M/V ___________________________ Voyage No. _________________________ Date ____________________ |
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Suggestion: |
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Technical Superintendent _______________________________________
Note: To be completed by case and filed in office's file.
To retain for 5 years.
Issue date: 03.11.2003/Rev. 00 PBO-PD03-F03 Page: 1/1
CREW NOT FIT FOR FURTHER WORK ON BOARD
QSMS PBO-PD03-F03 Rev. No.00