Appendix 5 - Form of the Authorization of Ship Recycling Facilities
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - International Conventions - Hong Kong International Convention For The Safe And Environmentally Sound Recycling of Ships, 2009 - Annex - Regulations for Safe and Environmentally Sound Recycling of Ships - Appendix 5 - Form of the Authorization of Ship Recycling Facilities

Appendix 5 - Form of the Authorization of Ship Recycling Facilities

Document of Authorization to conduct Ship Recycling (DASR) in accordance with the requirements of the Hong Kong International Convention for the Safe and Environmentally Sound Recycling of Ships, 2009
Issued under the provision of the Hong Kong International Convention for the Safe and Environmentally Sound Recycling of Ships, 2009 (hereinafter referred to as “the Convention”) under the authority of the Government of:
…………………………………………………………………………………………………...………………………………………………………………………………….........
(Full designation of the country)
by………………………………………………………………………………………………........................................................................................................................................
(Full designation of the Competent Authority under the Convention)
Name of Ship Recycling Facility
Distinctive Recycling Company identity No.
Full address of Ship Recycling Facility
Primary contact person
Phone number
E-mail address
Name, address, and contact information of ownership company
Working language(s)
This is to verify that the Ship Recycling Facility has implemented management systems, procedures and techniques in accordance with Chapters 3 and 4 to the Annex to the Convention.
This authorization is valid until ……………………. and is subject to the limitations identified in the attached supplement.
This authorization is subject to amendment, suspension, withdrawal, or periodic renewal in accordance with regulation 16 of the Annex to the Convention.
Issued at ..........................................................................................................................................................................................................................................................................
(Place of issue of the authorization)
(dd/mm/yyyy) ............................. ...........................................................................................................................................
(Date of issue) (Signature of duly authorized official issuing the authorization)
..................................................................................................................................................
(Typed name and title of duly authorized official issuing the authorization)
(Seal or stamp of the authority, as appropriate)
SUPPLEMENT TO:
Document of Authorization to undertake Ship Recycling (DASR) in accordance with the Hong Kong International Convention for the Safe and Environmentally Sound Recycling of Ships, 2009
Notes:
1 This record shall be permanently attached to the DASR. The DASR shall be available at the Ship Recycling Facility at all times.
2 All procedures, plans and other documents produced by the Ship Recycling Facility and required under the terms to which the DASR has been issued shall be available in the working language of the Ship Recycling Facility and in either English, French or Spanish.
3 The authorization is subject to the limitations defined by this supplement.
1 GENERAL TERMS
1.1 Requirements of the Convention
The Ship Recycling Facility meets the requirements that it be designed, constructed, and operated in a safe and environmentally sound manner in accordance with the Convention, including meeting the relevant requirements of:
Regulation 16 – Authorization of Ship Recycling Facilities
Regulation 17 – General requirements
Regulation 18 – Ship Recycling Facility Plan
Regulation 19 – Prevention of adverse effects to human health and the environment
Regulation 20 – Safe and environmentally sound management of Hazardous Materials
Regulation 21 – Emergency preparedness and response
Regulation 22 – Worker safety and training
Regulation 23 – Reporting on incidents, accidents, occupational diseases and chronic effects
Regulation 24 – Initial notification and reporting requirements
Regulation 25 – Reporting upon completion
These requirements are imposed on the Ship Recycling Facility by way of
............................................................................................................................................................................................................................................................................................
(Identify the permit, licence, authorization, legal standards, or other mechanism that applies)
Ship Recycling Facility Plan identification/verification number: ............................................................................................................................................................................
1.2 Acceptance of ships
For ships to which the Convention applies and ships treated similarly pursuant to Article 3.4 of the Convention, the Ship Recycling Facility can only accept a ship for recycling in accordance with regulation 17 of the Annex to the Convention.
1.3 Safe-for-hot work and Safe-for-entry conditions
The Ship Recycling Facility is capable of establishing, maintaining and monitoring Safe-for-hot work and Safe-for-entry conditions throughout the Ship Recycling process.
1.4 Management of Hazardous Materials
The Ship Recycling Facility is designed, constructed, operated, and required to ensure that all Hazardous Materials’ management shall be safe and environmentally sound in compliance with the Convention and with all relevant local or national regulations/requirements.
1.5 Map and location of Ship Recycling operations
A map of the boundary of the Ship Recycling Facility and the location of Ship Recycling operations within it, is attached.
2 CAPABILITY OF SHIP RECYCLING FACILITY
2.1 Size of ships
The Ship Recycling Facility is authorized to accept a ship for recycling subject to the following size limitations:
Maximum Size Other Limitations
Length
Breadth
Lightweight
2.2 Safe and Environmentally Sound Management of Hazardous Materials
The Ship Recycling Facility is authorized to accept a ship for recycling that contains Hazardous Materials as specified in the following table subject to the conditions noted below:
Hazardous Material(*4) Management of Hazardous Materials Authorization/Limitations
Removal Storage Process (*1)
Y/N (*2) Y/N Y/N (*3)
Asbestos
Ozone-depleting substances
Polychlorinated biphenyls (PCB)
Anti-fouling compounds and systems
Cadmium and Cadmium Compounds
Hexavalent Chromium and Hexavalent Chromium Compounds
Lead and Lead Compounds
Mercury and Mercury Compounds
Polybrominated Biphenyl (PBBs)
Polybrominated Diphenyl Ethers (PBDEs)
Polychlorinated Naphthalenes (more than 3 chlorine atoms)
Radioactive substances
Certain Shortchain Chlorinated Paraffins (Alkanes, C10-C13, chloro)
Hazardous liquids, residues and sediments
Paints and coatings that are highly flammable and/or lead to toxic release
Other Hazardous Materials not listed above and that are not a part of the ship structure (specify)
Notes:
*1 Process means the processing of Hazardous Materials in the Ship Recycling Facility, such as:
*2 If Yes (Y), indicate in the Ship Recycling Facility Plan the responsible personnel authorized to carry out the removal, with the certificate number or other relevant information.
           
           
           
*3 If No (N), describe in the Ship Recycling Plan where the Hazardous Materials are to be processed/disposed.
*4 These Hazardous Materials are specified in Appendices 1 and 2 and regulation 20 of the Convention.


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