1.1 That the ship has been surveyed in accordance with the provisions of section 1.5 of the Code;
.2 that the survey showed that the structure, equipment, fittings, arrangements and materials of the ship and the conditions thereof are in all respects satisfactory and that the ship complies with the relevant provisions of the Code.
2 That the following design criteria have been used:
.1 ambient air temperature ....................... °C
.2 ambient water temperature .................. °C
.3
Tank type and
number
Stress factors
Materials
MARVS
A
B
C
D
Cargo piping
NB: Tank numbers referred to in this list are identified on attachment 2, signed and dated tank plan.
.4 Mechanical properties of the cargo tank material were determined at …….. °C
3 That the ship is suitable for the carriage in bulk of the following products, provided that all relevant operational provisions of the Code are observed.
UN Number
Products
Conditions of carriage (tank number, etc.)
Continued on attachment 1, additional signed and dated sheets. Tank numbers referred to in this list are identified on attachment 2, signed and dated tank plan.
4 That in accordance with 1.4/2.8.2*, the provisions of the Code are modified in respect of the ship in the following manner: --
5 That the ship must be loaded:
.1 in accordance with the loading conditions provided in the approved loading manual, stamped
and dated ………. and signed by a responsible officer of the Administration, or of an
organization recognized by the Administration;*
.2 in accordance with the loading limitations appended to this Certificate.*
Where it is required to load the ship other than in accordance with the above instruction, then the necessary calculations to justify the proposed loading conditions should be communicated to the certifying Administration who may authorize in writing the adoption of the proposed loading condition.
This Certificate is valid until: ……………………….
subject to surveys in accordance with 1.5 of the Code.
Completion date of survey on which this Certificate is based: ……………………
(Signature of authorized official issuing the certificate)
Notes on completion of Certificate:
1. "Ship type": any entry under this line must be related to all relevant recommendations, e.g. an entry "Type 2G" should mean type 2G in all respects prescribed by the Code.
2. Paragraphs 2.1 and 2.2: the ambient temperatures accepted or required by the Administration for the purposes of 4.8.1 of the Code to be inserted.
3. Paragraph 2.3: stress factors and materials as accepted or required by the Administration for the purposes of 4.5.1.4 and 4.5.1.6 of the Code to be inserted.
4. Paragraph 2.4: temperature accepted by the Administration for the purposes of 4.5.1.7 to be inserted.
5. Paragraph 3: only products listed in chapter 19 of the Code or which have been evaluated by the Administration in accordance with paragraph .1.6 of the Code or their compatible mixtures having physical properties within the limitations of tank design should be listed. In respect of the latter "new" products, only special requirements provisionally prescribed should be noted.
____________________
*Delete as appropriate.
ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS
THIS IS TO CERTIFY that, at survey required by 1.5.2 of the Code the ship was found to comply with the relevant provisions of the Code:
Annual Survey Place __________________________ Date ____________________
Annual / Intermediate survey in accordance with 1.5.6.8.3.
THIS IS TO CERTIFY that, at an annual/intermediate*1/ survey in accordance with 1.5.6.8.3 of the Code, the ship was found to comply with the relevant provisions of the Code.
Place __________________________ Date _______________________
Endorsement to extend the Certificate if valid for less than 5 years where 1.5.6.3 applies.
The ship complies with the relevant provisions of the Code, and this Certificate should, in accordance with 1.5.6.3 of the Code, be accepted as valid until: ___________________________________________________________________
Place __________________________ Date ______________________
Seal MARITIME
ADMINISTRATION: _________________________________
(Signature of authorized official)
Endorsement where the renewal survey has been completed and 1.5.6.4. applies.
The ship complies with the relevant provisions of the Code, and this Certificate should, in accordance with 1.5.6.4. of the Code, be accepted as valid until:
Place __________________________ Date _______________________
Design waterline corresponding to a height of ............................... Below the reference line at the longitudinal centre of flotation, and draughts at draught marks of .......................... forward and aft.
The upper edge if the reference line is ....... at (........ mm. below uppermost deck at side)*/2 (...... mm. above the underside of keel) */2 at the longitudinal centre of flotation.
Category ...............................................category A passenger craft / category B passenger craft/cargo craft */2
Craft type air-cushion vehicle/surface-effect ship/hydrofoil/monohull/multihull/other (give detail …..………..
…………………………………………………………………………………………………………..)*/2
THIS IS TO CERTIFY:
1 That the above-mentioned craft has been duly surveyed in accordance with the applicable provisions of the International Code of Safety for High-Speed Craft, 2000.
2 That the survey showed that the structure, equipment, fittings, radio station arrangements and materials of the craft and the condition thereof are in all respects satisfactory and that the craft complies with the relevant provisions of the Code.
3 That the life-saving appliances are provided for a total number of ........ persons and no more as follows:
……………………………………………………………………………………………………………….….
…………………………………………………………………………………………………………………..
4 That, in accordance with 1.11 of the Code, the following equivalents have been granted in respect of the craft:
ENDORSEMENT TO EXTEND THE CERTIFICATE IF VALID FOR LESS THAN 5 YEARS WHERE 1.8.8 OF THE CODE APPLIES
This craft complies with the relevant requirements of the Code, and this Certificate shall, in accordance with 1.8.8 of the Code, be accepted as valid until: ..................................
Place .................................. Date ....................................... 20.....
ENDORSEMENT WHERE THE RENEWAL SURVEY HAS BEEN COMPLETED AND 1.8.9 OF THE CODE APPLIES
This craft complies with the relevant requirements of the Code, and this Certificate shall, in accordance with 1.8.9 of the Code, be accepted as valid until: .......................................
Place .................................. Date ....................................... 20.....
