REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF TRANSPORTATION

MARITIME INDUSTRY AUTHORITY

STCW OFFICE

AD NO.: 04-00

Initial Issue Date: 09-08-2017

Revision Date: 00

FORM 4: INVENTORY OF TRAINING EQUIPMENT

Course: SHIPS
SECURITY AWARENESS TRAINING AND SEAFARERS WITH DESIGNATED
SECURITY DUTIES
Name of Maritime Training Institution:
Self- Pre-assessment Inspection
assessment

To be To be accomplished by To be accomplished by
Accomplish STCWO Doc. Evaluator STCWO Inspector
ed by MTI
Items Quantity Number At Complied Not Complied Not
Complied Hand Complied complied

Equipment
Handheld metal detector

Step board

Table
Gloves
Round stick (15 inches)
Handbag/Luggage for inspection,
containing the following items:
book, dummy incendiary device,
suspicious looking electronic
equipment, other personal items.
Two-way radio sets
EPIRB Dummy
SART Dummy
SSAS Simulator
Hand Cuff
Padlock
Security Seals

Accomplished by: Date:

Name and Signature of
MTI’s Authorized Representative

Document Evaluator’s Comments: