Environmental Aspect Impact Worksheet - Attachment XV

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APEX GLOBAL ENGINEERING SDN BHD (828911-T)

Attachment XV

ENVIRONMENTAL ASPECT IMPACT WORKSHEET

Vessel: Date: Location:


Action /Responsible Party :

Task Name: Team Composition:

State
Environmental

Likelihood
Recovery

*Activity

Severity
Environmental Environmental Impact if different
No Control Measures
Aspects Impacts during Abnormal Measures

Risk
or Emergency
Condition

Verified By Master

Note: 1. Retain one copy onboard


2. Mail one copy to onshore office * Activity – Planned/Non-Routine (P), Current/Routine (C), Emergency Situation/Abnormal (E)

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