Appendix 4 – Statement of Acceptance of the Installation of Replacement Release and Retrieval System to an Existing Lifeboat
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Statutory Documents - IMO Publications and Documents - Circulars - Maritime Safety Committee - MSC.1/Circular.1392 – Guidelines for Evaluation and Replacement of Lifeboat Release and Retrieval Systems – (27 May 2011) - Annex – Guidelines for Evaluation and Replacement of Lifeboat Release and Retrieval Systems - Appendix 4 – Statement of Acceptance of the Installation of Replacement Release and Retrieval System to an Existing Lifeboat

Appendix 4 – Statement of Acceptance of the Installation of Replacement Release and Retrieval System to an Existing Lifeboat

  Issued in accordance with the provisions of regulation I/5 of the International Convention for the Safety of Life at Sea (SOLAS), 1974, as amended, under the authority of [Administration]footnote  
    Name of ship:      
    Port of registry:      
    IMO Number:      
  Lifeboat details:        
  Replacement release and retrieval system details:

 
  Lifeboat identity Lifeboat serial number Release and retrieval system serial number (fwd) Release and retrieval system serial number (aft)  
  No.1 (Stbd)        
  No.2 (Port)        
  The above release and retrieval system has been installed and tested under the supervision of the [Administration or a recognized organization authorized to act on its behalf]footnote, as documented in Survey report no ...; certificate no ... dated ... and [installation] drawing(s) no(s) ... dated ... .  
  This statement is to confirm that:        
  .1 The replacement release and retrieval system meets the relevant requirements of the LSA Code, chapter IV, section 4.4.7.6.  
  .2 The replacement release and retrieval system construction and the equipment of the above-mentioned ship was found to comply with the provisions of SOLAS regulation III/4 when tested in accordance with the following paragraphs of the Revised recommendation on testing of life-saving appliances (resolution MSC.81(70)), part 2
  • ☐ section 5.3.1
  • ☐ section 5.3.4footnote
  • ☐ section 5.4.
  
  .3 The validity of the relevant Safety Certificate is not affected by the installation of the replacement release and retrieval system.  
  .4 The installation of the replacement release and retrieval system offers a level of safety which is at least as effective as the original manufacturer's equipment.  
  The [Administration, or a recognized organization authorized to act on its behalf]footnote certifies that this Statement of Acceptance augments and supersedes the affected sections of the original lifeboat approval certification. The statement must be kept on board the ship with all other relevant documentation at all times.  
  ...................................................................... .................. (Stamp)    
  (Date)        
Parent topic: Annex – Guidelines for Evaluation and Replacement of Lifeboat Release and Retrieval Systems
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