SMS
A
CKNO
WL
E
DG
MENT FO
R
M
BOS-FR
M
-11.900001
By
si
g
nin
g
t
h
is
for
m
,
I,
t
h
e
P
erson
S
i
g
nator
y
,
certif
y
t
h
at
I
h
a
v
e
read
t
h
e docu
m
ents
and
p
rocedures
t
h
at
are
p
resent
in
t
h
e
S
afet
y M
ana
g
e
m
ent
Sy
ste
m
(
SMS
) durin
g
t
h
e
p
eriod of
my
boardin
g.
P
osition
P
rinted
N
a
m
e
S
i
g
nature
Date
Version n
°: 01. O
rigina
l
Date
:
2
nd
January 2
01
5
.
Version Date
: N/
A
.
Va
l
id
version
on
l
y
on QM
S
site
.
Page
1
of
1
F
orm prepared by
: BOS
Deputy QH
S
E
S
Manager
.
Approved
by
: BOS
QH
S
E
S
Manager
.
Va
l
idated
by
: BOS
Qua
l
ity
R
epresentative
.
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