| Vessel Name | Date | ||
|---|---|---|---|
| Rank | Department | ||
| Sign-On Crew | Sign-Off Crew |
| Nationality | Crew ID | ||
|---|---|---|---|
| Next of Kin | |||
| Completed Duties / Outstanding Tasks | |
|---|---|
| Equipment Status | |
| Pending Issues / Defects | |
| Suggestions / Additional Comments |
| Company Policies & Procedures Briefed | |
|---|---|
| Safety & Emergency Procedures Briefed | |
| Environmental Considerations Briefed | |
| Shipboard Organization & Contacts |
| Training Certificates Verified | |
|---|---|
| Medical Certificate Validity | |
| Other Relevant Documents |