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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