[MAT 45,295] FORM SUR 19 NUCLEAR CARGO SHIP SAFETY CERTIFICATE
FSU19

Form of Nuclear Cargo ship safety Certificate

This Certificate shall be supplemented by a Record of Equipment

(Form CNUC)

(FIJI Seal)

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 the Republic of

FIJI

By

.................................................................................

(Signature of Chief Executive Officer MSAF or authorised person)

Particulars of ship.

Name of ship .................................................................................

Distinctive number or letters .................................................................................

Port of registry .................................................................................

Gross tonnage .................................................................................

Deadweight of ship (tons)45.................................................................................

Length of ship (regulation III/3.12)

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

IMO Number .................................................................................

Type of Ship46

  • 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 VIII/9 of the Convention.
  • 2.That the ship, being a nuclear ship, complied with all the requirements of chapter VIII of the Convention and conformed to the Safety Assessment approved for the ship; and that:
  • 2.1the condition of the structure, machinery and equipment as defined in regulation I/10 (as applicable to comply with regulation VIII/9), including the nuclear propulsion plant and the collision protective structure, 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);
  • 2.2the ship complied with the requirements of the Convention as regards fire safety sytems and appliances and fire control plans;
  • 2.3the life- saving appliances and the equipment of the lifeboats, liferafts and rescue boats were provided in accordance with the requirements of the Convention;
  • 2.4the ship was provided with a line- throwing appliance and radio installations used in life- saving appliances in accordance with the requirements of the Convention;
  • 2.5the ship complied with the requirements of the Convention as regards radio installation;
  • 2.6the functioning of the radio installation used in life saving appliances complied with the requirements of the Convention;
  • 2.7the ship complied with the requirements of the Convention as regards ship borne navigational equipments means of embarkation for pilots and nautical publications;
  • 2.8the 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 Regulation for Preventing Collision at Sea in force;
  • 2.9in all other respects the ship complied with the relevant requirements of the regulation, so far as these requirements apply thereto;
  • 2.10the ship was/ was not46 subjected to an alternative design and arrangements in pursuance of regulation II-2/17 of the Convention;
  • 2.11a Document of approval of alternative design and arrangements for fire safety is/is not47 appended to this Certificate.

This certificate is valid until .................................................................................

Completion date of the survey on which this certificate is based: ................................................................................. (dd/mm/yy)

Issued at .................................................................................

(Place of issue of certificate)

..................................................
(Date of issue)(Signature of Chief Executive Officer MSAF or authorised person)

(MSAF seal or authorised organisation seal)

RECORD OF EQUIPMENT FOR THE NUCLEAR CARGO SHIP SAFETY CERTIFICATE FORM (CNUC)

This Record shall be permanently attached to the Nuclear Cargo Sip 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 SideStarboard side
2. Total number of life boats..................................................
2.1 Total number of persons accommodated by them..................................................
2.2 Number of totally enclosed lifeboats (regulation III/31 and LSA code, paragraph 4.6)..................................................
2.3 Number of totally enclosed life boats (regulation III/31 and LSA code, paragraph 4.8)..................................................
2.4 Number of fire protected lifeboats (regulation III/31..................................................
2.5 Other lifeboats..................................................
2.5.1Number..................................................
2.5.2 Type..................................................
2.6 Number of freefall lifeboats
2.6.1 Totally enclosed (regulation III/31 and LSA Code, paragraph 4.7).........................
2.6.2 Self-contained (regulation III/31 and LSA Code, paragraph 4.8).........................
2.6.3 Fire protected (regulation III/31 and LSA Code, paragraph 4.9).........................
3.Number of motor lifeboats included in the total lifeboats shown above.........................
3.1Number of lifeboats fitted with searchlights.........................
4.Number of rescue boats.........................
4.1Number of boats which are included in the total lifeboats shown above.........................
5.Liferafts.........................
5.1Those 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 lifebouys.........................
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 aids13.........................
10. Radio installations used in life- saving appliances.........................
10.1Number of radio transponders
10.2Number of two- way VHF radio telephone apparatus.........................

3. Details of radio facilities

ItemsActual provision
1. Primary system.........................
1.1VHF radio installation.........................
1.1.1DSC Encoder.........................
1.1.2DSC watch receiver.........................
1.1.3Radiotelephony.........................
1.2 MF radio installation.........................
1.2.1 DSC encoder.........................
1.2.2 DSC Watch receiver.........................
1.2.3Radiotelephony.........................
1.3MF/HF radio installation.........................
1.3.1DSC radio installation.........................
1.3.2DSC watch receiver.........................
1.3.3Radiotelephony.........................
1.3.4Direct- printing radio telephony.........................
1.4 INMARSAT ship earth station.........................
2. Secondary means of alerting.........................
3. Facilities of reception of maritime safety information.........................
3.1 NAVTEX receiver.........................
3.2 EGC receiver.........................
3.3 HF direct-printing radio telephony receiver.........................
4.Satellite EPIRB.........................
4.1 COSPAC-SARSAT.........................
4.2 INMARSAT.........................
5. VHF EPIRB.........................
6. Ships radio transponder.........................

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

4.1 Duplication of equipment .................................................................................

4.2 Shore based maintenance .................................................................................

4.3 At-sea maintenance capability .................................................................................

5. Details of navigation systems and equipments

ItemsActual Provision
1.1Standard magnetic compass14.........................
1.2Spare magnetic compass48.........................
1.3Gyro-compass48.........................
1.4Gyro-compass heading repeater48.........................
1.5Gyro-compass bearing repeater48.........................
1.6Heading or track control system48.........................
1.7Pelorus or compass bearing device48.........................
1.8Means of correcting heading and bearing.........................
1.9Transmitting heading device (THD)48.........................
2.1Nautical charts / Electronic Charts display and information system (ECDIS)15.........................
2.2Back-up arrangement for ECDIS.........................
2.3Nautical publication.........................
2.4Back-up arrangement for electronic nautical publication.........................
3.1Receiver for a global navigation satellite system/terrestrial radio navigation system48,49.........................
3.29 GHz radar48.........................
3.3Second Radar (3 GHz /9 GHz49)48.........................
3.4Automatic radar plotting aid (ARPA)48.........................
3.5Automatic tracking aid48.........................
3.6Second automatic tracking aid48.........................
3.7Electronic plotting aid48.........................
4.Automatic identification system (AIS).........................
5.1Voyage data recorder (VDR)47.........................
5.2Simplified voyage data recorder (S-VDR)49.........................
6.1Speed and distance measuring device (through the water)48.........................
6.2Speed and distance measuring device (over the ground and athwart ship direction)48.........................
6.3Echo-sounding device48.........................
7.1Rudder, propeller, thrust, pitch and operational mode indicator48.........................
7.2Rate-of-turn indictor48.........................
8.Sound reception system48.........................
9.Telephone to emergency steering position48.........................
10.Daylight signaling lamp48.........................
11.Radar reflector48.........................
12.International code of signals.........................
13.IAMSAR Manual, Volume III.........................

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 Chief Executive Officer MSAF or authorised person)

(MSAF seal or authorised organisation seal)

2Delete as appropriate
3Alternatively, the particulars of the ship may be placed horizontally in boxes.
4In accordance with IMO ship identification number scheme adopted by the Organisation by resolution A 600(15).
5Delete as appropriate
6Delete as appropriate
7Alternatively, the particulars of the ship may be placed horizontally in boxes.
8For oil tankers, chemical tankers and gas carriers only.
9In accordance with IMO ship identification number scheme adopted by the Organisation by resolution A 600(15).
10Delete as appropriate
13Delete as appropriate
11Delete as appropriate
12Insert the date of expiry as specified by the Administration in accordance with Regulation 1/14(a) of the convention. The day and the month of this date correspond to the anniversary date,as defined in regulation ½(n) of the convention, unless amended in accordance with regulation ¼(h)
14Provision may be made for additional inspections.
15Delete as appropriate
16Alternatively, the particulars of the ship may be placed horizontally in boxes.
17For oil tankers, chemical tankers and gas carriers only.
18In accordance with IMO ship identification number scheme adopted by the Organisation by resolution A 600(15)
19Delete as appropriate
20Insert the date of expiry as specified by the Administration in accordance with Regulation 1/14(a) of the convention. The day and the month of this date correspond to the anniversary date, as defined in regulation ½(n) of the convention, unless amended in accordance with regulation ¼(h)
21Delete as appropriate
22Delete as appropriate
23Alternatively, the particulars of the ship may be placed horizontally in boxes.
24In accordance with the IMO ship identification number scheme adopted by the Organisation by resolution A 600(15).
25Delete as appropriate
26Insert the date of expiry as specified by the Administration in accordance with regulation 1/14(a) of the Convention. The day and the month of this date correspond to the anniversary date as defined in regulation ½(n) of the Convention, unless amended in accordance with regulation 1/14(h).
27Delete as appropriate
28Alternatively, the particulars of the ship may be placed horizontally in boxes
29For oil tankers, chemical tankers and gas carriers only.
30In accordance with IMO ship identification number scheme adopted by the Organisation by resolution A 600(15).
31Delete as appropriate
32Delete as appropriate
33Insert the date of expiry as specified by the Administration in accordance with Regulation 1/14(a) of the convention. The day and the month of this date correspond to the anniversary date, as defined in regulation ½(n) of the Convention, unless amended in accordance with regulation ¼(h)
34Delete as appropriate
35Provision may be made for additional inspections.
36Delete as appropriate
37Delete as appropriate
38Alternatively, the particulars of the ship may be placed horizontally in boxes
39In accordance with the IMO ship identification number scheme adopted by the Organisation by resolution A 600(15)
40Delete as appropriate
41Delete as appropriate
42Alternatively, the particulars of the ship may be placed horizontally in boxes
43Delete as appropriate
44Alternatively, the particulars of the ship may be placed horizontally in boxes
45For oil tankers, chemical tankers and gas carriers only.
46Delete as appropriate
47Delete as appropriate
13Delete as appropriate
14Provision may be made for additional inspections.
15Delete as appropriate
45For oil tankers, chemical tankers and gas carriers only.
46Delete as appropriate
47Delete as appropriate