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DOCUMENT OF APPROVAL OF ALTERNATIVE DESIGN AND ARRANGEMENTS FOR FIRE
SAFETY
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| Issued in accordance with provisions of regulation II-2/17.4 of the International Convention
for Safety of Life at Sea (SOLAS), 1974, as amended, under the authority of
the Government of ...................……........................……..by
………..……………………......................................................................
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(name of
State)
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(person or
organization authorized)
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| Name of ship
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..............................................................
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| Port of registry
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..............................................................
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| Ship type
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..............................................................
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| IMO Number
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..............................................................
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| THIS IS TO CERTIFY that the following alternative
design and arrangement applied to the above ship had been approved under the
provisions of SOLAS regulation II-2/17.
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| 1.
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Scope of the analysis or design, including the
critical design assumptions and critical design features:
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| 2.
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Description of the alternative design and
arrangements:
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Conditions of approval, if any:
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| 4.
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Listing of affected SOLAS chapter II-2
regulations:
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Summary of the result of the engineering analysis and
basis for approval, including performance criteria and design fire
scenarios:
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Test, inspection and maintenance requirements:
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| 7.
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Drawings and specifications of the alternative design
and arrangement:
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Issued at
………………………..
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on
……………………………….
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………………………………...
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(signature
of authorized official issuing the certificate)
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(Seal or
stamp of issuing authority, as appropriate)
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