| Issued upon completion of renewal survey
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General particulars
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| Ship's name:
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Administration/recognized organization identity number:
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IMO
number:
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| Port of registry:
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National
flag:
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| Deadweight
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Gross
tonnage:
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| (metric tonnes):
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National:
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ITC (1969):
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| Date of build:
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Classification notation:
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| Date of major
conversion:
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| Type of
conversion:
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1 The survey reports and documents listed below have been
reviewed by the undersigned and found to be satisfactory.
2 A summary of the survey is attached herewith on sheet
2.
3 The renewal survey has been completed in accordance with
the present Code on (date) .....................
| Condition evaluation report (executive
hull summary report) completed by
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Name
Signature
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Title
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| Office
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Date
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| Condition evaluation report (executive
hull summary report) verified by
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Name
Signature
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Title
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| Office
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Date
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| Attached reports and documents:
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1)
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| 2)
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| 3)
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| 4)
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| 5)
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| 6)
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Contents of condition evaluation report (executive hull summary
report)
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| Part 1 – General particulars:
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- See front page
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| Part 2 – Report review:
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- Where and how survey was
done
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| Part 3 – Close-up survey:
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- Extent (which tanks/holds)
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| Part 4 – Thickness
measurements:
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- Reference to thickness measurement
report
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- Summary of where measured
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- Separate form indicating the spaces
with
substantial corrosion, and corresponding:
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Part 5 – Tank/hold
corrosion
prevention system:
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- Separate form indicating:
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- - condition of coating (if applicable)
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| Part 6 –
Repairs:
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- Identification of
spaces/areas
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| Part 7 – Condition of
class (recommendations)/flag State requirements:
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| Part 8 –
Memoranda:
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- Acceptable
defects
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- Any points of
attention for future surveys,
e.g. for suspect areas
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- Extended
annual/intermediate survey due to
coating breakdown
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| Part 9 –
Conclusion:
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- Statement on
evaluation/verification of survey
report
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Extract of thickness measurements for ships not built under the IACS Common
Structural Rules
Reference is made to the thickness measurement report:
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Position of substantially corroded tanks/areas1 or areas with
deep pitting3
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Thickness
diminution [%]
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Corrosion
pattern2
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Remarks:
(e.g. reference to
attached
sketches)
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Notes:
1 Substantial corrosion, i.e. 75 to 100% of acceptable margins wasted.
2 P = pitting
C = corrosion in general
3 Any bottom plating with a pitting intensity of 20% or more, with
wastage in the substantial corrosion range or having an average depth of pitting of ⅓ or
more of actual plate thickness shall be noted.
Extract of thickness measurements for ships built under the IACS Common Structural
Rules
Reference is made to the thickness measurement report:
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Position of substantially corroded tanks/areas1 or areas with
deep pitting3
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tm - tren (mm)
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Corrosion
pattern2
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Remarks:
(e.g. reference to
attached
sketches)
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Notes:
1 Substantial corrosion, an extent of corrosion such that the assessment
of the corrosion pattern indicates a measured thickness between tren + 0.5 mm
and tren.
2 P = pitting
C = corrosion in general
Areas with deep pitting assessed according to section 8.2 shall be recorded in
this column.
Tank/hold corrosion prevention system
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Tank/hold Nos.1
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Tank/hold corrosion
prevention system2
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Coating
condition3
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Remarks
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Notes:
1 All ballast tanks and cargo holds should be listed.
2 C = Coating
NP = No protection
Coating condition according to the following standard:
3 Coating condition according to the following standard:
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GOOD
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condition with only minor spot rusting.
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FAIR
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condition with local breakdown of coating at edges of
stiffeners and weld connections and/or light rusting over 20% or more of
areas under consideration, but less than as defined for POOR
condition.
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POOR
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condition with general breakdown of coating over 20%
or
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If coating condition POOR is given, extended annual surveys shall be introduced. This
shall be noted in part 8 of the contents of the condition evaluation report (executive
hull summary report).