Annex 1 - Form of High-Speed Craft Safety Certificate and Record of Equipment
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Statutory Documents - IMO Publications and Documents - International Codes - HSC 2000 Code - International Code of Safety for High-Speed Craft, 2000 – Resolution MSC.97(73) - Annex 1 - Form of High-Speed Craft Safety Certificate and Record of Equipment

Annex 1 - Form of High-Speed Craft Safety Certificate and Record of Equipment

High-Speed Craft Safety Certificate

 
HIGH-SPEED CRAFT SAFETY CERTIFICATE
This certificate shall be supplemented by a Record of Equipment
(Official seal) (State)
Issued under the provisions of the
INTERNATIONAL CODE OF SAFETY FOR HIGH-SPEED CRAFT, 2000
(resolution MSC.97(73))
under the authority of the Government of
..............................................................................................................
(full designation of the state)
by...........................................................................................................
(full official designation of the competent person or organization authorized by the Administration)
Particulars of craftfootnote
Name of craft.......................................................................................................................................
Manufacturer's model and hull number....................................................................................................
Distinctive number or letters..................................................................................................................
IMO numberfootnote.............................................................................................
Port of registry.....................................................................................................................................
Gross tonnage.....................................................................................................................................
Sea areas in which the craft is certified to operate (paragraph 14.2.1) ..........................................................................................................................................................
Design waterline corresponding to a height of .......... below the reference line at the longitudinal centre of flotation, and draughts at the draughts marks of .......... forward and .......... aft
The upper edge of the reference line is ......... at (.........mm below uppermost deck at side)footnote (........ mm above the underside of keel)footnote at longitudinal centre of flotation.
Category category A passenger craft/category B passenger craft/cargo craftfootnote
Craft type air-cushion vehicle/surface-effect ship/hydrofoil/monohull/multihull/other (give detail ........................................................................................)footnote
Date on which keel was laid or craft was at a similar stage of construction or on which a major conversion was commenced..................................................................................................................................
THIS IS TO CERTIFY:
1 That the above-mentioned craft has been duly surveyed in accordance with the applicable provisions of the International Code of Safety for High-Speed Craft, 2000.
2 That the survey showed that the structure, equipment, fittings, radio station arrangements and materials of the craft and the condition thereof are in all respects satisfactory and that the craft complies with the relevant provisions of the Code.
3 That the life–saving appliances are provided for a total number of ......... persons and no more as follows:
....................................................................................................................................................................................................................................................................................................................
4 That, in accordance with 1.11 of the Code, the following equivalents have been granted in respect of the craft:
paragraph.............................................................................................................................................................. equivalent arrangement .................................................................................................................................................................................................................................................................................................................................
This certificate is valid untilfootnote..........................................................................................................................................................
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 periodical surveys
This is to certify that, at a survey required by 1.5 of the Code, this craft was found to comply with the relevant provisions of the Code.
Periodical survey: Signed: ...............................................................................................
  (Signature of authorized official)
  Place: .................................................................................................
  Date: ..................................................................................................
...................................................................
(Seal or stamp of authority, as appropriate)
Periodical survey: Signed: ...............................................................................................
  (Signature of authorized official)
  Place: .................................................................................................
  Date: ..................................................................................................
...................................................................
(Seal or stamp of authority, as appropriate)
Periodical survey: Signed: ...............................................................................................
  (Signature of authorized official)
  Place: .................................................................................................
  Date: ..................................................................................................
...................................................................
(Seal or stamp of authority, as appropriate)
Periodical survey: Signed: ...............................................................................................
  (Signature of authorized official)
  Place: .................................................................................................
  Date: ..................................................................................................
...................................................................
(Seal or stamp of authority, as appropriate)
Endorsement to extend the Certificate if valid for less than 5 years where 1.8.8 of the Code applies
This craft complies with the relevant requirements of the Code, and this Certificate shall, in accordance with 1.8.8 of the Code, be accepted as valid until ...................................................................................
  Signed: ...............................................................................................
  (Signature of authorized official)
  Place: .................................................................................................
  Date: ..................................................................................................
...................................................................
(Seal or stamp of authority, as appropriate)
Endorsement where the renewal survey has been completed and 1.8.9 of the Code applies
This craft complies with the relevant requirement of the Code, and this Certificate shall, in accordance with 1.8.9 of the Code, be accepted as valid until...........................................................................................
  Signed: ...............................................................................................
  (Signature of authorized official)
  Place: .................................................................................................
  Date: ..................................................................................................
...................................................................
(Seal or stamp of authority, as appropriate)
Endorsement to extend the validity of the Certificate until reaching the port of survey where 1.8.10 of the Code applies
This Certificate shall, in accordance with 1.8.10 of the Code, be accepted as valid until..............................
  Signed: ...............................................................................................
  (Signature of authorized official)
  Place: .................................................................................................
  Date: ..................................................................................................
...................................................................
(Seal or stamp of authority, as appropriate)
Endorsement for the advancement of the anniversary date where 1.8.12 of the Code applies
In accordance with 1.8.12 of the Code, the new anniversary date is...........................................................
  Signed: ...............................................................................................
  (Signature of authorized official)
  Place: .................................................................................................
  Date: ..................................................................................................
...................................................................
(Seal or stamp of authority, as appropriate)
In accordance with 1.8.13 of the Code, the new anniversary date is ..........................................................
  Signed: ...............................................................................................
  (Signature of authorized official)
  Place: .................................................................................................
  Date: ..................................................................................................
...................................................................
(Seal or stamp of authority, as appropriate)

The International Code of Safety for High Speed Craft, 2000

RECORD OF EQUIPMENT FOR HIGH-SPEED CRAFT SAFETY CERTIFICATE
This Record shall be permanently attached to the High-Speed Craft Safety Certificate
RECORD OF EQUIPMENT FOR COMPLIANCE WITH THE INTERNATIONAL CODE OF SAFETY FOR HIGH-SPEED CRAFT, 2000
1 Particulars of craft
Name of craft...........................................................................................................................................................
Manufacturer's model and hull number.......................................................................................................................
Distinctive number or letters......................................................................................................................................
IMO number footnote................................................................................................................
Category: category A passenger craft/category B passenger craft/cargo craftfootnote
Craft type: air-cushion vehicle, surface-effect ship, hydrofoil, monohull, multihull, other (give detail.......................................................................................................)footnote
Number of passenger for which certified.............................................................................
Minimum number of persons with required qualifications to operate the radio installations ....................
2 Details of life-saving appliances
1 Total number of persons for which life–saving appliances are provided ...........................
2 Total number of lifeboats ...........................
2.1 Total number of persons accommodated by them ...........................
2.2 Number of partially enclosed lifeboats complying with section 4.5 of the LSA Code ...........................
2.3 Number of totally enclosed lifeboats complying with sections 4.6 and 4.7 of the LSA Code ...........................
2.4 Other lifeboats ...........................
2.4.1 Number ...........................
2.4.2 Type ...........................
3 Number of rescue boats ...........................
3.1 Number of rescue boats which are included in the total lifeboats shown above ...........................
4 Liferafts complying with sections 4.1 to 4.3 of the LSA Code for which suitable means of launching are provided ...........................
4.1 Number of liferafts ...........................
4.2 Number of persons accommodated by them ...........................
5 Open reversible liferafts (Annex 11 of the Code) ...........................
5.1 Number of liferafts ...........................
5.2 Number of persons accommodated by them ...........................
6 Number of Marine Evacuation System (MES) ...........................
6.1 Number of persons served by them ...........................
7 Number of lifebuoys ...........................
8 Number of lifejackets ...........................
8.1 Number suitable for adults ...........................
8.2 Number suitable for children ...........................
9 Immersion suits ...........................
9.1 Total number ...........................
9.2 Number of suits complying with the requirements for lifejackets ...........................
10 Number of anti-exposure suits ...........................
10.1 Total number ...........................
10.2 Number of suits complying with the requirements for lifejackets ...........................
11 Radio installations used in life–saving appliances ...........................
11.1 Number of radar transponders ...........................
11.2 Number of two-way VHF radiotelephone apparatus ...........................
3 Details of navigational systems and equipment  
1.1 Magnetic compass ...........................
1.2 Transmitting heading device (THD) ...........................
1.3 Gyro-compass ...........................
2 Speed and distance measuring device ...........................
3 Echo–sounding device ...........................
4.1 9 GHz radar ...........................
4.2 Second radar (3 GHz/9 Ghzfootnote) ...........................
4.3 Automatic radar plotting aid (ARPA)/Automatic tracking aid (ATA)footnote ...........................
5 Receiver for global navigation satellite system/ Terrestrial navigation system/ Other means of position fixingfootnote, footnote ...........................
6.1 Rate of turn indicator ...........................
6.2 Rudder angle indicator/Direction of steering thrust indicatorfootnote ...........................
7.1 Nautical charts/Electronic Chart Display and Information System (ECDIS)footnote ...........................
7.2 Back-up arrangements for ECDIS ...........................
7.3 Nautical publications ...........................
7.4 Back–up arrangement for nautical publications ...........................
8 Search light ...........................
9 Daylight signalling lamp ...........................
10 Night vision equipment ...........................
11 Means to show the mode of the propulsion systems ...........................
12 Automatic steering aid (Automatic pilot) ...........................
13 Radar reflector/ Other meansfootnote, footnote ...........................
14 Sound reception system ...........................
15 Automatic identification system (AIS) ...........................
16 Long-range identification and tracking system ...........................
17 Voyage data recorder (VDR) ...........................
4 Details of radio facilities  
1 Primary systems ...........................
1.1 VHF radio intstallation: ...........................
1.1.1 DSC encoder ...........................
1.1.2 DSC watch receiver ...........................
1.1.3 Radiotelephony ...........................
1.2 MF radio installation: ...........................
1.2.1 DSC encoder ...........................
1.2.2 DSC watch receiver ...........................
1.2.3 Radiotelephony ...........................
1.3 MF/HF radio installation: ...........................
1.3.1 DSC encoder ...........................
1.3.2 DSC watch receiver ...........................
1.3.3 Radiotelephony ...........................
1.3.4 Direct–printing radiotelegraphy ...........................
1.4 Recognized mobile satellite service ship earth station ...........................
2 Secondary means of alerting ...........................
3 Facilities for reception of maritime safety information ...........................
3.1 NAVTEX receiver ...........................
3.2 EGC receiver ...........................
3.3 HF direct–printing radiotelegraph receiver ...........................
4 Satellite EPIRB ...........................
4.1 COSPAS–SARAT ...........................
4.2 Inmarsat ...........................
5 VHF EPIRB ...........................
6 Ship's radar transponder ...........................
7 Two-way on-scene radiocommunications 121.5 MHz & 123.1 MHz ...........................
5 Methods used to ensure availability of radio facilities (paragraphs 14.15.6, 14.15.7 and 14.15.8 of the Code)
5.1 Duplication of equipment ..........................................................................
5.2 Shore-based maintenance ........................................................................
5.3 At–sea maintenance capability ..................................................................
 
THIS IS TO CERTIFY that this record is correct in all respects
  Issued at .................................................  
  (Place of issue of the Record)  
 
.................................. ....................................................................................................
(Date of issue) (Signature of duly authorized official issuing the Record)
 
  ............................................................................  
  (Seal or stamp of the issuing authority, as appropriate)  
     

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