Appendix
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - International Codes - 1983 IGC Code - International Code for the Construction and Equipment of Ships Carrying Liquefied Gases in Bulk - Appendix Model Form of International Certificate of Fitness for the Carriage of Liquefied Gases in Bulk [Harmonised Requirements of Resolution MSC.17(58)] - Appendix

Appendix

Certificate 1. International Certificate of Fitness for the Carriage of Liquefied Gases in Bulk

INTERNATIONAL CERTIFICATE OF FITNESS FOR THE CARRIAGE OF LIQUEFIED GASES IN BULK
(Official seal)
Issued under the provisions of the
INTERNATIONAL CODE FOR THE CONSTRUCTION AND EQUIPMENT OF SHIPS CARRYING LIQUEFIED GASES IN BULK
(resolution MSC.5(48) as amended by resolution MSC.17(58))
  under the authority of the Government of
  ........................................................................................................................................................................
  (full designation of country)
  by ...................................................................................................................................................................
  (full designation of the competent person or organization authorized under the provisions of the Code)
Particulars of ship 1/
Name of ship .........................................................................................................................................................................................
Distinctive number or letters .............................................................................................................................................................
Port of registry ......................................................................................................................................................................................
Cargo capacity (m3) .........................................................................................................................................................
Ship type (Code paragraph 2.1.2) ............................................................................................................................
IMO Number 2/
 
Date on which keel was laid or ship was at a similar stage of construction or, (in the case of a converted ship) date on which conversion to a gas carrier was commenced ..............................................................................................................
The ship also complies fully with the following amendments to the Code:
  .......................................................................................................................................................................
  .......................................................................................................................................................................
The ship is exempted from compliance with the following provisions of the Code:
  .......................................................................................................................................................................
  .......................................................................................................................................................................
 
 
 
 
THIS IS TO CERTIFY:
1 .1 That the ship has been surveyed in accordance with the provisions of 1.5 of the Code;
  .2 that the survey showed that the structure, equipment, fittings, arrangements and materials of the ship and the conditions thereof are in all respects satisfactory and that the ship complies with the relevant provisions of the Code.
2 That the following design criteria have been used:
  .1 ambient air temperature ............................................................................................. °C
  .2 ambient water temperature ............................................................................................. °C  
    Tank type and number Stress Factors Materials MARVS
    A B C D
                 
    Cargo piping            
    NB: Tank numbers referred to in this list are identified on attachment 2, signed and dated tank plan.
  .4 Mechanical properties of the cargo tank material were determined at ............................................... .°C
3 That the ship is suitable for the carriage in bulk of the following products, provided that all relevant operational provisions of the Code are observed.  
    Products   Conditions of carriage (tank numbers etc.)
    ____________________________ _____________________________
    ____________________________ _____________________________
    ____________________________ _____________________________
    ____________________________ _____________________________
    ____________________________ _____________________________
    ____________________________ _____________________________
    ____________________________ _____________________________
    Continued on attachment 1.3/
    Tank numbers referred to in this list are identified on attachment 2.
     
4 That in accordance with 1.4/2.8.2 3/, the provisions of the Code are modified in respect of the ship in the following manner:
5 That the ship must be loaded:
  .1 in accordance with the loading conditions provided in the approved loading manual, stamped and dated ............................................................. and signed by a responsible officer of the Administration, or of an organization recognized by the Administration;3/
  .2 in accordance with the loading limitations appended to this Certificate. 3/
Where it is required to load the ship other than in accordance with the above instruction, then the necessary calculations to justify the proposed loading conditions should be communicated to the certifying Administration who may authorize in writing the adoption of the proposed loading condition.4/
  This certificate is valid until .................................................................... 5/ subject to surveys in accordance with 1.5of the Code.
                   
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 duly authorized official issuing the Certificate)
 
(Seal or stamp of the authority, as appropriate)
     
Notes on completion of Certificate:
1 “Ship type”: any entry under this line must be related to all relevant recommendations, e.g. an entry "Type 2G” should mean type 2G in all respects prescribed by the Code.
2 Paragraphs 2.1 and 2.2: the ambient temperatures accepted or required by the Administration for the purposes of 4.8.1 of the Code to be inserted.
3 Paragraph 2.3: stress factors and materials as accepted or required by the Administration for the purposes of 4.5.1.4 and 4.5.1.6 of the Code to be inserted.
4 Paragraph 2.4: temperature accepted by the Administration for the purposes of 4.5.1.7 to be inserted.
5 Paragraph 3: only products listed in chapter 19of the Code or which have been evaluated by the Administration in accordance with paragraph 1.1.6 of the Code or their compatible mixtures having physical properties within the limitations of tank design should be listed. In respect of the latter “new” products, only special requirements provisionally prescribed should be noted.

Certificate 2. Endorsement for Annual and Intermediate Surveys

                   
ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS
THIS IS TO CERTIFY that, at a survey required by 1.5.2 of the Code the ship was found to comply with the relevant provisions of the Code:
Annual survey: Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
 
Annual/Intermediate 3/ survey: Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
 
Annual/Intermediate 3/ survey: Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
 
Annual survey: Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
 
Annual/intermediate survey in accordance with 1.5.6.8.3
THIS IS TO CERTIFY that, at an annual/intermediate3/ survey in accordance with1.5.6.8.3 of the Code, the ship was found to comply with the relevant provisions of the Code.
  Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
 
Endorsement to extend the Certificate if valid for less than 5 years where 1.5.6.3 applies
The ship complies with the relevant provisions of the Code, and this Certificate should, in accordance with 1.5.6.3of the Code, be accepted as valid until ................................................................................................................................
  Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
 
Endorsement where the renewal survey has been completed and 1.5.6.4 applies
The ship complies with the relevant provisions of the Code, and this Certificate should, in accordance with 1.5.6.4of the Code, be accepted as valid until .................................................................................................
  Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
 
Endorsement to extend the validity of the Certificate until reaching the port of survey or for a period of grace where 1.5.6.5/1.5.6.6 applies
This Certificate should, in accordance with 1.5.6.5/1.5.6.6 3/ of the Code, be accepted as valid until .................................................................................................
  Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
 
Endorsement for advancement of anniversary date where 1.5.6.8 applies
In accordance with 1.5.6.8 of the Code, the new anniversary date is .................................................................................................
  Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
In accordance with 1.5.6.8 of the Code, the new anniversary date is .................................................................................................
  Signed .....................................................................................................
    (Signature of authorized official)
 
  Place: .....................................................................................................
  Date: .....................................................................................................
(Seal or stamp of the authority, as appropriate)
     
1/ Alternatively, the particulars of the ship may be placed horizontally in boxes.
2/ In accordance with resolution A.600(15) — IMO Ship Identification Number Scheme, this information may be included voluntarily.
3/ Delete as appropriate.
4/ Instead of being incorporated in the Certificate, this text may be appended to the Certificate if duly signed and stamped.
5/ The date of expiry as specified by the Administration in accordance with 1.5.6.1 of the Code. The day and the month of this date correspond to the anniversary date as defined in 1.3.3.3 of the Code, unless amended in accordance with 1.5.6.8 of the Code.

Attachment 1 to the International Certificate of Fitness for the Carriage of Liquefied Gases in Bulk

   
ATTACHMENT 1 TO THE INTERNATIONAL CERTIFICATE OF FITNESS FOR THE
CARRIAGE OF LIQUEFIED GASES IN BULK
Continued list of products to those specified in section 3, and the conditions of their carriage
   
   
   
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as for Certificate) (Signature of official issuing the Certificate and/or seal or stamp of issuing authority)

Attachment 2 to the International Certificate of Fitness for the Carriage of Liquefied Gases in Bulk

   
ATTACHMENT 2 TO THE INTERNATIONAL CERTIFICATE OF FITNESS FOR THE
CARRIAGE OF LIQUEFIED GASES IN BULK
 
TANK PLAN (specimen)
Name of ship: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Distinctive number of letters: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 
 
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as for Certificate) (Signature of official issuing the Certificate and/or seal or stamp of issuing authority)
Parent topic: Appendix Model Form of International Certificate of Fitness for the Carriage of Liquefied Gases in Bulk [Harmonised Requirements of Resolution MSC.17(58)]
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