PASSENGER SHIP SAFETY CERTIFICATE
This Certificate shall be
supplemented
by a Record of Equipment(Form P)
(Official
seal)
(State)
an
for -------- *
international voyage
short
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)
Particulars of ship2
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 Number3
..................................................
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 .................................................
THIS IS TO CERTIFY:
1 That the ship has been surveyed in accordance
with the requirements of regulation 1/7 of the Convention.
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;
_________
1 Delete as appropriate.
2 Alternatively, the
particulars of the ship may be placed horizontally in boxes.
3 In accordance with
resolution A.600(15) - IMO Ship Identification Number Scheme, this
information may be included voluntarily.
.3 the following subdivision
load lines:
Subdivision
load lines assigned and marked on the ship's side at amldshlp (regulation
II-1/13)
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Freeboard
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To apply when
the spaces in which passengers are carried Include the following
alternative spaces
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C.1
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C.2
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C.3
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2.2 the ship complied with the requirements of the
Convention as regards structural fire protection, fire safety systems and
appliances and fire control plans;
2.3 the life-saving appliances and the equipment
of lifeboats, liferafts and rescue boats were provided in accordance with the
requirements of the Convention;
2.4 the ship was provided with a line-throwing
appliances and radio installations used in life-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 the requirements of the
Convention;
2.7 the ship complied with the requirements of the
Convention as regards shipborne navigational equipment, means of embarkation
for pilots and nautical publications;
2.8 the ship was provided with lights, shapes,
means of making sound signals and distress signals in accordance with the
requirements of the Convention and the International Regulations for
Preventing Collisions at Sea in force;
2.9 in all other respects the ship complied with
the relevant requirements of the Convention.
3 That an Exemption Certificate has/has not1
been issued.
This certificate is valid until
....................................
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)
_____________
1 Delete as appropriate.
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
..............................
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) /1/14(f)1 of the Convention, be accepted as
valid until.
Signed:
.......................................................
(Signature
of authorized official)
Place:
.........................................................
Date:
..........................................................
(Seal
or stamp of the authority, as appropriate)
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