Australian Government - Australian Maritime Safety Authority

AMSA forms

NEAR COASTAL SEA SERVICE RECORD – AMSA 771
Marine Safety (Domestic Commercial Vessel) National Law Act 2012
Marine Order 505 (Certificates of competency – national law) 2013
 
Seafarer / Applicant Details
Name
Date of birth
Phone number
Signature
Date of signing
Operational and vessel details
Company/business name
Position on board (eg. GPH, Master, Mate)
Vessel name
Unique vessel identifier/IMO No.
Start date
End date
Number of days (8 hrs)
Mode of operation (1)
Mode of operation (1)
Type of operation (2)
Type of operation (2)
Duties performed (3)
Duties performed (3)
Measured length (m)
Propulsion (4)
Propulsion (4)
COS/NS Propulsion power in kW
No of Propulsion engines
Supervisor details
Supervisor name
Position (job title)
Email
Phone
Certificate of competency held
Supervisor signature
Date
Supervisor role:

How to lodge
Lodge with AMSA 426 Form
• Ensure all duties performed are relevant to the certificate of competency applied for
• For high complexity renewal, 100% of the sea service must have been accrued in the 5 years before the application
• Use one record of sea service form 771 per vessel
• You must have a supervisor verify your sea service with a written or electronic signature
• If you are unable to obtain a supervisor's signature, you must support your AMSA 771 with a Commonwealth statutory declaration

Sea service reference data
Mode of operation (1): Type of operation (2): Duties performed (3): Propulsion type (4):
VU: Vessel Underway
NUD: Not underway deck or refit work
NUE: Not underway engine or refit work 		C: Commercial
R: Recreational
M: Military 		AE: Assistant to Engineer or Engine Driver
E: Engineer or Engine Driver
EW: Engineer watchkeeper
EIC: Engineer in charge
AEIC: Assistant to engineer in charge
 D: Deck work
DE: Deck and engineering
GPH: General purpose hand
INW: In charge of navigation watch/officer of watch
C: Coxswain Grade 1 or 2 		I: Inboard
O: Outboard
S: Steam
AMSA form: 771
Version: 2 11/22