Reporting Form under the provisions of paragraph 42 of the Guidelines
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - Circulars - Maritime Safety Committee - MSC/Circular.566 – Provisional Guidelines on the Conduct of Trials in which the Officer of the Navigational Watch Acts as the Sole Look-out in Periods of Darkness – (Adopted on 2 July 1991) - Annex - Draft Provisional Guidelines for Conducting Trials in which the Officer of the Navigational Watch Acts as the Sole Look-out in Periods of Darkness - Appendix - Reporting Form under the provisions of paragraph 42 of the Guidelines

Reporting Form under the provisions of paragraph 42 of the Guidelines

SHIP'S DATA SHEET    
to be filled in for each vessel participating in trials:    
Name .....................................................................................   Call sign .........................................................        
Type ......................................................................................   Trade area ......................................................        
Flag ........................................................................................            
Tonnage ................................... grt   Length o.a. ................................................ m        
Speed ....................................... kn   Breadth ...................................................... m        
Number of crew .....................   Summer draught ...................................... m        
                   
          No. of officers certificated for navigational duties.........................................................        
Bridge instrumentation          
  - automatic radar plotting aid (ARPA) YES   NO    
  - electronic position-fixing system          
  - gyro compass systems          
  - automatic steering system          
  - speed log system          
  - echo sounding system          
  - whistle control system          
  - internal communication system          
  - external communication system          
  - watch alarm system with alarm transfer system          
  - collision warning system without alarm transfer system          
  - collision warning system with alarm transfer system          
  - grounding and off-track warning system with alarm transfer system          
  - grounding and off-track warning system without alarm transfer system          
  - automatic graphic position display          
  - appliance for recording VHF cells          
  - paging system and means of acknowledgement          
  - rasterscan radar display          
  - NAVTEX or EGC receiver          
  - sound reception system          
  - ________________________________________          
  - ________________________________________          
     
Bridge design: illustration/plan attached          
Description of bridge safety system:          
  - Initial signal emitted by alarm: light        
          sound        
          both        
  - Intervals between required acknowledgements:          
    maximum interval set during trials ..... minutes          
    minimum interval set during trials ..... minutes          
  - Period before alarm signal is transferred to other locations on ship: ..... seconds          
  - Type and location of acknowledgement devices          
  .........................................................................................................          
  - Locations on ship where unacknowledged alarm signal is transferred:        
  - master's quarters          
  - back-up navigator's quarters          
  - ship's offices          
  - messrooms, day rooms, relevant public areas          
  - portable device carried by the master          
  - _________________________________          
  Would the ship's general alarm automatically be sounded if the transfer alarm is not acknowledged?        
          YES      
          NO      
  The back-up navigator is expected to arrive on the bridge in how many minutes after the transfer alarm is activated? ...............................    
  When ships of less than 1,600 grt participate in trials and cannot comply with the provisional Guidelines, Administrations should indicate what guidelines could not be complied with and describe what alternative arrangements were adopted to provide a level of safety that is at least as effective as that prescribed in the guidelines.    

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