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7/29/2019 MSC 345(91)
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MSC 91/22/Add.1 Annex 8, page 1
I:\MSC\91\22-Add-1.doc
ANNEX 8
RESOLUTION MSC.344(91) (adopted on 30 November 2012)
ADOPTION OF AMENDMENTS TO THE PROTOCOL OF 1988 RELATING TO THEINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974
THE MARITIME SAFETY COMMITTEE,
RECALLING Article 28(b) of the Convention on the International Maritime Organizationconcerning the functions of the Committee,
RECALLING ALSO Article VIII(b) of the International Convention for the Safety of Life at Sea(SOLAS), 1974 (hereinafter referred to as "the Convention") and Article VI of the Protocolof 1988 relating to the Convention (hereinafter referred to as "the 1988 SOLAS Protocol")concerning the procedure for amending the 1988 SOLAS Protocol,
RECOGNIZING the need to align the forms of certificates set out in the appendix to the 1988SOLAS Protocol with those in the Convention and the 1978 SOLAS Protocol,
HAVING CONSIDERED, at its ninety-first session, amendments to the 1988 SOLAS Protocolproposed and circulated in accordance with Article VIII(b)(i) of the Convention and Article VIof the 1988 SOLAS Protocol,
1. ADOPTS, in accordance with Article VIII(b)(iv) of the Convention and Article VI of the 1988 SOLAS Protocol, amendments to the appendix to the annex to the 1988 SOLAS
Protocol, the text of which is set out in the annex to the present resolution;
2. DETERMINES, in accordance with Article VIII(b)(vi)(2)(bb) of the Convention and Article VI of the 1988 SOLAS Protocol, that the said amendments shall be deemed to havebeen accepted on 1 January 2014, unless, prior to that date, more than one third of theParties to the 1988 SOLAS Protocol or Parties the combined merchant fleets of whichconstitute not less than 50 per cent of the gross tonnage of the world's merchant fleet, havenotified their objections to the amendments;
3. INVITES the Parties concerned to note that, in accordance with Article VIII(b)(vii)(2)of the Convention and Article VI of the 1988 SOLAS Protocol, the amendments shall enter into force on 1 July 2014, upon their acceptance in accordance with paragraph 2 above;
4. REQUESTS the Secretary-General, in conformity with Article VIII(b)(v) of theConvention and Article VI of the 1988 SOLAS Protocol, to transmit certified copies of thepresent resolution and the text of the amendments contained in the annex to all Parties tothe 1988 SOLAS Protocol;
5. ALSO REQUESTS the Secretary-General to transmit copies of this resolution andits annex to Members of the Organization which are not Parties to the 1988 SOLAS Protocol.
* * *
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MSC 91/22/Add.1 Annex 8, page 2
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ANNEX
AMENDMENTS TO THE PROTOCOL OF 1988 RELATING TO THE INTERNATIONALCONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, AS AMENDED
ANNEX
MODIFICATIONS AND ADDITIONS TO THE ANNEX TO THE INTERNATIONALCONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974
APPENDIX
MODIFICATIONS AND ADDITIONS TO THE APPENDIX TO THE ANNEX TOTHE INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974
All the forms of certificates and records of equipment contained in the appendix to the annexare replaced by the following:
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MSC 91/22/Add.1 Annex 8, page 3
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FORM OF SAFETY CERTIFICATE FOR PASSENGER SHIPS
PASSENGER SHIP SAFETY CERTIFICATE
This Certificate shall be supplemented by a Record of Equipment for Passenger Ship Safety (Form P)
(Official seal) (State)
for an/a short 1
international voyage
Issued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE
AT SEA, 1974, as modified by the Protocol of 1988 relating thereto
under the authority of the Government of
____________________________________________________(name of the State)
by _________________________________________________
(person or organization authorized)
Part icu lars of ship 2
Name of ship ................................................................................................................................................
Distinctive number or letters .........................................................................................................................Port of registry ..............................................................................................................................................
Gross tonnage ..............................................................................................................................................
Sea areas in which ship is certified to operate (regulation IV/2) ...............................................................
IMO Number 3
................................................................................................................................................
Date of build:
Date of building contract .........................................................................................................Date on which keel was laid or ship was at similar stage of construction ..................................Date of delivery ......... .......... ......... ......... ......... .......... ......... .......... ......... ......... ......... .......... .....Date on which work for a conversion or an alteration or modification of a major character
was commenced (where applicable) …………………..
All applicable dates shall be completed.
1 Delete as appropriate.2 Alternatively, the particulars of the ship may be placed horizontally in boxes.
3 In accordance with the IMO ship identification number scheme, adopted by the Organization by resolution A.600(15).
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MSC 91/22/Add.1 Annex 8, page 4
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THIS IS TO CERTIFY:
1 That the ship has been surveyed in accordance with the requirements of regulation I/7 of theConvention.
2 That the survey showed that:
2.1 the ship complied with the requirements of the Convention as regards:
.1 the structure, main and auxiliary machinery, boilers and other pressure vessels;
.2 the watertight subdivision arrangements and details;
.3 the following subdivision load lines:
Subdivision load lines assigned and
marked on the ship's side amidships
(regulation II-1/18)4
Freeboard To apply when the spaces in whichpassengers are carried include the
following alternative spaces
P1P2P3
……… ……… ………
………………………….. ………………………….. …………………………..
2.2 the ship complied with the requirements of the Convention as regards structural fireprotection, fire safety systems and appliances and fire control plans;
2.3 the life-saving appliances and the equipment of the lifeboats, liferafts and rescue boats wereprovided in accordance with the requirements of the Convention;
2.4 the ship was provided with a line-throwing appliance and radio installations used inlife-saving appliances in accordance with the requirements of the Convention;
2.5 the ship complied with the requirements of the Convention as regards radio installations;
2.6 the functioning of the radio installations used in life-saving appliances complied with therequirements of the Convention;
2.7 the ship complied with the requirements of the Convention as regards shipbornenavigational equipment, means of embarkation for pilots and nautical publications;
2.8 the ship was provided with lights, shapes, means of making sound signals and distresssignals, in accordance with the requirements of the Convention and the InternationalRegulations for Preventing Collisions at Sea in force;
2.9 in all other respects the ship complied with the relevant requirements of the Convention;
2.10 the ship was/was not1 subjected to an alternative design and arrangements in pursuance of regulation(s) II-1/55/II-2/17/III/38
1of the Convention;
2.11 a Document of approval of alternative design and arrangements for machinery andelectrical installations/fire protection/life-saving appliances and arrangements
1is/is not
1
appended to this Certificate.
3 That an Exemption Certificate has/has not1
been issued.
1 Delete as appropriate.4 For ships constructed before 1 January 2009, the applicable subdivision notation "C.1, C.2 and C.3" should be used.
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MSC 91/22/Add.1 Annex 8, page 5
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This cert i f icate is valid un ti l ..........................................................................................................
Completion date of the survey on which this certificate is based: ………….. (dd/mm/yyyy)
Issued at ...........................................................................................................................................
(Place of issue of certificate)
………………………… ………………………………………………………………………….
(Date of issue) (Signature of authorized official issuing the certificate)
(Seal or stamp of the issuing authority, as appropriate)
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MSC 91/22/Add.1 Annex 8, page 6
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Endo rsement w here the renewal surv ey has been com pleted and regulat ion I /14(d) appl ies
The ship complies with the relevant requirements of the Convention, and this certificate shall, inaccordance with regulation I/14(d) of the Convention, be accepted as valid until ........................
Signed:..............................................................................................................................................
(Signature of authorized official)
Place: ................................................................................................................................................
Date: ........................................................................................................................................................................
(Seal or stamp of the authority, as appropriate)
Endorsement to extend the val id i ty of the cer t i f icate unt i l reaching the port o f survey or for a
period of gr ace where reg ulat ion I/14(e) or I/14(f) applies
This certificate shall, in accordance with regulation I/14(e)/I/14(f)1
of the Convention, be accepted asvalid until ………………………………………………………
Signed: ..............................................................................................................................................
(Signature of authorized official)
Place: ................................................................................................................................................
Date: ..................................................................................................................................................
(Seal or stamp of the authority, as appropriate)
1 Delete as appropriate.
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MSC 91/22/Add.1 Annex 8, page 7
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FORM OF SAFETY CONSTRUCTION CERTIFICATE FOR CARGO SHIPS CARGO SHIP SAFETY CONSTRUCTION CERTIFICATE
(Official seal) (State)
Issued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE
AT SEA, 1974, as modified by the Protocol of 1988 relating thereto
under the authority of the Government of
__________________________________________________________________ (name of the State)
by _______________________________________________________________________ (person or organization authorized)
Part icu lars of ship 1
Name of ship ....................................................................................................................................
Distinctive number or letters ............................................................................................................
Port of registry ..................................................................................................................................
Gross tonnage ..................................................................................................................................
Deadweight of ship (metric tons)2.....................................................................................................
IMO Number 3....................................................................................................................................
Type of ship4
Bulk carrier Oil tanker Chemical tanker Gas carrier Cargo ship other than any of the above
Date of build:
Date of building contract .........................................................................................................................................................................................................................
Date on which keel was laid or ship was at similar stage of construction ......................Date of delivery ......... .......... ......... ......... ......... .......... ......... .......... ......... ......... ......... ...Date on which work for a conversion or an alteration or modification of a major character was commenced (where applicable) ......... ......... .......... ......... ......... .......... ......... ......... .
All applicable dates shall be completed.
1 Alternatively, the particulars of the ship may be placed horizontally in boxes.
2 For oil tankers, chemical tankers and gas carriers only.3 In accordance with the IMO ship identification number scheme, adopted by the Organization by resolution A.600(15).
4 Delete as appropriate.
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MSC 91/22/Add.1 Annex 8, page 8
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THIS IS TO CERTIFY:
1. That the ship has been surveyed in accordance with the requirements of regulation I/10 of the Convention.
2. That the survey showed that the condition of the structure, machinery and equipment as
defined in the above regulation was satisfactory and the ship complied with the relevantrequirements of chapters II-1 and II-2 of the Convention (other than those relating to firesafety systems and appliances and fire control plans).
3. That the last two inspections of the outside of the ship's bottom took place on …………….. and ….………………(dates)
4. That an Exemption Certificate has/has not4
been issued.
5. The ship was/was not4
subjected to an alternative design and arrangements in pursuanceof regulation(s) II-1/55 / II-2/17
4of the Convention.
6. A Document of approval of alternative design and arrangements for machinery andelectrical installations/fire protection
4is/is not
4appended to this Certificate.
This cert i f icate is valid unt i l ..........................................................................................5 subject to the
annual and intermediate surveys and inspections of the outside of the ship 's bottom in accordance
with regulation 1/10 of the Convention.
Completion date of the survey on which this certificate is based: …. ...................... (dd/mm/yyyy)
Issued at ..........................................................................................................................................
(Place of issue of certificate)
…………………………………. …………………………………………………………………….. (Date of issue) (Signature of authorized official issuing the certificate)
(Seal or stamp of the issuing authority, as appropriate)
4 Delete as appropriate.
5 Insert the date of expiry as specified by the Administration in accordance with regulation I/14(a) of the Convention.The day and the month of this date correspond to the anniversary date, as defined in regulation I/2(n) of theConvention, unless amended in accordance with regulation I/14(h).
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MSC 91/22/Add.1 Annex 8, page 9
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Endorsement for annual and intermediate surveys
THIS IS TO CERTIFY that, at a survey required by regulation I/10 of the Convention, the ship wasfound to comply with the relevant requirements of the Convention.
Annual survey: ..................................... Signed: ........................................................................................(Signature of authorized official)
Place: ...............................................................................................................Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Annual/Intermediate4survey: Signed: .................................................................................................
(Signature of authorized official) Place: ...............................................................................................................
(Seal or stamp of the authority, as appropriate)
Annual/Intermediate
4
survey: Signed: .................................................................................................(Signature of authorized official)
Place: ...........................................................................................Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Annual survey: Signed: .................................................................................................(Signature of authorized official)
Place: ...........................................................................................Date: ............................................................................................
(Seal or stamp of the authority, as appropriate)
An nual/ intermediate survey in acco rdanc e with regulat ion I/14(h)(i i i )
THIS IS TO CERTIFY that, at an annual/intermediate survey4
in accordance with regulation I/14(h)(iii)of the Convention, this ship was found to comply with the relevant requirements of the Convention.
Signed: ............................................................................................................
(Signature of authorized official)
Place: ...........................................................................................................................
Date: .......................................................................................................................
(Seal or stamp of the authority, as appropriate)
4Delete as appropriate.
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MSC 91/22/Add.1 Annex 8, page 10
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Endorsem ent for inspect ions of the outs ide of the ship 's bot tom 6
THIS IS TO CERTIFY that, at an inspection required by regulation I/10 of the Convention, the shipwas found to comply with the relevant requirements of the Convention.
First inspection: Signed: ........................................................................................(Signature of authorized official)
Place: ..........................................................................................Date: ............................................................................................
(Seal or stamp of the authority, as appropriate)
Second inspection: Signed: ........................................................................................(Signature of authorized official)
Place: ..........................................................................................Date: ............................................................................................
(Seal or stamp of the authority, as appropriate)
Endors ement to extend the certificate if valid for less than 5 years where regulation I/14(c) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, inaccordance with regulation I/14(c) of the Convention, be accepted as valid until ...................................
Signed: ........................................................................................
(Signature of authorized official)
Place: ..........................................................................................
Date: ............................................................................................
(Seal or stamp of the authority, as appropriate)
Endo rsement w here the renewal surv ey has been com pleted and regulat ion I/14(d) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, inaccordance with regulation I/14(d) of the Convention, be accepted as valid until ........ ........ ........ ....
Signed ..........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
6Provision may be made for additional inspections.
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MSC 91/22/Add.1 Annex 8, page 11
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Endorsement to extend the val id i ty of th e cert i f icate unti l reaching the port of surv ey or for a
period o f grace wh ere regulat ion I/14(e) or I/14(f) appl ies
The certificate shall, in accordance with regulation l/14(e)/l/14(f)4
of the Convention, be accepted as
valid until ………………………………………………..
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Endorsement for advancem ent of anniversary date where regulat ion l /14(h) appl ies
In accordance with regulation I/14(h) of the Convention, the new anniversary date is ........................
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
In accordance with regulation I/14(h) of the Convention, the new anniversary date is ........................
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
4 Delete as appropriate.
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MSC 91/22/Add.1 Annex 8, page 12
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FORM OF SAFETY EQUIPMENT CERTIFICATE FOR CARGO SHIPS CARGO SHIP SAFETY EQUIPMENT CERTIFICATE
This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety (Form E)
(Official seal) (State)
Issued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE
AT SEA, 1974, as modified by the Protocol of 1988 relating thereto
under the authority of the Government of
________________________________________________________________________(name of the State)
by ________________________________________________________________________ (person or organization authorized)
Part icu lars of ship 1
Name of ship ...................................................................................................................................
Distinctive number or letters ..........................................................................................................
Port of registry .................................................................................................................................
Gross tonnage .................................................................................................................................
Deadweight of ship (metric tons)2....................................................................................................
Length of ship (regulation III/3.12) ...................................................................................................
IMO Number 3...................................................................................................................................
Type of ship4
Bulk carrier Oil tanker Chemical tanker Gas carrier Cargo ship other than any of the above
Date on which keel was laid or ship was at a similar stage of construction or,
where applicable, date on which work for a conversion or an alteration
or modification of a major character was commenced ....................................................................
1 Alternatively, the particulars of the ship may be placed horizontally in boxes.
2 For oil tankers, chemical tankers and gas carriers only.
3 In accordance with the IMO ship identification number scheme , adopted by the Organization by resolution A.600(15).
4 Delete as appropriate.
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MSC 91/22/Add.1 Annex 8, page 13
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THIS IS TO CERTIFY:
1 That the ship has been surveyed in accordance with the requirements of regulation I/8 of theConvention.
2 That the survey showed that:
2.1 the ship complied with the requirements of the Convention as regards fire safety systemsand appliances and fire control plans;
2.2 the life-saving appliances and the equipment of the lifeboats, liferafts and rescueboats were provided in accordance with the requirements of the Convention;
2.3 the ship was provided with a line-throwing appliance and radio installations used in life-saving appliances in accordance with the requirements of the Convention;
2.4 the ship complied with the requirements of the Convention as regards shipbornenavigational equipment, means of embarkation for pilots and nautical publications;
2.5 the ship was provided with lights, shapes and means of making sound signals and distresssignals in accordance with the requirements of the Convention and the InternationalRegulations for Preventing Collisions at Sea in force;
2.6 in all other respects the ship complied with the relevant requirements of the Convention;
2.7 the ship was/was not4
subjected to an alternative design and arrangements in pursuanceof regulation(s) II-2/17 / III/38
4of the Convention;
2.8 a Document of approval of alternative design and arrangements for fire protection/life-saving appliances and arrangements
4is/is not
4appended to this Certificate.
3 That the ship operates in accordance with regulation III/26.1.1.15
within the limits of thetrade area ………………………………….
4 That an Exemption Certificate has/has not4
been issued.
This cer t i f i ca te is va l id u nt i l ………………………………………………………………6
subject to theannual and periodical surveys in accordance with regulation I/8 of the Convention.
Completion date of the survey on which this certificate is based:…………..….(dd /mm/yyyy)
Issued at .................................................................................................................................(Place of issue of certificate)
………………………… …………………………………………………………………… (Date of issue) (Signature of authorized official issuing the certificate)
(Seal or stamp of the issuing authority, as appropriate)
4 Delete as appropriate.
5Refer to the 1983 amendments to SOLAS (MSC.6(48)), applicable to ships constructed on or after 1 July 1986, butbefore 1 July 1998 in the case of self-righting partially enclosed lifeboat(s) on board.
6 Insert the date of expiry as specified by the Administration in accordance with regulation I/14(a) of the Convention.The day and the month of this date correspond to the anniversary date as defined in regulation I/2(n) of theConvention, unless amended in accordance with regulation I/14(h).
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MSC 91/22/Add.1 Annex 8, page 14
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Endorsement for annual and p er iodical surveys
THIS IS TO CERTIFY that, at a survey required by regulation I/8 of the Convention, the ship wasfound to comply with the relevant requirements of the Convention.
Annual survey: Signed: ..................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropr iate)
Annual/Periodical4
survey: Signed: .........................................................................................
(Signature of authorized official)
Place: .........................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Annual/Periodical4
survey: Signed: .........................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Annual survey: Signed: .........................................................................................
(Signature of authorized official)Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
An nual/periodical surv ey in accordanc e with regulat ion I/14(h)( i i i )
THIS IS TO CERTIFY that, at an annual/periodical4
survey in accordance with regulation I/14(h)(iii) of the Convention, this ship was found to comply with the relevant requirements of the Convention.
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
4 Delete as appropriate.
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MSC 91/22/Add.1 Annex 8, page 15
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Endo rsement to extend the cert i f icate if valid for less th an 5 years where regulat ion I/14(c)
applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, inaccordance with regulation I/14(c) of the Convention, be accepted as valid until .............................
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Endo rsement w here the renewal su rvey has been com pleted and regulat ion I/14(d) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, inaccordance with regulation I/14(d) of the Convention, be accepted as valid until ........ ........ ......... ..
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Endorsement to extend the val id i ty of the cer t i f icate unt i l reaching th e port of s urvey or for a
per iod of grace where regu lat ion I /14(e) or I /14( f ) app l ies
The certificate shall, in accordance with regulation I/14(e)/l/14(f)4
of the Convention, be accepted as
valid until .............................................
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
4 Delete as appropriate.
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MSC 91/22/Add.1 Annex 8, page 16
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Endo rsement fo r advancement of anniversary date wh ere regulat ion I/14(h) applies
In accordance with regulation I/14(h) of the Convention, the new anniversary date is .............................
Signed: .........................................................................................(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
In accordance with regulation I/14(h) of the Convention, the new anniversary date is .............................
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
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MSC 91/22/Add.1 Annex 8, page 17
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FORM OF SAFETY RADIO CERTIFICATE FOR CARGO SHIPS CARGO SHIP SAFETY RADIO CERTIFICATE
This Certificate shall be supplemented by a Record of Equipmentfor Cargo Ship Safety Radio (Form R)
(Official seal) (State)
Issued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE
AT SEA, 1974, as modified by the Protocol of 1988 relating thereto
under the authority of the Government of
_____________________________________________________________ (name of the State)
by ____________________________________________________________________ (person or organization authorized)
Part icu la rs of sh ip 1
Name of ship ...................................................................................................................................
Distinctive number or letters ...........................................................................................................
Port of registry .................................................................................................................................
Gross tonnage ................................................................................................................................
Sea areas in which ship is certified to operate (regulation IV/2) .....................................................
IMO Number 2
.......................................................................................................................................
Date on which keel was laid or ship was at a similar stage of construction or,where applicable, date on which work for a conversion or an alteration or modification of a major character was commenced ......................................................................
1Alternatively, the particulars of the ship may be placed horizontally in boxes.
2 In accordance with the IMO ship identification number scheme, adopted by the Organization by resolution A.600(15).
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MSC 91/22/Add.1 Annex 8, page 18
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THIS IS TO CERTIFY :
1 That the ship has been surveyed in accordance with the requirements of regulation I/9 of theConvention.
2 That the survey showed that:
2.1 the ship complied with the requirements of the Convention as regards radio installations;
2.2 the functioning of the radio installations used in life-saving appliances complied with therequirements of the Convention.
3 That an Exemption Certificate has/has not3
been issued.
This cer t i f icate is val id unt i l ………………………………………………………….
4subject to the
periodical surveys in accordance with regulation I/9 of the Convention.
Completion date of the survey on which this certificate is based:…..……… (dd/mm/yyyy)
Issued at ..............................................................................................................................................(Place of issue of certificate)
……………………………………….. ……………………………………………………………. (Date of issue) (Signature of authorized official issuing the certificate)
(Seal or stamp of the issuing authority, as appropriate)
3Delete as appropriate.
4 Insert the date of expiry as specified by the Administration in accordance with regulation I/14(a) of the Convention.The day and the month of this date correspond to the anniversary date as defined in regulation I/2(n) of theConvention, unless amended in accordance with regulation I/14(h).
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MSC 91/22/Add.1 Annex 8, page 19
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Endorsement for per iodical surveys
THIS IS TO CERTIFY that, at a survey required by regulation I/9 of the Convention, the ship wasfound to comply with the relevant requirements of the Convention.
Periodical survey: Signed: ..................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Periodical survey: Signed: ..................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Periodical survey: Signed: ..................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Periodical survey: Signed: ..................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Periodical sur vey in accor dance with regu lat ion I/14(h)( i i i )
THIS IS TO CERTIFY that, at a periodical survey in accordance with regulation I/14(h)(iii) of theConvention, the ship was found to comply with the relevant requirements of the Conventio n.
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
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Endors ement to extend the certificate if valid for less than 5 years where regulation l/14(c) ap pl ies
The ship complies with the relevant requirements of the Convention, and this certificate shall, inaccordance with regulation I/14(c) of the Convention, be accepted as valid until ...........................
Signed: ..................................................................................................(Signature of authorized official)Place: ................................................................................................................Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Endorsement w here the renewal survey h as been co mple ted and regu la t ion I/14(d) app l ies
The ship complies with the relevant requirements of the Convention, and this certificate shall, inaccordance with regulation I/14(d) of the Convention, be accepted as valid until ............... ………..
Signed: ..................................................................................................
(Signature of authorized official)Place: ................................................................................................................Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Endorsement to extend the val id i ty of the cer t i f icate unt i l reaching th e port of s urvey or for a
per iod of grace where regulat i on I /14(e) or I /14( f ) appl ies
The certificate shall, in accordance with regulation I/14(e)/I/14(f)3
of the Convention, be accepted asvalid until .............................................
Signed: ..................................................................................................(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................(Seal or stamp of the authority, as appropriate)
Endo rsement fo r advancement o f anniversary date wh ere regulat ion I/14(h) applies
In accordance with regulation I/14(h) of the Convention, the new anniversary date is
…………………………………………………………………………………………….. Signed: .............................................................................................................
(Signature of authorized official)Place: ................................................................................................................Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
In accordance with regulation I/14(h) of the Convention, the new anniversary date is……………………………………………………………………………………………..
Signed: .............................................................................................................(Signature of authorized official)
Place: ................................................................................................................Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
3Delete as appropriate.
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FORM OF SAFETY CERTIFICATE FOR CARGO SHIPS
CARGO SHIP SAFETY CERTIFICATE
This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety (Form C)
(Official seal) (State)
Issued under the provisions of the
INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE
AT SEA, 1974, as modified by the Protocol of 1988 relating thereto
under the authority of the Government of
_______________________________________________________ (name of the State)
by _______________________________________________________________ (person or organization authorized)
Part icu lars of ship 1
Name of ship ...................................................................................................................................Distinctive number or letters ...........................................................................................................Port of registry ................................................................................................................................Gross tonnage ................................................................................................................................Deadweight of ship (metric tons)
2...................................................................................................
Length of ship (regulation III/3.12) .....................................................................................................Sea areas in which ship is certified to operate (regulation IV/2) .....................................................IMO Number
3..................................................................................................................................
Type of ship4
Bulk carrier Oil tanker Chemical tanker Gas carrier Cargo ship other than any of the above
Date of build:Date of building contract ...........................................................................................................Date on which keel was laid or ship was at similar stage of construction .................................Date of delivery .......................................................................................................................Date on which work for a conversion or an alteration or modification of a major character was commenced (where applicable) ......................................................................................
All applicable dates shall be completed.
1 Alternatively, the particulars of the ship may be placed horizontally in boxes.
2
For oil tankers, chemical tankers and gas carriers only.3 In accordance with the IMO ship identification number scheme, adopted by the Organization by resolution A.600(15).4
Delete as appropriate.
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THIS IS TO CERTIFY:
1 That the ship has been surveyed in accordance with the requirements of regulations I/8, I/9and I/10 of the Convention.
2 That the survey showed that:
2.1 the condition of the structure, machinery and equipment as defined in regulation I/10 wassatisfactory and the ship complied with the relevant requirements of chapter II-1 andchapter II-2 of the Convention (other than those relating to fire safety systems andappliances and fire control plans);
2.2 the last two inspections of the outside of the ship 's bottom took place on ….…………and
…………………… (dates)
2.3 the ship complied with the requirements of the Convention as regards fire safety systemsand appliances and fire control plans;
2.4 the life-saving appliances and the equipment of the lifeboats, liferafts and rescueboats were provided in accordance with the requirements of the Convention;
2.5 the ship was provided with a line-throwing appliance and radio installations used inlife-saving appliances in accordance with the requirements of the Convention;
2.6 the ship complied with the requirements of the Convention as regards radio installations;
2.7 the functioning of the radio installations used in life-saving appliances complied with therequirements of the Convention;
2.8 the ship complied with the requirements of the Convention as regards shipbornenavigational equipment, means of embarkation for pilots and nautical publications;
2.9 the ship was provided with lights, shapes, means of making sound signals and distresssignals in accordance with the requirements of the Convention and the InternationalRegulations for Preventing Collisions at Sea in force;
2.10 in all other respects the ship complied with the relevant requirements of the Convention;
2.11 the ship was/was not4
subjected to an alternative design and arrangements in pursuance of regulation(s) II-1/55 / II-2/17 / III/38
4of the Convention;
2. 12 a Document of approval of alternative design and arrangements for machinery andelectrical installations/fire protection/life-saving appliances and arrangements
4is/is
not4
appended to this Certificate.
3 That the ship operates in accordance with regulation III/26.1.1.15
within the limits of the trade area…………………………
4 That an Exemption Certificate has/has not4
been issued.
4Delete as appropriate.
5Refer to the 1983 amendments to SOLAS (MSC.6(48)), applicable to ships constructed on or after 1 July 1986, butbefore 1 July 1998 in the case of self-righting partially enclosed lifeboat(s) on board.
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This cert i f icate is valid unti l …………………………………….6
subject to the annual, intermediate
and periodical surveys and inspections of the outside of the ship 's bottom in accordance with
regulations I/8, I/9 and I/10 of the Convention.
Completion date of the survey on which this certificate is based: ……………………... (dd/mm/yyyy)
Issued at ................................................................................................................................
(Place of issue of certificate)
………………..………………… ………………………………………………………..
(Date of issue) (Signature of authorized official issuing the certificate)
(Seal or stamp of the issuing authority, as appropriate)
6Insert the date of expiry as specified by the Administration in accordance with regulation I/14(a) of the Convention.The day and the month of this date correspond to the anniversary date as defined in regulation l/2(n) of theConvention, unless amended in accordance with regulation I/14(h).
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Endorsement for annual and intermediate surveys relat ing to structure, machinery and
equ ipment re fer red to in paragr aph 2.1 of th i s c er t i f i c a te
THIS IS TO CERTIFY that, at a survey required by regulation I/10 of the Convention, the ship wasfound to comply with the relevant requirements of the Convention.
Annual survey: Signed: ..................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Annual/Intermediate4
survey: Signed: .....................................................................................
(Signature of authorized official)
Place: ................................................................................................................Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Annual/Intermediate4
survey: Signed: .....................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Annual survey: Signed: ..................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
An nual/ intermediate survey in acco rdanc e with regulat ion I/14(h)(i i i )
THIS IS TO CERTIFY that, at an annual/intermediate4
survey in accordance with regulations I/10and I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.
Signed: ..................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
4Delete as appropriate.
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Endorsement for inspect ions of the outs ide of the ship 's bo t tom 7
THIS IS TO CERTIFY that, at an inspection required by regulation I/10 of the Convention, the shipwas found to comply with the relevant requirements of the Convention.
First inspection: Signed: .........................................................................................(Signature of authorized official)Place: ...........................................................................................Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)Second inspection: Signed: .........................................................................................
(Signature of authorized official)Place: ...........................................................................................Date: .............................................................................................
(Seal or stamp of the authority as appropriate)
Endorsement for annu al and per iodical surveys relat ing to l i fe-saving appl iances and o ther
equipment referred to in parag raph s 2.3, 2.4, 2.5, 2.8 and 2.9 of th i s c er t i f ic ate
THIS IS TO CERTIFY that, at a survey required by regulation I/8 of the Convention, the ship wasfound to comply with the relevant requirements of the Convention.
Annual survey: Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Annual/Periodical4 survey: Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Annual/Periodical4
survey: Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Annual survey: Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
4 Delete as appropriate.
7Provision may be made for additional inspections.
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An nual/periodical surv ey in accordanc e with regulat ion I/14(h)( i i i )
THIS IS TO CERTIFY that, at an annual/periodical4
survey in accordance with regulations I/8and I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of theConvention.
Signed: .............................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Endo rsement for periodic al surv eys relat ing to radio instal lat ion s referred to in paragraphs 2.6
and 2.7 of this cert i f icate
THIS IS TO CERTIFY that, at a survey required by regulation I/9 of the Convention, the ship was
found to comply with the relevant requirements of the Convention.Periodical survey: Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Periodical survey: Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Periodical survey: Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Periodical survey: Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate
4Delete as appropriate.
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Periodical sur vey in accor dance with regu lat ion I/14(h)( i i i )
THIS IS TO CERTIFY that, at a periodical survey in accordance with regulations I/9 and I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.
Signed: .........................................................................................
(Signature of authorized official)
Place: ...........................................................................................
Date: .............................................................................................
(Seal or stamp of the authority, as appropriate)
Endo rsement to extend the cert i f icate if valid for less th an 5 years where regulat ion l/14(c)
applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, in
accordance with regulation I/14(c) of the Convention, be accepted as valid until .............................
Signed: .............................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Endo rsement w here the renewal surv ey has been com pleted and regulat ion I/14(d) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, inaccordance with regulation I/14(d) of the Convention, be accepted as valid until ........ ........ ......... ..
Signed: .............................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Endorsement to extend the val id i ty of the cer t i f icate unt i l reaching th e port of s urvey or for a
period of grace where regu lat ion I/14(e) or l/14(f) app lies
The certificate shall, in accordance with regulation l/14(e)/l/14(f)4
of the Convention, be accepted asvalid until .............................................
Signed: .............................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
4Delete as appropriate.
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Endo rsement fo r advancement o f anniversary d ate where regulat io n I/14(h) applies
In accordance with regulation I/14(h) of the Convention, the new anniversary date is………………………………………………………
Signed: .............................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
In accordance with regulation I/14(h) of the Convention, the new anniversary date is………………………………………………………
Signed: .............................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
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FORM OF EXEMPTION CERTIFICATE
EXEMPTION CERTIFICATE
(Official seal) (State)
Issued under the provisions of theINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE
AT SEA, 1974, as modified by the Protocol of 1988 relating thereto
under the authority of the Government of
__________________________________________________________(name of the State)
by __________________________________________________________
(person or organization authorized)
Part icu lars of ship 1
Name of ship ...................................................................................................................................
Distinctive number or letters ...........................................................................................................
Port of registry ................................................................................................................................
Gross tonnage ................................................................................................................................
IMO Number 2...................................................................................................................................
1 Alternatively, the particulars of the ship may be placed horizontally in boxes.2 In accordance with the IMO ship identification number scheme, adopted by the Organization by resolution A.600(15).
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THIS IS TO CERTIFY:
That the ship is, under the authority conferred by regulation ……………………………………….of the Convention, exempted from the requirements…………………..…………………………………... of the Convention.
Conditions, if any, on which the Exemption Certificate is granted: .....................................................
…………………………………………………………………………………………………
Voyages, if any, for which the Exemption Certificate is granted: …………………………………………
.............................................................................................................................................................
.............................................................................................................................................................
This cer t i f i ca te is va l id u nt i l .................................................................................................. subject
to the ……………………………………………………………………………………. Certificate, to whichthis certificate is attached, remaining valid.
Issued at ...............................................................................................................................................
(Place of issue of certificate)
………………………………. ……………………………………………………………………………………..
(Date of issue) (Signature of authorized official issuing the cert ificate)
(Seal or stamp of the issuing authority, as appropriate)
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Endorsement to extend the certificate if valid for less than 5 years where regulation l/14(c) applies This certificate shall, in accordance with regulation I/14(c) of the Convention, be accepted as validuntil .....................................................................................................................................................subject to the ................................................................................................. Certif icate, to which this
certificate is attached, remaining valid.
Signed: .............................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Endo rsement w here the renewal su rvey has been com pleted and regulat ion I/14(d) applies
This certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as validuntil .....................................................................................................................................................subject to the ................................................................................................. Certif icate, to which thiscertificate is attached, remaining valid.
Signed: .............................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
Endorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where regulation I/14(e) or I/14(f) applies
This certificate shall, in accordance with regulation I/14(e)/l/14(f)3
of the Convention, be accepted as validuntil ...................................................................................................................................................................subject to the ................................................................................................. Certif icate, to which thiscertificate is attached, remaining valid.
Signed: .............................................................................................................
(Signature of authorized official)
Place: ................................................................................................................
Date: ...........................................................................................................
(Seal or stamp of the authority, as appropriate)
***
3