Appendix I – Form of International Air Pollution Prevention (IAPP) Certificate (Regulation 8)
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Statutory Documents - IMO Publications and Documents - International Conventions - MARPOL - International Convention for the Prevention of Pollution from Ships - Annex VI - Regulations for the Prevention of Air Pollution from Ships - Appendix I – Form of International Air Pollution Prevention (IAPP) Certificate (Regulation 8)

Appendix I – Form of International Air Pollution Prevention (IAPP) Certificate (Regulation 8)

International Air Pollution Prevention Certificate

Issued under the provisions of the Protocol of 1997, as amended, to amend the International Convention for the Prevention of Pollution from Ships, 1973, as modified by the Protocol of 1978 relating thereto (hereinafter referred to as “the Convention”) under the authority of the Government of:
   
...................................................................................................................................................................................................
(full designation of the country)
   
by ..............................................................................................................................................................................................
(full designation of the competent person or organization authorized under the provisions of the Convention)
   
Particulars of shipfootnote  
Name of ship ............................................................................................................................................................................
IMO Number footnote.....................................................................................................................
Distinctive number or letters ....................................................................................................................................................
Port of registry ..........................................................................................................................................................................
Gross tonnage ..........................................................................................................................................................................
THIS IS TO CERTIFY:  

1 That the ship has been surveyed in accordance with regulation 5 of Annex VI of the Convention; and

2 That the survey shows that the equipment, systems, fittings, arrangements and material fully comply with the applicable requirements of Annex VI of the Convention.

   
This Certificate is valid until (dd/mm/yyyy)footnote ..........................................................................................
subject to surveys in accordance with regulation 5 of Annex VI 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 (dd/mm/yyyy) ............................................................. .............................................................
(date of issue) (signature of duly authorized official issuing the Certificate)
   
(seal or stamp of the authority, as appropriate)
   
ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS
THIS IS TO CERTIFY that, at a survey required by regulation 5 of Annex VI of the Convention, the ship was found to comply with the relevant provisions of that Annex:
Annual survey: Signed ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(seal or stamp of the authority, as appropriate)
Annual/Intermediatefootnote survey: Signed ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(seal or stamp of the authority, as appropriate)
Annual/Intermediatefootnote survey: Signed ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(seal or stamp of the authority, as appropriate)
Annual survey: Signed ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(seal or stamp of the authority, as appropriate)
   
ANNUAL/INTERMEDIATE SURVEY IN ACCORDANCE WITH REGULATION 9.8.3
THIS IS TO CERTIFY that, at an annual/intermediatefootnote survey in accordance with regulation 9.8.3 of Annex VI of the Convention, the ship was found to comply with the relevant provisions of that Annex:
  Signed ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(seal or stamp of the authority, as appropriate)
ENDORSEMENT TO EXTEND THE CERTIFICATE IF VALID FOR LESS THAN FIVE YEARS WHERE REGULATION 9.3 APPLIES
The ship complies with the relevant provisions of the Annex, and this Certificate shall, in accordance with regulation 9.3 of Annex VI of the Convention, be accepted as valid until (dd/mm/yyyy) ................................................................................
  Signed. ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(seal or stamp of the authority, as appropriate)
ENDORSEMENT WHERE THE RENEWAL SURVEY HAS BEEN COMPLETED AND REGULATION 9.4 APPLIES
The ship complies with the relevant provisions of the Annex, and this Certificate shall, in accordance with regulation 9.4 of Annex VI of the Convention, be accepted as valid until (dd/mm/yyyy).................................................................................
  Signed. ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(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 9.5 OR 9.6 APPLIES
This certificate shall, in accordance with regulation 9.5 or 9.6footnote of Annex VI of the Convention, be accepted as valid until (dd/mm/yyyy)..............................................................................................................
  Signed ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(seal or stamp of the authority, as appropriate)
ENDORSEMENT FOR ADVANCEMENT OF ANNIVERSARY DATE WHERE REGULATION 9.8 APPLIES
In accordance with regulation 9.8 of Annex VI of the Convention, the new anniversary date is (dd/mm/yyyy) .............................................
  Signed ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(seal or stamp of the authority, as appropriate)
In accordance with regulation 9.8 of Annex VI of the Convention, the new anniversary date is (dd/mm/yyyy) ......................................................................
  Signed ..................................................................................
  (signature of duly authorized official)
  Place ....................................................................................
  Date (dd/mm/yyyy) ..............................................................
(seal or stamp of the authority, as appropriate)
   
SUPPLEMENT TO INTERNATIONAL AIR POLLUTION PREVENTION CERTIFICATE (IAPP CERTIFICATE)
Record of Construction and Equipment
       
  Notes:  
  1 This Record shall be permanently attached to the IAPP Certificate. The IAPP Certificate shall be available on board the ship at all times.  
  2 The Record shall be at least in English, French or Spanish. If an official language of the issuing country is also used, this shall prevail in case of a dispute or discrepancy.  
  3 Entries in boxes shall be made by inserting either a cross (x) for the answer “yes” and “applicable” or a (-) for the answers “no” and “not applicable” as appropriate.  
  4 Unless otherwise stated, regulations mentioned in this Record refer to regulations of Annex VI of the Convention and resolutions or circulars refer to those adopted by the International Maritime Organization.  
       
1 Particulars of ship
1.1 Name of ship ..........................................................................................................................................................................................
1.2 IMO number ...........................................................................................................................................................................................
1.3 Date on which keel was laid or ship was at a similar stage of construction (dd/mm/yyyy) .........................................................................................
1.4 Length (L)footnote metres ...............................................................................................................................................................................
2 Control of emissions from ships
2.1 Ozone depleting substances (regulation 12)
2.1.1 The following fire-extinguishing systems, other systems and equipment containing ozone-depleting substances, other than hydrochlorofluorocarbons (HCFCs), installed before 19 May 2005 may continue in service:
               
  System or equipment Location on board Substance  
         
         
         
               
2.1.2 The following systems containing HCFCs installed before 1 January 2020 may continue in service:
               
  System or equipment Location on board Substance  
         
         
         
               
2.2 Nitrogen oxides (NOx) (regulation 13)
2.2.1 The following marine diesel engines installed on this ship are in accordance with the requirements of regulation 13, as indicated:
Applicable regulation of MARPOL Annex VI
(NTC = NOX Technical Code 2008)
(AM = Approved Method) 		Engine
#1 		Engine
#2 		Engine
#3 		Engine
#4 		Engine
#5
1 Manufacturer and model          
2 Serial number          
3 Use (applicable application cycle(s) – NTC 3.2)          
4 Rated power (kW) (NTC 1.3.11)          
5 Rated speed (RPM) (NTC 1.3.12)          
6 Identical engine installed ≥ 1/1/2000 exempted by 13.1.1.2
7 Identical engine installation date (dd/mm/yyyy) as per 13.1.1.2          
8a Major Conversion
(dd/mm/yyyy) 		13.2.1.1 & 13.2.2          
8b 13.2.1.2 & 13.2.3          
8c 13.2.1.3 & 13.2.3          
9a Tier I 13.3
9b 13.2.2
9c 13.2.3.1
9d 13.2.3.2
9e 13.7.1.2
10a Tier II 13.4
10b 13.2.2
10c 13.2.2 (Tier III not possible)
10d 13.2.3.2
10e 13.5.2 (Exemptions)
10f 13.7.1.2
11a NOx Tier III Emission Control Areas 13.5.1.1
11b 13.2.2
11c 13.2.3.2
11d 13.7.1.2
12 AMfootnote installed
13 not commercially available at this survey
14 not applicable
2.3 Sulphur oxides (SOx) and particulate matter (regulation 14)
2.3.1 When the ship operates outside of an emission control area specified in regulation 14.3, the ship uses:
  .1 fuel oil with a sulphur content as documented by bunker delivery notes that does not exceed the limit value of 0.50% m/m, and/or……………………………………………………………...................
  .2 an equivalent arrangement approved in accordance with regulation 4.1 as listed in paragraph 2.6 that is at least as effective in terms of SOX emission reductions as compared to using a fuel oil with a sulphur content limit value of 0.50% m/m……………………………………………………………...................
2.3.2 When the ship operates inside an emission control area specified in regulation 14.3, the ship uses:
  .1 fuel oil with a sulphur content as documented by bunker delivery notes that does not exceed the limit value of 0.10% m/m, and/or……………………………………………………………...................
  .2 an equivalent arrangement approved in accordance with regulation 4.1 as listed in paragraph 2.6 that is at least as effective in terms of SOX emission reductions as compared to using a fuel oil with a sulphur content limit value of 0.10% m/m……………………………………………………………...................
2.3.3 For a ship without an equivalent arrangement approved in accordance with regulation 4.1 as listed in paragraph 2.6, the sulphur content of fuel oil carried for use on board the ship shall not exceed 0.50% m/m as documented by bunker delivery notes……………………………………………………………...................
2.3.4 The ship is fitted with designated sampling point(s) in accordance with regulation 14.10 or 14.11.........................................................................................  
2.3.5 In accordance with regulation 14.12, the requirement for fitting or designating sampling point(s) in accordance with regulation 14.10 or 14.11 is not applicable for a fuel oil service system for a low-flashpoint fuel for combustion purposes for propulsion or operation on board the ship ..…………….........……………….............................  
2.4 Volatile organic compounds (VOCs) (regulation 15)
2.4.1 The tanker has a vapour collection system installed and approved in accordance with MSC/Circ.585. ……………………………………………………………………………….
2.4.2.1 For a tanker carrying crude oil, there is an approved VOC Management Plan …….………………………………….……………………….
2.4.2.2 VOC Management Plan approval reference: ..............................................................
2.5 Shipboard incineration (regulation 16)
  The ship has an incinerator:
  .1 installed on or after 1 January 2000 that complies with:
    .1 resolution MEPC.76(40), as amendedfootnote…....……..................…….…
    .2 resolution MEPC.244(66)…....……..................…….…
  .2 installed before 1 January 2000 which complies with:
    .1 resolution MEPC.59(33), as amendedfootnote…....……..................…….…
    .2 resolution MEPC.76(40), as amendedfootnote…....……..................…….…
2.6 Equivalents (regulation 4)
The ship has been allowed to use the following fitting, material, appliance or apparatus to be fitted in a ship or other procedures, alternative fuel oils, or compliance methods used as an alternative to that required by this Annex:
     
  System or equipment Equivalent used Approval reference  
         
         
         
               
THIS IS TO CERTIFY that this Record is correct in all respects.
Issued at .......................................................................................................................................................................................................................................................................................
(place of issue of the Record)
Date (dd/mm/yyyy) .................................. .......................................................................
(date of issue) (signature of duly authorized official issuing the Record)
               
    (seal or stamp of the authority, as appropriate)    
               
Parent topic: Annex VI - Regulations for the Prevention of Air Pollution from Ships
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