Vessel Safety Induction Form
Complete this form to confirm understanding of vessel safety procedures prior to onboarding.
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Date of Induction
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Role or Reason for Vessel Visit
*
Please Select
Crew Member
Contractor
Visitor
Inspector
Other
Emergency Contact Name
*
Have you been briefed on the vessel's emergency procedures?
*
Yes
No
Are you aware of the location of muster points and life-saving equipment?
*
Yes
No
Have you received and understood instructions on the use of required PPE (Personal Protective Equipment)?
*
Yes
No
Submit
Should be Empty: