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    Crew Change Protocol Checklist

    Uploaded by

    Arun S
    This document is a COVID-19 crew change protocol compliance checklist for a seafarer named Arun puthen veedu rajan joining the vessel BERGE APO. It documents information about his pre-employment medical examination, COVID testing, hotel quarantine, personal protective equipment, transportation arrangements, and confirms he received Berge Bulk's COVID-19 crew change protocol. The checklist shows he completed a 7 day home isolation, entered a 10 day hotel quarantine on March 23rd, and was provided proper PPE and private transportation throughout the process. He is now safely onboard the vessel.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Crew Change Protocol Checklist

    Uploaded by

    Arun S
    27 views2 pages
    This document is a COVID-19 crew change protocol compliance checklist for a seafarer named Arun puthen veedu rajan joining the vessel BERGE APO. It documents information about his pre-employment medical examination, COVID testing, hotel quarantine, personal protective equipment, transportation arrangements, and confirms he received Berge Bulk's COVID-19 crew change protocol. The checklist shows he completed a 7 day home isolation, entered a 10 day hotel quarantine on March 23rd, and was provided proper PPE and private transportation throughout the process. He is now safely onboard the vessel.

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    Crew

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    This document is a COVID-19 crew change protocol compliance checklist for a seafarer named Arun puthen veedu rajan joining the vessel BERGE APO. It documents information about his pre-employment medical examination, COVID testing, hotel quarantine, personal protective equipment, transportation arrangements, and confirms he received Berge Bulk's COVID-19 crew change protocol. The checklist shows he completed a 7 day home isolation, entered a 10 day hotel quarantine on March 23rd, and was provided proper PPE and private transportation throughout the process. He is now safely onboard the vessel.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    27 views2 pages

    Crew Change Protocol Checklist

    Uploaded by

    Arun S
    This document is a COVID-19 crew change protocol compliance checklist for a seafarer named Arun puthen veedu rajan joining the vessel BERGE APO. It documents information about his pre-employment medical examination, COVID testing, hotel quarantine, personal protective equipment, transportation arrangements, and confirms he received Berge Bulk's COVID-19 crew change protocol. The checklist shows he completed a 7 day home isolation, entered a 10 day hotel quarantine on March 23rd, and was provided proper PPE and private transportation throughout the process. He is now safely onboard the vessel.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 2

    COVID-19 CREW CHANGE PROTOCOL COMPLIANCE CHECKLIST

    Rank/Name
    Arun puthen veedu rajan
    Joining Vessel
    BERGE APO

    I Pre-Employment Medical Examination Select Yes/No/NA Remarks


    1 When was your PEME certificate issued?
    3/10/2022
    2 Do you have any identified pre-existing medical condition and have you signed the No
    Declaration form?

    3 Are you carrying maintenance medication and have sufficient suply for the whole NA
    duration of your contract + 3months?
    II Covid testing Select Yes/No/NA Remarks
    1 When was your 1st PCR test conducted? What is the result?
    1/23/2022 Negative result
    2 How was the PCR sample taking conducted? Where was it done? How long did it
    take to complete the procedure? Yes nurse came to take sample, kerala,10min
    3 When is your 2nd PCR test scheduled?
    20-Mar-22
    III Quarantine Requirement
    Home/Joining port: Select Yes/No/NA Remarks
    Did you do a home self-isolation prior entering hotel quarantine? (only if crew at
    1 yes
    home port) How many days? 7 days
    2 When did you enter hotel quarantine?
    3/23/2022
    3 How did you travel from your home to the hotel? (if crew at home port) /
    How did you travel from airport to hotel? (if crew at joining port) Private car
    4 How are you taking your meals?
    Food served in the room, 3 x day meals.
    Have you had any face to face interaction with other crew, manning agent, hotel
    5 No
    staff, port agent - from the day you entered the hotel quarantine?

    6 As of today, how many days have you been in hotel quarantine?


    10 days
    7 Are you self-monitoring your daily temperature? Where are you recording these? Yes

    8 Has anyone from your Manning Agent/Port Agent called you from the day you Yes
    entered hotel quarantine? Lanie - for joining
    9 How is your room been kept clean? Any housekeeping services done since you Yes
    entered hotel room? hotel staffs are not allowed to enter my room b
    Have you seen or experienced any incident that you feel is a breach of our
    10 No
    quarantine protocol? If yes, please elaborate.
    Have you already completed the required/mandatory quarantine period of
    11 BB/Port requirement? If so, have you remained isolated in a quarantine facility? NA
    (i.e. hotel controlled environment following quarantine requirement) Mandatory quarantine in Brisbane will be completed by 2nd of january, 2021
    If you have already completed the required/mandatory quarantine and just
    10 waiting to travel or join the vessel, are you now allowed to go out, dine in Yes I would rather stay inside hotel rather than to go out and roam for my own
    common dining areas, roam around the hotel, etc? safety
    IV Personal Protective Equipment (PPE) Select Yes/No/NA Remarks
    Did your manning agent supply you with following:

    a 20 pcs 3-ply face mask Yes

    b 1 pc face shield Yes

    1 c 2 pcs latex hand gloves Yes

    d 2 pcs disposable coveralls Yes

    e 100ml pocket-size hand sanitizer (70% alcohol) Yes

    f Thermometer Yes

    If your Manning Agent did not supply your PPE (please advise why?), did you
    2 NA
    purchase your own PPE?
    V Transportation Select Yes/No/NA Remarks
    How was your transportation arranged? (Check if safe distancing maintained,
    1 where there other non-Berge Bulk crew/staff in transport service, driver wearing
    mask, etc)
    Private car
    a from home to hotel (private or public transport)?
    private car (safe distance maintained and driver was wearing a mask)
    b From Hotel quarantine to airport
    NA boarding at india via company hired private car
    c From airport to hotel
    NA
    d From Hotel quarantine to vessel
    private car by manning agent
    2 Was there any stop-over at any point? No

    VI General Select Yes/No/NA Remarks


    1 Where you provided with a copy of Berge Bulk's Covid-19 Crew Change Protocol? Yes
    Email
    2 Have you signed the Confirmation of Understanding? Yes

    Additional Comments/Remarks
    presently i am safely onboard

    Compliance Check
    Conducted by:

    Date:
    Yes
    No
    NA

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