Form 536 | AMSA

FINAL PRACTICAL ASSESSMENT RECORD – AMSA 536

Marine Safety (Domestic Commercial Vessel) National Law Act 2012

Exemption 38 Marine Safety (Low complexity duties) Exemption 2017 (No. 2)

Guidance on how to use this form

This checklist must be used in conjunction with Training and Assessment Criteria - Final Practical Assessment Criteria (AMSA 508)

A. Participant details

Title (Mr, Mrs, etc.)

Surname

Given names

Date of birth

Street name and number

Town/suburb

State

Postcode

Phone

Mobile

Company or Business name

Signature

B. Assessor details

Assessment date

Location

Assessor name

Employer

Approved trainer assessor number

Photo identification checked

Yes No
Participant meets all relevant criteria in Section 2 of Ex38:

Yes No

Criteria	Individual or Group Assessment	Skills and Knowledge required
1. Vessel, crew and passenger preparation	Group	Pre-departure checks: • Check vessel is seaworthy • Check oil, cooling, fuel, batteries, radio, ropes/lines • Check tools and spares • Check all safety and firefighting equipment • Check maintenance log book • Be aware of any operational hazards e.g. navigational hazards, equipment, stability, carrying/transferring passengers
	Individual	Demonstrate safe working practices in relation to: • Situational awareness • Safety Management Systems and obligation to identify and address risks associated with operating area and operation of vessel • Fuelling • Pollution prevention
	Individual	Communicate clearly: • Instructions to crew • Operational intentions to employer/designated person ashore • Passenger safety briefing and updated briefing as necessary
2. Weather and tides	Group	Check weather, sea conditions, current tides and plan voyage and operations accordingly
3. Navigation	Individual	Demonstrate compliance with: • IALA Buoyage system ‘A’ – marks, buoys and shapes • IRPCS (ColRegs) − Maintain a proper lookout at all times − Safe speed − Overtaking − Head-on situation − Crossing situation − Action by give-way vessel − Action by stand-on vessel − Responsibilities between vessels − Risk of collision and action to avoid collision − Restricted visibility − Sound signals: port, starboard, astern, unsure of intentions • Local regulations: speed limits, restrictions etc
3. Navigation	Individual	Safely use any on-board navigational equipment
4. Manoeuvring	Individual	Safely manoeuvre the vessel: • Ahead, astern, port, starboard, figure of 8 • At varying speeds • On and off the plane (if applicable) • Control the trim and tilt of the engine • Berthing and unberthing • Controlling speed • Utilising wind/tidal stream/current • Alongside a floating object • In a person overboard retrieval • To anchor and retrieve anchor • To pick up and release a mooring • Performing an emergency stop
5. Rope work	Group	Check lines and ropes and stow correctly
	Individual	Handle lines/ropes safely and correctly
	Individual	Tie and use the following knots: • Bowline • Clove hitch • Round turn and two half hitches • Reef

6. Emergencies	Group	Identify and check all safety equipment on board and discuss its use
	Group	Identify potential hazards on board
	Group	Identify the local rescue services, access and timing
	Individual	For a simulated emergency: • Demonstrate use of firefighting equipment • Demonstrate clear distress calls on marine radio (if applicable) • Demonstrate communications with passengers and crew in emergency situations • Outline vessel abandonment procedures • Don a life jacket and check
General	Individual	Use correct maritime terminology
General	Individual	Know the operational limits of Exemption 38 (Low complexity duties) and relate to own area of operation

Assessor comments

I agree the participant is competent to operate within the limits of Exemption 38 Marine Safety (Low complexity duties) – Exemption 2017 (No. 2)

D. Trained Assessor approval

Signature of trained assessor

Name

Date

Privacy Statement

The collection of information requested in this form is required or authorised by Schedule 1 of the Marine Safety (Domestic Commercial Vessel) National Law Act 2012 (the Act). It will be used for purposes related to the Act and may be provided to Commonwealth or State/Territory government agencies for the purposes of marine safety. Failure to provide the information may result in the transaction not being processed. To contact us, or for more information on how to access or correct your personal information, how to make a privacy complaint, or how your information may be used or disclosed for purposes beyond those described in this statement, visit www.amsa.gov.au/privacy.

How to lodge

You do not need to submit this form but the seafarer must carry it with them at all times when working using Exemption 38.

AMSA form: 536

Version: 1 7/18

AMSA forms