ALLIANZ MIDDLE EAST SHIP MANAGEMENT LLC
ISM System Familiarization Checklist
Date:
Appointed onboard M/V:
Employee's Name
Employee's Rank
Mark in box to indicate that you have covered the item.
During my familiarization session, I have been introduced to the following:
Received My responsibilities
Received a copy of the current SMS Manual
Received a copy of vessel's PMS
Company's Organization Chart
Company's SMS Documentation system
Company's Policies
Company's Designated Person
Company's Emergency Response Team
Have been introduced to Company's Manuals
SMS Manual
Fleet Instruction Manual
Contingency Plans Manual
Deck & Catering work instructions manual
Bridge Orders & procedures Manual
Procedures Manuals
Garbage Management Plan
Master Register
Have been introduced to Company's Drills Plan
Have been introduced to Company's Internal Audit Plan
Have been introduced to Company's Forms
I HAVE HAD ALL OF THE ABOVE EXPLAINED TO ME.
Signed:
Familiarization conducted by:
Signed:
____________________________________________
____________________________________________
____________________________________________
CONSENT TO INSPECT
It is the policy of Allianz-ME to absolutely prohibit the use, possession or transportation
of illegal drugs, alcoholic beverages, firearms, explosives or paraphernalia on inland or
offshore facilities.
FOR YOUR PROTECTION AND THE PROTECTION OF OTHERS WITH WHOM YOU WILL BE WORKING ,
YOU ARE REQUESTED TO SUBMIT YOUR PERSONAL BELONGINGS AND ALL ITEMS CARRIED ON OR
BY YOUR PERON FOR INSPECTION AT ANY TIME WHILE ON OR BOARDING TRANSPORTATION EN
ROUTE TO THE WORK SITE. IF ANY OF THE ABOVE NAMED ITEMS OR ANY OTHER ITEMS
PROHIBITED ABOARD COMPANY FACILITIES ARE FOUND OR IF YOU REFUSE TO SUBMIT TO A
SEARCH OF YOURSELF AND/OR YOUR EFFECTS, YOU WILL BE DENIED ACCESS TO ANY Allianz
Middle East Ship Management LLC.
Your signature below constitutes your consent to inspection of your personal belongings and your
person at this time and at any time before your departure to or from the work site. Your presence
is required during inspection of your belongings.
Signed:
____________________________ Date: ___________________________
Form No: SMS/25/Rev.1
Date: 01/11/2014