Issued 31/01/03 Page 1 of 1

REEDEREI "NORD" KLAUS E. OLDENDORFF

FLEET INSTRUCTION MANUAL

SEAMAN'S RECORD OF REST PERIODS

VESSEL: NAME OF SEAFARER: RANK OF SEAFARER:

MONTH / YEAR

* Mark period of rest with an "X" for full hours and "O" for half hours

Hours of work Comments Hours of rest Hours of rest

Time 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 in any 24 hrs in any 24 hrs in any 7-day

Date period period period12345678910111213141516171819202122232425262728293031

Signature of Master Signature of Seafarer