FORM OF NUCLEAR CARGO SHIP SAFETY CERTIFICATE
NUCLEAR CARGO SHIP SAFETY CERTIFICATE
This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety (Form C)
(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)
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Particulars of ship
Name of ship ...................................................................................................................................
Distinctive number or letters ...........................................................................................................
Port of registry ................................................................................................................................
Gross tonnage ................................................................................................................................
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Deadweight of ship (metric tons) ....................................................................................................
Length of ship (regulation III/3.12) ..................................................................................................
Sea areas in which ship is certified to operate (regulation IV/2) .....................................................
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IMO Number ..................................................................................................................................
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Type of ship
Bulk carrier
Oil tanker
Chemical tanker
Gas carrier
Cargo ship other than any of the above
Date of build:
Date of building contract ...........................................................................................................
Date on which keel was laid or ship was at similar stage of construction .................................
Date of delivery .......................................................................................................................
Date on which work for a conversion or an alteration or modification of a major character
was commenced (where applicable) ......................................................................................
All applicable dates shall be completed.
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Alternatively, the particulars of the ship may be placed horizontally in boxes.
2
For oil tankers, chemical tankers and gas carriers only.
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In accordance with the IMO ship identification number scheme, adopted by the Organization by resolution A.600(15).
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Delete as appropriate.
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 o f
the Convention and conformed to the Safety Assessment approved for the ship; and that:
2.1 the condition of the structure, machinery and equipment as defined in regulation I/10
(as applicable to comply with regulation VIII/9), including the nuclear prop ulsion 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);
2.2 the ship complied with the requirements of the Convention as regards 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 installations 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 regulations, so
far as these requirements apply thereto;
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2.10 the ship was/was not subjected to an alternative design and arrangements in pursuance of
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regulation(s) II-1/55 / II-2/17 / III/38 of the Convention;
2.11 a Document of approval of alternative design and arrangements for machinery and
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electrical installations/fire protection/life-saving appliance and arrangements is/is not
appended to this Certificate.
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)
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Delete as appropriate.