Form of Safety Equipment Certificate for Cargo Ships
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - Resolutions - Maritime Safety Committee - Resolution MSC.338(91) – Adoption of Amendments to the International Convention for the Safety of Life at Sea, 1974, as Amended – (Adopted on 30 November 2012) - Annex – Amendments to the International Convention for the Safety of Life at Sea, 1974, as AmendedThe Annex below is consolidated into Chapters II-1, II-2, III, Appendix of the International Convention for the Safety of Life at Sea, 1974 - Appendix Certificates - Form of Safety Equipment Certificate for Cargo Ships

Form of Safety Equipment Certificate for Cargo Ships

CARGO SHIP SAFETY EQUIPMENT CERTIFICATE
   
This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety (Form E)
   
(Official seal) (State)
   
Issued under the provisions of the
INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as amended
   
under the authority of the Government of
   
_______________________________
(name of the State)
   
by _______________________________
(person or organization authorized)
   
Particulars of ship footnote
Name of ship ........................................................................................................................
Distinctive number or letters ................................................................................................
Port of registry .....................................................................................................................
Gross tonnage .....................................................................................................................
Deadweight of ship (metric tons)footnote ........................................................................................
Length of ship (regulation III/3.12) ........................................................................................
IMO Numberfootnote .........................................................................................................................
 
Type of ship footnote
  Bulk carrier
  Oil tanker
  Chemical tanker
  Gas carrier
  Cargo ship other than any of the above
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 .........................................................................................................................................
   
THIS IS TO CERTIFY:
1 That the ship has been surveyed in accordance with the requirements of regulation I/8 of the Convention.
2 That the survey showed that:
2.1 the ship complied with the requirements of the Convention as regards fire safety systems and appliances and fire control plans;
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;
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;
2.4 the ship complied with the requirements of the Convention as regards shipborne navigational equipment, means of embarkation for pilots and nautical publications;
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;
2.6 in all other respects the ship complied with the relevant requirements of the Convention;
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;
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.
3 That the ship operates in accordance with regulation III/26.1.1.1 footnote within the limits of the trade area ....................................................................
4 That an Exemption Certificate has/has notfootnote been issued.
 
This certificate is valid until ....................................................................
 
Completion date of the survey on which this certificate is based: .................................... (dd/mm/yyyy)
 
Issued at ..............................................................................................................................
(Place of issue of certificate)
 
.............................................. ..........................................................
(Date of Issue) (Signature of authorized official issuing the certificate)
 
(Seal or stamp of the issuing authority, as appropriate)
 
RECORD OF EQUIPMENT FOR THE CARGO SHIP SAFETY (FORM E)
     
RECORD OF EQUIPMENT FOR COMPLIANCE WITH THE INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, AS AMENDED
     
1 Particulars of ship
Name of ship ........................................................................................................................
Distinctive number or letters ................................................................................................
     
2 Details of life-saving appliances
1 Total number of persons for which life-saving appliances are provided ...............................
  Port side Starboard side
2 Total number of lifeboats ............. .............
2.1 Total number of persons accommodated by them ............. .............
2.2 Number of self-righting partially enclosed lifeboats (regulation III/43footnote) ............. .............
2.3 Number of totally enclosed lifeboats (regulation III/31 and LSA Code, section 4.6) ............. .............
2.4 Number of lifeboats with a self-contained air support system (regulation III/31 and LSA Code, section 4.8)    
2.5 Number of fire-protected lifeboats (regulation III/31 and LSA Code, section 4.9) ............. .............
2.6 Other lifeboats ............. .............
2.6.1 Number ............. .............
2.6.2 Type ............. .............
2.7 Number of free-fall lifeboats ...............................
2.7.1 Totally enclosed (regulation III/31 and LSA Code, section 4.7) ...............................
2.7.2 Self-contained (regulation III/31 and LSA Code, section 4.8) ...............................
2.7.3 Fire-protected (regulation III/31 and LSA Code, section 4.9) ...............................
3 Number of motor lifeboats (included in the total lifeboats shown above) ...............................
3.1 Number of lifeboats fitted with searchlights ...............................
4 Number of rescue boats ...............................
4.1 Number of boats which are included in the total lifeboats shown above ...............................
5 Liferafts  
5.1 Those for which approved launching appliances are required  
5.1.1 Number of liferafts ...............................
5.1.2 Number of persons accommodated by them ...............................
5.2 Those for which approved launching appliances are not required ...............................
5.2.1 Number of liferafts ...............................
5.2.2 Number of persons accommodated by them ...............................
5.3 Number of liferafts required by regulation III/31.1.4 ...............................
6 Number of lifebuoys ...............................
7 Number of lifejackets ...............................
8 Immersion suits  
8.1 Total number ...............................
8.2 Number of suits complying with the requirements for lifejackets ...............................
9 Number of anti-exposure suits ...............................
10 Radio installations used in life-saving appliances  
10.1 Number of search and rescue locating devices  
10.1.1 Radar search and rescue transponders (SART) ...............................
10.1.2 AIS search and rescue transmitters (AIS-SART) ...............................
10.2 Number of two-way VHF radiotelephone apparatus ...............................
     
3 Details of navigational systems and equipment
Item Actual provision
1.1 Standard magnetic compassfootnote ...................
1.2 Spare magnetic compassfootnote ...................
1.3 Gyro-compassfootnote ...................
1.4 Gyro-compass heading repeaterfootnote ...................
1.5 Gyro-compass bearing repeaterfootnote ...................
1.6 Heading or track control systemfootnote ...................
1.7 Pelorus or compass bearing devicefootnote ...................
1.8 Means of correcting heading and bearings ...................
1.9 Transmitting heading device (THD)footnote ...................
2.1 Nautical charts/Electronic chart display and information system (ECDIS)footnote ...................
2.2 Back-up arrangements for ECDIS ...................
2.3 Nautical publications ...................
2.4 Back-up arrangements for electronic nautical publications ...................
3.1 Receiver for a global navigation satellite system/ terrestrial radionavigation systemfootnote, footnote ...................
3.2 9 GHz radarfootnote ...................
3.3 Second radar (3 GHz/9 GHZfootnote)footnote ...................
3.4 Automatic radar plotting aid (ARPA)footnote ...................
3.5 Automatic tracking aidfootnote ...................
3.6 Second automatic tracking aidfootnote ...................
3.7 Electronic plotting aidfootnote ...................
4.1 Automatic identification system (AIS) ...................
4.2 Long-range identification and tracking system ...................
5.1 Voyage data recorder (VDR)footnote ...................
5.2 Simplified voyage data recorder (S-VDR)footnote ...................
6.1 Speed and distance measuring device (through the water)footnote ...................
6.2 Speed and distance measuring device (over the ground in the forward and athwartship direction)footnote ...................
7 Echo-sounding devicefootnote ...................
8.1 Rudder, propeller, thrust, pitch and operational mode indicatorfootnote ...................
8.2 Rate-of-turn indicatorfootnote ...................
9 Sound reception systemfootnote ...................
10 Telephone to emergency steering positionfootnote ...................
11 Daylight signalling lampfootnote ...................
12 Radar reflectorfootnote ...................
13 International Code of Signals ...................
14 IAMSAR Manual, Volume III ...................
15 Bridge navigational watch alarm system (BNWAS) ...................
 
THIS IS TO CERTIFY that this Record is correct in all respects.    
     
Issued at ..............................................................................................................................
(Place of issue of the Record)
 
.................................................... ..................................................
(Date of issue) (Signature of duly authorized official issuing the Record)
     
(Seal or stamp of the issuing authority, as appropriate)
Parent topic: Appendix Certificates
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