Monday, April 21, 2014

ALCOHOL TEST RECORD

ALCOHOL TEST RECORD

Vessel: ………………….                   Month / Year: ……………...



No.
Rank
Person Name
Test Date
Result
Remarks


1







2







3







4







5







6







7







8







9







10







11







12







13







14







Master: -

Ch. Officer / or Engineer: -

Witness: -
Name:

( in case of test of Master )
Name:

Name:
Signature:

Signature:

Signature: