A14 - CREW - Sign Off

• Conducted on

  Date

• Departing Crew Member

• Signed off by

• Location
  Address

• Issued uniform/vessel effects returned to the satisfaction of Chief/2nd Stewardess?

  Yes

  No

  N/A

• UHF radio and charger / HOD Phone returned?

  Yes

  No

  N/A

• Gate/marina entry cards returned?

  Yes

  No

  N/A

• Vessel bank cards (if given) returned?

  Yes

  No

  N/A

• Hours of Rest completed?

  Yes

  No

  N/A

• Make entry into OLB

  Yes

  No

  N/A

ISSUE CREW MEMBER WITH:

• Passport

  Yes

  No

  N/A

• Completed Discharge Book

  Yes

  No

  N/A

• Certificates

  Yes

  No

  N/A

• Sea service testimonial for Deck and Engineering Officers (if applicable)

  Yes

  No

  N/A

• Name and Signature of Departing Crew Member

  Sign

• Name and Signature of Officer Completing the Sign Off

  Sign