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[null,"特定教育訓練実施記録（別紙）",null,null,null,null,null,null,"枚目"]
[null,null,"【実技（実船実水訓練）】",null,null,null,null,null,null,"回",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作成日"]
[null,null,null,null,null,null,"※　１回以上",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"船舶所有者"]
[null,null,"氏名"]
[null,null,"訓練対象職務",null,null,null,"その他乗組員"]
[null,null,"上記職務として乗り組む航路"]
[null,null,"上記職務として乗り組む船舶"]
[]
[null,null,"実施状況"]
[]
[null,12,"避難、航行経路からの離脱、救命設備"]
[null,null,"回",1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30]
[null,"日付"]
[null,"指導者"]
[]
[null,null,"日付","指導者コメント等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"日付","指導者コメント等"]
[null,12]
[]
[]
[]
[null,null,"※訓練実施日中に都度記載すること"]