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Safeq 500 report
1. SURVEY REPORT FOR THE ISSUE OF A
CARGO SHIP SAFETY EQUIPMENT CERTIFICATE
UNDER THE PROVISIONS OF NATIONAL REGULATIONS OF THE GOVERNMENT OF BELIZE,
S.I. NO. 147 OF 1991 AS AMENDED BY S.I. NO. 82 OF 1997
This form must be kept on board and be available for inspection by a nominated
Surveyor or Recognized Organization at all times
NAME OF SHIP PORT OF REGISTRY GROSS TONNAGE YEAR KEEL LAID
AYDER BELIZE CITY 499.36 1979
DISTINCTIVE NUMBER OR LETTERS PATENTE NUMBER AND DATE:
V3OM4 010921767, 15.03.2010
Details of persons requesting survey and to whom certificates are to be sent
OWNERS/MASTER AGENTS/OPERATORS
KAMILA SHIPPING S.A.
MARK IN BOX: (X) YES; ()NO; (N/A) NOT APPLICABLE
Vessel's status according to Safety Regs. New/Existing(*)
Ship
Extent of Survey:
Initial survey NA
Periodical survey for renewal of certificate NA
Reason the survey has been carried out:
Completion of the new building NA
Change of Flag NA
Conversion of the ship NA
Expiry of safe certificate Annual Survey NA
Partial survey and reason for NA
Alterations, replacements or renewals affecting the Record of approved cargo safety has been
Checked, and the corrections made have been listed overleaf NA
Record of approved cargo ship safety details on board X
Any recommendation issued or deficiencies noted upon completion of the survey are also listed
overleaf NA
Documentation action:
Interim certificate has been issued: Valid Months until NA
The existing certificate has been extended until: N/A
No certificate is issued due to the deficiencies found NA
This is to certify that the undersigned has examined the ship as reported herein, and has
Compared the arrangements and equipment onboard with the Record of Approved Cargo Ship
Safety Details and found them to be in agreement therewith X
Trabzon, 23.12.2016 M. Bülent SÜALP
Place and Date of Survey ICS Surveyor
(*) Delete as appropriate.
EQUIPMENT<500/SURVEY REPORT/BELIZE (2008/02) 1/7
2. MARK IN BOX: (X) YES; ()NO; (N/A) NOT APPLICABLE
1. DOCUMENTATION
1.1 Fire control plans posted/booklets available X
1.2 Muster List and Emergency procedures posted X
1.3 Damage Control Plans posted/ booklets available NA
1.4 Stability Data available X
1.5 PRACTICE MUSTERS AND DRILLS
1.5.1 Log book entries are being made by the Master X
1.5.2 Date when last full crew muster for boat and fire drills took place 03.12.2016 X
1.5.3 The boats equipment was examined at that time and found to be complete X
1.5.4 The last occasion when the lifeboats were operated, indicate dates below: 15.12.2016
LB No. Turned out Lowered to water Engines operated
1 15.12.2016 15.12.2016 15.12.2016
2
1.6 First/Aid/Medicine Chest provided and accessible X
2. SAFETY OF NAVIGATION
2.1 Shipborne Navigational Equipment according to Record, are in order: X
2.1.1 Compasses adjusted (main and steering)
2.2 Propeller speed and direction or pitch indication operational X
2.3 NAVIGATIONAL LIGHTS (COLREG 1972)
2.3.1 Lights type approved or lights delivered with certificates (copy of
certificates enclosed). X
2.3.2 Lights are tested with power from mains and emergency source X
2.3.3 If fitted, light failure indicator/alarm is tested X
2.3.4 Sidelights are screened to prevent light from being seen across the centerline X
2.3.5 Oil lights as listed in Record are in order X
2.4 SIGNALLING APPARATUSES
2.4.1 Daylight signaling lamp is tested on mains and emergency source of power X
2.4.2 Equipment, as listed in the record, are onboard and in order X
3. ROCKETS AND SIGNALS
3.1 Rockets and/or cartridges are valid (usual validity 3 years) Ex.: 2022 X
3.2 Distress signals are valid (usual validity 3 years) Ex.: 05.2018 X
EQUIPMENT<500/SURVEY REPORT/BELIZE (2008/02) 2/7
3. MARK IN BOX: (X) YES; ()NO; (N/A) NOT APPLICABLE
3.3 LIFEBOATS/RESCUE BOATS
No. 1 No. 2
3.3.1 Lifeboats now turned out and lowered to
embarkation deck
X
3.3.2 Lifeboats now turned out and lowered to water X
3.3.3 Hull inside and outside, and lifting hooks inspected X
3.3.4 When lowered to water, the disengagement gear
readily released the lifeboat
X
3.3.5 Portable or built-in air cases removed, found or
placed in good condition, replaced and secured
X
3.3.6 Air-cylinders in covered boats fully charged (if
provided)
-
3.3.7 Lifeboats marked with dimensions, name, port of
registry and number of persons
X
3.3.8 Engines in motorboats operated X
3.4 LIFEBOATS EQUIPMENT
3.4.1 Food rations, tinned water and pyrotechnics are valid X
(5 yrs) (3 yrs) (2 yrs)
3.4.2 Fire extinguisher in motorboat is serviced X
3.4.3 Motor run ahead and reverse X
3.4.4 Fuel tank with pipes are checked X
3.4.5 Sufficient fuel for 4 hours’ operation provided X
3.4.6 All equipment are in order and secured X
3.5 DAVITS AND WINCHES
3.5.1 All sheaves, blocks, falls and all moving parts are free and well lubricated X
3.5.2 Hidden parts of wire falls have been inspected X
3.5.3 Dates of reversal or renewal of falls (Usually every 2nd/3rd
and 4th/5th year) X
3.6 LAUNCHING AND EMBARKATION ARRANGEMENIS
3.6.1 All blocks, chains and shackles checked X
3.6.2 Boat lashings and release arrangement in order X
3.6.3 Lifelines fitted to davit spans checked X
3.6.4 Embarkation Ladders checked X
EQUIPMENT<500/SURVEY REPORT/BELIZE (2008/02) 3/7
4. MARK IN BOX: (X) YES; ()NO; (N/A) NOT APPLICABLE
3.6.5 Lighting at boat/raft stations and over sides tested on mains and
emergency source of power X
3.6.6 Alarm system tested X
3.6.7 Means of preventing water discharge into boats verified X
3.7 LIFERAFTS
Servicing of inflatable life rafts (due every 12 months) (Hydrostatic release to be serviced together with raft)
NO.
MAKERS NAME AND SERIAL NO. NO. OF PERSONS
DATE OF SERVICE
Rafts Hydrostatic release
1 SEAMAN, DFN-15,
SN:201000116
15 24.08.2016 Ex: 08.2017
2 SEAMAN, DFN-15,
SN:201000119
15 24.08.2016 Ex: 08.2017
3.8 OTHER LIFESAVING APPLIANCES
3.8.1 Lifejackets examined and found in order X
3.8.2 Lifejackets readily accessible and their position plainly indicated X
3.8.3 Lifebuoys in good condition, and marked with name and port of registry X
3.8.4 Lights and lines in order, and smoke signal valid Ex.: 12.2018 X
(3 yrs.)
3.8.5 Quick release from bridge in order X
3.9 PILOT LADDER
3.9.1 Ladder, as required, is in good order with necessary spreaders (battens)
and with interval not more than 9 steps X
3.9.2 Adequate lighting and bulwark ladder provided X
4. FIRE APPLIANCES (outside machinery spaces)
4.1 FIREMAN’S OUTFIT
4.1.1 Fireman’s outfit complete X
4.2 Self-containing breathing apparatus
4.2.1 operation tested X
4.2.2 Air cylinders are fully charged X
4.3 Smoke helmet or smoke mask
4.3.1 Functioning of smoke mask with air pump and hose tested NA
EQUIPMENT<500/SURVEY REPORT/BELIZE (2008/02) 4/7
5. MARK IN BOX: (X) YES; ()NO; (N/A) NOT APPLICABLE
4.4 Portable and Non-Portable Fire-Extinguishers outside Machinery Spaces
4.4.1 Date of annual checking 24.08.2016
4.4.2 There are spare charges for each fire extinguisher X
4.4.3 Date of last pressure testing 15.09..2015
MACHINERY AND ELECTRICAL
5. GENERAL
5.1 lf arrangements are found which are materially different from those stated in the Record of Safety
Details, an entry must be made at the end of this Report giving full particulars.
5.2 If the vessel is classed, indicate Class society and date of expiry of valid
Machinery Class Certificate ICS / Ex: 27.02.2018
5.3 Tests required under paragraphs 5.4.2, 5.5, 5.6, and 5.7 may be omitted if the vessel is classed
by recognized Society or certified by authorized organization to issue technical certificates
on behalf of the Administration.
5.4 ELECTRICAL POWER:
5.4.1 All main generators tested and operational X
5.4.2 Emergency source of power tested and found operational under following
simultaneous loads: emergency lighting (alleyways, stairways, propulsion
machinery space, main generator space, wheelhouse, chartroom,
embarkation stations, steering gear room, as applicable), navigation Iights,
alarm systems X
5.4.3 Emergency lighting adequate and in order X
5.4.4 Visible condition of electric machinery and wiring found adequate to minimize
the risk of electric shock or short circuit X
5.5 ANCHOR AND MOORING EQUIPMENT
5.5.1 Windlass and stoppers (if provided) tested and found operational X
5.5.2 Capstans and mooring winches (if provided) tested and found operational X
5.6 BILGE PUMPING EQUIPMENT
5.6.1 Bilge pumps tested and found operational X
5.6.2 Pipes and valves found in adequate condition X
5.6.3 Bilge wells and strainers found in order X
5 6.4 Automatic remote bilge high level alarm (if provided) tested and found in order X
5.7 STEERING GEAR
5.7.1 Rudder angle indicator operational X
5.7.2 Steering gear tested and found in order X
5.7.3 Emergency steering arrangement tested and found in order X
5.7.4 Instructions for emergency steering arrangement available and adequate X
EQUIPMENT<500/SURVEY REPORT/BELIZE (2008/02) 5/7
6. PARTICULARS OF ANY SPECIAL FEATURES OF ADDITIONAL INFORMATION APPERTAINING TO
SAFETY EQUIPMENT, OR CONSTRUCTION AND OR OUTSTANDING RECOMMENDATIONS AND
DEFICIENCIES:
NA
Trabzon, 23.12.2016 M. Bülent SÜALP
Place and Date of Survey ICS Surveyor
Alterations, Replacements or Renewals in the Record of approved cargo ship Safety Details:
ITEM NO. ACCORDING TO THE
RECORD:
THE RECORD ONBOARD IS CORRECTED AS FOLLOWS:
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7. Particulars of outstanding safety items requiring attention or survey.
ITEM NO. ACCORDING TO THE
RECORD:
REMARKS:
All parts surveyed were found to be in an efficient and good condition.
The undersigned recommends
1. The issue of a full term certificate NA
2. The issue of a full term certificate after the recommendations have been carried out NA
3. No full term certificate to be issued before the survey has been completed
(see list of outstanding items and deficiencies above) NA
4. Endorsement of Full Term CSSE Certificate No. ICS-16-203, valid until 18.01.2018
5.. The existing certificate has been endorsed X
Trabzon, 23.12.2016 M. Bülent SÜALP
Place and Date of Survey ICS Surveyor
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