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					                                                    International Ship Classification                                                                                  Form SUR




Class No.                                                                                      Survey Report No.                                             Page 1 of 11

The following items have been surveyed and found / dealt with as noted:

        1     2                                                                                                 1      2

Miscellaneous Certificates
01                     Minimum Manning Certificate                                                                             Rating
                       Officers /Engineers                                                              01                     Watch-keeping
01                     Certificates (COC)                                                               02                     Tanker Familiarization
02                     Officer Certificate or Endorsement                                               03                     Tanker Special Training
03                     Tanker Familiarization                                                                                  Others
04                     Tanker Special Training                                                          01                     Medical fitness Certificate

Documents and Manuals (to be marked with IMO number for vessels constructed on or after 1 July 2005)
01                     Stability Information                                                                                   for ships carrying Noxious Liquid Substances
02                     Loading unloading (for Bulk Cargoes)                                             01                     Shipboard Marine Pollution Emergency Plan
03                     Shipboard Oil Pollution Emergency Plan                                                                  (SMPEP)
                       (SOPEP)                                                                                                 for liquid gas carriers
04                     Oil Record Book, parts I and II                                                  01                     Operation Manual
05                     Log Book                                                                                                for grain loading vessels
06                     Garbage Record Book                                                              01                     Grain Loading Certificate
07                     Garbage Control Plan                                                             02                     Grain Loading Manual
08                     Continuous Synopsis Record                                                                              Other necessary documents
09                     Cargo Gear Booklet                                                               01                     Record of ODM
10                     Technical File for Diesel Engine (NOx) in English,                               02                     Damage Control Plan (including Damage Control
                       French or Spanish                                                                                       booklet)
                       for oil tankers and chemical tankers                                             03                     Cargo Securing Manual
01                     Damage Stability Plan                                                            04                     Garbage Management Plan
02                     Operation Manual                                                                 05                     Reports of previous PSC inspection
03                     ODM Manual                                                                       06                     Loading Instrument (Computer)
04                     COW Manual                                                                       07                     Maintenance record of Liferafts
                       for oil tankers with  5000t deadweight                                          08                     Maintenance record of EPIRB
01                     Contract for computerized shore-based program                                    09                     Service record of Fire Extinguisher (CO2 Gas
                                                                                                                               Cylinder, Air foam, etc)
02                     Statement from shore-based firm
                                                                                                        10                     EIAPP Certificate (For vessel built after 2000)
03                     Emergency contacts of shore-based firm
                       for chemical tankers                                                             11                     Nox Technical File (For vessel built after 2000)
                                                                                                        12                     Bunkering Notice
01                     P & A Manual
02                     Cargo Record Book

Nautical Publications and International Conventions (to be marked with IMO number for vessels constructed on or after 1 July 2005)
01                     Charts                                                                           08                     International Conventions
02                     Sailing Directions                                                                                      SOLAS
03                     List of lights                                                                                          COLREG
                                                                                                                               MARPOL
04                     Notice to Mariners
                                                                                                                               ILL
05                     Tide Tables
                                                                                                                               STCW
06                     International Code of Signals
                                                                                                        09                     Maritime Laws of Flag Administration
07                     International Aeronautical and Maritime Search
                                                                                                        10                     Voyage Plan
                       and Rescue (IAMSAR Vol.III)

Logbook Entries
01                     Steering gear testing and drills                                                 04                     Weekly inspections
02                     Abandon ship drills and fire drills                                              05                     Monthly inspections
03                     On-board training and instruction


  (1) X :   Examined / Tested / Carried out                                        N : Not applicable
      D:    Dispensed with at Surveyor’s discretion (Details to be described in Form NAR)
  (2) X :   Found in order                                                         R : Recommendation set up (Details to be described in Form NOTES)
      F:    Repaired / Renewed (Details to be described in Form NAR)
Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.
                                                    International Ship Classification                                                                                    Form SUR




                                                                                                                                                                 Page 2 of 11

The following items have been surveyed and found / dealt with as noted:

        1     2                                                                                                 1      2
Safety
01                     Fire control plans                                                               06                     Marking of stowage locations
02                     Muster list                                                                      07                     Pilot ladders
03                     Training manual                                                                  08                     Fire safety operational booklet
04                     Instructions for on-board maintenance                                            09                     Maintenance plan
05                     IMO symbols
                                                                                                        Testing and drills
01                     Communication system between W/H and E/R,                                        06                     Abandon ship drills (every month and within 24
                       W/H and steering gear room                                                                              hours of departure if 25% of the crew have not
02                     Emergency generator                                                                                     participated on board the ship in the previous
                                                                                                                               month)
03                     Discharge test of fire fighting system by
                       operation of main fire pumps / emergency fire                                    07                     Fire drills (every month and within 24 hours of
                       pump separately                                                                                         departure if 25% of the crew have not
                                                                                                                               participated on board the ship)
04                     Steering gear (S/G/) system (Within 12 hours
                       before departure                                                                 08                     SOPEP / SMPEP drill
05                     Emergency steering gear drill (every 3 months)


Navigation Equipment
01                     Magnetic compass                                                                 17                     VDR (Voyage Data Recorder)
02                     Gyro compass                                                                     18                     Sound Reception System (when the bridge is
03                     Heading information to emergency steering                                                               totally enclosed)
                       position                                                                         19                     Transmitting Heading Device (THD) (ships of 300
04                     Heading Control System                                                                                  GT to 500 GT)
05                     Track Control System (TCS)                                                       20                     Maintenance Records
06                     Radar                                                                            21                     Pilot Card (All ship)
07                     ARPA                                                                             22                     Wheelhouse Poster (L≧100 m )
08                     ATA (Automatic Tracking Aid)                                                     23                     Manoeuvring Booklet (Administration’s
09                     EPA (Electronic Plotting Aid)                                                                           requirements)
10                     Echo sounder ( to be tested )                                                    24                     Daylight signal Lamp
11                     Speed and distance log through the water                                         25                     Navigation lights
12                     Speed and distance log over the ground                                           26                     Forecastle bell
13                     Indicators for rudder angle, Propeller RPM (Pitch                                27                     Gong (Ships of 100m and upwards in length)
                       & operational mode for CPP & side thrusters)                                     28                     Whistle
14                     Rate-of-turn indicator                                                           29                     Black ball shapes
15                     GPS receiver                                                                     30                     Black diamond shape
16                     AIS (Automatic Identification System)


Lifesaving Appliances
01                     Lifeboat and/or rescue boat                                                      09                     Immersion suits
02                     Lifeboat inventory                                                               10                     Thermal protective aids
03                     Stowage of lifeboat and/or rescue boat                                           11                     Two-way VHF radio - telephone apparatus
04                     Launching arrangement of life boat, rescue boat                                  12                     Radar transponders
                       and liferaft                                                                     13                     On-board communications
05                     Inflatable liferafts                                                             14                     General emergency alarm
06                     Stowage of liferafts                                                             15                     Public address system
07                     Distress Flares                                                                  16                     Line-throwing appliances
08                     Lifejackets




  (1) X :   Examined / Tested / Carried out                                        N : Not applicable
      D:    Dispensed with at Surveyor’s discretion (Details to be described in Form NAR)
  (2) X :   Found in order                                                         R : Recommendation set up (Details to be described in Form NOTES)
      F:    Repaired / Renewed (Details to be described in Form NAR)
Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.
                                                    International Ship Classification                                                                                   Form SUR




                                                                                                                                                              Page 3 of 11

The following items have been surveyed and found / dealt with as noted:

        1     2                                                                                                 1      2
Fire Fighting Appliances
01                     Fire integrity                                                                   19                      Fire detection panel ( to be tested )
02                     Fire doors                                                                       20                      Fuel oil tank shut-off valves;
03                     Skylights                                                                                                Over 500L: ships built on and after 1 July 1995
04                     Fire dampers                                                                                             Over 1000L: ships built before 1 July 1995
05                     Main fire pumps                                                                  21                      Emergency stop of fans and fuel oil pumps in
                                                                                                                                Engine room
06                     Emergency fire pump
                                                                                                        22                      Means of isolating the fuel supply to individual
07                     Fire main piping
                                                                                                                                engines
08                     Isolation valves
                                                                                                        23                      Fireman‘s outfit
09                     Hydrants
                                                                                                        24                      Fire extinguishing arrangement in paint lockers
10                     Fire hoses
                                                                                                        25                      International shore connection
11                     Nozzles
                                                                                                        26                      Inert gas system
12                     Stowage boxes of fire hoses and nozzles
                                                                                                        27                      Emergency lights
13                     Portable fire extinguishers (foam, dry power,
                                                                                                        28                      Means of escapes (min 800 x 800mm)
                       CO2) – No CO2 in accommodation space)
                                                                                                        29                      Emergency Escape Breathing Devices (EEBD)
14                     Portable foam applicator unit
                                                                                                        30                      Fixed Local Application Fire-fighting System
15                     Foam type fire extinguisher of 135 litters capacity
                       or equivalent in firing space of boiler and in                                   31                      Fire-fighting devices for Deep Fat Cooking
                       spaces of fuel oil system                                                                                Equipment
16                     Foam type fire extinguishers of 45 litters capacity                              32                      Protection of Cargo Pump Room
                       or equivalent in engine room                                                     33                      Helicopter Facilities
17                     Fixed fire extinguishing arrangement in E/R,                                     34                      Fixed fire extinguishing system for exhaust ducts
                       cargo spaces and cargo pump room* (CO2 or                                                                from galley ranges
                       Halon, foam, water spray)
18                     Two separate release in fixed CO2 system.
                       Ships dry docked after 1 January 2010.

Radio Installation
01                     VHF installation                                                                 10                     Tools and spares
02                     MF installation                                                                  11                     Maintenance records
03                     MF/HF installation                                                               12                     Radio log book
04                     INMARSAT-C                                                                       13                     List of Call Signs
05                     NAVTEX receiver                                                                  14                     List of Coast Stations
06                     Satellite EPIRB                                                                  15                     List of Radio Determination and Special Service
07                     Shore-based maintenance for EPIRB                                                                       Station
08                     Sources of energy                                                                16                     Manual for use by the Maritime Mobile and
                                                                                                                               Maritime Satellite Station
09                     Antenna


Load Line
01                     Freeboard marks                                                                  09                     Ventilators
02                     Superstructure end bulkhead                                                      10                     Air pipes
03                     Doors of all access openings in bulkhead at ends                                 11                     Cargo ports and similar openings
                       of enclosed superstructures.                                                     12                     Scuppers, inlets, discharges
04                     Access hatches                                                                   13                     Side scuttles
05                     Cargo hatches                                                                    14                     Freeing ports
06                     Machinery space openings                                                         15                     Bulwarks and stays, guard rails
07                     Manholes, flush scuttles                                                         16                     Life lines, gangways, passages
08                     Deckhouses, companionways with openings in                                       17                     Uprights, lashings
                       freeboard deck


  (1) X :   Examined / Tested / Carried out                                        N : Not applicable
      D:    Dispensed with at Surveyor’s discretion (Details to be described in Form NAR)
  (2) X :   Found in order                                                         R : Recommendation set up (Details to be described in Form NOTES)
      F:    Repaired / Renewed (Details to be described in Form NAR)
Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.
                                                    International Ship Classification                                                                                                   Form SUR




                                                                                                                                                                          Page 4 of 11

The following items have been surveyed and found / dealt with as noted:

        1     2                                                                                                 1      2
Hull Construction and piping on deck
01                     Main deck plating Cross deck plating                                             06                     Pump room
02                     F‘cle deck plating, Poop deck plating                                            07                     Water ingress alarm system (for Bulk Carrier)
03                     All piping on deck with valves                                                   08                     Remote pump control system
04                     Electric cable conduit                                                                                  (F.P.T, Bos’n store) (for Bulk Carrier)
05                     Other compartments (Bos‘n store, deck stores,                                    09                     Ship identification number
                       etc.)

Machinery in Engine room
01                     Main engines                                                                     06                     Bilge lines
02                     Generator engines                                                                07                     Cleanliness of E/R
03                     Boilers                                                                          08                     Automatic Control System
04                     Stern Tube Seal                                                                  09                     Jacketed High Pressure Fuel Oil Pipes
05                     Piping including insulation material                                             10                     Fuel Oil Pipe Leak Alarm

Fuel Oil Arrangements
01                     Jacketed pipes between fuel pumps and injectors                                  03                     Pipes screened to avoid oil spray or leakage
                                                               0
02                     Proper insulation for surfaces above 220 C                                       04                     Enclosure for engines less than 375kW
                                                                                                                               (YOB before 1 July 1998)

Electrical Equipment
01                     Lighting in E/R                                                                  06                     Anti-explosion lights in dangerous spaces, pump
02                     Lighting in accommodation spaces                                                                        room, battery room, paint locker etc.
03                     Lighting in control station, working room, steering                              07                     Insulating mats around MSB
                       room and other spaces                                                            08                     Insulation resistance (monthly records)
04                     Emergency cables                                                                 09                     Penetration in fire – resisting divisions
05                     Emergency lights

Mooring Arrangements
01                     Anchor & chain cables                                                            04                     Emergency Towing Arrangements (ETA)
02                     Windlass                                                                         05                     Towing & Mooring Plan (for vessel constructed on or after 1 Jan 07)
03                     Mooring system

Marine Pollution
01                     Oily water separator with pump                                                   06                     Incinerator
02                     Discharge piping                                                                 07                     ODM
03                     Sludge pump                                                                      08                     Oil/water interface detector
04                     Standard discharge connection (sludge) Φ                                         09                     COW
                       215mm                                                                            10                     Garbage management
05                     Standard discharge connection (sewage) Φ                                         11                     Sewage treatment Plant/Sewage Holding Tank
                       210mm


Cargo Handling Gear
01                     Masts, posts, booms, jibs including attachments                                  02                     Loose gear (blocks, sheaves, hooks, shackles,
                       (eye plates, heel pieces, gooseneck)                                                                    wire ropes, etc.)




  (1) X :   Examined / Tested / Carried out                                        N : Not applicable
      D:    Dispensed with at Surveyor’s discretion (Details to be described in Form NAR)
  (2) X :   Found in order                                                         R : Recommendation set up (Details to be described in Form NOTES)
      F:    Repaired / Renewed (Details to be described in Form NAR)
Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.
                                                    International Ship Classification                                                                                       Form SUR




                                                                                                                                                                 Page 5 of 11

The following items have been surveyed and found / dealt with as noted:

        1     2                                                                                                 1       2
Accommodation
01                     Toilets                                                                           05                       Sick bay
02                     Shower rooms, washbasins, laundry room                                            06                       Galley
03                     Air ventilating in accommodation spaces                                           07                       Mess rooms and crew cabins
04                     Medical equipment                                                                 08                       Provision stores (Including cold rooms)

As-Built Construction Drawings (for vessel constructed on or after 01 Jan 07)
                       Main Plans                                                                                                 Steel Plans
01                     General arrangement                                                               01                       Midship section
02                     Capacity plan                                                                     02                       Scantling plan
03                     Hydrostatic curves                                                                03                       Decks
04                     Loading manual (where required)                                                   04                       Shell expansion
                                                                                                         05                       Transverse bulkheads
                                                                                                         06                       Rudder and rudder stock
                                                                                                         07                       Cargo hatch covers (where applicable)

                       Fire integrity of bulkheads separating
                       adjacent spaces
01                     Fire Safety Plan
02                     Fire Insulation Requirement as per table
03                     Emergency Escape
04                     Galley and Mess Room
05                     Wheelhouse and adjacent room

Fire integrity of bulkheads separating adjacent spaces


Spaces                                                     (1)      (2)    (3)      (4)      (5)        (6)    (7)          (8)    (9) (10) (11)
                                                                e
Control stations                                    (1) A-0 A-0 A-60 A-0 A-15 A-60 A-15 A-60 A-60 *                                             A-60

                                                                                   B-0
Corridors                                                           C     B-0          c B-0        A-60 A-0            A-60 A-0            *   A-30
                                                                                   A-0

                                                                            a,b    B-0
Accommodation spaces                                                      C            c B-0        A-60 A-0            A-0       A-0       *   A-30
                                                                                   A-0

                                                                                   B-0 B-0
Stairways                                           (4)                               c    c A-60 A-0                   A-0       A-0       *   A-30
                                                                                   A-0 A-0

Service spaces ( low risk)                          (5)                                    C        A-60 A-0            A-0       A-0       *   A-0
                                                                                                                                                       f
Machinery spaces of category A                      (6)                                             *         A-0       A-0       A-60 *        A-60
                                                                                                                    d         g
Other machinery spaces                              (7)                                                       A-0       A-0       A-0       *   A-0

Cargo spaces                                        (8)                                                                 A-0       A-0       *   A-0
                                                                                                                                        d
Service spaces (high risk)                          (9)                                                                 *         A-0       *   A-30

Open decks                                        (10)                                                                                      –   A-0
                                                                                                                                                  h
Ro-ro and vehicle spaces                          (11)                                                                                          *




  (1) X :   Examined / Tested / Carried out                                        N : Not applicable
      D:    Dispensed with at Surveyor’s discretion (Details to be described in Form NAR)
  (2) X :   Found in order                                                         R : Recommendation set up (Details to be described in Form NOTES)
      F:    Repaired / Renewed (Details to be described in Form NAR)
Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.
                                                    International Ship Classification                                                                                                           Form SUR




                                                                                                                                                                                        Page 6 of 11

The following items have been surveyed and found / dealt with as noted:

        1     2                                                                                                    1         2




Fire integrity of decks separating adjacent spaces


Space below↓                                      Space above→ (1)                       (2)       (3)       (4)       (5)           (6)       (7)           (8)       (9) (10) (11)

Control stations                                                      (1) A-0        A-0       A-0       A-0       A-0           A-60 A-0                A-0       A-0       *   A-60

Corridors                                                             (2) A-0        *         *         A-0       *             A-60 A-0                A-0       A-0       *   A-30

Accommodation spaces                                                  (3) A-60 A-0             *         A-0       *             A-60 A-0                A-0       A-0       *   A-30

Stairways                                                             (4) A-0        A-0       A-0       *         A-0           A-60 A-0                A-0       A-0       *   A-30

Service spaces (low risk)                                             (5) A-15 A-0             A-0       A-0       *             A-60 A-0                A-0       A-0       *   A-0
                                                                                                                                                     i
Machinery spaces of category A                                        (6) A-60 A-60 A-60 A-60 A-60 *                                       A-60 A-30 A-60 *                      A-60

Other machinery spaces                                                (7) A-15 A-0             A-0       A-0       A-0           A-0       *             A-0       A-0       *   A-0

Cargo spaces                                                          (8) A-60 A-0             A-0       A-0       A-0           A-0       A-0           *         A-0       *   A-0
                                                                                                                                                                         d
Service spaces (high risk)                                            (9) A-60 A-0             A-0       A-0       A-0           A-60 A-0                A-0       A-0       *   A-30

Open decks                                                          (10) *           *         *         *         *             *         *             *         *         –   *
                                                                                                                                                                                 h
Ro-ro and vehicle spaces                                            (11) A-60 A-30 A-30 A-30 A-0                                 A-60 A-0                A-0       A-30 *        *




  (1) X :   Examined / Tested / Carried out                                        N : Not applicable
      D:    Dispensed with at Surveyor’s discretion (Details to be described in Form NAR)
  (2) X :   Found in order                                                         R : Recommendation set up (Details to be described in Form NOTES)
      F:    Repaired / Renewed (Details to be described in Form NAR)
Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.
                                                    International Ship Classification                                                                                     Form SUR




Class No.                                                                             Survey Report No.                                                            Page 7 of 11

ONBOARD DRILLS
Types of Drills                                                                                                                                       Latest Date Conducted
Emergency Steering Gear Drill
Abandon Ship Drill
Fire Drill
SOPEP / SMPEP Drill

ONBOARD TESTING (to be carried out during survey)
Types of Testing                                                                                                                                             Yes    No    NA
Emergency Generator
Discharge Test with Main Fire Pump (Indicate Pump Pressure:                                                       )
Discharge Test with Emergency Fire Pump (Indicate Pump Pressure:                                                             )
Testing of Emergency Lightings ( 100% )
Testing of Emergency Communications
Testing of Fire Alarm Activation Call Points
Testing of Smoke & Fire Detectors

FIRE PROTECTION, FIRE DETECTION AND ALARM SYSTEMS

                  Method of fire protection adopted in accommodation and service spaces (Reg. II-2/7.5 and II-2/9)
                  Method I C is adopted (*)
                  Method II C is adopted (**)
                Method III C is adopted (***)
(*) Method I C means that:
       A fixed fire detection and fire alarms system of an approved type is installed and so arranged as to provide smoke
       detection. Manually operated call points are provided in all corridors, stairways and escape routes within accommodation
       spaces.
(**) Method II C means that:
      An automatic sprinkler fire detection and fire alarm system on an approved type is installed and so arranged as to protect
       accommodation spaces, galleys and other service spaces, except spaces which afford no subtantial fire risk, such as void
       spaces, sanitary, etc.
      In addition to the system(s) required for Method I C above.
(***) Method III C means that:
      A fixed fire detection and fire alarm system of an approved type is installed and so arranged as to detect the presence of
       fire in all accommodation spaces and service spaces, except spaces which afford no substantial fire risk such as void
       spaces, sanitary spaces, etc.
                  Fixed fire detection and fire alarm systems (Reg. II-2/7.5 and FSS Code Chapter 9)
6 .2 . 2
                  (for location of detectors and alarms, see the approved fire control plans posted on board the ship)

6.2.2.1           Fire detectors

                             Maker and Type                                                   No.                                            Space covered




6.2.2.2           Fire alarms

                             Maker and Type                                                   No.                                            Space covered




Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.

Use additional page, if required.
                                                    International Ship Classification                                                                                     Form SUR




Class No.                                                                             Survey Report No.                                                          Page 8 of 11

6.2.2.3           Location of control panel:
6.2.2.4           Location(s) of indicating units:
6.2.2.5           Visual and audible signal is provided at the control panel for fault in power supply of electric circuits
                  A fire and/or general alarm is automatically activated throughout accommodation spaces, service
6.2.2.6
                  spaces and control stations if a fire signal is not acknowledge within 2 minutes
                  Manually operated call points are installed throughout accommodation spaces, service spaces and
6.2.2.7
                  control stations
6.2.2.8           Suitable instructions and component spares for testing and maintanance are provided

6.2.2.9           Automatic release arrangements are provided at the control station for self-closing of fire doors


FIRE DETECTION PANEL
           Make & Model & Serial Number                                                                Location                Shore based             Date of last Servicing
                                                                                                                              Servicing Agent




                                                                    *If no, certificate cannot be endorsed.

LIFEBOATS AND RESCUE BOATS
Description                                                                                                 Port Fwd                 Port Aft         Stbd Fwd      Stbd Aft
Make & Model & Serial Number (if available)

Date of Falls Latest Renewal
Date of Falls Latest Turn End-to-End
Date of Latest Manoeuvring in Water (to be done during survey)
Date of Latest Engine Testing (to be done during survey)
Date of Latest Rescue Boat Engine Testing (to be done during
survey)
Date of Latest Mustering Drill
Expiry Date of Food Ration

LIFERAFTS
Make & Model & Serial Number                                                   Capacity                Location               Servicing Agent          Date for Next Servicing




EPIRB
Expiry date of hydrostatic release




Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.

Use additional page, if required.
                                                    International Ship Classification                                                                                  Form SUR




Class No.                                                                             Survey Report No.                                                       Page 9 of 11




FIXED FIRE FIGHTING SYSTEMS
Type                                                                                                                      Location                      Date of Last Testing




Date of latest pressure test for fixed CO2 system ( not later than 20 years )


EMERGENCY SOURCE OF POWER
                           Item                                                                                                              Location
Emergency Switchboard
Remark : To be located above the continuous deck

MAGNETIC COMPASS
Description
Date of last calibration
Place of calibration

REMARKS (indicate any comments, as required)




Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.

Use additional page, if required.
                                                    International Ship Classification                                                                                     Form SUR




Class No.                                                                             Survey Report No.                                                          Page 10 of 11

PORTABLE ITEMS
Description                                                                                                                                           Quantity   Expiry Date*
Line Throwing Apparatus
Parachute Rockets
Red Hand Flares
Self-Igniting Smoke Signals
Self-Igniting Lights on Life Buoys
Self-Igniting Lights on Life Jackets
SART Battery
Make, Model & S/N of SART:
EPIRB Battery
Make, Model & S/N of EPIRB:
* If different expiry dates are observed, indicate the earliest expiry date.

PORTABLE FIRE EXTINGUISHERS
Description                                                                                                                                           Quantity   Expiry Date*
Portable Fire Extinguishers ( Annual Service Date )
Foam Type Fire Extinguishers in Engine Room (Indicate Capacity:                       )
Latest pressure test date for portable fire extinguishers ( not later than 10 years )


MARPOL
Description                                                                                                                                           Yes / No     Remarks
Maintenance program for oily water separator
Opening up of OWS for internal inspection
Changing of filtering elements ( ensure spares are type approved )
Testing of 15 ppm alarm
Opening up of overboard piping from OWS (ensure overboard valve is shut tightly)
Operation test of solenoid valve of oil filtering equipment for 3 way valve
Fuel Oil sample
Oil filtering (15 ppm) equipment (regulation 14.6) :
Manufacturer                                                      Type and model number as
                                                                                               per Certificate of Test Type
Oil content meter:
Manufacturer                                            Type and model number as
                                                        per Certificate of Test Type
Oil filtering (15 ppm) equipment with alarm and automatic stopping device (regulation 14.7):
Manufacturer                                                Type and model number
                                                            as per Certificate of Test
                                                            Type

SUBMISSIONS OF PHOTOGRAPHS
Description                                                               No. of               Remarks
                                                                          Photos
Fire hose testing
Lowering of lifeboats
Liferafts
Smoke and heat detectors testing
     1. Fire Detection Panel
Fire main piping condition
Fire dampers condition
Wheelhouse
Oily water separator
Ship’s General Condition
Engine Room General Condition

Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.

Use additional page, if required.
                                                    International Ship Classification                                                                         Form SUR




Class No.                                                                             Survey Report No.                                               Page 11 of 11

Pump Room
Engine Tank Top
ODM




REMARKS (indicate any comments, and dates, as required)




Note: ISClass assumes no responsibility and shall not be liable for any loss, damage. Directly or indirectly caused by the report in this document.

Use additional page, if required.

				
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