SHIP MANAGEMENT – INDIA FORMS & CHECKLISTS

D-3
Date :08/2008
Revision No. 2 / Page 1 of 4
Bulk + Other Cargo

CERTIFICATE STATUS LIST

Vessel: M/V Date:

A. Statutory Certificates

Description Issued Place Expiry Next Due within 3

Date date Survey Months
YES / NO
1. International Load Line
Annual Survey
2. Safety Equipment
Annual Survey
3. Safety Construction
Annual Survey
4. I.O.P.P.
Annual Survey
Intermediate Survey
5. Safety Radio
6. SMC
7. SMC Intermediate Audit
8. ISSC
9. ISSC Intermediate Audit
10. IAPP Certificate
Annual Survey
Intermediate Survey

B. Class Certificates and Surveys

Description Issued Place Expiry Next Due within

Date Date Survey 3 months
1. Cert. of Classification
Annual Survey
Intermediate Survey
2. Last dry-docking
3. Tail Shaft Partial
4. Tail Shaft Complete
5. Oil Fired Boiler Survey
6. Gas Boiler Survey
7. Annual Automation
Survey
8. Int Sewage Poll cert.
9. CMS items Credited to
be stated as per CMS
list

TO BE SENT - MONTHLY
WE MANAGE SHIPS SAFELY
 SHIP MANAGEMENT – INDIA FORMS & CHECKLISTS
D-3
Date :08/2008
Revision No. 2 / Page 2 of 4
Bulk + Other Cargo

10. CMS items to be seen

in next 3 months

11. Outstanding
recommendation

C. Cargo Gear

Description Assigned Place Expiry Next Survey Due within

Date date 3 Months
1. Annual Inspection
2. Quadrennial Thorough
Examination

D. Miscellaneous Certificates and Documents

Description Assigned Place Expiry Next Survey Remarks

Date date
1. Certificate of Registry
2. International Tonnage
Certificate (1969)
3. Suez Canal Tonnage
Certificate
4. Panama Canal
Tonnage Certificate
5. Document of Minimum
Safe Manning
6. P.N.O. card or ITF
Certificate
7. US COFR (Water
Pollution)
8. COFR(California)
9. Burrard Clean
(Western Canada)
10. E.C.R.C (Eastern
Canada)
11. H & M Insurance
(COPY ON BOARD)
12. P & I Certificate of
Entry and Acceptance
– (Copy )

TO BE SENT - MONTHLY
WE MANAGE SHIPS SAFELY
 SHIP MANAGEMENT – INDIA FORMS & CHECKLISTS
D-3
Date :08/2008
Revision No. 2 / Page 3 of 4
Bulk + Other Cargo

Description Assigned Place Next Remarks

Date Survey
13. Deratting Exemption
Certificate
14. International Sewage
Pollution Prevention
15. Gen Trading License
16. Record of antifouling
system
17. SBMC
18. Radio Station Licence
19. IOPP-15 PPM Cal.
20. MultiGas Detector Cal.
21. Medical Chest Cert
22. EPIRB annual test
23. EPIRB Battery
24. SART
25. MOB Marker
26. VDR annual Test
27. SSA annual test with
Flag
28. Life rafts: 1)
2)
3)
4)
29. HRU for liferaft/EPIRB
30. Portable Fire
Extinguishers
- Annual Survey
- Hydro Test
31. Breathing Apparatus
Cylinders pressure test
32. Fixed Fire Fighting
System CO2
- Weighment
- Pressure Test of
Cylinders
- Inspection Analysis
33. Magnetic Compass
Calibration
34. Port State Control
Inspection
35. U.S.C.G. Inspection
36. Flag State Annual
Inspection
37. Ship's Carving and
Marking

TO BE SENT - MONTHLY
WE MANAGE SHIPS SAFELY
 SHIP MANAGEMENT – INDIA FORMS & CHECKLISTS
D-3
Date :08/2008
Revision No. 2 / Page 4 of 4
Bulk + Other Cargo

40. EEBD Pressure test

41 Dangerous Goods
Certificate
42 Annual Examination of
L/B and launching
appliance
43 5 Yearly Dynamic Load
test of L/B and Davits

Master:……………….

Note: This form must be completed and kept up-to-date. A copy of this STATUS LIST must be sent to the office
monthly and each new certificate being issued or any endorsement being made on any certificate must
immediately be sent to the office.

TO BE SENT - MONTHLY
WE MANAGE SHIPS SAFELY