Ship's name ___________________________				Date___________________
	Call sign __________ Deadweight ___________ tonnes				Year built ______________
	Draught aft _____ m/_____ ft _____ in, Forward ______ m/_____ ft _____in,				Displacement ____tonnes
		SHIP'S PARTICULARS
	Length overall __________ m,		Anchor chain: Port _______ shackles,		Starboard _____ shackles,
	Breadth __________ m		Stern _______ shackles
	Bulbous bow Yes/No		(1 shackle = __________ m/ _________ fathoms)
	Type of engine _______________________ Maximum power __________ kW ( __________ HP)
	Manoeuvring engine order	Rpm/pitch		Speed (knots)
				Loaded		Ballast
	Full ahead
	Half ahead
	Slow ahead
	Dead slow ahead
	Dead slow astern			Time limit astern			_____________ min
	Slow astern			Full ahead to full astern			________________ s
	Half astern			Max. no. of consec. starts			_________________
	Full astern			Minimum RPM ________			____________ knots
				Astern power			___________ % ahead

	STEERING PARTICULARS
	Type of rudder____________________			Maximum angle _________________________deg
	Hard-over to hard-over ____________________ s
	Rudder angle for neutral effect _______________________ deg
	Thruster: Bow ___________ kW ( ___________ HP) Stern ___________ kW ( ___________ HP)
	CHECKED IF ABOARD AND READY
	Anchors			Indicators:
	Whistle			Rudder
	Radar 3 cm		10 cm	Rpm/pitch
	ARPA			Rate of turn
	Speed log	Doppler: Yes/No		Compass system
	Water speed			Constant gyro error		_________deg
	Ground speed			VHF
	Dual-axis			Elec. pos. fix. system
	Engine telegraphs
				Type _____________________
	Steering gear
	Number of power
	units operating
	OTHER INFORMATION:
					Master: ____________________

Note: To be completed every time and filed in ship's file.

To retain for 2 years.

Issue date: 03.11.2003/Rev. 00 I-DD09-F01 Page: 2/2

PILOT CARD CHECK LIST

QSMS I-DD09-F01 Rev. No.00

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