Appendix
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - International Codes - IBC Code - International Code for the Construction and Equipment of Ships Carrying Dangerous Chemicals in BulkAmended by Resolution MEPC.225(64) - Appendix Model Form of International Certificate of Fitness for the Carriage of Dangerous Chemicals in Bulk - Appendix

Appendix

INTERNATIONAL CERTIFICATE OF FITNESS FOR THE CARRIAGE OF DANGEROUS CHEMICALS IN BULK
       
(Official seal)
Issued under the provisions of the
INTERNATIONAL CODE FOR THE CONSTRUCTION AND EQUIPMENT OF SHIPS CARRYING DANGEROUS CHEMICALS IN BULK
(resolutions MSC.176(79) and MEPC.119(52))
       
under the authority of the Government of
..............................................................................................................................................
(full official designation of country)
       
by .........................................................................................................................................
(full designation of the competent person or organization recognized by the Administration)
       
Particulars of ship footnote
Name of ship .......................................................................................
Distinctive number or letters .......................................................................................
IMO Numberfootnote .......................................................................................
Port of registry .......................................................................................
Gross tonnage .......................................................................................
Ship type (Code paragraph 2.1.2) .......................................................................................
Date on which keel was laid or on which the ship was at a similar stage of construction or (in the case of a converted ship) date on which conversion to chemical tanker was commenced .......................................................................................
The ship also complies fully with the following amendments to the Code:
..............................................................................................................................................
..............................................................................................................................................
The ship is exempted from compliance with the following provisions of the Code:
..............................................................................................................................................
..............................................................................................................................................
       
THIS IS TO CERTIFY:
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 construction and equipment of the ship and the condition thereof are in all respects satisfactory and that the ship complies with the relevant provisions of the Code;
3 That the ship has been provided with a Manual in accordance with Appendix 4 of Annex II of MARPOL 73/78 as called for by regulation 14 of Annex II, and that the arrangements and equipment of the ship prescribed in the Manual are in all respects satisfactory;
4 That the ship meets the requirements for the carriage in bulk of the following products, provided that all relevant operational provisions of the Code and Annex II of MARPOL 73/78 are observed:
Product Conditions of carriage
(tank numbers etc.) 		Pollution Category
     
     
     
     
     
     
     
Continued on attachment 1, additional signed and dated sheetsfootnote.
Tank numbers referred to in this list are identified on attachment 2, signed and dated tank plan.
       
5 That, in accordance with 1.4 / 2.8.2footnote, the provisions of the Code are modified in respect of the ship in the following manner:
..............................................................................................................................................

6 That the loading and stability information booklet required by paragraph 2.2.5 of the Code has been supplied to the ship in an approved form.

7 That the ship must be loaded:

  • .1footnote only in accordance with loading conditions verified compliant with intact and damage stability requirements using the approved stability instrument fitted in accordance with paragraph 2.2.6 of the Code;
  • .2footnote where a waiver permitted by paragraph 2.2.7 of the Code is granted and the approved stability instrument required by paragraph 2.2.6 of the Code is not fitted, loading shall be made in accordance with one or more of the following approved methods:

    • (i)footnote in accordance with the loading conditions provided in the approved loading and stability information booklet referred to in 6 above; or

    • (ii)footnote in accordance with loading conditions verified remotely using an approved means…………………; or

    • (iii)footnote in accordance with a loading condition which lies within an approved range of conditions defined in the approved loading and stability information booklet referred to in 6 above; or

    • (iv)footnote in accordance with a loading condition verified using approved critical KG/GM data defined in the approved loading and stability information booklet referred to in 6 above; and

  • .3footnote 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 shall be communicated to the certifying Administration who may authorize in writing the adoption of the proposed loading condition.footnote
       
This Certificate is valid until .................................................................................................footnote
subject to surveys in accordance with 1.5 of the Code.
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 authority, as appropriate)
       

1 The Certificate can be issued only to ships entitled to fly the flags of States which are both a Contracting Government to the 1974 SOLAS Convention and a Party to MARPOL 73/78.

2 Ship Type: Any entry under this column must relate to all relevant recommendations, e.g. an entry "Type 2" means Type 2 in all respects prescribed by the Code.

3 Products: Products listed in chapter 17 of the Code, or which have been evaluated by the Administration in accordance with 1.1.6 of the Code, shall be listed. In respect of the latter "new" products, any special requirements provisionally prescribed shall be noted.

4 Products: The list of products the ship is suitable to carry shall include the Noxious Liquid Substances of Category Z which are not covered by the Code and shall be identified as "chapter 18 Category Z".

       
ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS
THIS IS TO CERTIFY that at a survey required by 1.5.2 of the Code the ship was found to comply with the relevant provisions of the Code.
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 PARAGRAPH 1.5.6.8.3
THIS IS TO CERTIFY that, at an annual/intermediatefootnote survey in accordance with paragraph 1.5.8.6.3 of the Code, the ship was found to comply with the relevant provisions of the Convention:
  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 5 YEARS WHERE PARAGRAPH 1.5.6.3 APPLIES
The ship complies with the relevant provisions of the Convention, and this Certificate shall, in accordance with paragraph 1.5.6.3 of the Code, be accepted as valid until ............................................
  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 PARAGRAPH 1.5.6.4 APPLIES
The ship complies with the relevant provisions of the Convention, and this Certificate shall, in accordance with paragraph 1.5.6.4 of the Code, be accepted as valid until ............................................
Annual survey: 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 PARAGRAPH 1.5.6.5 OR 1.5.6.6 APPLIES
This Certificate shall, in accordance with paragraph 1.5.6.5/1.5.6.6footnote of the Code, be accepted as valid until ............................................
  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 PARAGRAPH 1.5.6.8 APPLIES
In accordance with paragraph 1.5.6.8 of the Code, the new anniversary date is ............................................
  Signed ........................................................
    (Signature of duly authorized official)
    Place .........................................
    Date (dd/mm/yyyy) ....................................
(Seal or stamp of the Authority, as appropriate)  
       
In accordance with paragraph 1.5.6.8, the new anniversary date is ............................................
  Signed ........................................................
    (Signature of duly authorized official)
    Place .........................................
    Date (dd/mm/yyyy) ....................................
(Seal or stamp of the Authority, as appropriate)  

Attachment 1 to the International Certificate of Fitness for the Carriage of Dangerous Chemicals in Bulk

Continued list of products to those specified in section 4, and their conditions of carriage.
Products Conditions of carriage
(tank numbers etc.) 		Pollution Category
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Date ......................................... .......................................................................................
(dd/mm/yyyy)
(as for Certificate) 		(Signature of official issuing the Certificate and/or seal of issuing authority)

Attachment 2 to the International Certificate of Fitness for the Carriage of Dangerous Chemicals in Bulk

TANK PLAN (specimen)
   
Name of ship: .......................................................................................................................
Distinctive number or letters: ...............................................................................................
   
   
Date ......................................... .......................................................................................
(dd/mm/yyyy)
(as for Certificate) 		(Signature of official issuing the Certificate and/or seal of issuing authority)"
Parent topic: Appendix Model Form of International Certificate of Fitness for the Carriage of Dangerous Chemicals in Bulk
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