Annex 1
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - International Codes - SCV Code - Code of Safety for Small Commercial Vessels Operating in the Caribbean - Annex 1

Annex 1

(Regulation I/12.1)
FORM OF CERTIFICATE OF INSPECTION
COAT
OF
ARMS
[COUNTRY]
[Administration]
Certification Date:
CERTIFICATE OF INSPECTION
      Expiration Date:
VESSEL NAME IDENTITY MARK CALL SIGN SERVICE
HOME PORT HULL MATERIAL POWER PROPULSION
PLACE BUILT DATE BUILT GROSS TONNAGE NET TONNAGE LENGTH
OWNER OPERATOR
THIS VESSEL SHALL BE MANNED WITH THE FOLLOWING PERSONNEL:
  • __ MASTER, BOATMASTER GRADE
  • __ MATE, BOATMASTER GRADE
  • __ BOAT ENGINEER GRADE 1
  • __ BOAT ENGINEER GRADE 2


 
  • __ DECK RATINGS CATEGORY 1
  • __ DECK RATINGS CATEGORY 2

  • __ DECK RATINGS CATEGORY 3

  • __DECK RATINGS CATEGORY 4
 
IN ADDITION, THIS VESSEL MAY CARRY _______ PASSENGERS; _______ OTHER PERSONS IN CREW; _______ PERSONS IN ADDITION
TO CREW, AND TOTAL PERSONS ALLOWED:      
OPERATING AREA AND CONDITIONS OF OPERATION
             
             
             
             
             
             
             
             
             
             
             
             
             
WITH THIS INSPECTION HAVING BEEN COMPLETED AT ......................................................... ON ..............., THIS VESSEL IS CERTIFIED BY ........................................................................................, TO BE IN ALL RESPECTS IN CONFORMITY WITH THE APPLICABLE VESSEL INSPECTION LEGISLATION.
ANNUAL INSPECTIONS THIS CERTIFICATE ISSUED BY:
DATE PLACE SIGNATURE ________________________________________________
(AUTHORISED OFFICIAL)
       
      ________________________________________________
      (DESIGNATION)
       
VESSEL NAME IDENTITY MARK CERTIFICATION DATE: PAGE
CONDITIONS OF OPERATION (CONTINUED)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
DRY DOCKING AND OTHER EXAMINATIONS
             
             
             
             
             
             
             
             
             
             
             
VESSEL NAME IDENTITY MARK CERTIFICATION DATE: PAGE
LIFESAVING EQUIPMENT
  NUMBER PERSONS REQUIRED
TOTAL EQUIPMENT FOR     LIFE PRESERVERS (ADULT)  
LIFEBOATS (TOTAL)     LIFE PRESERVERS (CHILD)  
  LIFEBOATS (PORT) *     LIFE BUOYS (TOTAL)  
  LIFEBOATS (STARBOARD) *       WITH LIGHTS *  
  MOTOR LIFEBOATS *       WITH LINE ATTACHED*  
  LIFEBOATS W/RADIO *       OTHER*  
RESCUE BOATS/PLATFORMS     IMMERSION SUITS  
INFLATABLE RAFTS     PORTABLE LIFEBOAT RADIOS  
LIFE FLOATS/ BOUYANT APPARATUS     EQUIPPED WITH EPIRB?  
WORKBOATS (NOT REQUIRED)     ( * INCLUDED IN TOTALS )  
 
FIRE FIGHTING EQUIPMENT
TOTAL HOSE LENGTH NUMBER OF FIRE AXES NUMBER OF FIRE PUMPS
 
FIXED EXTINGUISHING SYSTEMS
SPACE PROTECTED AGENT CAPACITY
     
     
FIRE EXTINGUISHERS HAND, PORTABLE AND SEMI PORTABLE
             
             
             
             
             
EXEMPTIONS
             
             
             
             
             
             
             
             
             
             
             
             
             

Copyright 2022 Clasifications Register Group Limited, International Maritime Organization, International Labour Organization or Maritime and Coastguard Agency. All rights reserved. Clasifications Register Group Limited, its affiliates and subsidiaries and their respective officers, employees or agents are, individually and collectively, referred to in this clause as 'Clasifications Register'. Clasifications Register assumes no responsibility and shall not be liable to any person for any loss, damage or expense caused by reliance on the information or advice in this document or howsoever provided, unless that person has signed a contract with the relevant Clasifications Register entity for the provision of this information or advice and in that case any responsibility or liability is exclusively on the terms and conditions set out in that contract.