Meddelelser fra Søfartsstyrelsen B. Skibes bygning og udstyr m.v. Bilag 1 Internationale certifikater, 1. juli 2001

Meddelelser fra Søfartsstyrelsen B. Skibes bygning og udstyr m.v. Bilag 1 Internationale certifikater, 1. juli 2001

Passenger Ship Safety Certificate

Sikkerhedscertifikat for passagerskibe

Record of Equipment (Form P)

Udrustningsfortegnelse (Formular P)

Cargo Ship Safety Construction Certificate

Konstruktionssikkerhedscertifikat for lastskibe

Cargo Ship Safety Equipment Certificate

Udrustningssikkerhedscertifikat for lastskibe

Record of Equipment (Form E)

Udrustningsfortegnelse (Formular E)

Cargo Ship Safety Radio Certificate

Radiosikkerhedscertifikat for lastskibe

Record of Equipment of Radio Facilities (Form R)

Udrustningsfortegnelse for radioudstyr (Formular R)

Cargo Ship Safety Certificate

Sikkerhedscertifikat for lastskibe

Record of Equipment (Form C)

Udrustningsfortegnelse (Formular C)

Exemption Certificate

Undtagelsescertifikat

DENMARK

PASSENGER SHIP SAFETY CERTIFICATE

This certificate shall be supplemented by a Record of Equipment (Form P)

for

an

international voyage

a short

Issued under the provisions of the

INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974,

as modified by the Protocol of 1988 relating thereto

under the authority of the Government of

DENMARK

by

DANISH MARITIME AUTHORITY

Particulars of ship

Name of ship

Distinctive number or letters

Port of registry

Gross tonnage

Sea areas in which ship is certified

to operate (regulation IV/2)

IMO Number

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/7 of the Convention.

2. That the survey showed that

the ship complied with the requirements of the Convention as regards

.1 the structure, main and auxiliary machinery, boilers and other pressure vessels;

.2 the watertight subdivision arrangements and details;

.3 the following subdivision load lines;

Subdivision load lines assigned and

marked on the ship's side at

amidships (regulations II-1/13)

Freeboard

To apply when the spaces in which

passengers are carried

include the

following alternative spaces

C.1

C.2

C.3

2.2 the ship complied with the requirements of the Convention as regards

structural fire protection, fire safety systems and appliances and fire control

plans;

2.3 the life-saving appliances and the equipment of the lifeboats, liferafts and

rescue boats were provided in accordance with the requirements of the

Convention;

2.4 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;

2.5 the ship complied with the requirements of the Convention as regards radio

installations;

2.6 the functioning of the radio installation used in life-saving appliances complied

with the requirements of the Convention;

2.7 the ship complied with the requirements of the Convention as regards

shipborne navigational equipment, means of embarkation for pilots and nautical

publications;

2.8 the ship was provided with lights, shapes, means of making sound signals and

distress signals, in accordance with the requirements of the Convention and the

International Regulations for Preventing Collisions at Sea in force;

2.9 in all other respects the ship complied with the relevant requirements of the

Convention.

3. That an Exemption Certificate has/has not been issued.

This certificate is valid until

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)

Endorsement where the renewal survey has been completed and regulation I/14(d) applies

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the validity of the certificate until reaching the port of survey

or for a period of grace where regulation I/14(e) or I/14(f) applies

This certificate shall, in accordance with regulation I/14(e)/I/14(f)1 of the Convention, be accepted

as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

DENMARK

RECORD OF EQUIPMENT FOR THE

PASSENGER SHIP SAFETY CERTIFICATE (Form P)

This Record shall be permanently attached to the

Passenger Ship Safety Certificate

RECORD OF EQUIPMENT FOR COMPLIANCE

WITH THE INTERNATIONAL CONVENTION

FOR THE SAFETY OF LIFE AT SEA, 1974

as modified by the Protocol of 1988 relating thereto

1 Particulars of ship

Name of ship

Distinctive number or letters

Number of passengers for which certified

Minimum number of persons with required qualifications to operate the radio installations

2 Details of life-saving appliances

1 Total number of persons for which life-saving appliances are provided

Port side

Starboard

side

2 Total numbers of lifeboats

2.1 Total numbers of persons accommodated by them

2.2 Number of partially enclosed lifeboats

(regulation III/2 1 and LSA Code, section 4.5)

2.3 Number of totally enclosed lifeboats

(regulation III/2 1 and LSA Code, section 4.6)

2.4 Other lifeboats

2.4.1 Number

2.5.2 Type

2 Details of life-saving appliances (continued)

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 appliance are required

5.1.1 Number of liferafts

5.1.2 Number of persons accommodated by them

5.2 Those for which approved launching appliance are not required

5.2.1 Number of liferafts

5.2.2 Number of persons accommodated by them

6 Buoyant apparatus

6.1 Number of apparatus

6.2 Number of persons capable of being supported

7 Number of lifebuoys

8 Number of lifejackets

9 Immersion suits

9.1 Total number

9.2 Number of suits complying with the requirements for lifejackets

10 Number of thermal protective aids

11 Radio installations used in life-saving appliances

11.1 Number of radar transponders

11.2 Number of two-way VHF radiotelephone apparatus

3 Details of radio facilities

Item

Actual provision

1 Primary systems

1.1 VHF radio installation

1.1.1 DSC encoder

1.1.2 DSC watch receiver

1.1.3 Radiotelephony

1.2 MF radio installation

1.2.1 DSC encoder

1.2.2 DSC watch receiver

1.2.3 Radiotelephony

1.3 MF/HF radio installation

1.3.1 DSC encoder

1.3.2 DSC watch receiver

1.3.3 Radiotelephony

1.3.4 Direct-printing radiotelegraphy

1.4 INMARSAT ship earth station

2 Secondary means of alerting

3 Facilities for reception of maritime safety information

3.1 NAVTEX receiver

3.2 EGC receiver

3.3 HF direct-printing radiotelegraph receiver

4 Satellite EPIRB

4.1 COSPASS-SARSAT

4.2 INMARSAT

5 VHF EPIRB

6 Ship s radar transponder

4 Methods used to ensure availability of radio facilities (regulations IV/15.6 and 15.7)

4.1 Duplication of equipment

4.2 Shore-based maintenance

4.3 At-sea maintenance capability

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 authorized official issuing the Record)

(Seal or stamp of the issuing authority, as appropriate)

DENMARK

CARGO SHIP SAFETY CONSTRUCTION

CERTIFICATE

Issued under the provisions of the

INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974,

as modified by the Protocol of 1988 relating thereto

under the authority of the Government of

DENMARK

by

DANISH MARITIME AUTHORITY

Particulars of ship

Name of ship

Distinctive number or letters

Port of registry

Gross tonnage

Deadweight of ship (metric tons)

IMO Number

Type of ship

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/10 of the Convention.

2. That the survey showed that the condition of the structure, machinery and equipment as defined in the above regulation was satisfactory and the ship complied with the relevant requirements of chapters II-1 and II-2 of the Convention (other than those relating to fire safety systems and appliances and fire control plans).

3. That the last two inspections of the outside of the ship's bottom took place

on

and

(dates)

4. That an Exemption Certificate has/has not been issued.

This certificate is valid until

subject to

the annual and intermediate surveys and inspections of the outside of the ship's bottom in accordance with regulation I/10 of the Convention.

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)

Endorsement for annual and intermediate surveys

THIS IS TO CERTIFY that, at a survey required by regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Annual survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/Intermediate survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/Intermediate1 survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/Intermediate survey in accordance with regulation I/14(h)(iii)

THIS IS TO CERTIFY that, at an annual/intermediate survey in accordance with regulation I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement for inspections of the outside of the ship s bottom

THIS IS TO CERTIFY that, at an inspection required by regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

First inspection

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Second inspection

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the certificate if valid for less then 5 years where regulation I/14(c) applies

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement where the renewal survey has been completed and regulation I/14(d) applies

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the validity of the certificate until reaching the port of survey

or a period of grace where regulation I/14(e) or I/14(f) applies

This certificate shall, in accordance with regulation I/14(e)/I/14(f) of the Convention, be accepted

as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement for advancement of anniversary date where regulation I/14(h) applies

In accordance with regulation I/14(h) of the Convention, the new anniversary date is

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

In accordance with regulation I/14(h) of the Convention, the new anniversary date is

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

DENMARK

CARGO SHIP SAFETY EQUIPMENT

CERTIFICATE

This certificate shall be supplemented by a Record of Equipment

(Form E)

Issued under the provisions of the

INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE

AT SEA, 1974 as modified by the Protocol of 1988 relating thereto

under the authority of the Government of

DENMARK

by

DANISH MARITIME AUTHORITY

Particulars of ship

Name of ship

Distinctive number or letters

Port of registry

Gross tonnage

Deadweight of ship (metric tons)

Length of ship (regulation III/3.12)

IMO Number

Type of ship

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

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 and means of making sound signals and

distress signals, in accordance with the requirements of the Convention and the

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.

3. That an Exemption Certificate has/has not been issued.

This certificate is valid until

subject to the

annual and periodical surveys in accordance with regulation I/8 of the Convention.

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)

Endorsement for annual and periodical surveys

THIS IS TO CERTIFY that, at a survey required by regulation I/8 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Annual survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/Periodical1 survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/periodical survey in accordance with regulation I/14(h)(iii)

THIS IS TO CERTIFY that, at the annual/periodical survey in accordance with regulation I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the certificate if valid for less than 5 years where regulation

I/14(c) applies

The ship complies with the relevant requirements of the Convention, and this certificate

shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement where the renewal survey has been completed and regulation I/14(d) applies

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the validity of the certificate until reaching the port of survey

or a period of grace where regulation I/14(e) or I/14(f) applies

This certificate shall, in accordance with regulation I/14(e)/I/14(f)1 of the Convention, be accepted

as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement for advancement of anniversary date where regulation I/14(h) applies

In accordance with regulation I/14(h) of the Convention, the new anniversary date is

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

In accordance with regulation I/14(h) of the Convention, the new anniversary date is

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

DENMARK

RECORD OF EQUIPMENT FOR THE

CARGO SHIP SAFETY EQUIPMENT CERTIFICATE (Form E)

This Record shall be permanent attached to the

Cargo Ship Safety Certificate

RECORD OF EQUIPMENT FOR COMPLIANCE

WITH THE INTERNATIONAL CONVENTION

FOR THE SAFETY OF LIFE AT SEA, 1974

as modified by the Protocol of 1988 relating thereto

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 numbers of lifeboats

2.1 Total numbers of persons accommodated by them

2.2 Number of totally enclosed lifeboats (regulation III/3 1 and LSA Code, section 4.6)

2.3 Number of lifeboats with a self contained air

support system (regulation III/3 1 and LSA Code, section 4.8)

2.4 Number of fire-protected lifeboats (regulation III/3 1 and LSA Code, section 4.9)

2.5 Other lifeboats

2.5.1 Number

2.5.2 Type

2 Details of life-saving appliances (continued)

2.6 Number of freefall lifeboats

2.6.1 Totally enclosed (regulation III/3 1 and LSA Code, section 4.7)

2.6.2 Self-contained (regulation III/3 1 and LSA Code, section 4.8)

2.6.3 Fire-protected (regulation III/3 1 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 thermal protective aids

10 Radio installations used in life-saving appliances

10.1 Number of radar transponders

10.2 Number of two-way VHF Radiotelephone apparatus

THIS IS TO CERTIFY that this Record is correct in all respects

Issued at

(Place of issue of record)

(Date of issue)

(Signature of authorized official issuing the record)

(Seal or stamp of the issuing authority, as appropriate)

DENMARK

CARGO SHIP

SAFETY RADIO CERTIFICATE

This certificate shall be supplemented by a Record of Equipment

of Radio Facilities (Form R)

Issued under the provisions of the

INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE

AT SEA, 1974 as modified by the Protocol of 1988 relating thereto

under the authority of the Government of

DENMARK

by

DANISH MARITIME AUTHORITY

Particulars of ship

Name of ship

Distinctive number or letters

Port of registry

Gross tonnage

Sea areas in which ship is certified to operate (regulation IV/2)

IMO Number

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/9 of the Convention.

2. That the survey showed that

the ship complied with the requirements of the Convention as regards radio installations;

2.2 the functioning of the radio installations used in life-saving appliances complied with the requirements of the Convention;

3. That an Exemption Certificate has/has not been issued.

This certificate is valid until

Subject to the

periodical surveys in accordance with the regulation I/9 of the Convention.

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)

Endorsement for periodical surveys

THIS IS TO CERTIFY that, at a survey required by regulation I/9 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Periodical survey in accordance with regulation I/14(h)(iii)

THIS IS TO CERTIFY that, at a Periodical survey in accordance with regulation I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the certificate if valid for less than 5 years where regulation

I/14(c) applies

The ship complies with the relevant requirements of the Convention, and this certificate

shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement where the renewal survey has been completed and regulation I/14(d) applies

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the validity of the certificate until reaching the port of survey

or for a period of grace where regulation I/14(e) or I/14(f) applies

This certificate shall, in accordance with regulation I/14(e)/I/14(f) of the Convention, be accepted

as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement for advancement of anniversary date where regulation I/14(h) applies

In accordance with regulation I/14(h) of the Convention, the new anniversary date is

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

In accordance with regulation I/14(h) of the Convention, the new anniversary date is

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

DENMARK

RECORD OF EQUIPMENT FOR THE

CARGO SHIP SAFETY RADIO CERTIFICATE (Form R)

This Record shall be permanently attached to the

Cargo Ship Safety Radio Certificate

RECORD OF EQUIPMENT FOR COMPLIANCE

WITH THE INTERNATIONAL CONVENTION

FOR THE SAFETY OF LIFE AT SEA, 1974

as modified by the Protocol of 1988 relating thereto

1 Particulars of ship

Name of ship

Distinctive number or letters

Minimum number of persons with required qualifications to operate the radio installations

2 Details of radio facilities

Item

Actual provision

1 Primary systems

1.1 VHF radio installation

1.1.1 DSC encoder

1.1.2 DSC watch receiver

1.1.3 Radiotelephony

1.2 MF radio installation

1.2.1 DSC encoder

1.2.2 DSC watch receiver

1.2.3 Radiotelephony

1.3 MF/HF radio installation

1.3.1 DSC encoder

1.3.2 DSC watch receiver

1.3.3 Radiotelephony

1.3.4 Direct-printing radiotelegraphy

1.4 INMARSAT ship earth station

2 Secondary means of alerting

2 Details of radio facilities appliances (continued)

3 Facilities for reception of maritime safety information

3.1 NAVTEX receiver

3.2 EGC receiver

3.3 HF direct-printing radiotelegraph receiver

4 Satellite EPIRB

4.1 COSPASS-SARSAT

4.2 INMARSAT

5 VHF EPIRB

6 Ship s radar transponder

3 Methods used to availability of radio facilities (regulations IV/15.6 and 15.7)

3.1 Duplication of equipment

3.2 Shore-based maintenance

3.3 At-sea maintenance capability

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)

DENMARK

CARGO SHIP SAFETY CERTIFICATE

This certificate shall be supplemented by a Record of Equipment (Form C)

Issued under the provisions of the

INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974,

as modified by the Protocol of 1988 relating thereto

under the authority of the Government of

DENMARK

by

DANISH MARITIME AUTHORITY

Particulars of ship

Name of ship

Distinctive number or letters

Port of registry

Gross tonnage

Deadweight of ship (metric tons)

Length of ship (regulation III/3.12)

Sea areas in which ship is certified to operate (regulation IV/2)

IMO Number

Type of ship

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 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, I/9 and I/10 of the Convention.

2. That the survey showed that

the condition of the structure, machinery and equipment as defined in

regulation I/10 was satisfactory and the ship complied with the relevant

requirements of chapter II-1 and chapter II-2 of the Convention (other than those

relating to fire safety systems and appliances and fire control plans);

2.2 the last two inspections of the outside of the ship's bottom took place on

and

(dates)

2.3 the ship complied with the requirements of the Convention as regards fire

safety systems and appliances and fire control plans;

2.4 the life-saving appliances and the equipment of the lifeboats, liferafts and

rescue boats were provided in accordance with the requirements of the

Convention;

2.5 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;

2.6 the ship complied with the requirements of the Convention as regards radio

installations;

2.7 the functioning of the radio installation used in life-saving appliances complied

with the requirements of the Convention;

2.8 the ship complied with the requirements of the Convention as regards

shipborne navigational equipment, means of embarkation for pilots and nautical

publications;

2.9 the ship was provided with lights, shapes, means of making sound signals and

distress signals, in accordance with the requirements of the Convention and the

International Regulations for Preventing Collisions at Sea in force;

2.10 in all other respects the ship complied with the relevant requirements of the

Convention.

3 That an Exemption Certificate has/has not been issued.

This certificate is valid until

subject to the

annual, intermediate and periodical surveys and inspections of the outside of the ship s bottom

in accordance with the regulation I/8, I/9 and I/10 of the Convention.

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)

Endorsement for annual and intermediate surveys relating to structure, machinery and equipment referred to in paragraph 2.1 of this certificate

THIS IS TO CERTIFY that, at a survey required by regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Annual survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/Intermediate survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/ Intermediate survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/intermediate survey in accordance with regulation I/14(h)(iii)

THIS IS TO CERTIFY that, at an annual/intermediate surveyed in accordance with regulation I/10 and I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement for inspections of the outside of the ship s bottom

THIS IS TO CERTIFY that, at an inspection required by regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

First inspection

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Second inspection

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement for annual and periodical surveys relating to life-saving appliances

and other equipment referred to in paragraphs 2.3, 2.4, 2.5, 2.8 and 2.9 of

this certificate

THIS IS TO CERTIFY that, at a survey required by regulation I/8 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Annual survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Annual/periodical survey in accordance with regulation I/14(h)(iii)

THIS IS TO CERTIFY that, at an annual/periodical survey in accordance with regulations I/8 and I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement for annual and periodical surveys relating to radio installations referred to in paragraphs 2.6 and 2.7 of this certificate

THIS IS TO CERTIFY that, at a survey required by regulation I/9 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Periodical survey

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Periodical survey in accordance with regulation I/14(h)(iii)

THIS IS TO CERTIFY that, at a periodical survey in accordance with regulations I/9 and I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the certificate if valid for less than 5 years where regulation

I/14(c) applies

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement where the renewal survey has been completed and regulation I/14(d) applies

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the validity of the certificate until reaching the port of survey

or a period of grace where regulation I/14(e) or I/14(f) applies

This certificate shall, in accordance with regulation I/14(e)/I/14(f) of the Convention, be

accepted as valid until

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement for advancement of anniversary date where regulation I/14(h) applies

In accordance with regulation I/14(h) of the Convention, the new anniversary date is

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

In accordance with regulation I/14(h) of the Convention, the new anniversary date is

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

DENMARK

RECORD OF EQUIPMENT FOR THE

CARGO SHIP SAFETY CERTIFICATE (Form C)

This Record shall be permanent attached to the

Cargo Ship Safety Certificate

RECORD OF EQUIPMENT FOR COMPLIANCE

WITH THE INTERNATIONAL CONVENTION

FOR THE SAFETY OF LIFE AT SEA, 1974

as modified by the Protocol of 1988 relating thereto

1 Particulars of ship

Name of ship

Distinctive number or letters

Minimum number of persons with required qualifications to operate the radio installations

2 Details of life-saving appliances

1 Total number of persons for which life-saving appliances are provided

Port side

Starboard

side

2 Total numbers of lifeboats

2.1 Total numbers of persons accommodated by them

2.2 Number of totally enclosed lifeboats

(regulation III/3 1 and LSA Code section 4.6)

2.3 Number of lifeboats with a self contained air

support system (regulation III/3 1 and LSA Code section 4.8)

2.4 Number of fire-protected lifeboats

(regulation III/3 1 and LSA Code section 4.9)

2.5 Other lifeboats

2.5.1 Number

2.5.2 Type

2 Details of life-saving appliances (continued)

2.6 Number of free-fall lifeboats

2.6.1 Totally enclosed (regulation III/3 1 and LSA Code section 4.7)

2.6.2 Self-contained (regulation III/3 1 and LSA Code section 4.8)

2.6.3 Fire-protected (regulation III/3 1 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 thermal protective aids

10 Radio installations used in life-saving appliances

10.1 Number of radar transponders

10.2 Number of two-way VHF Radiotelephone apparatus

3 Details of radio facilities

Item

Actual provision

1 Primary systems

1.1 VHF radio installation

1.1.1 DSC encoder

1.1.2 DSC watch receiver

1.1.3 Radiotelephony

1.2 MF radio installation

1.2.1 DSC encoder

1.2.2 DSC watch receiver

1.2.3 Radiotelephony

1.3 MF/HF radio installation

1.3.1 DSC encoder

1.3.2 DSC watch receiver

1.3.3 Radiotelephony

1.3.4 Direct-printing radiotelegraphy

1.4 INMARSAT ship earth station

2 Secondary means of alerting

3 Facilities for reception of maritime

safety information

3.1 NAVTEX receiver

3.2 EGC receiver

3.3 HF direct-printing radiotelegraph receiver

4 Satellite EPIRB

4.1 COSPASS-SARSAT

4.2 INMARSAT

5 VHF EPIRB

6 Ship s radar transponder

4 Methods used to ensure availability of radio facilities (regulations IV/15.6

and 15.7)

4.1 Duplication of equipment

4.2 Shore based maintenance

4.3 At-sea maintenance capability

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)

DENMARK

EXEMPTION CERTIFICATE

Issued under the provisions of the

INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE

AT SEA, 1974, as modified by the Protocol of 1998 relating thereto

under the authority of the Government of

DENMARK

by

DANISH MARITIME AUTHORITY

Particulars of ship

Name of ship

Distinctive number or letters

Port of registry

Gross tonnage

IMO Number

THIS IS TO CERTIFY

That the ship is, under the authority conferred by regulation

of the Convention, exempted from the requirements of

of the Convention.

Conditions, if any, on which the Exemption Certificate is granted

Voyages, if any, for which the Exemption Certificate is granted

This certificate is valid until

subject to

the

Certificate, to which this certificate

is attached, remaining valid.

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)

Endorsement to extend the certificate if valid for less than 5 years where regulation

I/14(c) applies

This certificate shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid

until

subject to

the

Certificate, to which this certificate is

attached, remaining valid.

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement where the renewal survey has been completed and regulation I/14(d) applies

This certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as

valid until

subject to

the

Certificate, to which this certificate is

attached, remaining valid.

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

Endorsement to extend the validity of the certificate until reaching the port of survey

or a period of grace where regulation I/14(e) or I/14(f) applies

This certificate shall, in accordance with regulation I/14(e)/I/14(f)1 of the Convention, be accepted as

valid until

subject to

the

Certificate, to which this certificate is

attached, remaining valid.

Signed

(Signature of authorized official)

Place

Date

(Seal or stamp of the issuing authority, as appropriate)

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