Place: _________________ Date: __________________
Seal maritime
administration: ____________________
(Signature of authorized official)
___________________________________________________________________________________
Annual/Periodical survey2/:
Place: __________________ Date: __________________
Seal maritime
administration: ____________________
(Signature of authorized official)
___________________________________________________________________________________
Annual/Periodical survey2/:
Place: __________________ Date: __________________
Seal maritime
administration: ____________________
(Signature of authorized official)
*2/ Delete as appropriate.
*3/ Refer to the 1983 amendments to SOLAS (MSC.6(48)), applicable to ships constructed on or after 1 July 1986, but before 1 July 1986 in the case of
self-riging partially enclosed lifeboat on board.
*4/ Insert the date of expire as specified by the Administration in accordance with regulation I/14(a) of the Convention. The day and month of this date correspond to the anniversary date, as defined in regulation I/2 of the Convention, unless amended in accordance with regulation I/14(h).
Annual survey:
Place: __________________ Date: __________________
Seal maritime
administration: ____________________
(Signature of authorized official).
Annual/periodical survey in accordance with regulation I/14(h)(iii)
THIS IS TO CERTIFY that, at an annual /periodical3/ 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.
Place ___________________ Date: _____________________
Seal maritime
administration: ____________________
(Signature of authorized official)
Endorsement 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, in accordance with regulation I/14(c) of the Convention, be accepted as valid until _______________________________
Place ___________________ Date: _____________________
Seal maritime
administration: ____________________
(Signature of authorized official)
Endorsement where the renewal survey has been completed and regulation I/14(d) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until __________________________________ Place ___________________ Date: ______________________
Seal maritime
administration: ____________________
(Signature of authorized official)
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) / I/14(f)3/ of the Convention, be accepted
as valid until ________________________
Place ___________________ Date: ______________________
Seal maritime
administration: ____________________
(Signature of authorized official)
_______________________
*2/ Delete as appropriate.
Endorsement for advancement of anniversary date where regulation I/14(h) applies
In accordance with regulation I/14(h) of the Convention, the new anniversary date is ________________
Place ___________________ Date: ________________________
Seal maritime
administration: ____________________
(Signature of authorized official)
In accordance with regulation I/14(h) of the Convention, the new anniversary date is ________________
Place ___________________ Date: ________________________
Seal maritime
administration: ____________________
(Signature of authorized official)
Приложение № 16а към чл. 28, ал. 5
RECORD OF EQUIPMENT FOR CARGO SHIP SAFETY (FORM E)
Record of Equipment for compliance with THE INTERNATIONAL CONVENTION FOR
SAFETY OF LIFE AT SEA, 1974, as amended
1. PARTICULARS OF SHIP:
Name of ship
Distinctive number or letters
2. DETAILS OF LIFE-SAVING APPLIANCES
1.
|
Total number of persons for which life-saving appliances are provided
|
|
|
|
|
Port side
|
Starboard side
|
|
2.
|
Total number of lifeboats
|
|
|
|
2.1.
|
Total number of persons accommodated by them
|
|
|
|
2.2.
|
Number of self-righting partially enclosed lifeboats ( reg. III/43 *1)
|
|
|
|
2.3.
|
Number of totally enclosed lifeboats ( reg.III/31 and LSA Code, section 4.6)
|
|
|
|
2.4.
|
Number of lifeboats with a self-contained air support system (reg. III/31 and LSA Code section 4.8)
|
|
|
|
2.5.
|
Number of fire-protected lifeboats (reg. III/31 and LSA Code, section 4.9)
|
|
|
|
2.6.
|
Other lifeboats
|
|
|
|
2.6.1
|
Number
|
|
|
|
2.6.2
|
Type
|
|
|
|
2.7.
|
Number of free-fall lifeboats
|
|
|
2.7.1
|
Totally enclosed (regulation III / 31 and LSA Code, section 4.7)
|
|
|
2.7.2
|
Self contained (regulation III / 31 and LSA Code, section 4.8)
|
|
|
2.7.3
|
Fire-protected (regulation III / 31 and LSA Code, section 4.9)
|
|
|
3
|
Number of motor lifeboats (included in the total lifeboats shown above)
|
|
|
3.1.
|
Number of lifeboats fitted with searchlights
|
|
|
4
|
Number of rescue boats
|
|
|
4.1.
|
Number of boats which are included in the total lifeboats shown above
|
|
|
5
|
Liferafts
|
|
|
5.1.
|
Those fore which approved launching appliances are required
|
|
|
5.1.1
|
Number of liferafts
|
|
|
5.1.2
|
Number of persons accommodated by them
|
|
|
5.2.
|
Those for which approved launching appliances are not required
|
|
|
5.2.1
|
Number of liferafts
|
|
|
5.2.2
|
Number of persons accommodated by them
|
|
|
5.3.
|
Number of liferafts required by regulation III / 31.1.4
|
|
|
6
|
Number of lifebuoys
|
|
|
7
|
Number of lifejackets
|
|
|
8
|
Immersion suits
|
|
|
8.1.
|
Total number
|
|
|
8.2.
|
Number of suits complying with the requirements for lifejackets
|
|
|
9
|
Number of anti-exposure suits
|
|
|
10
|
Radio installations used in life-saving appliances
|
|
|
10.1
|
Number of search and rescue locating devices
|
|
|
10.1.1
|
Radar search and rescue transponders (SART)
|
|
|
10.1.2
|
AIS search and rescue transmitters (AIS-SART)
|
|
|
10.2
|
Number of two-way VHF radiotelephone apparatus
|
|
| 3. DETAILS OF NAVIGATIONAL SYSTEMS AND EQUIPMENT:
|
|
|
Item
|
Actual provision
|
1.1
|
Standard magnetic compass *2
|
|
1.2
|
Spare magnetic compass *2
|
|
1.3
|
Gyro-compass *2
|
|
1.4
|
Gyro-compass heading repeater *2
|
|
1.5
|
Gyro-compass bearing repeater *2
|
|
1.6
|
Heading or track control system *2
|
|
1.7
|
Pelorus or compass bearing device *2
|
|
1.8
|
Means of correcting heading and bearings
|
|
1.9
|
Transmitting heading device (THD) *2
|
|
2.1
|
Nautical charts / Electronic chart display and information system (ECDIS) *3
|
|
2.2
|
Back-up arrangement for ECDIS
|
|
2.3
|
Nautical publications
|
|
2.4
|
Back-up arrangements for electronic nautical publications
|
|
3.1
|
Receiver for a global navigation satellite system / terrestrial radionavigation system*2, *3
syste;
|
|
3.2
|
9 GHz radar *2
|
|
3.3
|
Second radar (3 GHz or 9 GHz *3)*2
|
|
3.4
|
Automatic radar plotting aid (ARPA) *2
|
|
3.5
|
Automatic tracking aid *2
|
|
3.6
|
Second automatic tracking aid *2
|
|
3.7
|
Electronic plotting aid *2
|
|
4.1
|
Automatic identification system (AIS)
|
|
4.2
|
Long-range identification and tracking system
|
|
5.1
|
Voyage data recorder (VDR) *3
|
|
5.2
|
Simplified voyage data recorder (S-VDR) *3
|
|
6.1
|
Speed and distance measuring device (through the water) *2
|
|
6.2
|
Speed and distance measuring device (over the ground in the forward and athwartships
|
|
|
direction ) *2
|
|
7
|
Echo-sounding device*2
|
|
8.1
|
Rudder, propeller, thrust, pitch and operational mode indicator*2
|
|
8.2
|
Rate-of-turn indicator*2
|
|
9
|
Sound reception system*2
|
|
10
|
Telephone to emergency steering position*2
|
|
11
|
Daylight signalling lamp*2
|
|
12
|
Radar reflector*2
|
|
13
|
International Code of Signals
|
|
14
|
IAMSAR Manual, Volume III
|
|
15
|
Bridge navigational watch alarm system (BNWAS)
|
|
Issued at ......................... on the...................day of …………............., 20..
No
MARITIME
Seal ADMINISTRATION: ____________________________
(Signature of duly authorized official
issuing the Record)
______________________________________
*1 Refer to the 1983 amendments to SOLAS (MSC.6(48)), applicable to ships constructed on or after 1 July 1986, but before 1 July 1998
*2 Alternative means of meeting this requirement are permitted under regulation V /19. In case of other means, they shall be specified.
*3 Delete as appropriate
§ 57. Приложения № 17 и 17а към чл. 29, ал. 1 и 4 се изменят така:
Приложение № 17 към чл. 29, ал. 1
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