Scribd
Upload
78 views26 pages

M-05 - Crew Rest Hours Report (Deck)

The document is a crew rest hours report form used to record the hours of rest for crew members over a 31 day period. It includes sections for the ship name, IMO number, flag state, position or rank, and a table to record hours of work, rest, and comments for each day.

Uploaded by

ghonwa hammod
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
78 views26 pages

M-05 - Crew Rest Hours Report (Deck)

The document is a crew rest hours report form used to record the hours of rest for crew members over a 31 day period. It includes sections for the ship name, IMO number, flag state, position or rank, and a table to record hours of work, rest, and comments for each day.

Uploaded by

ghonwa hammod
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 26

AFRICAN EXPRESS LTD. Date 15.06.

2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank MASTER Year 2020
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank CHIEF OFFICER Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month 0


IMO Number Position / Rank SECOND OFFICER Year 2020
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank BOSUN Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank FITTER Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank AB 1 Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank AB 2 Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank AB 3 Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank AB 4 Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank AB 5 Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank AB 6 Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
AFRICAN EXPRESS LTD. Date 15.06.2020
SAFETY MANAGEMENT SYSTEM Issue 1
CREW REST HOURS REPORT Form No. M-05

Ship's Name Seafarer (full name) Month


IMO Number Position / Rank COOK Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer
Ship's Name Seafarer (full name) Month
IMO Number Position / Rank MESS BOY Year
Flag State PALAU Watchkeeping * Select from drop list
Not to be completed by the seafarer

Hours of rest Hours of rest


24 hrTime Scale (indicate periods of work with continuous line) Mark work with W - Drills with D Hours of Work in any 24 hour in any 7 day
Date 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Normal O/Time Total Rest Hours Comments period period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name / Signature of Master Signature of Seafarer

You might also like