• Document No.

  • Name of vessel

  • Person(s) Visiting

  • Conducted on

  • Location
  • First impression while boarding the vessel:

  • General impression Engine Room:

  • General impression Bridge & Deck areas:

  • General impression Galley and Food Stores:

  • Maintenance of the Vessel:

  • HSE performance, atmosphere, impression:

  • Additional comment:

  • Add signature

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