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Issued upon completion of renewal survey
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General particulars
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| Ship's name:
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Administration/recognized organization identity number:
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IMO
number:
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| Port of registry:
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National
flag:
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| Deadweight
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Gross
tonnage:
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| (metric tonnes):
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National:
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ITC
(1969):
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| Date of build:
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Classification notation:
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| Date of
major conversion:
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| Type of
conversion:
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| 1 The
survey reports and documents listed below have been reviewed by the
undersigned and found to be satisfactory.
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| 2 A
summary of the survey is attached herewith on sheet 2.
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| 3 The
renewal survey has been completed in accordance with the present Code
on
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| (date) .......................
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| Condition evaluation report (executive hull summary report) completed
by
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Name
Signature
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Title
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| Office
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Date
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| Condition evaluation report (executive hull summary report) verified
by
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Name
Signature
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Title
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| Office
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Date
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| Attached reports and documents:
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1)
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2)
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3)
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4)
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5)
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Contents of condition evaluation report (executive hull summary
report)
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| Part 1 – General particulars:
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- See front page
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| Part 2 – Report review:
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- Where and how survey was done
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| Part 3 – Close-up survey:
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- Extent (which tanks/holds)
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| Part 4 – Thickness measurements:
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- Reference to thickness measurement report
- Summary of
where measured
- Separate form indicating the spaces with
substantial corrosion, and corresponding:
- - thickness diminution
- - corrosion pattern
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| Part 5 – Tank/hold corrosion prevention system:
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- Separate form indicating:
- - location of coating
- - condition of coating (if applicable)
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| Part 6 – Repairs:
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- Identification of spaces/areas
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| Part 7 – Condition of class (recommendations)/flag State
requirements:
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| Part 8 – Memoranda:
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- Acceptable defects
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- Any points of attention for future surveys, e.g. for
suspect areas
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- Extended annual/intermediate survey due to coating
breakdown
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| Part 9 – Conclusion:
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- Statement on evaluation/verification of survey
report
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Extract of thickness measurements for ships not built under the IACS
Common Structural Rules
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| Reference is made to the thickness measurement report:
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Position of substantially corroded
tanks/areas1
or areas with deep pitting3
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Thickness diminution [%]
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Corrosion pattern2
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Remarks: (e.g. reference to attached
sketches)
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| Notes:
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| 1
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Substantial corrosion, i.e. 75 to 100 per cent of acceptable
margins wasted.
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| 2
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P = Pitting
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C = Corrosion in general
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| 3
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Any bottom plating with a pitting intensity of 20% or more, with
wastage in the substantial corrosion range or having an average depth of
pitting of ⅓ or more of actual plate thickness shall be noted.
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Extract of thickness measurements for ships built under the IACS
Common Structural Rules
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| Reference is made to the thickness measurements report:
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Position of substantially corroded tanks/areas1 or areas with
deep pitting
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tm - tren (mm)
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Corrosion pattern2
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Remarks (e.g. reference to attached sketches)
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| Notes:
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| 1
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Substantial corrosion, an extent of corrosion such that the
assessment of the corrosion pattern indicates a measured thickness between
tren + 0.5 mm and tren.
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| 2
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P = Pitting
C = Corrosion in general
Areas with deep
pitting assessed according to section 8.2 shall be recorded in this
column.
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Tank/hold corrosion prevention system
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Tank/hold Nos.1
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Tank/hold corrosion prevention system2
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Coating condition3
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Remarks
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| Notes:
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| 1
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All ballast tanks and cargo holds shall be listed.
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| 2
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C = Coating
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NP = No protection
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| 3
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Coating condition according to the following standard:
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GOOD
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condition with only minor spot rusting.
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FAIR
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condition with local breakdown of coating at edges of stiffeners
and weld connections and/or light rusting over 20% or more of areas under
consideration, but less than as defined for POOR condition.
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POOR
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condition with general breakdown of coating over 20% or more of
areas or hard scale at 10% or more of areas under consideration.
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If coating condition POOR is given, extended annual surveys shall
be introduced. This shall be noted in part 8 of the contents of the
condition evaluation report (executive hull summary report).
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