Form of Safety Radio Certificate for Cargo Ships
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - Resolutions - Maritime Safety Committee - Resolution MSC.338(91) – Adoption of Amendments to the International Convention for the Safety of Life at Sea, 1974, as Amended – (Adopted on 30 November 2012) - Annex – Amendments to the International Convention for the Safety of Life at Sea, 1974, as AmendedThe Annex below is consolidated into Chapters II-1, II-2, III, Appendix of the International Convention for the Safety of Life at Sea, 1974 - Appendix Certificates - Form of Safety Radio Certificate for Cargo Ships

Form of Safety Radio Certificate for Cargo Ships

CARGO SHIP SAFETY RADIO CERTIFICATE
   
This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety Radio (Form R)
   
(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)
   
Particulars of ship footnote
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 Numberfootnote .........................................................................................................................................
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:
2.1 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 notfootnote been issued.
 
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)
   
RECORD OF EQUIPMENT FOR CARGO SHIP SAFETY RADIO (FORM R)
 
RECORD OF EQUIPMENT FOR COMPLIANCE WITH THE INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, AS AMENDED
 
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 telegraphy ...............................
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 COSPAS-SARSAT ...............................
5 VHF EPIRB ...............................
6 Ship's search and rescue locating device  
6.1 Radar search and rescue transponder (SART) ...............................
6.2 AIS search and rescue transmitter (AIS-SART) ...............................
 
3 Methods used to ensure 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)
Parent topic: Appendix Certificates
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