge pump(s)
7 The SOPEP equipment
8 The operating panel for the fixed fire fighting system of the engine room
9 The emergency quick closing valves of the engine room oil tanks
10 The EPIRB
11 The emergency escapes from the accommodation and engine room

REMARKS:

ASSESSOR

Name:
Rank: Signature:
Date:

Approved by:

Master / Chief Engineer* Signature:

Date:
*indicate as appropriate