Appendix 4 - Form of the International Ready for Recycling Certificate
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - International Conventions - Hong Kong International Convention For The Safe And Environmentally Sound Recycling of Ships, 2009 - Annex - Regulations for Safe and Environmentally Sound Recycling of Ships - Appendix 4 - Form of the International Ready for Recycling Certificate

Appendix 4 - Form of the International Ready for Recycling Certificate

INTERNATIONAL READY FOR RECYCLING CERTIFICATE
(Note: This certificate shall be supplemented by the Inventory of Hazardous Materials and the Ship Recycling Plan)
 
(Official seal) (State)
Issued under the provisions of the Hong Kong International Convention for the Safe and Environmentally Sound Recycling of Ships, 2009 (hereinafter referred to as “the Convention”) under the authority of the Government of
............................................................................................................................
  (Full designation of the country)  
 
by ...............................................................................................................................
(Full designation of the person or organization authorized under the provisions of the Convention)
  Particulars of the Ship  
  Name of Ship    
  Distinctive number or letters    
  Port of Registry    
  Gross tonnage    
  IMO number    
  Name and address of shipowner    
  IMO registered owner identification number    
  IMO company identification number    
  Date of Construction    
       
  Particulars of the Ship Recycling Facility(ies)  
  Name of Ship Recycling Facility    
  Distinctive Recycling Company identity number*    
  Full address    
  Date of expiry of DASR    
  * This number is based on the Document of Authorization to conduct Ship Recycling (DASR).  
 
Particulars of the Inventory of Hazardous Materials
Inventory of Hazardous Materials identification/verification number: ............................................
  Note: The Inventory of Hazardous Materials, as required by regulation 5 of the Annex to the Convention, is an essential part of the International Ready for Recycling Certificate and must always accompany the International Ready for Recycling Certificate. The Inventory of Hazardous Materials should be compiled on the basis of the standard format shown in the guidelines developed by the Organization.
 
Particulars of the Ship Recycling Plan
Ship Recycling Plan identification/verification number: ..................................................................
  Note: The Ship Recycling Plan, as required by regulation 9 of the Annex to the Convention, is an essential part of the International Ready for Recycling Certificate and must always accompany the International Ready for Recycling Certificate.
       
THIS IS TO CERTIFY:
1 that the ship has been surveyed in accordance with regulation 10 of the Annex to the Convention;
2 that the ship has a valid Inventory of Hazardous Materials in accordance with regulation 5 of the Annex to the Convention;
3 that the Ship Recycling Plan, as required by regulation 9, properly reflects the information contained in the Inventory of Hazardous Materials as required by regulation 5.4 and contains information concerning the establishment, maintenance and monitoring of Safe-for-entry and Safe-for-hot work conditions; and
4 that the Ship Recycling Facility(ies) where this ship is to be recycled holds a valid authorization in accordance with the Convention.
       
This certificate is valid until (dd/mm/yyyy) .....................................................................................
    (Date)  
Issued at ...........................................................................................................................................
  (Place of issue of certificate)  
       
  (dd/mm/yyyy) ........................................................ ................................................................................................
  (Date of issue) (Signature of duly authorized official issuing the certificate)
       
  (Seal or stamp of the authority, as appropriate)  
       
ENDORSEMENT TO EXTEND THE VALIDITY OF THE CERTIFICATE UNTIL REACHING THE PORT OF THE SHIP RECYCLING FACILITY FOR A PERIOD OF GRACE WHERE REGULATION 14.5 APPLIESfootnote
       
This certificate shall, in accordance with regulation 14.5 of the Annex to the Convention, be accepted as valid for a single point to point voyage
       
from the port of: ............................................    
     
to the port of: .................................................    
       
Signed: .................................................................................................................................................................................................................
  (Signature of duly authorized official)  
       
Place: ....................................................................................................................................................................................................................
Date: (dd/mm/yyyy) .............................................................................................................................................................................................
       
(Seal or stamp of the authority, as appropriate)
Parent topic: Annex - Regulations for Safe and Environmentally Sound Recycling of Ships
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