Appendix 2 – Format of Statement of Fact on Installation of an Integrated Bilge Water Treatment System (IBTS)
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Statutory Documents - IMO Publications and Documents - Circulars - Marine Environment Protection Committee - MEPC.1/Circular.642 – 2008 Revised Guidelines for Systems for Handling Oily Wastes in Machinery Spaces of Ships Incorporating Guidance Notes for an Integrated Bilge Water Treatment System (IBTS)... - Annex - 2008 Revised Guidelines for Systems for Handling Oily Wastes in Machinery Spaces of Ships Incorporating Guidance Notes for an Integrated Bilge Water Treatment System (IBTS) - Appendix 2 – Format of Statement of Fact on Installation of an Integrated Bilge Water Treatment System (IBTS)

Appendix 2 – Format of Statement of Fact on Installation of an Integrated Bilge Water Treatment System (IBTS)

Particulars of ship:
Name of ship .............................................................................................................................
Distinctive number or letters ......................................................................................................
Port of registry ...........................................................................................................................
Gross tonnage ...........................................................................................................................
IMO Number ..............................................................................................................................
This is to confirm that the arrangement of the integrated bilge water treatment system (IBTS) installed on this ship is in accordance with the specifications contained in the Annex to the 2008 Revised Guidelines for systems for handling oily wastes in machinery spaces of ships incorporating Guidance notes for an integrated bilge water treatment system (IBTS) (MEPC.1/Circ.642, as amended by MEPC.1/Circ.676 and MEPC.1/Circ….) to the extent as recorded below ("X" indicates provided and "-" indicates not provided).
       

1 Drainage system

       
  (1) Drip trays or coamings with sufficient depth are provided under the equipment using oil such as diesel engines, burners, pumps, heaters, coolers, filters, fuel and oil purifiers and tanks to contain spillage of oil.
  (2) Drip trays or coamings with sufficient depth are provided under the equipment using water such as pumps, heaters, coolers, filters, tanks, condensers and boilers to contain spillage of water.
  (3) Independent drainage arrangements for oily drains to oil residue (sludge) tanks are provided.
  (4) Independent drainage arrangements of clean water drains from equipment in machinery spaces not normally containing oil are provided.
  (5) An exclusive pump to transfer the oily bilge water from bilge wells or tank top to the pre treatment unit or to bilge primary tank is provided.
       

2 Pre-treatment unit for oil separation

       
  (1) Bilge primary tanks or other equipment are provided for separation of oil from oily bilge water.
  (2) Bilge primary tank.
   
(a) =

Cascades with drainage facilities for oil on the top so as to enable primary separation of oily bilge water are provided.

   
(b) =

Facilities to remove sediments are provided.

   
(c) =

Heating arrangements to facilitate separation of oil in case where the primary separation by gravity is difficult are provided.

  (3) Pre-treatment unit other than the bilge primary tank.
   
(a) =

If the pre-treatment unit other than the bilge primary tank are provided on board the vessel, its pre-treatment ability is to be ensured as equivalent to the bilge primary tank.

       

3 Storage Tanks

             
  (1) The ship is provided with clean drain tank(s) for the retention onboard of clean drain water as follows:
    Identification Tank Location: Frames (from)-(to) Tank Location Lateral position Volume (m3)  
       
       
       
       
  (2) The ship is provided with oily bilge holding tank(s) for the retention on board of oily bilge water as shown in section 3.3 of the Form A or B.
  (3) The ship is provided with oil residue (sludge) tank(s) for retention of oil residues (sludge) on board, as shown in section 3.1 of the Form A or B.
             

4 Discharge arrangement of clean drains

             
  (1) Overboard discharge arrangements of clean drains which are independent from the system for oily bilge water are provided.
  (2) Means are provided to monitor discharges of the clean drains into the sea, as follows:
...........................................................................................................................
...........................................................................................................................
             

5 Discharge arrangement of oily bilge water

             
  (1) An exclusive pump to transfer the pre-treated bilge water from the oily bilge water holding tank to the oily water separator/filtering (15 ppm) equipment is provided so as not to mix the pre-treated bilge water with untreated oily bilge water.
  (2) The ship is provided with oil filtering equipment for the treatment of oily bilge water as shown in sections 2.2, 2.3 and 2.4 of the Form A or B.
  (3) The ship is fitted with oily bilge holding tank(s) for the total retention on board of all oily bilge water as shown in section 2.5.2 of the Form A or B.
  (4) The ship can discharge oily bilge holding tank(s) by way of a standard discharge connection as shown in section 4 of the Form A or B, with protection to avoid contamination of oil sludge into the oily bilge system. Refer to MARPOL Annex I, Unified interpretation for regulation 12.4 (17.1.3).
             

6 Discharge arrangement of oil residue (sludge)

             
  (1) Heating arrangements to vaporize water are provided for oil residue (sludge) service tank(s).
  (2) The ship is provided with means for the disposal of oil residues (sludge) retained in oil residue tanks as shown in section 3.2 of the Form A or B.
  (3) The ship is provided with a pipeline for the discharge of oil residues (sludge) from machinery bilges to reception facilities, fitted with a standard discharge connection in compliance with MARPOL Annex I, regulation 13, as shown in section 4 of the Form A or B.
             
  Issued at ......................................................... on ....................................................................  
  Issued by ......................................................... of ....................................................................  

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