COMPANY FORMS

MATRIX

FORM

See

1st Quarter

2nd Quarter

3rd Quarter

4th Quarter

No

Note

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

4101

*

*

*

*

4102

3

4103

1

4104/A

3

4104/B

*

*

*

*

*

*

*

*

*

*

*

*

4105-4110

1

4106

*

*

*

*

*

*

*

*

*

*

*

*

4107

2

4108

2

4109

2

4110-4105

*

*

*

*

*

*

*

*

*

*

*

*

4201

*

*

*

*

*

*

*

*

*

*

*

*

4202

*

*

*

*

*

*

*

*

*

*

*

*

4203

*

*

*

*

*

*

*

*

*

*

*

*

4204

*

*

*

*

*

*

*

*

*

*

*

*

4205

2

4206

4207/A

*

*

*

*

*

*

*

*

*

*

*

*

4207/B

*

*

*

*

*

*

*

*

*

*

*

*

4208/A

*

*

*

*

*

*

*

*

*

*

*

*

4208/B

*

*

*

*

*

*

*

*

*

*

*

*

4208/C

*

*

*

*

*

*

*

*

*

*

*

*

4209/A

*

*

*

*

*

*

*

*

*

*

*

*

4209/B

*

*

*

*

*

*

*

*

*

*

*

*

4210

*

*

*

*

*

*

*

*

*

*

*

*

4220

3

4301

3

4302

3

4304

3

4305

3

4306

3

4401

3

4402

4

4403

*

*

*

*

*

*

*

*

*

*

*

*

4404

*

*

*

*

4405

3

4406

3

4407

3

4408

*

*

*

*

4409

5

4409/A

*

*

*

*

*

*

*

*

*

*

*

*

4410

*

*

*

*

*

*

*

*

*

*

*

*

4411

5

4412

*

*

*

*

*

*

4413

*

*

*

*

*

*

*

*

*

*

*

*

4414

*

*

*

*

4501/1

*

*

*

*

*

*

*

*

*

*

*

*

4501/2

*

*

*

*

*

*

*

*

*

*

*

*

4502

3

4503

*

*

*

*

*

*

*

*

*

*

*

*

4504

*

*

*

*

*

*

*

*

*

*

*

*

4505

*

*

*

*

*

*

*

*

*

*

*

*

4506

3

4507

3

4508

3

4509

*

*

*

*

*

*

*

*

*

*

*

*

4599

3

4602

3

4606

*

*

*

*

*

*

4607

*

*

*

*

4608

11

4650

*

*

4651

3

4652

*

*

4660

*

*

*

4670

*

*

*

4701

*

*

*

*

*

*

*

*

*

*

*

*

4702

*

*

*

*

*

*

*

*

*

*

*

*

4703

*

*

*

*

*

*

*

*

*

*

*

*

4705

*

*

*

*

*

*

4706

*

*

*

*

*

*

4707

*

*

*

*

*

*

*

*

*

*

*

*

4709

*

*

*

*

*

*

*

*

*

*

*

*

4710

*

*

*

*

*

*

*

*

*

*

*

*

4713

*

*

*

*

*

*

*

*

*

*

*

*

4713/A

*

*

*

*

*

*

*

*

*

*

*

*

4714

*

*

*

*

*

*

*

*

*

*

*

*

4714/A

3

4721

*

*

*

*

*

*

*

*

*

*

*

*

4722

*

*

*

*

4724

3

4725/A

3

4725/B

3

4726

*

*

*

*

*

*

*

*

*

*

*

*

4727

3

4727/A

3

4728

3

4729

3

4730

3

4731

3

4732

3

4732/A

3

4733

12

4734

3

4738

9

4739

*

*

*

*

*

*

*

*

*

*

*

*

4739/A

*

*

*

*

*

*

*

*

*

*

*

*

4740/1

*

*

*

*

*

*

*

*

*

*

*

*

4740/2

*

*

*

*

*

*

*

*

*

*

*

*

4740/3

4

4744

3

4745

4

4746

4747

12

4747/A

3

4749

3

4750

3

4751

3

4752

3

4760

3

4765

3

4767

3

4780

4785

*

*

*

4790

4799

3

4801

*

*

*

*

*

*

*

*

*

*

*

*

4801/A

3

4802

3

4803

*

*

*

*

*

*

*

*

*

*

*

*

4806

6

4806/A 4807/A

7/8

4807

6

4808

6

4809

7

4809/1

7

4809/2

3

4809/3

7

4809/4

8

4809/5

7/8

4822

3

4824

3

4826

7

4826/A

7

4827

*

*

*

*

*

*

*

*

*

*

*

*

4828

3

4901

*

*

*

*

4902

5

4903

3

4904

3

4905

3

4906

4

4920

3

4951

3

4952

3

4954

3

4955

3

4956

3

4957

3

4958

3

4959

3

4960

3

4961

3

4962

*

*

4963

3

4964

3

4965

5

4965/A

5

4966

14

4967

14

5101

3

5102

11

5103

3

5104

3

5105

3

5106

3

5107

3

5108

3

5109

3

5110

3

2210

3

2306

3

2307

3

2307/A

3

2308

3

2309

3

2310/A

3

2310/B

3

2503/A

3

2503/B

3

2503/C

3

2503/D

3

2503/E

3

2504

3

NOTE:

1. Upon Signing On

2. Prior Signing Off

3. Whenever necessary / Occurred / Required

4. As scheduled

5. For Guide line

6. By Telex

7. Prior Sailing

8. Prior Arrival

9. Circular Tech/02/98

10. Prior / During Sailing

11. Before Loading

12. Every 3000 hours

13. End of Seafarer's Contract

14. During Ballast

ATLANTIC UNITED MARINE INC.

FORM / 4001

Safety Management System Manual - IMO Res. A.741 (18)
Developed by	: SMS Designated Person	Authorised by	: Managing Director
Date of Initial Issue	: 28 May 1997	Revision No / Effective Date	: 3 / 07-99
Chapter	: 8	Page	: 5

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