船舶安全检查清单PSC.docVIP

阿达尼船务有限公司 LIST OF SHIP SAFETY INSPECTION 船 舶 安 全 检 查 清单 M.V. _____________________________ IMO Number________________________ Official Number______________________ Call Sign: 呼号： Type of ship: 船型： Date of Keel Laid: 龙骨铺设日期： Ship Dimensions#(L x B X D, metres): 船舶尺寸（长X宽X高，单位：米。）： Gross Tonnage: 总吨： FLAG 船籍国： Classification Society(s): 船级社 1st Inspection 第一次检查 Surveyor检查人: Date of Inspection日期: Place of Inspection地点: 2nd Inspection 第二次检查 Surveyor检查人: Date of Inspection日期: Place of Inspection地点: 3rd Inspection 第三次检查 Surveyor检查人: Date of Inspection日期: Place of Inspection地点: 4th Inspection 第四次检查 Surveyor检查人: Date of Inspection日期: Place of Inspection地点: - PAGE 1 - DOCUMENTATION 证书 Statutory Certificates 法定证书 Note: N.A.- Not Applicable 注: N.A - 不适用 Document Issuing Authority 发证机关 Issue Date 发证日期 Expiry Date 过期日期 Last Endorsement Date 上次签证日期 Certificate of Registry 国籍证书 Ship’s Radio Station License 电台执照 International Tonnage Certificate (1969) 国际吨位证书 International Load Line Certificate 国际载重线证书 International Load Line Exemption Certificate (if any) 国际载重线免除证书(如有) Cargo Ship Safety Construction Certificate 货船安全构造证书 Cargo Ship Safety Construction Exemption Certificate(if any) 货船安全构造免除证书(如有) Cargo Ship Safety Equipment Certificate 货船安全设备证书 Record of Equipment (Form E) 设备记录(E表) Cargo Ship Safety Equipment Exemption Certificate (fixed fire fighting) 货船安全设备免除证书(固定消防设备) Document of Compliance with the special requirements for ships carrying dangerous goods 危险品适装证书 Cargo Ship Safety Radio Certificate 货船无线电安全证书 Record of Approved Cargo Ship Radio Installation (Form R) 货船无线电设备安装认可记录(R表) Cargo Ship Safety Equipment Exemption Certificate (GMDSS items) 货船安全设备免除证书(GMDSS条款) Document of Compliance (ISM Code) 符合证明DOC (安全管理规则) Safety Management Certificate (ISM Code) 安全管理证书SMC(安全管理规则) International Oil Pollution Prevention (IOPP) Certificate 国际防油污证书(IOPP) Record of Construction and Equip