Title Page
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Deck
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Deck
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Conducted on
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Prepared by
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Location
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Personnel
Certificates
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Ques 1) Accommodation Ladder (P) load test (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 2) Accommodation Ladder (Port) Wire renewal (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 3) Accommodation Ladder (S) load test (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 4) Accommodation Ladder (STBD) Wire renewal (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 5) AE Int. Air Pollution Prevention Cert. (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 6) AIS Annual Testing (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 7) Annual Consulate Tax Receipt (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 8) Annual Flag State Inspection (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 9) Annual Gyro Servicing (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 10) Annual Ship Shore Emergency Drill (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 11) Annual Ship Shore Security (ISPS) drill (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 12) Asian Gypsy Moth Certificate (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 13) B.A. Compressor air purity test (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 14) Boiler - Auxiliary (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 15) Bunker CLC (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 16) C.B.A. / ITF Blue Card (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 17) CA COFR (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 18) Cargo Gear 5 Yearly Inspection (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 19) Cargo Gear Annual Inspection (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 20) Cert. of compliance for SSAS (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 21) Certificate - Loading Instrument (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 22) Certificate for compass adjustment (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 23) Certificate of Class (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 24) Certificate of Class Annual Surveys (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 25) Certificate of Inspection of Crew Accommodation (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 26) Certificate of Installation Registration (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 27) Certificate of Registry (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 28) Class Survey Status (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 29) CO2 Cylinder Hydrostatic Pressure Testing (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 30) CO2 Cylinder Level Check including Pilot cylinder (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 31) CO2 Line Blow Through (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 32) COC (condition of class) (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 33) C.S.R (and form 2 & 3 ) in sequential order (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 34) Crane Overhead of Engine Room (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 35) Deck Crane No 1 Hoisting Wire Renewal (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 36) Deck Crane No 1 Luffing Wire Renewal (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 37) Deck Crane No 2 Hoisting Wire Renewal (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 38) Deck Crane No 2 Luffing Wire Renewal (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 39) Deck Crane No 3 Hoisting Wire Renewal (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 40) Deck Crane No 3 Luffing Wire Renewal (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
-
Action Required
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Ques 41) Deck Crane No 4 Hoisting Wire Renewal (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
-
Action Required
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Ques 42) Deck Crane No 4 Luffing Wire Renewal (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 43) Declaration of Company (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 44) Declaration of CSO (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 45) Declaration of DPA (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 46) DOC (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 47) DOC for Dangerous cargo (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 48) Document for Authorization for Bulk Grain (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 49) Drinking Water Test by Shore Laboratory (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 50) Dry Docking Survey (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 51) EEBD Annual Survey (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 52) EEBD for Ships hydrotested (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 53) Emergency Maneuvering - (M/E) Latest (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 54) Emergency Saliva Test Kit for Blood Alcohol (USCG rqumnt) (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 55) Emergency Steering Drill Latest (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 56) EPIRB Annual testing (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
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Action Required
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Ques 57) EPIRB Battery (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 58) EPIRB HRU (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 59) Fall Preventer (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 60) Fire Extinguishers servicing (Annual) (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 61) Fire Extinguishers servicing (two yearly) (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 62) Fixed High Expansion Foam - test report (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 63) First Lifeboat Equipment Expiry (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 64) First Pyrotechnic Expiry (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 65) Fixed CO2 System for E/R - Inspection (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 66) Fuel oil Purifier Efficiency Test (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 67) Galley CO2 Cylinder Level check and system Inspection (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 68) GMDSS Radio Installation Periodical Test (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 69) Grain Loading Declaration (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 70) H&M Insurance (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 71) Hyper Mist Annual Inspection (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 72) Hyper Mist Annual Operation Test (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 73) Hyper Mist Line Blow Through (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 74) I.O.P.P. Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 75) I.O.P.P. Certificate Annual Survey (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 76) I.O.P.P. Certificate Int. Survey (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 77) Immersion Suit - 3 Yearly Testing (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 78) IMSBC Code Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 79) Intermediate Survey (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 80) International Air Pollution Prevention Cert. - Intermediate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 81) International Air Pollution Prevention Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 82) International Air Pollution Prevention Certificate - Annual (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 83) International Antifouling System (IAFS) Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 84) International Ballast Water Management Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 85) International Energy Efficiency Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 86) International Sewage Pollution Prevention Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 87) International Tonnage Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 88) ISM External Audit (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 89) ISM Internal Audit (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 90) ISPS - Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 91) ISPS - Intermediate verification (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 92) ISPS Code-SSAS test last carried out. (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 93) ISPS Internal Audit (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 94) Life Boat (Free Fall) last manoeuvered in water (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 95) Life boat and Davit Annual Servicing (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 96) Life boat and Davit Dynamic Load testing (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 97) Liferaft Survey - Forward (Aft for PCC) (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 98) Liferaft Survey - Port (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 99) Liferaft Survey - Stbd (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 100) LO sample analysis received Latest (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 101) Loadline Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 102) Loadline Certificate Annual Survey (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 103) LRIT Compliance Test (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 104) ME Int. Air Pollution Prevention Cert. (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 105) Medical Oxygen Cylinder and Resuscitators (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 106) Medical Supplies Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 107) MLC Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 108) NTVRP - Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 109) OWS 15 PPM Last Calibration (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 110) P & I Club (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 111) Panama Canal PC/UMS Tonnage certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 112) PCSOPEP (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 113) Pilot Assist Ladder (Port) Wire Renewal (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 114) Pilot Assist Ladder (STBD) Wire Renewal (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 115) Pilot Ladder Cert (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 116) Plan for Rescue of persons from Water (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
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Image / Copy of Certificate
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Action Required
-
Ques 117) Portable Extinguisher Hydrotest: Co2 (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
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Action Required
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Ques 118) Portable Extinguisher Hydrotest: DCP (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
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Action Required
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Ques 119) Portable Extinguisher Hydrotest: Foam (Valid / Invalid)
-
Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 120) Portable Extinguisher Hydrotest: Galley CO2 (Valid / Invalid)
-
Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
-
Action Required
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Ques 121) Portable gas detector Annual Servicing (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
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Action Required
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Ques 122) Provision Crane Wire (Valid / Invalid)
-
Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
-
Action Required
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Ques 123) PSC Inspection Latest (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
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Action Required
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Ques 124) Radar No.1 Magnetron last changed (S-BAND) (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 125) Radar No.2 Magnetron last changed (X-BAND) (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
-
Action Required
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Ques 126) Radio Station Licence (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 127) Rescue boat annual servicing (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 128) Rescue Boat Lowering/Maneuvering Routine (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
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Action Required
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Ques 129) Safe Manning (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
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Action Required
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Ques 130) Safety Construction Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 131) Safety Construction Certificate Annual Survey (Valid / Invalid)
-
Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
-
Action Required
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Ques 132) Safety Construction Certificate Int. Survey (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 133) Safety Equipment Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 134) Safety Equipment Certificate Annual Survey (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
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Action Required
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Ques 135) Safety Equipment Certificate Int. Survey (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 136) Safety Radio Annual Survey (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 137) Safety Radio Cert. Periodical Survey (Valid / Invalid)
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Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 138) Safety Radio Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 139) SART Annual Testing (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 140) SART Batteries (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 141) SCBA Annual service (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 142) SCBA Hydrotest (5 Year) (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 143) SCBA Two Yearly Service (Valid / Invalid)
-
Details / Remarks (if any)
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Previous Survey Date of Certificate
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Due Date for Certificate
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Image / Copy of Certificate
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Action Required
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Ques 144) Ship Sanitation Control Exemption certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 145) Ship Station License (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 146) Shore Based Maintenance (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 147) SMC - Intermediate Verification (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 148) SMC - Safety Management Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 149) SOPEP approval (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 150) Special Survey (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 151) SSP Approval Letter (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 152) Statement of Compliance (DD Report of VGP) (Valid / Invalid)
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Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 153) Statement of Compliance for Garbage Pollution Prevention (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 154) Strength Calculation Certificate for Helicopter Landing Site (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 155) Suez Canal Special Tonnage Certificate (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 156) Supdt Vessel Inspection Report (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 157) SVDR / VDR annual testing (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 158) SVDR / VDR battery replacement (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
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Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 159) Type Approval Certs (VDR/AIS/SSAS/OWS/Incinerator/BNWAS/ Seawage Treatment plant / Ballast water treat Plant) (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
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Ques 160) U.S.COFR (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 161) USCG Inspection Latest (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 162) VGP Annual Inspection (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 163) Wreck removal Cert (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 164) Approved Stability booklet (Available / Not Available)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 165) Approved grain stab booklet (Available / Not Available)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 166) Approved damaged stab booklet/plan (Available / Not Available)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 167) Approved Ballast water management plan (Available / Not Available)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 168) Bio fouling management plan (Available / Not Available)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 169) Approved SOPEP Plan (Available / Not Available)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 170) Approved NTVRP (Available / Not Available)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 171) Vector Management Plan (Available / Not Available)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 172) Oil Record Book (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 173) Garbage record book (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 174) Ballast water record book (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 175) Stability records (+Loadicator test records) (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 176) Stores / Spares Inventory (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 177) Wire & Rope Status (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 178) BDN's Filled (Filed / Not Filed)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 179) SECA Record Book (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 180) Bunker Checklists (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 181) LO Analysis Reports (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 182) Rest Hours Record (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 183) M0 Booklet (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 184) Nox Technical File (AE + ME) (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 185) PMS (MESPAS) (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 186) Cadets Training record books (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 187) Crews Medical (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 188) Crews Contracts (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 189) Crew CoC (National) (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 190) Crew CoC (Flag) (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 191) Crew GMDSS (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 192) Crew STCW Certs (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 193) Crew Passport & CDC (Valid / Invalid)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
-
Ques 194) Masters Filing System (Updated / Not Updated)
-
Details / Remarks (if any)
-
Previous Survey Date of Certificate
-
Due Date for Certificate
-
Image / Copy of Certificate
-
Action Required
