Training, examination and practical pilotage assessment required for issue of Pilot Licences, Pilotage Exemption Certificates and Exemptions

Transkriptio

1 Regulation 1 (9) Issued: Enters into force: Legal basis: Pilotage Act (940/2003), section 21(2) Validity: Until further notice Repeals: Finnish Transport Safety Agency Regulation on examinations for the granting of exemptions from compulsory pilotage ( , TRAFI/604/ /2011) Finnish Maritime Administration Regulation on written examinations and practical pilotage assessments for the granting of Pilot Licences and Pilotage Exemption Certificates ( , No. 2004/50/2003) Scope of application: Shipping Training, examination and practical pilotage assessment required for issue of Pilot Licences, Pilotage Exemption Certificates and Exemptions CONTENTS 1 GENERAL Objectives PILOT LICENCE Application for Pilot Licence Training requirements Shiphandling Familiarity with local conditions Bridge resource management skills Familiarity with provisions on pilotage, VTS, icebreaking, maritime search and rescue and harbour instructions Examination requirements and practical pilotage assessment Blank chart examination Written examination Simulator examination Practical pilotage assessment Renewing a Pilot Licence PILOTAGE EXEMPTION CERTIFICATE Application for Pilotage Exemption Certificate Training requirements Examination requirements and practical pilotage assessment Renewing a Pilotage Exemption Certificate EXEMPTION Application for Exemption Training requirements Examination requirements Renewing an Exemption CRITERIA FOR APPROVAL OF EXAMINATIONS AND PRACTICAL PILOTAGE ASSESSMENTS Criteria for approval of blank chart examinations... 8 Liikenteen turvallisuusvirasto Trafiksäkerhetsverket Finnish Transport Safety Agency Kumpulantie/Gumtäktsvägen 9, PL/PB/P.O. Box 320, Helsinki/Helsingfors, Finland Puh./Tfn/Tel.: +358 (0) , fax +358 (0) Y-tunnus/FO-nummer/ Business ID:

2 Regulation 2 (9) 5.2 Criteria for approval of written examinations Criteria for approval of simulator examinations Criteria for practical pilotage assessments RENEWING EXAMINATIONS AND THE PRACTICAL PILOTAGE ASSESSMENT ENTRY INTO FORCE... 9 Annex 1 Application for Pilot Licence Annex 2 Application for Pilotage Exemption Certificate (PEC) Annex 3 Application for Exemption Annex 4 Sea area or compulsory pilotage area referred to in applications (Form 1) Annex 5 Voyages required for Pilotage Exemption Certificate (Form 2) Annex 6 Compulsory pilotage areas recorded in the Pilot Licence/Pilotage Exemption Certificate (Form 3) Annex 7 Record of practical pilotage assessment (Form 4) Annex 8 Blank chart examination (Form 5)

3 Regulation 3 (9) 1 GENERAL 1.1 Objectives By the present Regulation the Finnish Transport Safety Agency issues further provisions on training, examination and practical pilotage assessment related to the granting of Pilot Licences, Pilotage Exemption Certificates and Exemptions referred to in section 21(2) of the Pilotage Act (940/2003). 2 PILOT LICENCE 2.1 Application for Pilot Licence Pilot Licences are fairway-specific. Applications should be submitted to the Finnish Transport Safety Agency on the appended form (Application for Pilot Licence). The documents listed on the form should be enclosed so as to make it possible for the Agency to verify whether the applicant meets the requirements for obtaining a Pilot Licence set out in section 12(1) of the Pilotage Act. 2.2 Training requirements A prerequisite for obtaining a Pilot Licence is that the applicant has completed the number of training voyages set out in section 4(1) of the Government Decree on Pilotage (246/2011, hereinafter the Pilotage Decree) on board various types of vessels in the fairway to be recorded in the Pilot Licence. Part of the training voyages to be conducted in fairways with low traffic levels may be substituted by simulator training. The ship model used in simulator training shall equal the vessels used in the fairways mentioned in the application. Equivalence is established by the Finnish Transport Safety Agency. During training the candidate shall acquire the knowledge and skills referred to in relating to the fairway concerned and the vessels to be piloted in it Shiphandling 1) acquaintance with the basic characteristics of the vessel; 2) manoeuvring of the vessel in both deep and shallow water; 3) carrying out a stop; speed control in both deep and shallow water; 4) the ship s behaviour under the influence of wind; 5) shiphandling in ice; 6) the ship s manoeuvrability in slow speed situations; 7) the ship s manoeuvring characteristics when speed is reduced or accelerated; 8) acquaintance with the navigation and communication equipment of the ship; 9) machinery response and the limitations imposed by the propulsion and steering system; 10) anchoring; 11) need for various types of tug boats and where they are to be located; 12) pilot embarkation and disembarkation; 13) demanding traffic situations and system malfunction affecting the safe operation of the ship.

4 Regulation 4 (9) Familiarity with local conditions 1) limits of fairway area and depths of water throughout the area; gross underkeel clearance calculations for the design ship; direction of buoyage, aids to navigation, anchorages, nature of the seabed, isles and shoals in the vicinity of the channel; bridge and similar obstruction limitations including air draught; 2) the Finnish and/or Swedish geographical names used in navigation, in communication with the VTS Centre and with the icebreaker service; 3) the VTS areas and reporting points; 4) hydrodynamic impact of narrows and shoals; 5) influence of current; 6) impact of weather conditions; 7) impact of sight conditions; 8) other vessels in the fairway or its vicinity; 9) berthing and unberthing, manoeuvring in the harbour basin; 10) harbour towage; 11) ice conditions Bridge resource management skills 1) adequate language skills; 2) bridge team work and bridge communications; 3) reporting to the VTS Centre, ports and icebreaker service, and bridge-to-bridge safety communications; 4) decision-making and emergency communications Familiarity with provisions on pilotage, VTS, icebreaking, maritime search and rescue and harbour instructions 1) legislation on pilotage and vessel traffic; 2) provisions and instructions on VTS and related reporting procedures, etc.; 3) instructions and procedures for co-operation with the icebreaker service; 4) alarm and other reporting instructions relating to accidents and incidents at sea and in port; 5) harbours and harbour areas and instructions particular to them; 6) provisions on traffic in the Saimaa Canal. 2.3 Examination requirements and practical pilotage assessment Provisions on examination requirements and practical pilotage assessment for pilots are laid down in section 4(1), subparagraphs (2) and (3) of the Pilotage Decree. The exam consists of a blank chart examination, a written examination and a simulator examination Blank chart examination The blank chart examination is conducted at the Finnish Transport Safety Agency or at a polytechnic or vocational institution providing maritime education and training. The candidate shall demonstrate that he or she is familiar with the items set out in 2.2.2, subparagraphs 1-3. The blank chart examination may be phased over a period of time.

5 Regulation 5 (9) Written examination The written examination is conducted at the Finnish Transport Safety Agency or at a polytechnic or vocational institution providing maritime education and training. The candidate shall demonstrate that he or she is familiar with the items set out in 2.2.4, as applicable. The examination is written in the language indicated in the application Simulator examination The simulator examination is conducted in a simulator approved by the Finnish Transport Safety Agency. The exam consists of preparing a voyage plan for the fairway to be recorded in the Pilot Licence and executing the passage in the simulator according to plan. The ship model used in the simulator exam shall equal the vessels sailing in the fairway. Equivalence is established by the Finnish Transport Safety Agency. The voyage plan shall meet the international recommendations on voyage planning and it shall take account of , as applicable. The voyage plan may be prepared in writing or electronically. The simulator exam is conducted in both directions of the fairway in the passages established by the Finnish Transport Safety Agency. The knowledge and skills of the candidate to execute the passage according to plan and to handle the ship in various conditions is assessed Practical pilotage assessment The practical pilotage assessment is carried out on board ship by an examiner approved by the Finnish Transport Safety Agency. Assessment is carried out in both directions of the fairway and the candidate shall demonstrate the knowledge and skills set out in Account shall be taken of the following: 1) the vessel shall use a pilot during the practical pilot assessment; otherwise the master shall hold a Pilotage Exemption Certificate. The person responsible for piloting the vessel cannot simultaneously be the examiner; 2) the examiner, the master and, whenever necessary, the pilot as well as the candidate shall go through the practical pilotage assessment and the voyage plan before the assessment starts; 3) normal shipborne routines apply during the assessment procedure; 4) the master and the examiner are obliged to assess whether conditions are such that the practical pilotage assessment can be carried out safely; 5) practical pilotage assessment cannot be carried out solely in conditions where the channel piloted in is surrounded by fast ice which significantly restricts the manoeuvring of the vessel; 6) when deciding whether the candidate shall be approved or failed the examiner shall take account of the pilot s and/or the master s assessment of the candidate s skills; 7) a record shall be kept of the assessment (Record of practical pilotage assessment). The record shall be signed by the master, the candidate and the examiner at the completion of the assessment. A note shall be made whether the candidate has been approved or failed; 8) the practical pilotage assessment may be phased over a period of time.

6 Regulation 6 (9) 2.4 Renewing a Pilot Licence A prerequisite for renewal of a Pilot Licence is that the pilot meets the requirements of section 12(2) of the Pilotage Act. In the application for renewal of the Pilot Licence the pilot shall enclose documentary evidence that he or she has completed the number of pilotage voyages, training voyages or has acquired the simulator training in the fairway to be recorded in the Pilot Licence provided in section 6(1) of the Pilotage Decree. Under section 6(3) of the Pilotage Decree the Pilot Licence may also be renewed by practical pilotage assessment as set out in The pilot shall at five-year intervals pass the simulator examination and the written examination referred to in section 6(2) of the Pilotage Decree in order to demonstrate that he or she has retained the required familiarity with the fairway. The simulator examination is conducted according to in the passages stipulated by the Finnish Transport Safety Agency. The written examination is conducted according to PILOTAGE EXEMPTION CERTIFICATE 3.1 Application for Pilotage Exemption Certificate Pilotage Exemption Certificates are vessel and fairway specific. Applications should be submitted to the Finnish Transport Safety Agency on the appended form (Application for Pilotage Exemption Certificate (PEC)). The documents listed on the form should be enclosed so as to make it possible for the Agency to verify whether the applicant meets the requirements for obtaining a Pilotage Exemption Certificate set out in section 14(2) of the Pilotage Act. Provisions on the prerequisites for obtaining a Pilotage Exemption Certificate in English are laid down in section 14(3) of the Pilotage Act. 3.2 Training requirements A prerequisite for obtaining a Pilotage Exemption Certificate is that the applicant has completed the number of training voyages set out in section 7(1) of the Pilotage Decree on board the vessel to be recorded in the certificate or on an equivalent vessel. Half of the training voyages required may be substituted by simulator training. The ship model used in simulator training shall equal the vessel indicated in the application. Equivalence is established by the Finnish Transport Safety Agency. If the applicant holds a valid Pilotage Exemption Certificate for another vessel in the fairway concerned, account is taken of this with respect to the number of training voyages as provided in section 8 of the Pilotage Decree. During training the candidate shall acquire the knowledge and skills referred to in , as applicable, relating to the fairway and vessel concerned. 3.3 Examination requirements and practical pilotage assessment Provisions on training requirements for obtaining a Pilotage Exemption Certificate are laid down in section 7(1), subparagraphs (2) and (3) of the Pilotage Decree. The exam consists of a blank chart examination, a written examination and a simulator examination in accordance with The practical pilotage assessment shall be conducted according to

7 Regulation 7 (9) The ship model used in simulator training shall equal the vessel indicated in the application. The simulator examination is conducted in the fairway indicated in the application. If the candidate has a valid Pilotage Exemption Certificate for another vessel in the fairway, he or she need not complete the exam mentioned in 7(1)(2) of the Pilotage Decree. Only practical pilotage assessment according to is required. 3.4 Renewing a Pilotage Exemption Certificate A prerequisite for renewing a Pilotage Exemption Certificate is that the holder meets the requirements set out in section 14(4) of the Pilotage Act. In the application the PEC holder shall enclose documentary evidence that he or she has taken part in the navigation of the vessel in the fairway concerned in accordance with section 10(1) of the Pilotage Decree or enclose documentary evidence of completed simulator training. The PEC may also be renewed by practical pilotage assessment according to in the fairway concerned. The holder shall at five-year intervals pass the simulator examination and the written examination mentioned in section 10(2) of the Pilotage Decree in order to demonstrate that he or she has retained the required familiarity with the fairway. The simulator examination is conducted according to in the passages stipulated by the Finnish Transport Safety Agency. The written examination is conducted according to EXEMPTION 4.1 Application for Exemption Exemptions are vessel-specific and are issued for one or several fairways. Applications should be submitted to the Finnish Transport Safety Agency on the appended form (Application for Exemption). The documents listed on the form should be enclosed so as to make it possible for the Agency to verify whether the applicant meets the requirements for obtaining an Exemption set out in section 16(2) of the Pilotage Act. 4.2 Training requirements A prerequisite for granting of an Exemption is that the master or the watch officer has obtained the experience of navigating in the waters indicated in the application and required in section 11(1) of the Pilotage Decree. Applicants for an Exemption from pilotage in the Saimaa Canal shall also have completed the number of training voyages set out in section 11(2) of the Pilotage Decree. The requirements of section 11(3) apply to masters and watch officers of icebreakers. A third of the navigation experience and training voyages may be substituted by simulator training. The ship model used in the simulator examination shall equal the vessel sailing in the fairway mentioned in the application. Equivalence is established by the Finnish Transport Safety Agency. The candidate for Exemption shall acquire the knowledge and skills referred to in relating to the fairway or the waters concerned during the period of time mentioned in section 11 of the Pilotage Decree, during the training voyages, and during simulator training, as applicable.

8 Regulation 8 (9) 4.3 Examination requirements A prerequisite for granting an Exemption is that the candidate passes the examination referred to in section 11(5) of the Pilotage Decree. The examination consists of a written examination conducted according to and a simulator examination according to If the simulator examination is conducted in one fairway only, a ship model equalling the vessel indicated in the application is used and the exam is conducted in the fairway indicated in the application. If the simulator examination is conducted in several fairways, a ship model equalling the vessel indicated in the application is used whereas the extent of the examination is stipulated by the Finnish Transport Safety Agency. 4.4 Renewing an Exemption Under section 16(4) of the Pilotage Decree an Exemption may, upon application, be renewed on the same grounds as it has been granted. 5 CRITERIA FOR APPROVAL OF EXAMINATIONS AND PRACTICAL PILOTAGE ASSESSMENTS 5.1 Criteria for approval of blank chart examinations A prerequisite for approval of a blank chart examination is that the candidate demonstrates that he or she is familiar with the items listed in 2.2.2, subparagraphs 1-3. The candidate is failed if he or she does not have at least 80% of the knowledge required or the knowledge required for successful navigation through the critical parts of the fairway. The form Blank chart examination is used for the assessment. 5.2 Criteria for approval of written examinations A prerequisite for approval of a written examination is that the candidate demonstrates that he or she is familiar with the items listed in 2.2.4, as applicable. The candidate is failed if he or she does not have at least 80% of the knowledge required. 5.3 Criteria for approval of simulator examinations A prerequisite for approval of a simulator examination is that the candidate 1) is familiar with the requirements for voyage planning and is able to navigate according to plan during the simulator examination; 2) is familiar with the operational restrictions of the vessel and can act accordingly; 3) is able to retain continuous control of the manoeuvring of the vessel; 4) is capable of making use of the fairway area and uses the machinery, the propulsion and steering system in a controlled manner; 5) acts rationally and in accordance with good seamanship; 6) can make practical use of his or her navigation skills; 7) is able to prioritize and make decisions taking due account of safety considerations; 8) is familiar with and is able to handle bridge team routines; and 9) is able to communicate efficiently with the bridge team and external partners.

9 Regulation 9 (9) 5.4 Criteria for practical pilotage assessments The prerequisites for practical pilotage assessments are the same as the prerequisites for approval of simulator examinations in 5.3, as applicable. The form Record of practical pilotage assessment is used for the assessment. 6 RENEWING EXAMINATIONS AND THE PRACTICAL PILOTAGE ASSESSMENT The candidate must pass all exams forming part of the overall examination. Those applying for Pilot Licenses or Pilotage Exemption Certificates must also pass the practical pilotage assessment. If a candidate is failed in one of the exams forming part of the overall examination, he or she must repeat this exam. If a candidate is failed in more than one of the exams, he or she must repeat the whole examination. If the candidate fails the practical pilotage assessment, the assessment and the whole examination must be repeated. The number of trials to pass the examination and the practical pilotage assessment is not restricted. 7 ENTRY INTO FORCE This Regulation enters into force on 1 July This Regulation repeals the Finnish Transport Safety Agency Regulation on examinations for the granting of exemptions from compulsory pilotage ( , TRAFI/604/ /2011) and the Finnish Maritime Administration Regulation on written examinations and practical pilotage assessments for the granting of Pilot Licences and Pilotage Exemption Certificates ( , No. 2004/50/2003). Tuomas Routa Director General, Regulation and Supervision Sanna Sonninen Director

10 Luotsin ohjauskirjahakemus Ansökan om styrsedel för lots Liikenteen turvallisuusviraston merkinnät Trafiksäkerhetsverkets anteckningar Saapumispäivä Inlämnad Hakemusnumero Ansökan nr Hakemus toimitetaan Liikenteen turvallisuusvirastoon. Ansökan sänds till Trafiksäkerhetsverket. Hakijan tiedot Uppgifter om sökanden Sukunimi Efternamn Etunimet Förnamn Syntymäaika Födelsedatum Lähiosoite Gatuadress Postinumero Postnummer Osoitetoimipaikka Postanstalt Puhelinnumero Telefon Faksi Fax Sähköposti E-post Käytettävä kieli Språkval Hakemuksen kohde Ansökan gäller Hakemuksen liitteet Bilagor till ansökan Suomi Finska Luotsin ohjauskirja Styrsedel för lots Merikapteeninkirja, oikeaksi todistettu kopio Sjökaptensbrev, styrkt kopia Harjoittelumatkat, kirjallinen selvitys Övningsfärder, skriftlig utredning Ruotsi Svenska Luotsin ohjauskirjan uusiminen Förnyande av styrsedel för lots Luotsin ohjauskirjan muuttaminen Ändring av styrsedel för lots Todistus simulaattoriharjoittelusta, oikeaksi todistettu kopio Intyg över simulatorträning, styrkt kopia Ohjauskirjaan merkittävät väylät, lomakkeella 3 Farleder som antecknas i styrsedeln, blankett 3 Muut tiedot Övriga uppgifter Nykyinen ohjauskirja, oikeaksi todistettu kopio Nuvarande styrsedel, styrkt kopia Merimieslääkärintodistus, oikeaksi todistettu kopio Sjömansläkarintyg, styrkt kopia Todistus suoritetusta tutkinnosta, oikeaksi todistettu kopio Intyg över avlagd examen, styrkt kopia (Esim. postiosoite, johon hakemusta koskevat ilmoitukset lähetetään ja laskutusosoite, jos muu kuin hakijan.) (T.ex. postadress till vilken meddelanden angående ansökan sänds och faktureringsadress, om annan än sökandens.) Päiväys ja allekirjoitus Datum och underskrift Paikka, päiväys, hakijan allekirjoitus ja nimenselvennys Ort, datum, sökandens underskrift och namnförtydligande Liikenteen turvallisuusvirasto täyttää Ifylls av Trafiksäkerhetsverket Harjoittelumatkat Övningsfärder Koeluotsaus Provlotsning Päiväys Datum Esitän, että hakemus luotsin ohjauskirjan Hemställer att ansökan Tutkintotodistus Examensintyg Päiväys Datum saamiseksi om beviljande av styrsedel för lots uusimiseksi om förnyande av styrsedel för lots muuttamiseksi om ändring i styrsedel för lots hyväksytään godkänns hylätään avslås MU /2011 Paikka, päiväys, allekirjoitus ja nimenselvennys Ort, datum, underskrift och namnförtydligande Liikenteen turvallisuusvirasto, PL 320, Helsinki puhelin +358 (0) fax +358 (0) Y-tunnus Trafiksäkerhetsverket, PB 320, Helsingfors telefon +358 (0) fax +358 (0) FO-nummer

11 Application for Pilotage Exemption Certificate (PEC) Liikenteen turvallisuusviraston merkinnät Trafiksäkerhetsverkets anteckningar Saapumispäivä Inlämnad Hakemusnumero Ansökan nr The application should be sent to the Finnish Transport Safety Agency. Applicant Surname First names Date of birth Citizenship Country Street address Postal code City/town Telephone number Fax Choice of language Certificate applied for Ship Finnish Swedish English PEC Renewal Changes to PEC Name Call sign IMO number Flag state Appendices Passenger ship Cargo ship Certificate of Competency and/or endorsement, certified copy Tanker Existing PEC, certified copy Document attesting completed simulator training, certified copy Examination Certificate, certified copy Fairways recorded in the PEC, form 3 Minimum Safe Manning Document, certified copy Additional information Voyages required for PEC, form 2 (E.g. postal address for notification purposes, and invoicing address, if not identical with the above) Date and signature Place and date, signature of applicant Administrative notes Vaaditut matkat Företagna färder Päiväys Datum Tutkintotodistus Examensintyg Päiväys Datum MU6320e - 06/2011 Todistus simulaattoriharjoittelusta Intyg över simulatorträning Esitän, että hakemus linjaluotsinkirjan Hemställer att ansökan saamiseksi om beviljande av linjelotsbrev uusimiseksi om förnyande av linjelotsbrev Paikka, päiväys, allekirjoitus ja nimenselvennys Ort, datum, underskrift och namnförtydligande Koeluotsaus Provlotsning muuttamiseksi om ändring i linjelotsbrev hyväksytään godkänns hylätään avslås Finnish Transport Safety Agency, PO Box 320, FI Helsinki telephone +358 (0) fax +358 (0) Business ID

12 Erivapaushakemus Ansökan om dispens Liikenteen turvallisuusviraston merkinnät Trafiksäkerhetsverkets anteckningar Saapumispäivä Inlämnad Hakemusnumero Ansökan nr Hakemus toimitetaan Liikenteen turvallisuusvirastoon. Ansökan sänds till Trafiksäkerhetsverket. Hakijan tiedot Uppgifter om sökanden Sukunimi Efternamn Syntymäaika Födelsedatum Kansalaisuus Medborgarskap Etunimet Förnamn Maa Land Lähiosoite Gatuadress Postinumero Postnummer Osoitetoimipaikka Postanstalt Puhelinnumero Telefon Faksi Fax Sähköposti E-post Hakemuksen kohde Ansökan gäller Erivapaus Dispens Käytettävä kieli Språkval Erivapauden uusiminen Förnyande av dispens Erivapauden muuttaminen Ändring av dispens Ajanjakso jolle erivapautta haetaan Tidsperiod för vilken dispens söks Suomi Finska Ruotsi Svenska Hakemuksen kohteena oleva alus Namn på fartyg som ansökan gäller Nimi Namn Call sign IMO-nro IMO-nr Lippuvaltio Flaggstat Hakemuksen liitteet Bilagor till ansökan Muut tiedot Övriga uppgifter Pätevyyskirja ja/tai kelpoisuustodistus, oikeaksi todistettu kopio Behörighetsbrev och/eller kompetensbevis, styrkt kopia Meripalveluote, oikeaksi todistettu kopio Sjötjänstutdrag, styrkt kopia Todistus simulaattoriharjoittelusta, oikeaksi todistettu kopio Intyg över simulatorträning, styrkt kopia Aluksen mittakirja, oikeaksi todistettu kopio Fartygets mätbrev, styrkt kopia Hakemuksen kohteena oleva vesialue tai väylä, lomakkeella 1 Farvatten eller farled som ansökan gäller, blankett 1 Todistus suoritetusta tutkinnosta, oikeaksi todistettu kopio Intyg över avlagd examen, styrkt kopia Miehitystodistus, oikeaksi todistettu kopio Bemanningscertifikat, styrkt kopia (Esim. postiosoite, johon hakemusta koskevat ilmoitukset lähetetään ja laskutusosoite, jos muu kuin hakijan.) (T.ex. postadress till vilken meddelanden angående ansökan sänds och faktureringsadress, om annan än sökandens.) Päiväys ja allekirjoitus Datum och underskrift Paikka, päiväys, hakijan allekirjoitus ja nimenselvennys Ort, datum, sökandens underskrift och namnförtydligande MU /2011 Liikenteen turvallisuusvirasto täyttää Ifylls av Trafiksäkerhetsverket Esitän, että hakemus erivapauden Hemställer att ansökan saamiseksi om beviljande av dispens uusimiseksi om förnyande av dispens muuttamiseksi om ändring av dispens Paikka, päiväys, allekirjoitus ja nimenselvennys Ort, datum, underskrift och namnförtydligande hyväksytään godkänns hylätään avslås Liikenteen turvallisuusvirasto, PL 320, Helsinki puhelin +358 (0) fax +358 (0) Y-tunnus Trafiksäkerhetsverket, PB 320, Helsingfors telefon +358 (0) fax +358 (0) FO-nummer

13 Hakemuksen kohteena oleva vesialue tai väylä Farvatten eller farled som ansökan gäller Luotsaus. Lomake 1 Lotsning. Blankett 1 Liikenteen turvallisuusviraston merkinnät Trafiksäkerhetsverkets anteckningar Saapumispäivä Inlämnad Hakemusnumero Ansökan nr Hakijan tiedot Uppgifter om sökanden Sukunimi Efternamn Etunimet Förnamn Lähiosoite Gatuadress Postinumero Postnummer Osoitetoimipaikka Postanstalt Puhelinnumero Telefon Faksi Fax Sähköposti E-post Hakemuksen kohteena oleva vesialue tai väylä sekä hakijan aluekohtainen kokemus päällystötehtävissä hakemusta edeltävän viiden vuoden ajalta. Farvatten eller farled som ansökan gäller och sökandens erfarenhet av området i befälsuppgifter under de fem föregående åren. Vesialue tai väylä Farvatten eller farled Hakijan kokemus Sökandens praktik Paikka, päiväys, päällikön/perämiehen allekirjoitus ja nimenselvennys Ort, datum, befälhavarens/styrmannens underskrift och namnförtydligande MU /2011 Paikka, päiväys, hakijan allekirjoitus ja nimenselvennys Ort, datum, sökandens underskrift och namnförtydligande Liikenteen turvallisuusvirasto, PL 320, Helsinki puhelin +358 (0) fax +358 (0) Y-tunnus Trafiksäkerhetsverket, PB 320, Helsingfors telefon +358 (0) fax +358 (0) FO-nummer

14 Linjaluotsinkirjaan vaaditut matkat Färder som krävs för erhållande av linjelotsbrev Voyages required for Pilotage Exemption Certificate (PEC) Luotsaus. Lomake 2 Lotsning. Blankett 2 Pilotage. Form 2 Liikenteen turvallisuusviraston merkinnät Trafiksäkerhetsverkets anteckningar Saapumispäivä Inlämnad Hakemusnumero Ansökan nr Hakijan tiedot Uppgifter om sökanden Applicant Sukunimi Efternamn Surname Syntymäaika Födelsedatum Date of birth Etunimet Förnamn First names Pätevyyskirja Behörighetsbrev Certificate of Competence Alus Fartyg Ship Call sign IMO-nro IMO-nr IMO No. Lippuvaltio Flaggstat Flag state Varustamo Rederi Owner Puhelin Telefon Telephone number Faksi Fax Fax Osoite Adress Address Väylä Farled Fairway Olen toiminut päällikkönä/navigoivana perämiehenä edellä mainitulla aluksella sen liikennöidessä edellä mainitulla väylällä seuraavasti: Jag har varit befälhavare/navigerande styrman på nämnda fartyg som har trafikerat nämnda farled enligt följande: I have served as master/officer of the watch on the ship and in the fairway mentioned above: Mistä Från From Mihin Till To Päivämäärä Datum Date Alus Fartyg Ship Luotsi Lots Pilot Paikka, päiväys, hakijan allekirjoitus ja nimenselvennys Ort, datum, sökandens underskrift och namnförtydligande Place, date, signature of applicant MU /2011 Päiväkirjanotteen oikeaksi todistavat Utdraget vidimeras av Excerpt from ship's log certified by Allekirjoitus ja nimenselvennys Underskrift och namnförtydligande Allekirjoitus ja nimenselvennys Underskrift och namnförtydligande Signature (also in block letters) Signature (also in block letters) Liikenteen turvallisuusvirasto, PL 320, Helsinki puhelin +358 (0) fax +358 (0) Y-tunnus Trafiksäkerhetsverket, PB 320, Helsingfors telefon +358 (0) fax +358 (0) FO-nummer Finnish Transport Safety Agency, PO Box 320, FI Helsinki telephone +358 (0) fax +358 (0) Business ID

15 Luotsin ohjauskirjaan/linjaluotsinkirjaan merkittävät väylät Farleder som antecknas i styrsedel för lots/linjelotsbrev Fairways recorded in the Pilot Licence/ Pilotage Exemption Certificate (PEC) Luotsaus. Lomake 3 Lotsning. Blankett 3 Pilotage. Form 3 Liikenteen turvallisuusviraston merkinnät Trafiksäkerhetsverkets anteckningar Saapumispäivä Inlämnad Hakemusnumero Ansökan nr Hakijan tiedot Uppgifter om sökanden Applicant Sukunimi Efternamn Surname Syntymäaika Födelsedatum Date of birth Etunimet Förnamn First names Väylän nimi Farledens namn Name of fairway Väyläsyvyys Farledsdjup Depth of fairway MU /2011 Päiväys ja allekirjoitus Datum och underskrift Date and signature Paikka, päiväys, hakijan allekirjoitus ja nimenselvennys Ort, datum, sökandens underskrift och namnförtydligande Place, date, signature of applicant Liikenteen turvallisuusvirasto, PL 320, Helsinki puhelin +358 (0) fax +358 (0) Y-tunnus Trafiksäkerhetsverket, PB 320, Helsingfors telefon +358 (0) fax +358 (0) FO-nummer Finnish Transport Safety Agency, PO Box 320, FI Helsinki telephone +358 (0) fax +358 (0) Business ID

16 Koeluotsauspöytäkirja, Luotsin/linjaluotsin tutkinto Provlotsningsprotokoll, Lots/linjelotsexamen Record of practical pilotage assessment Luotsaus. Lomake 4 Lotsning. Blankett 4 Pilotage. Form 4 Liikenteen turvallisuusviraston merkinnät Trafiksäkerhetsverkets anteckningar Saapumispäivä Inlämnad Hakemusnumero Ansökan nr Hakijan tiedot Uppgifter om sökanden Applicant Sukunimi Efternamn Surname Syntymäaika Födelsedatum Date of birth Etunimet Förnamn First names Alus Fartyg Ship Call sign Väylä Farled Fairway Apuvälineiden käyttö Hjälpmedel Use of systems and equipment Integroitu navigointijärjestelmä Automaattiohjausjärjestelmä Integrerat navigationssystem Autopilot Integrated navigation system Autopilot Ennakkotiedot Preliminära uppgifter Preliminary information Koeluotsaustapahtuma sisältyy turvallisuusjohtamisjärjestelmään Provlotsningen ingår i säkerhetsorganisationssystemet Practical pilotage assessment is part of safety management system Käsiohjaus Manuell styrning Manual steering kyllä ja yes Muu, mikä Övrigt, vilket Other, which ei nej no BRM Reittisuunnitelma Ruttplan Voyage plan Kommunikointi Kommunikation Communication Sääolosuhteet Väderlek Weather conditions Jääolosuhteet Isläge Ice conditions Huomautukset Anmärkningar Notes käytössä i bruk in use käytössä i bruk in use suomi på finska in Finnish Normaalit Normal Normal Kesä Sommar Summer ruotsi på svenska in Swedish Huonot Dålig Poor Kelirikko Menföre Thaw season ei nej not in use ei nej not in use englanti på engelska in English Erittäin huonot Mycket dålig Very poor Talvi Vinter Winter Koe Prov Assessment Navigointi väyläalueella Navigering i farledsområdet Navigation in the fairway area Reittisuunnitelman noudattaminen Iakttagande av ruttplan Adherence to voyage plan Muun liikenteen huomioiminen Hänsyn till övrig trafik Taking other traffic into account Kommunikointi VTS:n kanssa Kommunikation med VTS Communication with VTS Kommunikointi muun liikenteen kanssa Kommunikation med övrig trafik Communication with other ships Huomautukset Anmärkningar Notes Hyväksytty Godkänt Pass Hyväksytty Godkänt Pass Hyväksytty Godkänt Pass Hyväksytty Godkänt Pass Hyväksytty Godkänt Pass Hylätty Underkänt Fail Hylätty Underkänt Fail Hylätty Underkänt Fail Hylätty Underkänt Fail Hylätty Underkänt Fail Koeluotsaus alkoi, klo ja päättyi klo Provlotsningen inleddes kl. och avslutades kl. Assessment started at and ended at Hylkäämisen syy Underkänd på grund av Grounds for failing the candidate Koeluotsaus Provlotsning Practical pilotage assessment Hyväksytty Godkänt Pass Hylätty Underkänt Fail Päiväys ja allekirjoitus Datum och underskrift Date and signature Paikka, päiväys, hakijan allekirjoitus ja nimenselvennys Ort, datum, sökandens underskrift och namnförtydligande Place, date, signature of applicant MU /2011 Paikka, päiväys, aluksen päällikön allekirjoitus ja nimenselvennys Ort, datum, befälhavarens underskrift och namnförtydligande Place, date, signature of master Paikka, päiväys, kokeen vastaanottajan allekirjoitus ja nimenselvennys Ort, datum, provförrättarens underskrift och namnförtydligande Place, date, signature of examiner Liikenteen turvallisuusvirasto, PL 320, Helsinki puhelin +358 (0) fax +358 (0) Y-tunnus Trafiksäkerhetsverket, PB 320, Helsingfors telefon +358 (0) fax +358 (0) FO-nummer Finnish Transport Safety Agency, PO Box 320, FI Helsinki telephone +358 (0) fax +358 (0) Business ID

17 Peitepiirroskoe Täckritningsprov Blank chart examination Luotsin/linjaluotsin tutkinto Lots/linjelotsexamen Pilot examination/examination for Pilotage Exemption Certificate Luotsaus. Lomake 5 Lotsning. Blankett 5 Pilotage. Form 5 Liikenteen turvallisuusviraston merkinnät Trafiksäkerhetsverkets anteckningar Saapumispäivä Inlämnad Hakemusnumero Ansökan nr Hakijan tiedot Uppgifter om sökanden Applicant Sukunimi Efternamn Surname Syntymäaika Födelsedatum Date of birth Etunimet Förnamn First names Kokeen päivämäärä Provdatum Exam date Vaaditut merkinnät Obligatoriska anteckningar Mark which features are characteristic of the fairway Väylän suunnat, kulkusyvyydet, kääntöpisteet ja linjat Kurser, leddjupgåenden, ruttpunkter och linjer Courses; Maximum authorized draughts; Reporting points and lines Tärkeät tutka- ja ohitusetäisyydet Viktiga radar- och passeravstånd Major radar and overtaking distances Risteävät ja rinnakkaiset väylät, talviväylät Korsande och parallella farleder, vinterleder Crossing and parallel fairways; winter fairways Kohtaamiskiellot, kieltoalueet Mötesförbud, förbudsområden No passing or overtaking; Restricted areas Nopeusrajoitukset Fartbegränsningar Speed restrictions Ankkuripaikat ja ankkurointikiellot, suoja-alueet Ankringsplatser och ankringsförbud, skyddsområden Anchorages; Anchoring prohibited; Sanctuaries etc. Loistot; nimi ja tunnus sekä värit ja sektorit Fyrar; namn och karaktär samt färger och sektorer Lights; names and characters; colours and sectors Viitat ja poijut; laji Prickar och bojar; typ Buoys and beacons; types Reunamerkit; laji ja etäisyys Randmärken; typ och avstånd Edge marks; types and distances Tutkamerkit Radarmärken Ramarks Linjataulut ja linjat Enstavlor och linjer Leading lights and leading lines Kummelit Kummel Cairns and boards Tunnusmajakat Båkar Beacon towers Tutkamajakat Radarfyrar Racons Luotsipaikka Lotsplats Pilot boarding area Lautta, railolossi Färja, isfärja Ferry; Ice ferry Silta tai ilmajohto; alikulkukorkeus Bro eller luftledning; fri höjd Bridge or overhead cable; vertical clearance Väyläalueet Farledsområden Fairway areas Matalat syvyystietoineen väyläalueen läheisyydessä Grund i farledens närhet, djupuppgifter Shoals and rocks; depths and soundings Saaret ja maat väyläalueen läheisyydessä Holmar och landområden i farledens närhet Islands, isles and land areas in the vicinity of the fairway area Liikenteen turvallisuusvirasto täyttää Ifylls av Trafiksäkerhetsverket Administrative notes Peitepiirroskoe Täckritningsprovet Blank chart examination Hylkäämisen peruste Orsak till underkännandet Grounds for failing the candidate MU /2011 hyväksytty godkänt Pass hylätty underkänt Fail Paikka, päiväys, kokeen tarkastajan allekirjoitus ja nimenselvennys Ort, datum, examinatorns underskrift och namnförtydligande Place, date and signature of examiner Liikenteen turvallisuusvirasto, PL 320, Helsinki puhelin +358 (0) fax +358 (0) Y-tunnus Trafiksäkerhetsverket, PB 320, Helsingfors telefon +358 (0) fax +358 (0) FO-nummer Finnish Transport Safety Agency, PO Box 320, FI Helsinki telephone +358 (0) fax +358 (0) Business ID