GDC Non-Employee on Board Log for Passengers/Visitors/Contractors

• Site conducted

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• Conducted on

  Date

• Vessel Name

• Prepared by:

• Location
  Address

Safety Orientation Policy/Procedure

• If you are a Passenger/Visitor/Contractor and this is your first time on board, you are required to go through Gateway Dredging;s Safety Induction and Orientation carried out by the vessel crew. This induction orientation is for your own safety. The Master has the command and the full responsibility over the vessel and all passengers, visitors and contractors and all orders given by the Master must be obeyed. After you have received the orientation, please fill out the form below. If you have any questions regarding the safety on board, please ask a crewmember before signing the form.

• NOTE: Any visitor/contractor boarding this vessel must receive the following information:
  - Location of the Fire & Safety Equipment (fire extinguishers, life vests,
  first aid kit, ring buoys, MOB ladder, etc...)
  - Muster Point/Emergency Egress Procedure - If the General Alarm
  Sounds - Go to front of vessel and await further instruction.
  - Keep Water-Tight Doors Closed When Vessel Is Underway!

• - PPE information blow

• ENGINE ROOM REQUIRED PPE: Hard Hat (during maintenance), Fixed Safety Boots/Shoes

• EMBARKING/DISEMBARKING WHEN ALONGSIDE (APPROVED SAFE WAY OF ACCESS) REQUIRED PPE: SOLAS Life Jacket, Fixed Safety Boots/Shoes

• EMBARKING/DISEMBARKING WHEN ALONGSIDE (NO APPROVED SAFETY WAY OF ACCESS) REQUIRED PPE: SOLAS Life Jacket, Fixed Safety Boots/Shoes

• ON DECK (ALONGSIDE) REQUIRED PPE: SOLAS Life Jacket, Fixed Safety Boots/Shoes

Sign In

• By signing this document, I confirm that I have been instructed in the above areas and understand that the Master has the full command of the vessel and passengers/visitors/contractors

• Printed Name/Signature:

  Sign

• Orientation Date:

  Date

• Printed Name/Signature:

  Sign

• Orientation Date:

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• Printed Name/Signature:

  Sign

• Orientation Date:

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• Printed Name/Signature:

  Sign

• Orientation Date:

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• Printed Name/Signature:

  Sign

• Orientation Date:

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• Printed Name/Signature:

  Sign

• Orientation Date:

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• Printed Name/Signature:

  Sign

• Orientation Date:

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• Printed Name/Signature:

  Sign

• Orientation Date:

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• Printed Name/Signature:

  Sign

• Orientation Date:

  Date

• Printed Name/Signature:

  Sign

• Orientation Date:

  Date