| Date
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Test
Type
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Remarks
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*Report
Reference Date/Number
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Sign. of
appointed surveyor (IR)
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Sign. of Master/Platform Manager
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| * All reports should be filed together with this FSVAD
for use during later testing and inspections by nominated surveyors, flag State
surveyors, etc.
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| IR = if required, ref. item 5.1.2
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