Downloadable Forms

 

ACCREDITATION DIVISION

AD 01 – APPLICATION FOR COURSE APPROVAL (ANNEX I)

AD 02 – LIST OF INSTRUCTORS AND ASSESSORS

AD 03A – BT EFA INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03B – BT FPFF INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03C – BT PSSR INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03D – BT PST INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03E – AB ENGINE INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03F – AFF INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03G – ETO INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03H – ETR INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03I – FRB INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03J – MECA INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03K – MEFA INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03L – PSCMHBT INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03M – PSCMT INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03N – PSCSHIT INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03O – RAFF INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03P – RBT INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03Q – RFPEW INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03R – RFPNW INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03S – RFRB INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03T – RSCRB INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03U – SCRB INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03V – SDSD INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03W – SSO INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03X – STTPDSPPS INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03Y – BTIGF INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03Z – BTSOPW INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AA – ATIGF INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AB – ATSOPW INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AC – BTOCTCO INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AD – ATOTCO INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AE – ATCTCO INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AF – BTLGTCO INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AG – ATLGTCO INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AH – AB DECK INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AI – RCATOTCO INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AJ – RCATCTCO INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AK – GMDSS INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 04AL – REFRESHER ATLGT INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 03AM – AB DECK INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 03AN – AB ENGINE INVENTORY OF TRAINING EQUIPMENT AND FACILITIES (ANNEX III)

AD 04A – BT EFA INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04B – BT FPFF INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04C – BT PSSR INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04D – BT PST INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04E – AB ENGINE INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04F – AFF INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04G – ETO INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04H – ETR INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04I – FRB INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04J – MECA INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04K – MEFA INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04L – PSCMHBT INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04M – PSCMT INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04N – PSCSHIT INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04O – RAFF INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04P – RBT INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV) 

AD 04Q – RFPEW INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04R – RFPNW INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04S – RFRB INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04T – RSCRB INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV) 

AD 04U – SCRB INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04V – SDSD INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04W – SSO INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04X – STTPDSPPS INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04Y – BTIGF INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04Z – BTSOPW INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AA – ATIGF INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AB – ATSOPW INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AC – BTOCTCO INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AD – ATOTCO INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AE – ATCTCO INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AF – BTLGTCO INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AG – ATLGTCO INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AH – AB DECK INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AI – RCATOTCO INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AJ – RCATCTCO INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AK – GMDSS INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 04AL – REFRESHER ATLGT INVENTORY OF TEACHING AIDS AND REFERRENCES (ANNEX IV)

AD 04AM – AB DECK INVENTORY OF TEACHING AIDS AND REFERRENCES (ANNEX IV)

AD 04AN – AB ENGINE INVENTORY OF TEACHING AIDS AND REFERENCES (ANNEX IV)

AD 05 – TRAINING COMPLETION AND RECORD OF ASSESSMENT REPORT (ANNEX V)

AD 08 – CERTIFICATE OF COMPLETION TEMPLATE (ANNEX IX)

AD 10 – APPLICATION FOR ACCREDITATION / RENEWAL OF INSTRUCTORS, TRAINING COURSE ASSESSORS AND COMPETENCY ASSESSORS

AD 15 – SIMULATOR PRACTICAL OPERATIONAL EXPERIENCE LOG

AD 16 – PRACTICAL ASSESSORS EXPERIENCE LOG

AD 17 – SIMULATOR PRACTICAL ASSESSORS EXPERIENCE LOG 

AD 18_- CHECKLIST FOR INSTRUCTORS, TRAINING COURSE ASSESSORS AND COMPETENCY ASSESSORS

AD 35 – PRACTICAL ASSESSMENT SCENARIO VALIDATION FORM

AD 38 – EVALUATION AND INSPECTION FORM FOR THE APPROVAL OF TRAINING COURSES

AD 39 – EVALUATION AND INSPECTION FORM FOR THE RENEWAL OF TRAINING COURSES

AD 40 – EVALUATION AND INSPECTION FORM FOR THE ACCREDITATION OF MARITIME TRAINING INSTITUTIONS (MTIS) AND ASSESSMENT CENTERS (ACS)

AD 41 – EVALUATION AND INSPECTION FORM FOR THE RENEWAL OF ACCREDITATION OF MARITIME TRAINING INSTITUTIONS (MTIS) AND ASSESSMENT CENTERS (ACS)

AD 42 – ENROLMENT REPORT (ANNEX X)

AD 43 – COMPLIANCE REPORT REVIEW FORM

AD 45 – EVALUATION AND INSPECTION FORM FOR THE APPROVAL TO CONDUCT PRACTICAL ASSESSMENT

AD 49 – INSPECTION REPORT DISTANCE-LEARNING ASSESSMENT CENTER

AD 50 – ANNEX A1 EQUIPMENT CHECKLIST FOR PRACTICAL ASSESSMENT OF MANAGEMENT AND OPERATIONAL LEVEL DECK

AD 51 – ANNEX A2 EQUIPMENT CHECKLIST FOR PRACTICAL ASSESSMENT OF GMDSS

AD 52 – ANNEX A3 EQUIPMENT CHECKLIST FOR PRACTICAL ASSESSMENT OF II_4

AD 53 – ANNEX A4 EQUIPMENT CHECKLIST FOR PRACTICAL ASSESSMENT OF II_5

AD 54 – ANNEX B1 EQUIPMENT CHECKLIST FOR PRACTICAL ASSESSMENT OF MNGT. AND OPER. LEVEL ENGINE

AD 55 – ANNEX B2 EQUIPMENT CHECKLIST FOR PRACTICAL ASSESSMENT OF III_4

AD 56 – ANNEX B3 EQUIPMENT CHECKLIST FOR PRACTICAL ASSESSMENT OF III_5

AD 57 – ANNEX C1 – EQUIPMENT CHECKLIST FOR PRACTICAL ASSESSMENT OF ETO

AD 58 – ANNEX C2 EQUIPMENT CHECKLIST FOR PRACTICAL ASSESSMENT OF ETR

AD 59 – EVALUATION INSTRUMENT DISTANCE LEARNING AND E-LEARNING (MTIS)

AD 60 – EVALUATION INSTRUMENT DISTANCE LEARNING AND E-LEARNING (QSS AND LMS)

AD 61 – EVALUATION AND INSPECTION PLAN

AD 62 – ANNEX B2 EVALUATION INSTRUMENT – SPECIFIC REQUIREMENTS FOR APPLICATION OF GOVERNMENT AUTHORITY

AD 63 – ANNEX B4 EVALUATION INSTRUMENT – SPECIFIC REQUIREMENTS FOR APPLICATION OF GOVERNMENT AUTHORITY (ONBOARD TRAINING)

 

 

 

 



WORKING DRAFT IRR OF RA 12021 (as of 14 November 2024)

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