|
NUCLEAR CARGO SHIP SAFETY CERTIFICATE
|
| This Certificate shall be supplemented by a Record of
Equipment for Cargo Ship Safety (Form C)
|
|
(Official seal)
|
(State)
|
|
|
|
|
Issued under the provisions of the
INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE
AT SEA, 1974, as amended
|
|
|
|
|
| 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
........................................................................................
|
| Length of ship (regulation
III/3.12)
........................................................................................
|
| Sea areas in which ship is certified to operate (regulation
IV/2) .........................................
|
| 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 VIII/9 of the Convention.
|
| 2 That the ship, being a nuclear ship, complied with all
the requirements of chapter VIII of the Convention and conformed to the Safety
Assessment approved for the ship; and that:
|
| 2.1 the condition of the structure, machinery and
equipment as defined in regulation I/10 (as applicable to comply with regulation
VIII/9), including the nuclear propulsion plant and the collision
protective structure, was satisfactory and the ship complied with the relevant
requirements of chapter II-1 and chapter II-2 of the Convention (other than those relating to fire
safety systems and appliances and fire control plans);
|
| 2.2 the ship complied with the requirements of the
Convention as regards fire safety systems and appliances and fire control
plans;
|
| 2.3 the life-saving appliances and the equipment of the
lifeboats, liferafts and rescue boats were provided in accordance with the
requirements of the Convention;
|
| 2.4 the ship was provided with a line-throwing appliance
and radio installations used in life-saving appliances in accordance with the
requirements of the Convention;
|
| 2.5 the ship complied with the requirements of the
Convention as regards radio installations;
|
| 2.6 the functioning of the radio installations used in
life-saving appliances complied with the requirements of the
Convention;
|
| 2.7 the ship complied with the requirements of the
Convention as regards shipborne navigational equipment, means of embarkation
for pilots and nautical publications;
|
| 2.8 ship was provided with lights, shapes, means of
making sound signals and distress signals in accordance with the requirements
of the Convention and the International Regulations for Preventing Collisions at Sea in force;
|
| 2.9 in all other respects the ship complied with the
relevant requirements of the regulations, so far as these requirements apply
thereto;
|
| 2.10 the ship was/was notfootnote subjected to an alternative design and arrangements in
pursuance of regulation(s) II-1/55
/
II-2/17 / III/38/3
footnote of the Convention;
|
| 2.11 a Document of approval of alternative design and
arrangements for machinery and electrical installations/fire
protection/life-saving appliances and arrangementsfootnote 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)
|