Offshore Service Vessel Dynamic Positioning Authority

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Form DPO-3-003, THE OSVDPA DPO CERTIFICATE REVALIDATION APPLICATION.

SECTION 1.
DPO Information
First Name: *		Middle Name:
Last Name: *		Date of Birth: *MM/DD/YYYY
Type of DPO Certificate held: *
Issue Date: *Please list the date on which your current DPO Certificate was issued (MM/DD/YYYY).		Expiration Date: *Please list the date on which your current DPO Certificate will expire (MM/DD/YYYY).
DPO Certificate Number: *Note: Please review the contact information that is listed on the OSVDPA Database and correct or update any incorrect or outdated contact information. Alternatively, if the contact information on the OSVDPA Database is outdated, feel free to utilize the below fields to update this information.


SECTION 2.
Contact Information. The below will be listed on the OSVDPA Database and will be used to contact DPOs in regard to all OSVDPA-related matters. In the event the contact information changes, please notify the OSVDPA.
Address Line 1 *
Address Line 2
City: *		State *
Zip/Postal Code *If your address is outside the United States, substitute your province (or other political subdivision) and Postal Code for “State” and “Zip Code.”
Primary Phone: *Include Country Code if outside U.S..		Secondary Phone:Include Country Code if outside U.S.
Email:		What is the best/preferred way for the OSVDPA to contact you with questions or concerns?


SECTION 3.
Government-Issued ID. Please attach a copy of a valid Government-Issued ID for the OSVDPA Database and list the name of the attachment in the space provided below.
Attachment Name: *List the name of the attachment containing a copy of your Government-Issued ID here.
ID: *Attach a copy of your valid Government-Issued ID here.
SECTION 4.
Accepted Entry Credentials (AEC). Check the type of AEC that you hold and upload a copy of this document.
Attachment Name. *An AEC is a valid and current license, credential, or qualification issued by a Flag State, or qualified training institution that allows the holder to enter the OSVDPA's DPO Certification Scheme.
AEC *Attach a copy of your Accepted Entry Credentials here.
SECTION 5.
Medical Credentials. Please attach a copy of a valid Medical Credential for the OSVDPA Database and list the name of the attachment in the space provided below.
Attachment Name: *
Medical Credentials: *In the event the Medical Credential submitted with this form becomes invalid and/or needs to be replaced, please notify the OSVDPA.
SECTION 6.
Photo. Please attach a passport style photo for the OSVDPA Database and your DPO Certificate (if issued).
Photo: *For more information on the requirements of this photo, see "Definitions and Instructions" section of this form.
SECTION 7.
Signature. Please attach a PDF or image of your signature.
Signature: *


SECTION 8. Sea Time and Practical Experience.
Revalidation Sea Time and Practical Experience. Use this section to record the completion of Sea Time and Practical Experience. As a reminder, DPOs seeking to revalidate their DPO Certificate must record 150 days of Sea Time and 450 hours of Practical Experience in the five (5) years preceding their application for revalidation. If you have not accumulated sufficient Sea Time or Practical Experience, you will need to complete this section AND complete the “Additional Revalidation Activities” Section OR “Complete Revalidation Activities” Section as appropriate (see “Definitions and Instructions” Section for more information).
Sea Time and Practical Experience: *If you have not accumulated sufficient Sea Time or Practical Experience, you will need to complete this section AND complete the “Additional Revalidation Activities” Section OR “Complete Revalidation Activities” Section as appropriate (see “Definitions and Instructions” Section for more information).	I have completed at least 150 days of Sea Time in the past five (5) years. I have completed less than 150 days of Sea Time in the past five (5) years. I have completed at least 450 hours of Practical Experience in the past five (5) years. I have completed less than 450 hours of Practical Experience in the past five (5) years.
Sea Time Days Completed: If the applicant checked that he or she did not complete at least 60 days of Sea Time on an OSVDPA-accepted vessel, please list the number of completed Sea Time days here.		Practical Experience Hours Completed: If the applicant checked that he or she did not complete at least 180 hours of Practical Experience on an OSVDPA-accepted vessel, please list the number of completed Practical Experience hours here.
Self-Signed Logbook *The OSVDPA, under certain circumstances, requires Enhanced Verification of Training and Competency when all or a majority of the Sea Time and Practical Experience recorded in a Logbook has been self-signed by the holder of the Logbook (see “Definitions and Instructions” Section for the acceptable verification methods for Enhanced Verification of Training and Competency). Check the box corresponding to the amount of time in the Logbook that is self-signed.	All hitches included in the logbook were signed by another individual. Some hitches included in the logbook were self-signed. A majority of the hitches in the Logbook are self-signed. All hitches included in the logbook were self-signed.
Logbook:In order to prove the above-described experience has been completed and recorded, please upload or attach a copy of the section of the scheme's logbook (or other industry-accepted logbook) that covers its Phase 4 equivalent here.
Sea Service LetterAn electronic copy of the DPO's Sea Service Letter is not required but is encouraged. The original Sea Service Letter is required and will be returned to the DPO following review and verification.
Revalidation Assessment.Attach or upload a completed copy of Form P4A-1-CV, the Phase 4 Assessment Report (Current Version). This form can be obtained from the OSVDPA or accredited Training Providers.


SECTION 9.
Additional Revalidation Activities. This section should be utilized by those required to record Additional Revalidation Activities (see “Definitions and Instructions” Section for more information and guidance on how to complete the form).
Additional Revalidation Activities, Phase 3 Assessment.Attach a completed copy of Form P3A-1-CV, the Phase 3 Assessment Report (Current Version). If there were multiple attempts to pass the assessment, attach each of the assessment results.
Additional Revalidation, Sea Time and Practical Experience.1). Please see the "Definitions and Instructions" section of this form the OSVDPA definition of Sea Time and Practical Experience. 2). If the scheme does not have a taskbook for its Phase 5 equivalent, please leave the last two (2) boxes unchecked.	I have completed at least 30 days of Sea Time on a class DP-2 or higher OSVDPA-accepted vessel. I have completed less than 30 days of Sea Time on a class DP-2 or higher OSVDPA-accepted vessel. I have completed at least 60 hours of Practical Experience on a class DP-2 or higher vessel. I have completed less than 60 hours of Practical Experience on a class DP-2 or higher vessel. I have completed all required tasks as required by the scheme's Phase 5 equivalent taskbook. I have not completed all required tasks as required by the scheme's Phase 5 equivalent taskbook.
Sea Time Days Completed: If the applicant checked that he or she did not complete at least 30 days of Sea Time on a class DP-2 or higher OSVDPA-accepted vessel, please list the number of completed Sea Time days here.		Practical Experience Hours Completed: If the applicant checked that he or she did not complete at least 60 hours of Practical Experience on a class DP-2 or higher OSVDPA-accepted vessel, please list the number of completed Practical Experience hours here.
Additional Revalidation Logbook:
Additional Revalidation Sea Service LetterAn electronic copy of the DPO's Sea Service Letter is not required but is encouraged. The original Sea Service Letter is required and will be returned to the DPO following review and verification.
Additional Revalidation Activities, Phase 4 Assessment.Attach or upload a completed copy of Form P5A-1-CV, the Phase 5 Assessment Report (Current Version). This form can be obtained from the OSVDPA or accredited Training Providers.


SECTION 10.
Complete Revalidation Activities. This section should be utilized by those required to record Complete Revalidation Activities (see “Definitions and Instructions” Section for more information and guidance on how to complete the form).
Complete Revalidation Activities, Phase 3 (Simulator) Course.

Name of Training Provider:If the Training Providers has multiple location, also list the location in parentheses, for example “Jones Offshore Training (Jonesburg Facility).
Date course began:MM/DD/YYYY
Name of the Course Instructor:		Instructor’s Certificate No.:
List the Date the Phase 3 Course was completed:(Date listed under “Instructor Sign-of” in the logbook) MM/DD/YYYY
Complete Revalidation Activities, Phase 3 Assessment.Attach or upload a completed copy of Form P4A-1-CV, the Phase 4 Assessment Report (Current Version). This form can be obtained from the OSVDPA or accredited Training Providers.
Sea Time and Practical Experience: If you have not accumulated sufficient Sea Time or Practical Experience, you will need to complete this section AND complete the “Additional Revalidation Activities” Section OR “Complete Revalidation Activities” Section as appropriate (see “Definitions and Instructions” Section for more information).	I have completed at least 30 days of Sea Time in the past five (5) years. I have completed at least 90 hours of experience in the past five (5) years. A majority of or all the hitches in the Logbook are self-signed. Enhanced Verification Required
Sea Time Days CompletedIf the applicant checked that he or she did not complete at least 150 days of Sea Time on an OSVDPA-accepted vessel, please list the number of completed Sea Time days here.		Practical Experience Hours CompletedIf the applicant checked that he or she did not complete at least 450 hours of Practical Experience on an OSVDPA-accepted vessel, please list the number of completed Practical Experience hours here.
LogbookAttach a copy of the appropriate section of a Nautical Institute, IMCA, DNVGL, or other industry accepted logbook here. The OSVDPA also requires that the original logbook be submitted for review and verification and will be returned to the DPO following application approval.
Complete Revalidation Sea Service LetterAn electronic copy of the DPO's Sea Service Letter is not required but is encouraged. The original Sea Service Letter is required and will be returned to the DPO following review and verification.
Complete Revalidation Activities, Phase 4 Assessment.Attach a completed copy of Form P4A-1-CV, the Phase 4 Assessment Report (Current Version). If there were multiple attempts made, attach each of the assessment results. Check the box to reflect how assessment was conducted.


SECTION 11.
DP Experience. Individuals seeking to revalidate their certificate but no longer serving as a DPO are allowed to apply for revalidation of their DPO Certificate using the "DP Experience" they have gained in the five (5) years prior to submitting their revalidation application. This DP Experience can be used in lieu of the Training and Certification Activities detailed above under "Requirements for Holders of Existing DPO Certificates". In addition to the equivalent activities that must be proven, a completed copy of Form DPO-3-CV, the Revalidation Application (Current Version) must also be submitted and subsequently approved by the OSVDPA.
Engineers and ETOs.	I have served as an Engineer or ETO on a DP-equipped vessel during the last five (5) years.
List the number of days recorded as an Engineer or ETO on a DP-equipped vessel:The OSVDPA finds 350 days of service as an Engineer or ETO aboard a vessel equipped with a DP system in the five (5) years previous to the revalidation application are required to maintain certification.
DP Experience:Please upload a copy of the documentation proving equivalent DP Experience here. A more detailed description of which activities have been deem sufficient by the OSVDPA can be found in Section 23.6 of OSVDPA MPP-1-CV.


DP Instructor.Instructors can utilize either of the below-listed methods of experience calculation. The selected option should be chosen and the required document should be attached or uploaded in the space below.	I maintained certification as an Instructor since the date printed on my previous DPO Certificate. I have conducted 30 courses accepted by the OSVDPA within the last five (5) years.
Attachment:Please list the name of the attachment containing either annual review forms from each year claimed or a letter signed by the Principal from a Training Provider accredited by an industry-recognized DPO Certification Scheme.


OSVDPA Approved Auditor.	I have served as an OSVDPA-Approved Auditor during the last five (5) years.
List the number of OSVDPA audit days conducted in the last five (5) years:The OSVDPA finds 50 auditor days in the five (5) years previous to the revalidation application are required to maintain certification.
Attachment:Please list the name of the attachment containing copies of your Form AR-3-CV, the Auditor Annual Review (Current Version) as proof of completing this experience.


DP surveyor, DP consultant, DP superintendent, DP supervisor, or other DP-based position.	I have served as a DP-based position during the last five (5) years.
List the number of calendar days served in such a position in the last five (5) years:The OSVDPA finds 500 days in such a position during the last five (5) years are required to maintain certification.
Attachment:Please list the name of the attachment containing a letter signed by the Principal of the company where this service was gained or an IRS document proving employment with this entity.


SECTION 12.
Disclaimer and Signature. The below must be signed by the DPO or Prospective DPO applying for an OSVDPA DPO Certificate. I certify that my answers, the information included above, and the associated attachments are true and complete to the best of my knowledge. If this application leads to OSVDPA approval, I understand that false or misleading information in my application or interview may result in the revocation of my approval.
Signature: *Please attach to this form either by photo attachment or PDF a clear and legible copy of the applicant's signature.
Printed Name:		Date:MM/DD/YYYY


SECTION 13.
Definitions. Accepted Entry Credentials (AEC). A valid and current license, credential, or qualification issued by a flag state, or by a training institution that is approved by a flag state to conduct maritime training courses, which are accepted by the OSVDPA as proof the individual is allowed to enter the OSVDPA's DPO Certification Scheme. The specific licenses, certificates, and qualifications accepted by the OSVDPA are listed in Section 16 of OSVDPA MPP-1-CV, the OSVDPA Manual of Policies and Procedures (Current Version), and are universally accepted by the OSVDPA. Note: The revocation or expiration of an Applying Mariner's AEC shall render them incapable of earning a DPO Certificate or recording Training and Certification Activities. Any changes to an individual's AEC should be immediately reported to the OSVDPA in order to allow them to continue through the OSVDPA DPO Certification Scheme. Cadet. A student duly enrolled in a maritime academy administered or chartered by a nation state containing a Maritime Administration or a political division of a nation state containing a maritime administration or a maritime academy owned and operated by a private or non-profit entity which has been approved by a maritime administration to conduct STCW officer of a navigation watch training courses. Class C Permit: An optional permit awarded after successful completion of the certification system through Phase 3. The holder of a Class C Permit has proven they possess knowledge of the fundamental principles of dynamic positioning, demonstrated practical ability to operate a DP system, and is competent in switching from DP to manual mode to move the vessel away from the installation. Class C Permit holders must be under direct supervision of a DPO at all times while gaining the experience and skills necessary to qualify as a DPO. Class B DPO Certificate: certificate is provided to those DPOs who have passed the final assessment after completion of the certification system and passage of the Phase 4B assessments. Class B DPO certificate holders have accrued less than 60 days of sea time and 180 hours of practical experience aboard a DP-2 or higher vessel after Phase 3 of the certification program DPO Class B DPO certificates can be upgraded to Class A DPO certificates if the holder completes Phase 5 of the certification system. Class A DPO Certificate: The Class A DPO certificate is provided to those DPOs who have passed the Phase 4A or Phase 5 assessment after completion of the certification system either through Phase 4A or upgraded their Class B DPO certificate via Phase 5, in the process accruing at least 60 days of sea-time and 180 hours of practical experience on a DP-2 or higher vessel after the completion of the requirements of Phase 2 (Familiarization). Certification Deadline. The date by which all Training and Certification Activities (Section 4.40) must be completed to be counted by the OSVDPA for DPO Certification. This date is five (5) years after the first day of the first Phase 1 (Induction) Course class (or the first day of the classroom portion of a Blended Phase 1 (Induction) Course) or the date printed on the previous DPO Certificate earned by the DPO or Prospective DPO. Examiner. The individual that scores a simulator-based assessment, such individual must have completed formal assessment training and demonstrated competency in assessment administration and scoring and be a Certified Instructor.

Passport Photo. The OSVDPA uses the passport photo requirements as published by the U.S. Department of State, Bureau of Consular Affairs. Under these requirements, the photo must: Be a color image (sRGB color space); At least two (2) inches by two (2) inches (51 x 51 mm), with the head (bottom of the chin to the top of the head is between 1 inch and 1 3/8 inches (between 25 and 35 mm); Taken within the last six (6) months; Taken in front of a plain white or off-white background; Taken in full-face view; and Taken with a neutral facial expression (preferred) or a natural smile, with both eyes open. Practical Experience. An hour-based measurement of DP experience accrued when a DPO or Prospective DPO is at the DP controls for at least one (1) hour during a 24-hour period while the vessel is conducting auto positioning operations, auto heading operations (including DP- or independent joystick-based autopilot), independent joystick operations, or other operations where the DP system is engaged. Up to six (6) hours of practical experience can be logged during a 24-hour period. All practical experience recorded by Prospective DPOs must be supervised and signed off by a DPO or the Master of the vessel. Qualified on Board Assessor (QOBA). A DPO certified by the OSVDPA, to conduct the Phase 4 and Phase 5 Assessments. In conducting these assessments, the QOBA utilizes criteria established by the OSVDPA to evaluate whether the DPO or Prospective DPO has passed the assessment. Sea Time. A day-based measurement of DP experience accrued when a DPO or prospective DPO is on watch while the vessel is conducting auto positioning operations, auto heading operations (including DP- or independent joystick-based autopilot), independent joystick operations, or other operations where the DP system is engaged for at least one hour during a 24-hour period. All sea time recorded by a Prospective DPO must be supervised and signed off by a certified DPO or the Master of the vessel. Training and Certification Activities. A collective term referring to all or part of the activities recorded by a Prospective DPO or DPOs to earn or maintain their DPO Certificate. Specifically, the term is encompassing of Sea Time, Practical Experience, completing taskbook tasks, and the ship-board assessments (the Phase 4 and Phase 5 Assessment).

Instructions for completing this form and the application process. 1. When a DPO or Prospective DPO has completed the requirements for certification, he or she shall complete the relevant sections of this application. Specifically, the applications can be made at the following points: Applying for a Class C Permit: After passing the Phase 3 Assessment and completion of all previous steps. Applying for a Class B DPO Certificate: After passing the Phase 4B Assessment and completion of all previous steps. Applying for a Class A DPO Certificate (Phase 4A Method): After passing the Phase 4A Assessment and completion of all previous steps. Applying for a Class A DPO Certificate (Phase 5 Method): After passing the Phase 5 Assessment and completion of all previous steps. Regardless of when a DPO or Prospective DPO applies for a DPO Certificate, he or she must have completed the requirements within the Certification Deadline (see "Definitions" above). Those entering the OSVDPA DPO Certification Scheme as a Cadet or an Able Bodied Seaman holding a valid certificate of completion from a United States Coast Guard Approved Ratings Course cannot apply for an OSVDPA DPO Certificate without holding one of the following AECs: An STCW credential as Officer in Charge of a Navigational Watch (II/1, II/2, or II/3); A non-STCW certificate of competency issued by the United States Coast Guard, or an equivalent certificate issued by another White List Maritime Administration as listed in the STCW Convention; or An STCW credential as Rating Forming Part of a Navigational Watch (II/4 or II/5). 2. Once the form is completed and the relevant attachments have been included (for those that fail an assessment, extra copies of the assessment-based questions of this form can be obtained from the OSVDPA), the application should be uploaded to the OSVDPA website or emailed to the OSVDPA's Administrator, Ben Berson, at ben.berson@osvdpa.org. Note. A physical review of the applicant's original logbook and sea service letter must be mailed to the OSVDPA's offices as the address listed under the "Contact Us" link at the top of any website page. 3. All attachments should be clearly and distinctly named. Names should be readily apparent on the attachments as the title of the document.

4. Once all of the above is received, the OSVDPA shall review the application (in its entirety). Once this review is completed, the OSVDPA will take one of the following actions: Grant DPO Certificate. If the OSVDPA finds all of the conditions have been met, it shall send a DPO Certificate to the individual along with all of the original documents submitted with the application. Respond with list of problems. If the OSVDPA finds questions, problems, or shortcomings in the application, it shall respond with a comprehensive list of problems along with suggestions as to how these issues can be addressed. The OSVDPA shall not return the document to the DPO unless asked to do so. Instead, the OSVDPA shall only require the individual to submit the missing or gap-filling information after he or she has worked with the OSVDPA to ensure any questions they may have are answered. Decline to issue DPO Certificate. In limited instances - such as when there are numerous and/or large scale shortcomings, problems, or issues with the application - the OSVDPA shall return the application and all documents to the individual. In doing so, the OSVDPA shall also send a list of all problems or issues and how these can be addressed. The OSVDPA welcomes any questions or concerns of applicants. Questions may be directed to the email address listed above or made via phone at +1 (504) 528-9414. Record of Change. Significant Changes from Version 001. Class C DPO Certificate. All references to "Class C DPO Certificate" were changed to "Class C Permit". This change has been reflected in both the PDF and web-based versions of Form DPO-4-002.

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