Form of Safety Construction Certificate for Cargo Ships
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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 the
INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as modified by the Protocol of 1978 relating thereto
   
under the authority of the Government of
   
_______________________________
(name of the State)
   
by _______________________________
(person or organization authorized)
   
Particulars of ship footnote
Name of ship ........................................................................................................................
Distinctive number or letters ................................................................................................
Port of registry .....................................................................................................................
Gross tonnage .....................................................................................................................
Deadweight of ship (metric tons)footnote ........................................................................................
IMO Numberfootnote .........................................................................................................................
 
Type of shipfootnote
  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.
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:
  • .1 the condition of the structure, machinery and equipment as defined in the above regulation was satisfactory and the ship complied with the relevant requirements of chapters II-1 and II-2 of the Convention (other than those relating to fire safety systems and appliances and fire control plans); and
  • .2 the ship complied with part G of chapter II-1 of the Convention using . as fuel/N.Afootnote.
3 That in implementing regulation I/6(b) the Government has instituted:
  • - mandatory annual surveys;
  • - unscheduled inspections.
4 That an Exemption Certificate has/has notfootnote been issued.
5 That the ship was/was notfootnote subjected to an alternative design and arrangements in pursuance of regulation(s) II-1/55 / II-2/17 footnote of the Convention.
6 That a Document of approval of alternative design and arrangements for machinery and electrical installations/fire protectionfootnote is/is notfootnote appended to this Certificate.
 
This certificate is valid until ..............................................................................................
   
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)

INTERMEDIATE SURVEY

(for tankers of 10 years of age and over)
This is to certify that at an intermediate survey required by regulation I/10 of the Convention, as modified by the 1978 Protocol, this ship was found to comply with relevant provisions of the Convention.
  Signed: ..
  (Signature of authorized official)
  Place:
  Date: ..
  (Seal or stamp of the Authority, as appropriate)
   
  Signed: ..
  (Signature of authorized official)
  Place:
  Date: ..
  (Seal or stamp of the Authority, as appropriate)
   
MANDATORY ANNUAL SURVEYS OR UNSCHEDULED INSPECTIONS
This is to certify that the ship has been surveyed in accordance with regulation I/6(b) of the Convention, as modified by the 1978 Protocol and the relevant recommendations of the Organization.footnote
1st mandatory annual surveyfootnote, footnote Signed: ..
1st unscheduled inspectionfootnote Place:
  Date: ..
  (Seal or stamp of the Authority, as appropriate)
   
2nd mandatory annual surveyfootnote, footnote Signed: ..
2nd unscheduled inspectionfootnote Place:
  Date: ..
  (Seal or stamp of the Authority, as appropriate)
   
3rd mandatory annual surveyfootnote, footnote Signed: ..
3rd unscheduled inspectionfootnote Place:
  Date: ..
  (Seal or stamp of the Authority, as appropriate)
   
4th mandatory annual surveyfootnote, footnote Signed: ..
4th unscheduled inspectionfootnote Place:
  Date: ..
  (Seal or stamp of the Authority, as appropriate)

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