ARTEMIS MARINE INC.

Corrective action and closure record

Verify effectiveness before closing the action.

Form actions | Template 1.1.0

Complete locally and print or save as PDF before closing. Entries are not submitted or automatically saved. Apply vessel-specific procedures and approval before use.

Vessel and official numberRecord reference and datePrepared by and roleFinding incident or defect referenceRoot cause and supporting analysisCorrection preventive action and resourcesAction owner deadline and actual completionClosure evidence and effectiveness checkVerifier date decision and further follow-up