LAPORAN PEMERIKSAAN HAL 1.docx

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DIREKTORAT JENDERAL PERHUBUNGAN LAUT DIRECTORATE GENERAL OF SEA TRANSPORTATION

DIREKTORAT PERKAPALAN DAN KEPELAUTAN DIRECTORATE OF SHIPPING AND SEAFARERS

LAPORAN PEMARIKSAAN RECORD OF INSPECTION

PERSYARATAN PENGAWAKAN MINIMUM REQUIREMENTS FOR SAFE MANNING

UNTUK MEMENUHI KETENTUAN DARI RESOLUSI 1047 (27) / NCVS* TO MEET OF THE IMO RESOLUTION 1047 (27) / NCVS * Pelabuhan Pemeriksaan

:

………………………………………………..

:

………………………………………………..

Port Of Inspection

Tanggal Pemeriksaan Inspection Date

Nama Kapal Name Of Ship

Tanda Panggilan Call Sign

Kebangsaan Dan Pelabuhan Pendaftaraan

Berat Kotor Gross Tonage

Nationality And Port Of Registeratry

Jenis Kapal ** :

Daerah Pelayaran ** :

Type Of Ship

Trading Area

Tanggal Peletakan Lunas Date Keel Laid

-

Semua Lautan (International) Kawasan Indonesia (Near Costal Voyage ) Lokal (Local) Terbatas (Limited) Pelabuhan (Port ) Perairan Daratan (Intersular) Lain- Lain (Others) : Nama Pemilik Kapal /Pencharter Atau Keagenan **

-

Penumpang ( Passangger) Kapal Barang (Cargo ) Penangkap Ikan (Fishing) Floating Offshore Instalation

Name Of Ship Of Owner /Operator /Operator / Agent

Alamat Pemilik Perusahaan/Pencharter/ Keagenan **

………………………………… :

Address Of Owner Manager/Operator/Agent

……………………………………………………………………………………………… Jenis Pemeriksaan ** : Type Of Inspection

- Pemeriksaan Pertama (Intial Inspection) - Pemeriksaan Tahunan (Annual Inspection) - Pemeriksaan Tambahan (Additional Inspection) * Hapus yang tidak perlu delete as appropiate

Form.01/Kplt- Pengawakan/ rev00-2018

** Berikan tanda √ pada yang sesuai

please mark √ as appropiate

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LAPORAN PEMERIKSAAN PENGAWAKAN MINIMUM RECORD OF INSPECTION FOR A MINIMUM SAFE MANNING

Silahkan Diisi Dengan Format Tertulis Please Complete In Type Written Form

Jika Tidak Cukup Jawaban Dapat Disediakan Pada Kertas Tambahan Yang Dilampirkan Pada Kertas Tambahan Yang Dilampirkan Pada Form Pemeriksaan Ini. If There Is Insufficient Space Provide Under The Questions, Answers May Be Provided Provided On Additional Sheets Of Paper Attached To This From Of Inspection.

1. Keterangan Pemohon Particulars Of Applicant

(a) .Nama Lengkap Pemohon

:

………………………………………..

(b) .Alamat Lengkap Pemohon :

………………………………………..

Full Name Of Applicant

Address Of Applicant

2. Data Kapal Particulars Of Ship

a) . Nomor IMO

:

…………………………………... ..

:

…………………………………… .

:

……………………………………

:

…………………………………….

IMO Number

b) . Jumlah Kabin Number Of Accomodations

c) . Bahan Material Kapal Material Of Ship d) . Galangan Pembuat Shipyard

Catatan Tambahan ( Jika Ada ) Additional Information ( If Any )


:

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3. Keterangan Perusahaan Yang Mengoperasikan Particulars Of Operating Company A. Nama Operator

:

…………………………………

:

…………………………………

:

…………………………………

Name Of Operator

B. Alamat Operator Address Of Operating Company

C. Nomor Identifikasi Perusahaan Company Identification Number

4. Daerah Pelayaran Kapal ** Trading Pattern Of Ship

(a) - Semua Lautan (International Voyage) - Kawasan Indonesia (Near Coastal Voyage) - Lokal (Local) - Terbatas (Limited) - Pelabuhan (Port) - Perairan Daratan (Intersular)

(b)Jika Tidak Harus Dijelaskan If Not Please Specify


:

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5. Data Permesinan Dan Peralatan : Machinery And Equipment Details

5.1. Permesinan Machinery

A. Total Shaft Power Output (Kw)

: …………………………………..

Kw

Total Shaft Power Output

B. Control Dari Anjungan

: ……………………................

Y

N

NA

Y

N

NA

Bridge Control

C. Alarm Jaga Di Kamar Mesin

: ……………………………....... ..

Engine Room Watch Alarm

System Alarm Jaga Adalah Suatu Yang Ketika Diakifkan Memerlukan Seseorang Yang Berjaga Di Kamar Mesin Untuk Me-Reset System Tersebut Pada Interval Yang Teratur Sehingga Perwira Di Kamar Yang Berjaga Navigasi Tetap Memperhatikan keselamatan Kapal. A Watch Alarm System Is One Which, When Active Requires Person Working Alone In The Machinery Space To Reset The System At Regular Intervals So That The Navigating Officer Of The Watch Is Regularly Aware Of His Safety.

System Lain (Dijelaskan) Other Systems (Please Specify)


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5.1.1

Sistem Peringatan Alternative Di Kamar Mesin Alternative Engine Room Warning System

Jika Tidak Ada Alarm Di Kamar Mesin Yang Terpasang, Apakah Kapal Memiliki System Komunikasi Seperti Berikut Ini : If No Engine Room Alarm Is Fifted, Does The Vessel Have Any One Of The Following Communication System :

Y

N

NA

b) Walkie – Talkie Portable Yang Ada Dikamar Mesin ………………….. Portable Walkie – Talkie At Engine Room Entarence and wheelhouse

Y

N

NA

c) Sistem Paging Dapat Dioperasikan Dari Anjungan Dan Efektif Di Kamar Mesin……………………………………………………………

Y

N

NA

Y

N

NA

Y

N

NA

a) System Talk Back Antara Kamar Mesin Dan Anjungan

…………..

Fixed Talk Back System Between Engine Room And Wheel House

Paging System Operatable From Wheelhouse And Effective In Engine Room.

d) Lampu Indicator Peringatan Di Kamar Mesin Dengan Tombol Di Kamar Mesin…………………………………………………………… Warning Indicating Lights In Wheelhouse With Push Button Operated Switch At Engine Room Enterance.

e) Lampu Peringatan Indicator Di Anjungan Dengan Lampu I nfra Red Yang Dioperasikan Dengan Switch Pada Pintu Masuk Kamar Mesin ……………………………………………………………… Warning Indicating Lights In Wheelhouse With Infra Red Light Operated Switches At Engine Room Entances

f) Sistem Lain (Dijelaskan) Other Systems (Please Specify )


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5.2 Peralatan Mooring Mooring Equipment

Pengaturan Mooring (Pemetaan Mooring Dijelaskan Dalam Gambar) : Mooring Arrangement (Describe With Picture)

a)

Jumlah Bolder

:

……………………………….

Number Of Boulard

b)

Konvensional (Perpindahan Mooring Ke Bitts Setelah Diikat Henti )………………………………………………

Y

N

NA

Y

N

NA

Convensional (Moorings Transferred To Bitts After Being Stopped Off)

c)

Tali Mooring Berada Permanen Di Winch Drum ………. Mooring Lines Permanently Carried On Powered Drums

5.3

Keadaan Yang Tidak Biasa Yang Berkibat Pada Awak Kapal Unu sual Features That Effect To Ship’s Crew (If Any)


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6. Key Operations Key Operations

6.1. Susunan Awak Kapal Yang Merupakan Kunci Penting Kegiatan Untuk

Penugasan Sumber Daya Manusia Di Atas Kapal. Silahkan Isi Tabel Berikut Ini Dengan Kebutuhan Kapal Secara Komprehensif. The Key Operations Below Are Identified As Operations That Are Critical To The Deployment Of Human Resources On The Ship. Please Complete The Following Questions In The Most Comprehensive Of Manner. Bagian Dek

Jumlah

Bagian Mesin

Jumlah

Deck Department

Number

Engine Department

Number

Nakhoda

Kepala Kamar Mesin

Master

Chief Engineer

Perwira Deck

Perwira Mesin

Deck Officer

Engine Officer

Rating

Rating

Rating

Rating

Catatan

: Diisi Jumlah Awak Kapal Sesuai Dengan Gross Tonnage, Note Daerah Pelayaran Dan Daya Mesin Kapal . Please Complete The Following Table With The Number Of Ship’s Crew Concerning With The Ship’s Gross Tonnage, Trading Area With Output Power.

6.2. Bernavigasidengan Aman Dan Berdinas Jaga Di Kamar Mesin Sesuai Dengan Konvensi STCW VIII/2 Yang Diamendemen Dan Perawatan Rutin Peralatan Dan Permesinan. Maintain Safe International And Engineering Watches Accordance With Regulation VII/2 Of The 1978 STCW Convention, As Amended, And Also The Routine Maintenance Of Machinery And Equipment . Jaga Navigasi

Jumlah

Bagian Mesin

Jumlah

Navigational Watches

Number

Engine Department

Number

Perwira Deck

Perwira Mesin

Deck Officer

Engine Officer

Rating

Rating

Rating

Rating

Catatan

: Diisi Menurut Jumlah Awak Jaga Mnavigasi Dan Jaga Mesin Sesuai Dengan Gross Tonnage, Daerah Pelayaran Dan Daya Mesinkapal. Please Complete The Following Table With The Number Of Ship’s Crew Concerning With The Ship’s Gross Tonnage, Trading Area With Output Power.


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6.2. 1

Dinas Jaga Navigasi Navigational Watch

a)

Sistem Jaga Yang Akan Diadopsi ** Which Watch System Will Be Adopted 1.

Sistem Tiga Dinas Jaga Yang Dengan “4 On 8 0ff”,Melibatkan Periode 4 Jam Jaga Yang Diikuti Dengan 8 Jam Lepas Dinas Jaga. Three Watch System Known As “4 On 8 0ff”, This Involves A Period Of Hours On Watched Followed By 8 Hour Watch.

2.

4 .

Sistem Tiga Dinas Jaga Dikenal Dengan “6 On 6 Off”, Merupakan Dinas Jaga Yang Melelahkan Yang Melibatkan 6 Jam Jaga Diikuti Dengan 6 Jam Lepas Jaga. Kecuali Untuk Kapal Yang Sangat Kecil, Sistem Dua – Jaga Tidak Dapat Diterima . Two Watch System Known As “6 On 6 Off”. This Is Very Tiring Rota Involving Hours On Watch Followed By 6 Hours Off Watch. Execept For Very Small Vessel, Two – Watch System Will Not Normally Accept.

(b)

Apakah Nakhoda Berdinas Jaga ?

…………………………

Y

N

Will The Master Undertake A Navigational Watch

Kecuali Kapal Dengan Ukuran Yang Terbatas, Ketentuan Kualifikasi Perwira Dek Untuk Menyakinkan Bahwa Nakhoda Tidak Perlu Melaksanakan Dinas Jaga Dengan Mengadopsi Sistem Tiga – Dinas Jaga. Except In Ship Of Unlimited Size, The Provision Of Qualified Deck Officers To Ensure That It Is Not Necessary For The Master To Keep Regular Watches By Adopting A Three – Watch System.

Jika Tidak Melaksanakan Dinas Jaga, Maka Harus Dijelaskan If Not Conduct Navigational Watch, Have To Clarify


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(c)

Apakah Nakhoda Melaksanakan Pemanduan Sendiri ……………… Will Be Master Required To Undertake His/Her Own Pilotage

Y

N

Y

N

Jika Melaksanakan Pemanduan Sendiri , Maka Harus Dijelaskan If Conduct The His/Her Own Pilotage, Have To Clarify

6.2.2. Dinas Jaga Permesinan Engineering Watch

a) Apakah Kapal Beroperasi Dengan Sistem UMS ?

…………………

Is The Ship Operating Under UMS Mode

Jika Tidak, Apakah Sistem Dinas Jaga Sesuai Dengan Pilihan Di Bawah Ini ? If Not, What Watch System Will Be Adopted

1.

Sistem Tigs Dinas Jaga Yang Dengan “ 4 0n 8 Off “, Melibatkan Periode 4 Jam Jaga Yang Diikuti Dengan 8 Jam Lepas Dinas Jaga. Three Watch System Known As “4 On 8 Off, This Involves A Period Of 4 Hours On Watched Followed By 8 Hours Watch.

2.

Sistem Tiga Dinas Jaga Dikenal Dengan “ 6 On 6 “ , Merupakan Dinas Jaga Yang Melelahkan Yang Melibatkan 6 Jam Jaga Diikuti Dengan 6 Jam Lepas Jaga.Jaga Yang Melelahkan Yang Melibatkan 6 Jam Jaga Diikuti Dengan 6 Jam Lepas Jaga. Kecuali Untuk Kapal Yang Sangat Kecil, sistem dua – Jaga Tidak Dapat Diterima. Two Watch System Known As “ 6 On 6 Off ”,This Is Very T iring Rota Involving 6 Hours On Watch Followed By 6 Hours Off Watch. Except For Very Small Vessel,Two- Watch System Will Not Normally Accept.

Silahkan jelaskan jika ada keterangan lain : Others, Please Specify


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(b)

Y

Apakah KKM Mendapat Tugas Jaga ?

N

Will The Chief Engineer Undertake A Watch

Kecuali Kapal Dengan Tenaga Propulsi Yang Terbatas Atau Beroperasi Dengan Ketentuan UMS, Ketentuan Perwira Kamar Mesin Memastikan Bahwa KKM Tidak Perlu Mendapat Tugas Jaga Rutin Dengan Mengadopsi Sistem 3 Dinas Jaga. Execept In Ships Of Limited Propulsion Power Or Operating Under Limited Propulsion Power Or Operating Under Provisions For Unattended Machinery Spaces, The Provision Of Qualified Engineer Officers To Ensure That It Is Not Ecessary for the Chief Engineer to keep regular watches by adopting a three-watch system.

(a) Apakah seluruh ruang mesin dicakupi dengan sistem Sistem deteksi kebakaran ** …………………………..............

Y

N

NA

Y

N

NA

are all machinery spaces covered by a fire detection system ?

(b) Apakah seluruh ruang mesin dicakupi oleh sistem alarm bilga? ** …………………………………………………. are all machinery spaces covered by a bilge alarm system ?

6.3. Mooring Dan Unmooring Kapal Mooring And Unmooring The Vessel

Detail Persyaratan Pengawakan Pada Saat Beban Kerja Yang Besar Disaat Kegiatan Mooring Atau Unmooring Details Of Manning Requirements For Peak Workload Situation During Mooring Or Unmooring Operations :

Stasiun Depan

Station Belakang

Forward Station

Aft Station

Perwira Officer

Rating Ratings

Jumlah Perwira Dan Rating Di Ruang Kemudi Selam Operasi Mooring Dan Unmooring Number Of Officers And Ratings In The Wheelhouse During Mooring Or Unmooring Operations :

Perwira Officer

Rating Ratings


Mooring

Unmooring

Mooring

Unmooring

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Apakah Rating Dianjungan Perlu Membantu Kegiatan Mooring Setelah Selesai Bertugas Pada Kemudi ? ………………… ...................

Y

N

Does The Rating In The Wheelhouse Require To Go On Deck To Assist With The Mooring Operaions After “Finish With The Wheel’’ ?

Sistem Lain (Dijelaskan) Other Systems ( Please Specify )

7. Pencegahan Kelehan Pada Awak Kapal Prevention Of Crew Fatigue

Bagaimana Pengaturan Dinas Jaga Bagi Perwira Dan Rating Selama Kapal Memasuki Atau Meninggalkan Pelabuhan, Periode Standby ? What Are The Watchkeeping Arrangaments For Officers And Ratings During Entering Or Leaving Port,Stand – By Periods ?

A. Ruang Kemudi

:

Wheel House

B. Kamar Mesin

:

Engine Room


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c.

Berapa Jumlah Jam Istirahat : How Many Hours Of Scheduled Rest For

Petugas Jaga

Petugas Jaga

Watchkeepers

Watchkeepers

Hari

Mingguan

Hari

Mingguan

Days

Week

Day

Week

Perwira Officers

Rating Ratings Jawaban Dalam Ukuran Jam 

answer in hours D. Dinas Jaga Dan Kerja Harian

:

Watchkeepers & Day Workers

Petugas Jaga

Pekerja Harian

Watchkeepers

Day Workers

Perwira Officers

Rating Ratings 

Jawaban Dalam Ukuran Jam Answer In Hours

Minimum Jam Isirahat Tidak Kurang Dari 10 Jam Pada Periode 24 Jam Dan 77 Jam Pada Setiap Periode 7 Hari. Jam Istirahat Dapat Dibagi 2 Kali, Yang Pertama Sekurang Kurangnya 6 Jam Dan Jarak Antara Interval Tidak Lebih Dari 14jam. Minimum Hours Of Rest Shall Not Be Less Than 10 Hours In Any 24-Hours Period; And 77 Hours In Any Seven- Day Period. Hours Of Rest Maybe Divided Into More Than Two Periods, One Of Which Shall Be At Least Six Hours In Length,And The Interval Between Consecutive Periods Of Rest Shall Not Exceed 14 Hour.

Pelaku Dinas Jaga Dan Pekerja Harian Termask Mereka Yang Melaksanakan Pekerjaaan Perwatan Rutin ( Seperti Latihan Keadaan Darurat, Pemeriksaan Peralatan Dll ) Setelah Melaksanakan Tugas Jaga Normal. Jumlah Jam Istirahat Setiap Minggu Mungkin Tidak Akan Sama Dengan Jam Istirahat Per Hari Dikalikan Tujuh. Watchkeepers & Day Workers Include Those Who Are Required To Carry Out Routine Maintenance Duties ( Such As Emergency Drills, Equipment Checks Etc.) After Their Normal Watchkeeping Duties.The Number Of Resting Hours Per Week May Not Be Equal To Rest Hours Per Day Multiplied By Seven.


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8. Skala Pengawakan Yang Diajukan

propose Manning Scale

Perwira

8.1

Officers

Catatan Hasil Pemeriksaan Keselamatan Pengawakan Atas Nama Kapal. Jumlah Perwira Pengawakan Dek Dan Perwira Kamar Mesin Yang Bersertifikat Sesuai Dengan Peraturan Pelayaran Niaga. Record Of Result The Safe Manning Inspection Of The Above Ship. The Number Of Certificated Deck And Engineer Officers Are Contained In Merchant Shipping Act. OFFICER Deck Officer Class 1 ( Master ) Deck Officer Class 2 Deck Officer Class 3 Ship Powered By Main Propulsion Machinery Of Engineer Officer Class 1 Engineer Officer Class Engineer Officer Class Electro- Technical Officer

Apakah Ada Electro – Technical Officer ?

ATURAN STCW II/2 II/2 II/I Between 3,000 Kw 750 Kw & Or More 3,000 Kw III/2 III/3 III/2 III/3 III/1 III/6

JUMLAH

KETERANGAN

JUMLAH

KETERANGAN

……………………………………….

Y

N

Y

N

Will An Electro – Technical Officer Be Carried ?

Jika Tidak, Tugas Electro – Technical Akan Ditangani Oleh Setidaknya 2 ( Dua ) Orang Mesin Diatas Kapal .

……………

If Not, Electro- Technical Officer’s Duty Will Be Covered By At Least Two (2) Engineers On Board ? 8.2 Rating

Ratings Ratings

(A) (B) (C) (D) (E) (F) (G)

Able Seafarer Deck Rating Forming Part Of A Navigation Watch Other Deck Ratings Able Seafarer Engine Rating Forming Part Of A Engineering Watch Other Engine Room Ratings Electro Technical Ratings


Aturan STCW II/5 II/4 VI/1 III/5 III/4 VI/1 III/7

Nomor

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Apakah Juru Masak Yang Dberkualifikasi Dan Bekerja Full Time ? Will A Fill Time Qualified Cook Be Carried ?

………………

Y

N

Jika Tidak, Bagaimana Tugas Masak Dilaksanakan. Jelaskan Pada Tabel Dibawah Ini. If Not,How Will The Cooking Duties Be Covered. Describe In The Table Below.

Mulai Tanggal 1 Januari 2010 Konvensi STCW Amandemen 2010 Akan Mulai Diberlakukan. Pelaut Yang Melaksanakan Tugas Moori ng Dan Unmooring Seperti Yang Diarahkan Oleh Perwira Jaga, Menyediakan Dukungan Pada Cargo Operations, Mengoperasikan Peralatan Dek Dan Permesinan, Melaksanakan Marlinspike Dan Pekerjaan Kanvas,Melaksanakan Perawatan Dek ; Dan Pengamatan Bahan Bahan Bakar, Bilges Dan Ballast Operation, Pengoperasian Peralatan Mesin,Mengoperasikan Peralatan Listrik Dan Perawatn Peralatan Listrik Dan Perawatan Di Kamar Mesin Harus Memiliki Sertifikat Able Seafarer Deck.(II/5) Atau Able Seafarer Engine (III/5).

On Seafarer 1 January 2017, The 2010 – Amandended STCW Convention Will Be Fully Implemented. Seafarers Perform Mooring And Unmooring Operations As Directed By The Officer Of The Watch, Provide Support In Cargo Operations, Operate Deck Equipment And Machinery, Perform Marlinspike And Canvass Work,Perform Deck Maintenance ; And Seafarers Oversee Fuel, Bilge And Ballast Operations, Operae Equipment And Machinery, Operate Electrical Equipment And Maintain Engine Room Machinery And Spaces Must Hold An Appropriate Certificate For Able Seafarer Deck (Reg. II/5) Or Able Seafarer Engine (Reg. III/5),Respectively.

Amandemen Konvensi STCW 2010 Diberlakukan Tanggal 1 January 2017, Sebagai Phase Implementasi Atas Ketentuan Tersebut. Selama Periode Transisi 5 (Lima Tahun ), Selain Rating Dek Dan Rating Yang Merupakan Bagian Dari Dinas Jaga Navigasi Dengan Pelatihan Yang Relevan Akan Tetap Dapat Diterima Untuk Dapat Melaksanakan Tugas Mooring Dan Unmooring Yang Diarahkan Oleh Perwira Jaga. Memberikan Pada Cargo Operations, Dukungan Mengoperasikan Peralatan Dek Dan Permesinan,Melaksanakan


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Marlinspike Dan Pekerjaan Kanvas, Melaksanakan Perawatan Dek ; Dan Rating Kamar Mesin Lainnya Dan Rating Yang Melaksanakan Dinas Jagapermesinan Dengan Pelatihan Yang Relevan Akan Dapat Meneruskan Dinas Jaga Pengamatan Bahan Bakar, Bilgest Dan Ballast Operation, Pengoperasian Peralatan Mesin, Mengoperasikan Peralatan Listrik Dan Perawatan Peralatan Listrik Dan Perawatan Dikamar Mesin Dengan Bekerja Sebagai 31 Desember 2016. Tetapi Bagaimanapun Setelah Januari 2017 Seluruh Pelaut Harus Memenuhi Ketentuan Standar STCW 2010.

The 2010-Amended STCW Convention Came Into Force On 1 January 2012. However, There Is A Five Year Transitional Period, Other Deck Ratings And Rating Forming Part Of A Navigational Watch With Relevant Training Will Continue To Be Accepted For Perform Mooring And Unmooring Operation As Directed By The Officer Of The Wath Provide Support In Cargo Operations, Operate Deck Equipment Andmachinery, Perform Merlinspike And Canvass Work, Perform Deck Maintenance; Ad Other Engine Room Ratings And Rating Forming Of An Engineering Wath With Relevan Training Will Continue To Be In Accmepted For Oversee Fuel, Bilge An Ballast Peration, Operate Equipment And Machinery, Operate Electrical Equipment And Maintain Engine Room Machinery And Spaces Until 31 December 2016. However After January 2017, All Seaferersare Requiredto Meet STCW 2010 Sandards. 9.

Rencana Dan Dokumen Terlampir Pada Surat Permohonan Plants And Documents Submitted With This Application

JENIS DOKUMEN/ SERTIFIKAT Document / Certificate

NO 1

2

N

NA

Lain- Lain Allowance

Total Total

Copy Laporan Pemeriksaan Copy Of Certificate Of Survey Salinan Rencana Mooring Dan Peralatan Copy Of Mooring And Equipment

3

Salinan Serifikat UMS Copy Of UMS Certificate

4

Salinan DOC (ISM) Copy Of Document Of Compliance (ISM)

5

Y

Salinan Rencana Evakuasi (Khusus Kapal Penumpang ) Copy Of Evacuation Plan (Passanger Ships Only )

6

Salinan Sertifikat Keselamatan Copy Of Ship’s Safety Construction Certificate

7

Salinan Sertifikat Klas Copyof Class Certificate

10. Standar Gaji Pelaut Serta Tunjangan Lain- Lain Per Bulan Seaman Wages Allowance Standard On Board As Per Month

1

Jabatan Rank

2

Nakhoda Master


Gaji Pokok Basic Wages

17

3 4

Kepala Kamar Mesin Chief Engineer Mualim I Perwira Chief Officer

Mualim 2 2nd Officer 5

Deck Deck Officer

Mualim 3 3rd Officer Mualim 4 4th Officer Masinis 1 1st Engineer

6

Perwira Mesin Engineer Officer

Masinis 2 2nd Engineer Masinis 3 3rd Engineer Masinis 4 4th Engineer

7

Bosun / Mandor Boatswain

8

Dek Rating Rating Dek

9

Engine Rating Rating Kamar Mesin

10

Lain – Lain Others

Keterangan remarks


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11. Pengingat Reminder Sesuai Dengan Aturan I/14 Konvensi STCW, Perusahaan Bertanggung Jawab Untuk Memastikan Kapal Diawaki Dengan Dokumen Pengawakan Minimum Oleh Pelaut Yang Berkualifikasi,

Bersertifikat Dan Sehat Secara Medis. Persyaratan Sejenis Juga Disebutkan Paragraph 6 ISM Code.Sesuai Dengan Persyaratan Tersebut DITKAPEL Meminta Kepada Seluruh Perusahaan Untuk Menerapkan Dokumen Keselamatan Pengawakan Untuk Menunjukkan Pengawakan Yang Sesuai Dengan Kapalnya Dengan Menerapkan Aturan IMO A.1047 (27)

In Accordance With Regulation I/14 Of The STCW Convention, The Company Is Responsible For Ensuring Tha Tthe Ship Is Manned In Compliance With The Safe Manning Document By Properly Qualified, Certificate And Medically Fit Seaferers. Similar Requirements Are Also Laid Down In Paragraph 6 Of The International Safety Management (ISM) Code. In Line With These Requirements, The Directorate Of Seaferers And Shipping Requires The Company To Apply For A Safe Manning Document Proposing The Appropriate Level Of Manning That They Consider The Vessel Willvrequire Taking Into Consideration The IMO Resolution A.1047 (27) – “ Principles Of Minimum Safe Manning ”.

12.

Deklarasi Declaration

Dengan Ini Saya Menyatakan, Dengan Pengetahuan Yang Saya Punya, Keterangan Berikut Ini Adalah Benar Dan Pengaturan Kerja Memungkinkan Untuk Memberikan Jam Istirahat Yang Cukup Untuk Menghindari Fatiq, Dan Perlengkapan Dan Permesinan Yang Terpasang Diatas Kapal Akan Dirawat Dengan Sebagaimana Mestinya. Keselamatan Pengawakan Minimum Ditujukan Untuk Keselamatan Pengoperasian Kapal Untuk Keamanannya, Perlindungan Linkungan Maritime Dan Untuk Menghadapi Keadaan Darurat Telah Sesuai Dengan Persyaratan Yang Ada Sesuai Dengan Jam Kerja Para Pelaut, Sperti Yang Tertulis Pada Convensi STCW 1978 Yang Diamandemen, Juga Persyaratan Pada Resolusi IMO A.1047 (27) I Certify That, To The Best Of My Knowledge The Particulars Given In This Application Are True In Correct, And That The Working Arrangement Allow For Sufficient Rest Periods To Avoid Fatigue Will Implemented, And The Machinery And Equipment Fitted On Board Are And Will Be Maintened In Proper Working Order. The Proposed Minimum Safe Manning For The Vessel’s Safe Operation For Its Security, For Protection Of The Environment, And For Dealing With Emergency Situations Has Been Complied Talking Into Account The Requirements Regarding Hours Of Rest Of Watchkeeping Seafarers, As Prescribed By The STCW Convention 1978, As Amended, As Well As The Requirements Of IMO Resolution A.1047(27).

Tanda Tangan Signed : ( On Behalf Of Owners ) Name

:

…………………………………………

Position

:

…………………………………………


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Untuk klarifikasi permohonan ini dapat menghubungi : For Clarification Of Any Points Arising From This Application The Marine Department May Contact :

Name

:

…………………………………………

Telephone

:

…………………………………………

E-Mail

:

…………………………………………

Fax

:

…………………………………………

Date

:

…………………………………………

12. Resume hasil pemeriksaan

inspection resume

pener

Penerbitan Sertifikat Keselamatan Pengawakan Disetujui – Tidak Disetujui Issued Safe Manning Certificate Approved – Not Approved To Tanggal Date

*

Signed Tanda Tangan

MASTER OWNER / AGENT INSPECTOR PEJABAT STRUKTURAL

.......................,………………………………………………


Marine I nspector/Mustering Officer

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LAMPIRAN 1 FOTO FOTO


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LAMPIRAN 2 FOTO FOTO


LAPORAN PEMERIKSAAN HAL 1.docx

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