Amsa 771 Form - Record Of Sea Service

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RECORD OF SEA SERVICE
Refer to AMSA document AMSA 731 – Industry Guidance Notice – Qualifying sea service before
completing this form. This Record of Sea Service is an approved sea service log book for the purposes
Name
of the NSCV Part D (paragraph 3.4) and may be submitted as evidence of sea service accrual as
part of an application for a near coastal certificate of competency under the Marine Safety (Domestic
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Commercial Vessel) National Law Act 2012, Schedule 1.
Vessel details
Operation
Service
Verification
Area of operation
Name:
FG
Foreign going
Area
Type
Start date
Total days
Duties
Name:
A
Unlimited domestic operations
A600
Domestic operations
Vessel ID:
within 600nm
B
Offshore operations
Average hours
Master
Operator
Extended voyage
End date
Length:
within 200nm
per day
Operating outside daylight hours
D
Partially smooth water
Owner
Engineer
operations
for
days
No. engines:
Service as Master must be verified by Owner or
E
Smooth water operations/
Operator.
International voyage or vessel
Inland water operations
Signature:
SH
Ashore
Propulsion power:
Area and type of operation description
I
Inshore waters including
Date:
inland waters and operations
Inboard
Outboard
laterally along the coast from
the base or regular point of
departure and within 15nm of
Vessel details
Operation
Service
Verification
the coast or sheltered waters
Name:
Area
Type
Start date
Total days
Duties
I(SW)
Inshore waters within
Name:
sheltered water limits only
I(BSW)
Inshore waters beyond
Vessel ID:
sheltered water limits
SW
Smooth and partially smooth
Average hours
Master
Operator
Extended voyage
End date
Length:
per day
waters
Operating outside daylight hours
Type of operation
Owner
Engineer
for
days
No. engines:
Service as Master must be verified by Owner or
C
Commercial (Passenger,
Operator.
International voyage or vessel
Trading, Fishing, Rescue)
R
Recreational
Signature:
Propulsion power:
Area and type of operation description
M
Military
Duties performed
Date:
Inboard
Outboard
AE
assistant to Engineer
AED
assistant to Engine Driver
Vessel details
Operation
Service
Verification
CE
Chief engineer
SE
Second engineer
Name:
Area
Type
Start date
Total days
Duties
Name:
EW
Engineer watchkeeper
GPH/E
general purpose hand
Vessel ID:
Engineering)
GPH/D
general purpose hand (Deck)
Average hours
Master
Operator
GPH/DE general purpose hand
Extended voyage
End date
Length:
per day
(Deck and Engineering)
Operating outside daylight hours
Owner
Engineer
NW
in charge of navigational
for
days
watch
No. engines:
Service as Master must be verified by Owner or
Operator.
International voyage or vessel
MUS
Master under supervision
M
Master
Signature:
Propulsion power:
Area and type of operation description
M/E
Master / Engine Driver
O
Other
Date:
Inboard
Outboard
AMSA 771 – (10/15)

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