Ship's Name:		Place:	Date:
Persons Present:
Name/Rank	Signature	Name/Rank	Signature
Brief Notes of Matters Discussed:
Remarks/Action to be taken:

____________________________________

MASTER / SHIP'S STAMP

Note: To be completed every voyage and filed in both office's file and ship's file.

To retain for 5 years.

Issue date: 03.11.2003/Rev.00 PBO-G∗01-F03 Page: 1/1

THE MINUTES OF SHIPBOARD SAFETY COMMITTEE MEETING

QSMS PBO-G∗01-F03 Rev. No.00

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