Have the following actions been carried out?

1. Emergency alarm (internal and external) sounded

1. All concerned notified of seat of fire

1. Ventilation, automatic fire doors, watertight doors closed

1. Deck lighting switched on

1. Vessel's position available in radio room, satellite terminal and

other automatic distress transmitters, updated as necessary

Duty Officer

Master

Date

Position of vessel

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

To retain for 5 years.

Issue date: 03.11.2003/Rev. 00 PBO-G∗03-C06 Page: 1/1

EMERGENCY RESPONSE CHECK LIST - FIRE

QSMS PBO-G∗03-C06 Rev. No.00

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