Appendix - Model form of Diving System Safety Certificate
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Statutory Documents - IMO Publications and Documents - International Codes - DS Code - Code of Safety for Diving Systems, 1995 – Resolution A.831(19) - Appendix - Model form of Diving System Safety Certificate

Appendix - Model form of Diving System Safety Certificate

DIVING SYSTEM SAFETY CERTIFICATE
   
(Official seal)
   
Issued in the pursuance of the
CODE OF SAFETY FOR DIVING SYSTEMS, 1995
(Adopted by the IMO Assembly resolution A.831(19))
   
Name of ship ........................................................................................................................
Official number of ship .........................................................................................................
Under the authority of the Government
..............................................................................................................................................
(full official designation of the country)
   
by .........................................................................................................................................
(full official designation of the competent person or organization authorized by the Administration)
   
Distinctive identification and its location for each main component
(number or other identification)
   
Date on which the diving system was certificated for the first time:
..............................................................................................................................................
   
THIS IS TO CERTIFY:

1. That the above-mentioned system has been duly surveyed and tested in accordance with the applicable provisions of the Code of Safety for Diving Systems.

2. That the survey showed that the design, construction, equipment, fittings, communication system, arrangements and materials of the system and the conditions thereof are in all respects satisfactory and that the system complies with the relevant provisions of the Code.

3. That the diving system is designed and constructed for a maximum operating depth of
.........................................................................................................................................

4. That the diving system and its main components are designed in accordance with the following limiting operating parameters:
.........................................................................................................................................
.........................................................................................................................................

5. That in accordance with section 1.4, the provisions of the Code are modified in respect of the system in the following manner:

   
This certificate is valid until ............................................... day of ............................... 19...
Completion date of the survey on which this certificate is based:........................................
(dd/mm/yyyy)
Issued at .................................................... ............................... 19...
(Place of issue of certificate)  
The undersigned declares that he is authorized by the said Government to issue this certificate.
   
  ................................................................
  (signature of official issuing the certificate and/or seal of issuing authority)
(seal or stamp of issuing authority, as appropriate)  
   
SURVEYS
This is to certify that, at a survey required by section 1.6 of the Code, this system was found to comply with the relevant provisions of the Code.
   
Annual survey  
Place .......................................................... Date ...........................................................
Signature and seal of issuing authority  
   
Place .......................................................... Date ...........................................................
Signature and seal of issuing authority  
Place .......................................................... Date ...........................................................
Signature and seal of issuing authority  
Place .......................................................... Date ...........................................................
Signature and seal of issuing authority  
Place .......................................................... Date ...........................................................
Signature and seal of issuing authority  
   
Endorsement for the extension of the Certificate
The diving system fully complies with the relevant provisions of the Code and this Certificate shall, in accordance with paragraph 1.6.9 of the Code, be accepted as valid until ...............................
  Signed ........................................................
  (signature of authorized official)
  Place ..........................................................
  Date ...........................................................
(seal or stamp of the Administration, as appropriate)
Parent topic: DS Code - Code of Safety for Diving Systems, 1995 – Resolution A.831(19)
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