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 1988 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 the last two inspections of the outside of the ship's bottom took place on .. and .(dates)
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 ..............................................................................................footnote subject to the annual and intermediate surveys and inspections of the outside of the ship's bottom in accordance with regulation 1/10 of the Convention.
   
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)
   
Endorsement for annual and intermediate surveys
   
THIS IS TO CERTIFY that, at a survey required by regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention.
   
Annual survey: Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
  (Seal or stamp of the authority, as appropriate)
   
Annual/Intermediatefootnote survey: Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
  (Seal or stamp of the authority, as appropriate)
   
Annual/Intermediatefootnote survey: Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
    (Seal or stamp of the authority, as appropriate)
   
Annual survey: Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
    (Seal or stamp of the authority, as appropriate)
   
Annual/intermediate survey in accordance with regulation I/14(h)(iii)
THIS IS TO CERTIFY that, at an annual/intermediate surveyfootnote in accordance with regulation I/14(h)(iii) of the Convention, this ship was found to comply with the relevant requirements of the Convention.
   
Signed: .................................................................................................................................
(Signature of authorized official)
Place: ...................................................................................................................................
Date: ....................................................................................................................................
(Seal or stamp of the authority, as appropriate)
   
Endorsement for inspections of the outside of the ship's bottomfootnote
THIS IS TO CERTIFY that, at an inspection required by regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention.
   
First inspection: Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
  (Seal or stamp of the authority, as appropriate)
   
Second inspection: Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
  (Seal or stamp of the authority, as appropriate)
   
Endorsement to extend the certificate if valid for less than 5 years where regulation I/14(c) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid until ..............................................................................................................................................
   
  Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
  (Seal or stamp of the authority, as appropriate)
   
Endorsement where the renewal survey has been completed and regulation I/14(d) applies
The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until ..............................................................................................................................................
   
  Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
  (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 regulation I/14(e) or I/14(f) applies
This certificate shall, in accordance with regulation I/14(e) / I/14(f) footnote of the Convention, be accepted as
valid until ..............................................................................................................................................
   
  Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
  (Seal or stamp of the authority, as appropriate)
   
Endorsement for advancement of anniversary date where regulation I/14(h) applies
In accordance with regulation I/14(h) of the Convention, the new anniversary date is ...............................................................................................................................
   
  Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
    (Seal or stamp of the authority, as appropriate)
   
In accordance with regulation I/14(h) of the Convention, the new anniversary date is ...............................................................................................................................
   
  Signed: .......................................................
  (Signature of authorized official)
  Place: .........................................................
  Date: ..........................................................
  (Seal or stamp of the authority, as appropriate)

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