STCW Record of Assessment Forms
Issued by U.S. Coast Guard – National Maritime Center
The NMC publishes per-endorsement Record of Assessment sheets documenting hands-on demonstrations of competence for STCW endorsements (such as OICNW, OICEW, Able Seafarer-Deck, and RFPNW). Each assessment is signed by a Coast Guard-approved Qualified Assessor or Designated Examiner and submitted with the endorsement application under 46 CFR 11.301(a).
Also known as: STCW assessment forms · Record of assessment · Qualified Assessor sign-off sheets · STCW competency assessments
Key facts
Employees complete · Employers file · Submitted to regulator
- When it’s used
- Submitted with STCW endorsement applications whenever the standard of competence is demonstrated through in-service assessment rather than an approved course. Alternative company assessment documentation must be Coast Guard-approved before use.
- Who fills it out
- The mariner performs the demonstrations; the Qualified Assessor records the outcome of each assessment on the control sheet.
- Who signs
- Coast Guard-approved Qualified Assessor (QA) or Designated Examiner (DE).
- Where it goes
- Include the completed assessment records with the mariner's STCW endorsement application to the National Maritime Center.
- Electronic submission
- Supported — accepted via the NMC ASAP portal and email.
Sources & citations
Every form we publish traces to an authoritative government source. We cite the issuing agency, the underlying statute, and the operative regulation so you can verify scope and signing authority for your own records.
Issuing agency
USCG National Maritime Center — Assessments
Last verified 2026-07-07
VerifiedOpenRegulation
46 CFR §11.301 — Requirements for STCW officer endorsements
Last verified 2026-07-07
VerifiedOpen
Attribution. Assessment records authored and maintained by the U.S. Coast Guard National Maritime Center; download the sheet matching the specific endorsement sought. BlueHive does not modify the underlying government PDF; the file you download is the agency original.
Related forms
These forms are commonly filed alongside or in place of this one.
- USCG Mariner
CG-719B — Application for Merchant Mariner Credential (MMC)
CG-719B is the base application every mariner files with the National Maritime Center for a Merchant Mariner Credential — original issuance, renewal, raise of grade, new endorsement, or duplicate — and for a Medical Certificate when applying concurrently. The rest of the application packet (medical, drug test, sea service) attaches to this form.
View form - USCG Mariner
Merchant Mariner Credential (MMC) Application Packet
The MMC application packet is the complete submission the National Maritime Center evaluates: the CG-719B application plus the medical evaluation (CG-719K or CG-719K/E), drug-test documentation (CG-719P or random-program letter), sea service evidence (service letters, discharges, or CG-719S), TWIC proof, training certificates, and fees. The NMC publishes per-endorsement checklists covering age, drug testing, examination, fees, sea service, and TWIC requirements.
View form
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