附录7：船舶电台作日志样式.docVIP

附件 7： 船舶电台工作日志样式 SECTION(Ⅰ) SHIP＇S PARTICULARS（船舶详情） Shipˊs name DSC ID Official NO. Call Sign EPIRB ID IMO NO. MMSI NBDP ID Port of Registry Inmarsat number I N M –B / F / M I N M - C TLX FAX： TLX1： TEL (1)： DATA： TLX2： TEL (2)： HSD： Date of expiration of current Indicate method (s) used to ensure available of radio faciliry （证书期满日期） （无线电设备的保障措施） Safety Radio Certificate：＿＿＿＿ (Tick as appropriate)（作适当标注） Date of expiration of current (1) Duplication of equipment □ YES □ NO Ship Radio Station License：＿＿＿＿ (2) At-sea maintenance Capability □ YES □ NO Sea area(s) in which the ship is certified to operate (3) Shore-based maintenance □ YES □ NO (Tick as appropriate) □ A1 □ A1+A2 □ A1+A2+A3 □ A1+A2+A3+A4 Name and address of service company： ＿＿＿＿＿＿＿＿＿＿＿＿ ＿＿＿＿＿＿＿＿＿＿＿＿ ＿＿＿＿＿＿＿＿＿＿＿＿＿ Name and address of owner,manager or agent：＿＿＿＿＿＿＿＿＿＿＿＿＿ ＿＿＿＿＿＿＿＿＿＿＿＿＿ ＿＿＿＿＿＿＿＿＿＿＿＿＿ SECTION(Ⅱ) Details of Radio personnel Qualified Personnel (□：Please mark″√″for a radio person designated to have primary responsibility for radio communications during distress incidents.请在相应的□里用″√″标出遇险时负责通信的无线电人员) Rank Name Dates on board or Dates of attachment Certificate NO. 证书号码 From To □ □ □ □ □ □ □ □ □ □ Persons nominated to carry out appropriate tests,checks and log entries(if different from above) 指定进行试验、检查和记录电台日志的人员(若与上述人员不同时) Rank 序号 Name Dates on board or Dates of attachment Certificate NO. From To □ □ □ □ □ SECTION (Ⅲ) A Record of Functional Test Charge Record of Functional Test Period Name of Apparatus Date Time (UTC) Test I