Statutory Documents - IMO Publications and Documents - International Conventions - MARPOL - International Convention for the Prevention of Pollution from Ships - Annex I of MARPOL 73/78Regulations for the Prevention of Pollution by Oil - Appendix II - Form of IOPP Certificate and Supplements - Form A - Supplement to the International Oil Pollution Prevention Certificate (IOPP Certificate)
Form A - Supplement to the International Oil Pollution Prevention Certificate (IOPP Certificate)
LR NOTE: Please note LR form template is different from the form below
| Record of Construction and Equipment for Ships other than Oil Tankers | ||||
| in respect of the provisions of Annex I of the International Convention for the Prevention of Pollution from Ships, 1973, as modified by the Protocol of 1978 relating thereto (hereinafter referred to as "the Convention"). | ||||
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Note 1 This form is to be used for the third type of ships as categorized in the IOPP Certificate, i.e. "ship other than any of the above". For oil tankers and ships other than oil tankers with cargo tanks coming under regulation 2.2 of Annex I of the Convention, Form B shall be used. Note 2 This Record shall be permanently attached to the IOPP Certificate. The IOPP Certificate shall be available on board the ship at all times. Note 3 The language of the original Record shall be at least in English, French or Spanish. If an official language of the issuing country is also used, this shall prevail in case of a dispute or discrepancy. Note 4 Entries in boxes shall be made by inserting either a cross (x) for the answers "yes" and "applicable" or a dash (-) for the answers "no" and "not applicable" as appropriate. Note 5 Regulations mentioned in this Record refer to regulations of Annex I of the Convention and resolutions refer to those adopted by the International Maritime Organization. |
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| 1. Particulars of ship | ||||
| 1.1 Name of ship .................................................................... | ||||
| 1.2 Distinctive number or letters ............................................ | ||||
| 1.3 Port of registry .................................................................. | ||||
| 1.4 Gross tonnage ................................................................. | ||||
| 1.5 Date of build: | ||||
| 1.5.1 Date of building contract .......................................... | ||||
| 1.5.2 Date on which keel was laid or ship was at a similar stage of construction .............................................................................. | ||||
| 1.5.3 Date of delivery ........................................................ | ||||
| 1.6 Major conversion (if applicable): | ||||
| 1.6.1 Date of conversion contract .................................... | ||||
| 1.6.2 Date on which conversion was commenced .......... | ||||
| 1.6.3 Date of completion of conversion ............................ | ||||
| 1.7 The ship has been accepted by the Administration as a "ship delivered on or before 31 December 1979" under regulation 1.28.1 due to unforeseen delay in delivery |
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| 2.
Equipment for the control of oil discharge from machinery space bilges and
oil fuel tanks
(regulations 16 and 14) |
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| 2.1 Carriage of ballast water in oil fuel tanks: | ||||
| 2.1.1 The ship may under normal conditions carry ballast water in oil fuel tanks |
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| 2.2 Type of oil filtering equipment fitted: | ||||
| 2.2.1 Oil filtering (15 ppm) equipment(regulation 14.6) |
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| 2.2.2 Oil filtering (15 ppm) equipment with alarm and automatic stopping device(regulation 14.7) |
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| 2.3 Approval standards:footnote | ||||
| 2.3.1 The separating/filtering equipment: | ||||
| .1 | has been approved in accordance with resolution A.393(X); |
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| .2 | has been approved in accordance with resolution MEPC.60(33); |
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| .3 | has been approved in accordance with resolution MEPC.107(49); |
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| .4 | has been approved in accordance with resolution A.233(VII); |
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| .5 | has been approved in accordance with national standards not based upon resolution A.393(X) or A.233(VII); |
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| .6 | has not been approved. |
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| 2.3.2 The process unit has been approved in accordance with resolution A.444(XI) |
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| 2.3.3 The oil content meter: | ||||
| .1 | has been approved in accordance with resolution A.393(X); |
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| .2 | has been approved in accordance with resolution MEPC.60(33); |
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| .3 | has been approved in accordance with resolution MEPC.107(49). |
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| 2.4 Maximum throughput of the system is ............ m3/h. | ||||
| 2.5 Waiver of regulation 14: | ||||
| 2.5.1 The requirements of regulation 14.1 or 14.2 are waived in respect of the ship in accordance with regulation 14.5. | ||||
| 2.5.1.1 The ship is engaged exclusively on voyages within special area(s): ........................................................................................ |
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| 2.5.1.2 The ship is certified under the International Code of Safety for High-Speed Craft and engaged on a scheduled service with a turn-around time not exceeding 24 hours |
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| 2.5.2 The ship is fitted with holding tank(s) for the total retention on board of all oily bilge water as follows: |
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| Tank identification | Tank location | Volume(m3) | ||
| Frames(from) – (to) | Lateral position | |||
| Total volume: ...................... m3 | ||||
| 2A.1 The ship is required to be constructed according to regulation 12A and complies with the requirements of: | ||||
| paragraphs 6 and either 7 or 8 (double hull construction) |
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| paragraph 11 (accidental oil fuel outflow performance). |
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| 2A.2 The ship is not required to comply with the requirements of regulation 12A. |
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| 3. Means for retention and disposal of oil residues (sludge) (regulation 12) and oily bilge water holding tank(s)footnote | ||||
| 3.1 The ship is provided with oil residue (sludge) tanks for retention of oil residues (sludge) on board as follows: | ||||
| Tank identification | Tank location | Volume(m3) | ||
| Frames(from) – (to) | Lateral position | |||
| Total volume: ...................... m3 | ||||
| 3.2 Means for the disposal of oil residues (sludge) retained in oil residue (sludge) tanks: | ||||
| 3.2.1 Incinerator for oil residues (sludge)................................................................ |
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| 3.2.2 Auxiliary boiler suitable for burning oil residues (sludge) ................................... |
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| 3.2.3 Other acceptable means, state which: ........................................ |
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| 3.3 The ship is provided with holding tank(s) for the retention on board of oily bilge water as follows: | ||||
| Tank identification | Tank location | Volume(m3) | ||
| Frames(from) – (to) | Lateral position | |||
| Total volume: ...................... m3 | ||||
| 4. Standard discharge connection(regulation 13) | ||||
| 4.1 The ship is provided with a pipeline for the discharge of residues from machinery bilges and sludges to reception facilities, fitted with a standard discharge connection in accordance with regulation 13 |
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| 5. Shipboard oil/marine pollution emergency plan(regulation 37) | ||||
| 5.1 The ship is provided with a shipboard oil pollution emergency plan in compliance with regulation 37 |
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| 5.2 The ship is provided with a shipboard marine pollution emergency plan in compliance with regulation 37.3 |
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| 6. Exemption | ||||
| 6.1 Exemptions have been granted by the Administration from the requirements of chapter 3 of Annex I of the Convention in accordance with regulation 3.1 on those items listed under paragraph(s) ................................................................................................................................................................................................................................................................................................................................................................ of this Record |
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| 7. Equivalents(regulation 5) | ||||
| 7.1 Equivalents have been approved by the Administration for certain requirements of Annex I on those items listed under paragraph(s) .................................................................................................... of this Record |
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| 8. Compliance with part II-A – chapter 1 of the Polar Code | ||||
| 8.1 The ship is in compliance with additional requirements in the environment-related provisions of the Introduction and section 1.2 of chapter 1 of part II-A of the Polar Code.................... | 
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| 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) | ||||
| Copyright 2021 Clasification Society Group Limited, International Maritime Organization, International Labour Organization or Maritime and Coastguard Agency. All rights reserved. Clasification Society Group Limited, its affiliates and subsidiaries and their respective officers, employees or agents are, individually and collectively, referred to in this clause as 'Clasification Society'. Clasification Society Register assumes no responsibility and shall not be liable to any person for any loss, damage or expense caused by reliance on the information or advice in this document or howsoever provided, unless that person has signed a contract with the relevant Clasification Society entity for the provision of this information or advice and in that case any responsibility or liability is exclusively on the terms and conditions set out in that contract. |  |