CARGO SHIP SAFETY EQUIPMENT CERTIFICATE
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This Certificate shall be supplemented by a Record of Equipment for
Cargo Ship Safety (Form E)
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(Official seal)
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(State)
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Issued under the provisions of the INTERNATIONAL
CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as amended, as modified by the
Protocol of 1988 relating thereto
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under the authority of the Government of
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_______________________________
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(name of the State)
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by _______________________________
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(person or organization authorized)
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Particulars of ship
footnote
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Name of ship
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Distinctive number or letters
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Port of registry
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Gross tonnage
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Deadweight of ship (metric tons)footnote
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Length of ship (regulation
III/3.12)
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IMO Numberfootnote
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Type of ship
footnote
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Bulk carrier
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Oil tanker
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Chemical tanker
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Gas carrier
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Cargo ship other than any of the above
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Date on which keel was laid or ship was at a similar
stage of construction or, where applicable, date on which work for a conversion
or an alteration or modification of a major character was commenced
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THIS IS TO CERTIFY:
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1 That the
ship has been surveyed in accordance with the requirements of regulation
I/8 of the Convention.
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2 That the
survey showed that:
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2.1 the
ship complied with the requirements of the Convention as regards fire safety
systems and appliances and fire control plans;
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2.2 the
life-saving appliances and the equipment of the lifeboats, liferafts and rescue
boats were provided in accordance with the requirements of the
Convention;
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2.3 the ship
was provided with a line-throwing appliance and radio installations used in
life-saving appliances in accordance with the requirements of the
Convention;
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2.4 the
ship complied with the requirements of the Convention as regards shipborne
navigational equipment, means of embarkation for pilots and nautical
publications;
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2.5 the ship
was provided with lights, shapes, means of making sound signals and distress
signals in accordance with the requirements of the Convention and International Regulations for Preventing Collisions at
Sea in force;
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2.6 in all other respects the ship complied with the
relevant requirements of the Convention;
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2.7 the ship was/was notfootnote subjected to an alternative design and arrangements in
pursuance of regulation(s) II-2/17
/ III/38
footnote of the Convention;
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2.8 a Document of approval of alternative design and
arrangements for fire protection/life-saving appliances and arrangementsfootnote is/is notfootnote appended to this Certificate.
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3 That the ship operates in accordance with regulation III/26.1.1.1
footnote within the limits of the trade area
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4 That an Exemption Certificate has/has notfootnote been issued.
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This certificate is valid until
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Completion date of the survey on which this certificate
is based: .................................... (dd/mm/yyyy)
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Issued at
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(Place of issue of certificate)
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..............................................
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(Date of Issue)
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(Signature of authorized official issuing the certificate)
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(Seal or stamp of the issuing authority, as appropriate)
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