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VESSEL NAME :
DATE :
ITEMNO
CERTIFICATE ISSUEDATE
EXPIRYDATE
RANGE/COMMENTS
FLAG ADMINISTRATIONFLAG ADMINISTRATION
1 CERTIFICATE OF REGISTRY
2 RADIO STATION LICENSE
3 MMM ( YEN ) APPROVAL FOR TELECOMMUNICATION GMDSS
4 DOCUMENT OF " SAFE MANNING "
5 SAFETY MANAGEMENT CERTIFICATE (SMC) ( 5 YEARS )
6 SMC INTERMEDIATE EXTERNAL AUDIT ( ENDORSEMENT )
7 DOCUMENT OF COMPLIANCE CERTIFICATE (DOC) (5 YEARS )
8 DOC ANNUAL EXTERNAL AUDIT ( ENDORSEMENT )
9 PNO ( Greek flag vessels only )
10 LIBERIAN ANNUAL TONNAGE TAX RECEIPT ( Liberian flag vessels
11 I.L.O CONVENTIONS Nos. 92 & 133 CONCERNING CREW
MEASUREMENTMEASUREMENT 12 INTERNATIONAL TONNAGE CERTIFICATE (1969)
13 SUEZ CANAL TONNAGE
14 PANAMA CANAL TONNAGE
CLASSIFICATIONCLASSIFICATION15 CERTIFICATE OF CLASSIFICATION
16 CERTIFICATE OF CLASS ( LLOYDS = HULL & MACHINERY )
17 CERTIFICATE OF CLASS ( NKK = HULL only )
18 ANNUAL SURVEY (ENDORSEMENT)
19 INTERMEDIATE SURVEY (ENDORSEMENT)
20 CERTIFICATE OF INSTALLATIONS REGISTRATION
CLASS STATUTORY , SOLAS & MARPOL CERTIFICATESCLASS STATUTORY , SOLAS & MARPOL CERTIFICATES21 CARGO SHIP SAFETY CONSTRUCTION (5 YEARS)
22 CARGO SHIP SAFETY CONSTRUCTION ANNUAL SURVEY
23 SAFETY CONSTRUCTION INTERMEDIATE SURVEY (ENDORSEMENT )
24 LOAD LINE CERTIFICATE (5 YEARS)
25 LOAD LINE ANNUAL SURVEY (ENDORSEMENT)
26 LOAD LINE INTERMEDIATE SURVEY ( ENDORSEMENT )
27 CARGO SHIP SAFETY EQUIPMENT CERTIFICATE + FORM-E
28 CARGO SHIP SAFETY EQUIPMENT
29 EXEMPTION CERTIFICATE - RDF (5 YEARS)
C:\FORMS\01_0002.PDF MT LADON
Certificate Status ListCompany Forms and Check Lists
Date : 05.04.01Rev.No : 1 Prep. : MGVApp. : CAPSection : 01Page : 1 of 7
ITEMNO
CERTIFICATE ISSUEDATE
EXPIRYDATE
RANGE/COMMENTS
30 IOPP CERTIFICATE + FORM-B ( 5 YEARS )
31 IOPP ANNUAL SURVEY ( ENDORSEMENT )
32 IOPP INTERMEDIATE SURVEY ( ENDORSEMENT)
33 INTERNATIONAL SEWAGE PREVENTION POLLUTION ( ISPP)CERITIFCATE ( 5 YEARS )
34 ISPP ANNUAL SURVEY ( ENDORSEMENT )
35 CARGO SHIP SAFETY RADIO CERTIFICATE +FORM-R (5 YEAR)
36 CARGO SHIP SAFETY RADIO ANNUAL/PERIODICAL/INTERMEDIATESURVEY ( ENDORSEMENT )
37 SHORE BASED MAINTENANCE AGREEMENT & LIST OF GMDSSEQUIPMENT
RECORDSRECORDS38 FREEBOARD ASSIGNMENT (LOAD LINE - Only NKK Vessels )
39 INTERNATIONAL CONVENTION OF LOAD LINES, 1969 " RECORDOF CONDITION ASSIGNMENT " ( All Class Societies )
40 INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE ATSEA 1974 AS AMENDED " RECORD OF SAFETY EQUIPMENT "( For vessels under ABS class )
41 RECORD OF APPROVED CARGO SHIP SAFETY EQUIPMENT ( For vessels under LLOYD , ABS & NKK Class )
42 RECORD OF PASSENGER/CARGO SHIP SAFETY RADIOEQUIPMENT ( GMDSS) ( For vessels under ABS & NKK Class )
43 CHECK LIST FOR INITIAL/RENEWAL SURVEY OF PASSENGER/CARGOSHIP SAFETY RADIO EQUIPMENT (GMDSS )( For vessels under ABS & NKK Class )
44 RECORD OF APPROVED GMDSS RADIO INSTALLATION( For vessels under LLOYDS Class )
45 SURVEY CHECK LIST - GMDSS - SAFETY RADIO ( For vessels underLLOYD'S Class )
46 ABS PROCESS INSTRUCTIONS CHECK LIST ON SOLAS SURVEYS-SLR/GMDSS ( For vessels under ABS Class )
47 GMDSS DRAWINGS APPROVED BY CLASS/FLAG
VARIOUSVARIOUS48 CONFIRMATION OF CLASS CERTIFICATE or CLASS MAINTENANCE
CERTIFICATE ( At owners request )
49 CLASS UMS & CENTRAL CARGO CONTROL ROOM CERTIFICATION
LIFTING APPLIANCESLIFTING APPLIANCES50 MIDSHIP CARGO HANDLING DERRIKS or CRANE QUADRENNIAL
SURVEY (Class ) Greek flag vessels 4 YEARS / Liberian flag vessels 5YEARS )
51 CERTIFICATE OF FITNESS OF CARGO GEAR ( MIDSHIP CARGOHANDLING CRANE or DERRICKS) QUADRENNIAL ( 4 YEARS for Greekflag vessels only )
52 MIDSHIP DERRICKS or CRANE LOAD PROOF TEST, DOCKREGULATIONS 1934 QUADRENNIAL ( every 4 years for GREEK flagvessels and Every 5 Years for Liberian Flag vessels )
C:\FORMS\01_0002.PDF MT LADON
Certificate Status ListCompany Forms and Check Lists
Date : 05.04.01Rev.No : 1 Prep. : MGVApp. : CAPSection : 01Page : 2 of 7
ITEMNO
CERTIFICATE ISSUEDATE
EXPIRYDATE
RANGE/COMMENTS
53 CARGO GEAR ANNUAL SURVEY ( All vessels )
54 MIDSHIP CRANES or DERRICKS ACCESSORIES CERTIFICATES
55 MIDSHIP CRANES or DERRICKS WIRES CERTIFICATES
56 MIDSHIP CRANES or DERRICKS WIRES INSPECTIONS/RENEWALS
57 PROVISION CRANE or DERRICKS QUADRENNIAL SURVEY ( Class) (4 YEARS - Greek flag vessels - 5 Years for Liberian Flagvessels )
58 CERTIFICATE OF FITNESS OF CARGO GEAR ( PROVISION CRANES orDERRICKS) (4 YEARS -QUADRENNIAL ) ( Greek flag vessels only )
59 PROVISION CRANES or DERRICKS LOAD PROOF TEST, DOCKREGULATIONS 1934 QUADRENNIAL ( 4 YEARS for Greek Flag vessels /5 YEARS for Liberian Flag vessels ) )
60 PROVISION CRANES or DERRICKS ANNUAL SURVEY ( All vessels )
61 PROVISION CRANES or DERRICKS ACCESSORIES CERTIFICATES
62 PROVISION CRANES or DERRICKS WIRES CERTIFICATES
63 PROVISION CRANES or DERRICKS WIRES INSPECTIONS/RENEWALS
64 ENGINE ROOM OVERHEAD CRANE QUADRENNIAL SURVEY ( Class) (4 YEARS - Greek flag vessels - 5 Years for Liberian Flagvessels )
65 CERTIFICATE OF FITNESS OF CARGO GEAR ( ENGINE ROOM OVERHEAD CRANE/HOIST ) (4 YEARS -QUADRENNIAL ) ( Greek flag vessels only )
66 ENGINE ROOM OVERHEAD CRANE/HOIST LOAD PROOF TEST, DOCKREGULATIONS 1934 QUADRENNIAL ( 4 YEARS for Greek Flag vessels /5 YEARS for Liberian Flag vessels ) )
67 ENGINE ROOM OVERHEAD CRANE/HOIST ANNUAL SURVEY ( All vessels )
68 ENGINE ROOM OVERHEAD CRANE/HOIST ACCESSORIESCERTIFICATES
69 ENGINE ROOM OVERHEAD CRANE/HOIST WIRES/CHAINCERTIFICATES
70 ENGINE ROOM OVERHEAD CRANE/HOIST WIRES/CHAIN INSPECTIONS/RENEWALS
71 PUMPROOM DAVID CRANE LOAD PROOF/TEST SURVEY( 5 YEARS )
72 PUMPROON ANNUAL SURVEY
73 PUMPROOM DAVID CRANE WIRE CERTIFICATE
74 PUMPROOM WIRE INSPECTION / RENEWAL
75 SUEZ CANAL LIGHT DAVID CRANE LOAD PROOF/TEST SURVEY( 5 YEARS )
76 SUEZ CANAL LIGHT DAVID CRANE ANNUAL SURVEY
77 SUEZ CANAL LIGHT DAVID CRANE WIRE CERTIFICATE
78 SUEZ CANAL LIGHT DAVID CRANE WIRE INSPECTION-/ RENEWAL
79 SHIPBOARD ELEVATOR LOAD PROOF/TEST SURVEY ( 5 YEARS )
C:\FORMS\01_0002.PDF MT LADON
Certificate Status ListCompany Forms and Check Lists
Date : 05.04.01Rev.No : 1 Prep. : MGVApp. : CAPSection : 01Page : 3 of 7
ITEMNO
CERTIFICATE ISSUEDATE
EXPIRYDATE
RANGE/COMMENTS
80 ELEVATOR ANNUAL TEST / INSPECTION
81 ELEVATOR WIRE CERTIFICATE
82 ELEVATOR WIRES INSPECTION / RENEWAL
83 ACCOMMODATION LADDERS LOAD PROOF/TEST SURVEY ( 5 YEARS )
84 ACCOMMODATION LADDER No:1 (S) WIRE INSPECTION / RENEWAL
85 ACCOMMODATION LADDER No:2 (P) WIRE INSPECTION / RENEWAL
86 LIFE BOAT No:1 (S) DAVITS DYNAMIC LOAD PROOF TEST ( 5 YEARS )
87 LIFE BOAT No: 1 (S ) LOAD PROOF TEST ( Every 5 YEARS )
88 LIFE BOAT No:1 ( S ) WIRES CERTIFICATE
89 LIFE BOAT No:1 ( S ) WIRES INSPECTION / RENEWAL
90 LIFE BOAT No:2 ( P ) DAVITS DYNAMIC LOAD PROOF TEST( 5 YEARS )
91 LIFE BOAT No: 2 ( P ) LOAD PROOF TEST (Every 5 YEARS )
92 LIFE BOAT No:2 ( P ) WIRES CERTIFICATE
93 LIFE BOAT No:2 (P ) WIRES INSPECTION / RENEWAL
94 CHAIN BLOCKS CERTIFICATE
95 HYDRAULIC JACKS
96 MUCKING OUT MACHINES
MOORINGMOORING97 MOORING WIRES CERTIFICATES
98 MOORING TAILS CERTIFICATES
99 TONSBERG SHACKLES
100 FIRE WIRES
101 MOORING ROPES
OIL POLLUTIONOIL POLLUTION 102 ITOPF CERTIFICATE
103 P&I CLUB ENTRY ( For Vessels Under U.K P & I CLUB cover ) PERMANENT
104 P&I CLUB ENDORSEMENT ( Same as above )
105 CLC ( LIBERIA 1992 )
106 P & I CLUB ENTRY & ENDORSEMENT ( for vessels under STANDARD P& 1 CLUB cover )
107 CLC ( 1992 )
108 COFR ( FINANCIAL RESPONSIBILITY ) USCG FEDERAL
109 COFR CALIFORNIA STATE
SAFETY CERTIFICATESSAFETY CERTIFICATES110 No. 1 ( BIG ) TANK FOAM RENEWAL
111 No. 2 ( SMALL ) TANK FOAM RENEWAL
112 FOAM ANALYSIS ( BOTH TANKS ) ANNUAL INSPECTION
C:\FORMS\01_0002.PDF MT LADON
Certificate Status ListCompany Forms and Check Lists
Date : 05.04.01Rev.No : 1 Prep. : MGVApp. : CAPSection : 01Page : 4 of 7
ITEMNO
CERTIFICATE ISSUEDATE
EXPIRYDATE
RANGE/COMMENTS
113 LIFE RAFT No : 1 & HYDRO RELEASE
114 LIFE RAFT No : 2 & HYDRO RELEASE
115 LIFE RAFT No : 3 & HYDRO RELEASE
116 LIFE RAFT No : 4 & HYDRO RELEASE
117 LIFE RAFT No : 5 & HYDRO RELEASE
118 PORTABLE FIRE EXTINGUISHERS
119 CO2 FIXED INSTALLATION SYSTEM INSPECTION
120 BREATHING APPARATUS No:1 & SPARE BOTTLES INSPECTION
121 BREATHING APPARATUS No:2 & SPARE BOTTLES INSPECTION
122 BREATHING APPARATUS No:3 & SPARE BOTTLES INSPECTION
123 BREATHING APPARATUS No:4 & SPARE BOTTLES INSPECTION
124 B.A. BOTTLES QUADRENNIAL TEST
125 B.A ESCAPE SET ( S) WITH HOOK
126 MEDICINE CHEST INSPECTION
127 LIFEJACKETS CERTIFICATE
128 LIFEBUOYS ( 2.5 KG ) CERTIFICATES
129 LIFEBOATS ( 4.5 KG ) CERTIFICATES
130 PORTABLE GAS INSTRUMENTS INSPECTION
131 GYRO COMPASS ANNUAL INSPECTION
132 MAGNETIC COMPASS DEVIATION CARD
133 TANK SYSTEM UTI/MMC INSPECTION
134 MOORING WINCHES/WINDLASS TEST
135 MOORING WINCHES/WINDLASS BRAKE LINING RENEWED
136 CARGO LINES PRESSURE TEST
137 BUNKER LINES PRESSURE TEST
138 COW LINE PRESSURE TEST
139 ALCOHOL SENSOR
140 MEDICAL RESUSCITATOR
141 ELSSI D&A UNANNOUNCED TEST 5-6 MONTHS
SAFETY EQUIPMENT EXPIRATION DATESSAFETY EQUIPMENT EXPIRATION DATES142 LIFEBOAT No:1 (S) ROCKETS/PARACHUTES
143 LIFEBOAT No:1 (S) HAND FLARES
144 LIFEBOAT No:1 (S) SMOKE SIGNAL
145 LIFEBOAT No:1 (S) FOOD RATIONS
146 LIFEBOAT No:1 (S) FIRST AID KIT
147 LIFEBOAT No:2 (P) ROCKETS/PARACHUTES
148 LIFEBOAT No:2 (P) HAND FLARES
C:\FORMS\01_0002.PDF MT LADON
Certificate Status ListCompany Forms and Check Lists
Date : 05.04.01Rev.No : 1 Prep. : MGVApp. : CAPSection : 01Page : 5 of 7
ITEMNO
CERTIFICATE ISSUEDATE
EXPIRYDATE
RANGE/COMMENTS
149 LIFEBOAT No:2 (P) SMOKE SIGNAL
150 LIFEBOAT No:2 (P) FOOD RATIONS
151 LIFEBOAT No:2 (P) FIRST AID KIT
152 BRIDGE ROCKETS/PARACHUTE
153 BRIDGE HAND FLARES
154 BRIDGE SMOKE SIGNALS
155 MAN OVERBOARD
156 LINE THROWING APPARATUS (CAPSULES/ROCKETS)
157 SOLAS PORTABLE TRANCEIVER No:1 BATTERY
158 SOLAS PORTABLE TRANCEIVER No:2 BATTERY
159 SOLAS PORTABLE TRANCEIVER No:3 BATTERY
160 SATELITE EPIRB BATTERY
161 SATELITE EPIRB RENEWABLE HYDRO RELEASE
162 SATELITE EPIRB PERMANENT HYDRO RELEASE
163 RADAR TRANSPONDERS BATTERIES
THIRD PARTIES INSPECTIONS/CERTIFICATESTHIRD PARTIES INSPECTIONS/CERTIFICATES164 FLAG ANNUAL SAFETY INSPECTION
165 DERATTING EXEMPTION
166 MOU PORT STATE CONTROL INSPECTION
167 USCG INSPECTION (TVEL)
168 USA-USCG MOU PORT STATE CONTROL INSPECTION
169 USA-USCG MARPOL INSPECTION
170 WORLDWIDE ( Except USA ) MOU PSC INSPECTION
171 WORLDWIDE ( Except USA ) MARPOL INSPECTION
172 P&I CLUB CONDITION SURVEY
MISCELLANEOUS AND VARIOUS BUILDERS CERTIFICATESMISCELLANEOUS AND VARIOUS BUILDERS CERTIFICATES173 EMERGENCY TOWING ARRANGEMENT (ETA)
174 HELM'S ADVISOR
175 THOMAS GUNN or VANOS : ( Delete as appropriate )OUTFIT MANAGEMENT SERVICES ENROLEMENT
176 ODME CERTIFICATE / INSPECTION REPORT
177 MANEOUVRING PERFORMANCE CAPABILITY
178 OVERFILL ALARM ( 98 % )
179 PLEIADES -ELSSI CERTIFICATE OF CONTRACT
180 SEAWAGE
181 BELL
182 GONG
183 ANCHORS
C:\FORMS\01_0002.PDF MT LADON
Certificate Status ListCompany Forms and Check Lists
Date : 05.04.01Rev.No : 1 Prep. : MGVApp. : CAPSection : 01Page : 6 of 7
ITEMNO
CERTIFICATE ISSUEDATE
EXPIRYDATE
RANGE/COMMENTS
184 CHAINS
185 NAVIGATION LIGHTS
186 HIGH VELOCITY P/V VALVES
187 CLASS SURVEY REPORT OF ULLAGE CORRECTION FOR USE OF UTITAPES
188 CLASS APPROVED DRAWINGS FOR: E/R BILGE LINE TO SLOP TANK
189 CLASS APPROVED FIRE EXTINGUISHER ARRANGEMENT FOR PAINTLOCKER
190 CARGO VAPOUR EMISSION COLLECT SYSTEM (VECS )INSTALLATION CERTIFICATE
191 SAFE ACCESS TO BOW INSTALLATION CERTIFICATE
192 LIFE BOATS CERTIFICATES
193 ABS CERTIFICATION REGARDING FOREIGN FLAG VESSEL'SCOMPLIANCE WITH ALL USCG ( CFR 33 ) REQUIREMENTS
194 ABS - STATEMENT OF FACTS ON THE PREVENTION OF POLLUTIONBY GARBAGE FROM SHIPS ( ANNEX V-MARPOL 73/78 )
C:\FORMS\01_0002.PDF MT LADON
Certificate Status ListCompany Forms and Check Lists
Date : 05.04.01Rev.No : 1 Prep. : MGVApp. : CAPSection : 01Page : 7 of 7
INSTRUCTIONS : To be updated upon every end of the month . A copy to be forwarded to the office as an electronic attachment
CERTIFICATE STATUS LISTpage 2page 3page 4page 5page 6page 7