Appendix 2 - Model Form of International Certificate of Fitness for the Carriage of Liquefied Gasses in Bulk
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - International Codes - 2014 IGC Code - International Code for the Construction and Equipment of Ships Carrying Liquefied Gases in Bulk - Appendix 2 - Model Form of International Certificate of Fitness for the Carriage of Liquefied Gasses in Bulk

Appendix 2 - Model Form of International Certificate of Fitness for the Carriage of Liquefied Gasses in Bulk

International Certificate of Fitness for the Carriage of Liquefied Gases in Bulk

INTERNATIONAL CERTIFICATE OF FITNESS FOR
THE CARRIAGE OF LIQUEFIED GASES IN BULK
  (Official seal)  
Issued under the provisions of the
INTERNATIONAL CODE FOR THE CONSTRUCTION AND EQUIPMENT
OF SHIPS CARRYING LIQUEFIED GASES IN BULK
under the authority of the Government of
………………………………………………………………………………………………………………………………………………
(full official designation of country)
by……………………………………………………………………………………………………………………………………………
(full designation of the competent person or organization recognized by the Administration)
Particulars of ship1  
Name of ship ................................................................................................................................................
Distinctive number or letters ................................................................................................................................................
IMO number2 ................................................................................................................................................
Port of registry ................................................................................................................................................
Cargo capacity (m3) ................................................................................................................................................
Ship type3 (Code paragraph 2.1.2) ................................................................................................................................................
Date on which keel was laid or on which the ship was at a similar stage of construction or, in the case of a converted ship, date on which conversion to a gas carrier was commenced ................................................................................................................................................
The ship also complies fully with the following amendments to the Code:
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
The ship is exempted from compliance with the following provisions of the Code:
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………

This Is To Certify:

1 That the ship has been surveyed in accordance with the provisions of section 1.4 of the Code.

2 That the survey showed that the construction and equipment of the ship and the condition thereof are in all respects satisfactory and that the ship complies with the relevant provisions of the Code.

3 That the following design criteria have been used:

  • .1 ambient air temperature …………………………………………………°C4

  • .2 ambient water temperature ………………………………………………°C4

  • .3
    Tank type and number Stress factors5 Materials5 MARVS6
    A B C D

    Cargo piping            

    Note: Tank numbers referred to in this list are identified on attachment 2, signed and dated tank plan.

  • .4 Mechanical properties of the cargo tank materials were determined at .…°C7.

4 That the ship is suitable for the carriage in bulk of the following products provided that all the relevant operational provisions of the Code are observed8.

Products Conditions of carriage (tank numbers, etc.) Minimum temperature

Continued on attachment 1, additional signed and dated sheets.
Tank numbers referred to in this list are identified on attachment 2, signed and dated tank plan.

5 That, in accordance with 1.3/2.6.2 *, the provisions of the Code are modified in respect of the ship in the following manner:

………………………………………………………………………………………………………………

6 That the loading and stability information booklet required by paragraph 2.2.5 of the Code has been supplied to the ship in an approved form.

7 That the ship shall be loaded:

  • .1* only in accordance with loading conditions verified compliant with intact and damage stability requirements using the approved stability instrument fitted in accordance with paragraph 2.2.6 of the Code;

  • .2* where a dispensation permitted by paragraph 2.2.7 of the Code is granted and the approved stability instrument required by paragraph 2.2.6 of the Code is not fitted, loading shall be made in accordance with one or more of the following approved methods:

    • .i* in accordance with the loading conditions provided in the approved loading and stability information booklet referred to in 6 above; or

    • .ii* in accordance with loading conditions verified remotely using an approved means…………………; or

    • .iii* in accordance with a loading condition which lies within an approved range of conditions defined in the approved loading and stability information booklet referred to in 6 above; or

    • .iv* in accordance with a loading condition verified using approved critical KG/GM data defined in the approved loading and stability information booklet referred to in 6 above; and

  • .3* in accordance with the loading limitations appended to this Certificate.

  • Where it is required to load the ship other than in accordance with the above instruction, then the necessary calculations to justify the proposed loading conditions shall be communicated to the certifying Administration who may authorize in writing the adoption of the proposed loading condition.**

This Certificate is valid until ………………………...……………….…………………………….
subject to surveys in accordance with 1.4 of the Code.
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 authority, as appropriate)
 
* Delete as appropriate.
** Instead of being incorporated in the Certificate, this text may be appended to the Certificate, if duly signed and stamped.
 
Notes on completion of certificate:
1. Alternatively, the particulars of the ship may be placed horizontally in boxes.
2. In accordance with IMO ship identification number scheme, adopted by the Organization by resolution A.1078(28)
3. Any entry shall be related to all relevant recommendations, e.g. an entry "type 2G" shall mean type 2G in all respects prescribed by the Code.
4. The ambient temperature required for the purposes of 4.19.1.1 is to be inserted.
5. The stress factors and materials acceptable under 4.22.3.1 and 4.23.3.1 of the Code are to be inserted.
6. All relief valve settings assigned in accordance with 4.13.2 are to be inserted.
7. Temperatures accepted by the Administration or recognized organization acting on its behalf for the purposes of 4.18.1.3 are to be inserted.
8. Only products listed in chapter 19 of the Code or products that have been evaluated by the Administration in accordance with paragraph 1.1.6.1, or their compatible mixtures having physical proportions within the limitations of tank design, shall be listed. In respect of the latter "new products", any special requirements provisionally agreed under the tripartite agreement shall be indicated in an addendum to the certificate.
ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS
THIS IS TO CERTIFY that at a survey required by 1.4.2 of the Code the ship was found to comply with the relevant provisions of the Code.
Annual survey: Signed: …………………………………………
  (Signature of duly authorized official)
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
(Seal or stamp of the Authority, as appropriate)
Annual/Intermediate* survey: Signed: …………………………………………
  (Signature of duly authorized official)
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
(Seal or stamp of the Authority, as appropriate)
Annual/Intermediate* survey: Signed: …………………………………………
  (Signature of duly authorized official)
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
(Seal or stamp of the Authority, as appropriate)
Annual survey: Signed: …………………………………………
  (Signature of duly authorized official)
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
(Seal or stamp of the Authority, as appropriate)
 
* Delete as appropriate.

ANNUAL/INTERMEDIATE SURVEY IN ACCORDANCE WITH PARAGRAPH 1.4.6.8.3

 
 
THIS IS TO CERTIFY that, at an annual/intermediate* survey in accordance with paragraph 1.4.6.8.3 of the Code, the ship was found to comply with the relevant provisions of the Code:
 
  Signed: …………………………………………
  (Signature of duly authorized official)
   
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
   
   
   
   
(Seal or stamp of the Authority, as appropriate)
 
 

ENDORSEMENT TO EXTEND THE CERTIFICATE IF VALID FOR LESS THAN 5 YEARS WHERE PARAGRAPH 1.4.6.3 APPLIES

 
The ship complies with the relevant provisions of the Code, and this Certificate shall, in accordance with paragraph 1.4.6.3 of the Code, be accepted as valid until ..............................
 
  Signed: …………………………………………
  (Signature of duly authorized official)
   
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
   
   
   
   
(Seal or stamp of the Authority, as appropriate)
 
 

ENDORSEMENT WHERE THE RENEWAL SURVEY HAS BEEN COMPLETED AND PARAGRAPH 1.4.6.4 APPLIES

 
The ship complies with the relevant provisions of the Code, and this Certificate shall, in accordance with paragraph 1.4.6.4 of the Code, be accepted as valid until ............................ ..
 
Annual survey: Signed: …………………………………………
  (Signature of duly authorized official)
   
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
   
   
   
   
(Seal or stamp of the Authority, as appropriate)
 
 
* Delete as appropriate.
 
 

ENDORSEMENT TO EXTEND THE VALIDITY OF THE CERTIFICATE UNTIL REACHING THE PORT OF SURVEY OR FOR A PERIOD OF GRACE WHERE PARAGRAPH 1.4.6.5 OR 1.4.6.6 APPLIES

 
This Certificate shall, in accordance with paragraph 1.4.6.5/1.4.6.6* of the Code, be accepted as valid until ……………………….
 
  Signed: …………………………………………
  (Signature of duly authorized official)
   
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
   
   
   
   
(Seal or stamp of the Authority, as appropriate)
 
 

ENDORSEMENT FOR ADVANCEMENT OF ANNIVERSARY DATE WHERE PARAGRAPH 1.4.6.8 APPLIES

In accordance with paragraph 1.4.6.8 of the Code, the new anniversary date is …………….
  Signed: …………………………………………
  (Signature of duly authorized official)
   
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
(Seal or stamp of the Authority, as appropriate)
 
 
 
In accordance with paragraph 1.4.6.8, the new anniversary date is ……………………………
  Signed: …………………………………………
  (Signature of duly authorized official)
   
  Place: ………………………………....................
  Date (dd/mm/yyyy): ……………………………...
(Seal or stamp of the Authority, as appropriate)
 
 
 
 
* Delete as appropriate.
 
 
 
 
 
 

Attachment 1 – To The International Certificate Of Fitness For The Carriage Of Liquefied Gases In Bulk

Continued list of products to those specified in paragraph 4 of the certificate, and their conditions of carriage.

Products Conditions of carriage (tank numbers, etc.) Minimum temperature

Date: ……………………. …………………………………………….
  (as for Certificate) (Signature of official issuing the Certificate and/or seal of issuing authority)

Attachment 2 – To The International Certificate Of Fitness For The Carriage Of Liquefied Gases In Bulk

TANK PLAN (specimen)
Name of ship:
Distinctive number or letters:
     
Date: ………………………   …………………………………………………
(dd/mm/yyyy)   (Signature of official issuing the Certificate and/or seal of issuing authority)
(as for Certificate)    
Parent topic: 2014 IGC Code - International Code for the Construction and Equipment of Ships Carrying Liquefied Gases in Bulk
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