{
  "url": "https://openlegislation.uk/eu-regulation-2006-336/annex-I/appendix",
  "json_url": "https://openlegislation.uk/eu-regulation-2006-336/annex-I/appendix.json",
  "legislation": "eur/2006/336",
  "legislation_title": "Regulation (EC) No 336/2006 of the European Parliament and of the Council of 15 February 2006 on the implementation of the International Safety Management Code within the Community and repealing Council Regulation (EC) No 3051/95 (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-regulation-2006-336",
  "path": "annex/I/appendix",
  "kind": "appendix",
  "number": null,
  "heading": "Forms of the Document of Compliance, the Safety Management Certificate, the Interim Document of Compliance and the Interim Safety Management Certificate",
  "text": "DOCUMENT OF COMPLIANCE\n(Official seal)/(State)\nCertificate No\nIssued under the provisions of the\nINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as amended\nUnder the authority of the Government of …\n(name of the State)\nby …\n(person or organisation authorised)\nName and address of the company:\n…\n…\n(see paragraph 1.1.2 of the ISM Code)\nTHIS IS TO CERTIFY THAT the safety management system of the company has been audited and that it complies with the requirements of the International Management Code for the Safe Operation of Ships and for Pollution Prevention (ISM Code) for the types of ships listed below (delete as appropriate):\nPassenger ship\nPassenger high-speed craft\nCargo high-speed craft\nBulk carrier\nOil tanker\nChemical tanker\nGas carrier\nMobile offshore drilling unit\nOther cargo ship\nThis Document of Compliance is valid until ………, subject to periodical verification.\nIssued at …\n(place of issue of the document)\nDate of issue …\n…\n(Signature of the duly authorised official issuing the document)\n(Seal or stamp of issuing authority, as appropriate)\nCertificate No\nENDORSEMENT FOR ANNUAL VERIFICATION\nTHIS IS TO CERTIFY THAT, at the periodical verification in accordance with Regulation IX/6.1 of the Convention and paragraph 13.4 of the ISM Code, the safety management system was found to comply with the requirements of the ISM Code.\n1st ANNUAL VERIFICATION\nSigned: …\n(Signature of authorised official)\nPlace: …\nDate: …\n2nd ANNUAL VERIFICATION\nSigned: …\n(Signature of authorised official)\nPlace: …\nDate: …\n3rd ANNUAL VERIFICATION\nSigned: …\n(Signature of authorised official)\nPlace: …\nDate: …\n4th ANNUAL VERIFICATION\nSigned: …\n(Signature of authorised official)\nPlace: …\nDate: …\nSAFETY MANAGEMENT CERTIFICATE\n(Official seal)/(State)\nCertificate No\nIssued under the provisions of the\nINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as amended\nUnder the authority of the Government of …\n(name of the State)\nby …\n(person or organisation authorised)\nName of ship: …\nDistinctive number or letters: …\nPort of registry: …\nType of ship: …\nGross tonnage: …\nIMO number: …\nName and address of company: …\n(see paragraph 1.1.2 of the ISM Code)\nTHIS IS TO CERTIFY THAT the safety management system of the ship has been audited and that it complies with the requirements of the International Management Code for the Safe Operation of Ships and for Pollution Prevention (ISM Code), following verification that the Document of Compliance for the company is applicable to this type of ship.\nThis Safety Management Certificate is valid until …, subject to periodical verification and the Document of Compliance remaining valid.\nIssued at …\n(place of issue of the document)\nDate of issue …\n(Signature of the duly authorised official issuing the certificate)\n(Seal or stamp of issuing authority, as appropriate)\nCertificate No\nENDORSEMENT FOR INTERMEDIATE VERIFICATION AND ADDITIONAL VERIFICATION (IF REQUIRED)\nTHIS IS TO CERTIFY THAT, at the periodical verification in accordance with Regulation IX/6.1 of the Convention and paragraph 13.8 of the ISM Code, the safety management system was found to comply with the requirements of the ISM Code.\nIf applicable. Reference is made to paragraph 3.4.1 of the Guidelines on Implementation of the International Safety Management (ISM) Code by Administrations (Resolution A.913(22)).\nINTERMEDIATE VERIFICATION (to be completed between the second and third anniversary date)\nSigned: …\n(Signature of authorised official)\nPlace: …\nDate: …\nADDITIONAL VERIFICATION\nSigned: …\n(Signature of authorised official)\nPlace: …\nDate: …\nADDITIONAL VERIFICATION\nSigned: …\n(Signature of authorised official)\nPlace: …\nDate: …\nADDITIONAL VERIFICATION\nSigned: …\n(Signature of authorised official)\nPlace: …\nDate: …\nINTERIM DOCUMENT OF COMPLIANCE\n(Official seal)/(State)\nCertificate No\nIssued under the provisions of the\nINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as amended\nUnder the authority of the Government of …\n(name of the State)\nby …\n(person or organisation authorised)\nName and address of the company: …\n(see paragraph 1.1.2 of the ISM Code)\nTHIS IS TO CERTIFY THAT the safety management system of the company has been recognised as meeting the objectives of paragraph 1.2.3 of the International Management Code for the Safe Operation of Ships and for Pollution Prevention (ISM Code), for the type(s) of ships listed below (delete as appropriate):\nPassenger ship\nPassenger high-speed craft\nCargo high-speed craft\nBulk carrier\nOil tanker\nChemical tanker\nGas carrier\nMobile offshore drilling unit\nOther cargo ship\nThis Interim Document of Compliance is valid until:\nIssued at: …\n(Place of issue of the document)\nDate of issue: …\n(Signature of the duly authorised official issuing the document)\n(Seal or stamp of issuing authority, as appropriate)\nINTERIM SAFETY MANAGEMENT CERTIFICATE\n(Official seal)/(State)\nCertificate No\nIssued under the provisions of the\nINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974,\nas amended\nUnder the authority of the Government of …\n(name of the State)\nby …\n(person or organisation authorised)\nName of ship: …\nDistinctive number or letters: …\nPort of registry: …\nType of ship: …\nGross tonnage: …\nIMO number: …\nName and address of company: …\n…\n(see paragraph 1.1.2 of the ISM Code)\nTHIS IS TO CERTIFY THAT the requirements of paragraph 14.4 of the ISM Code have been met and that the Document of Compliance/Interim Document of Compliance of the company is relevant to this ship.\nThis Interim Safety Management Certificate is valid until …\nsubject to the Document of Compliance/Interim Document of Compliance remaining valid.\nIssued at …\n(place of issue of the document)\nDate of issue: …\n(Signature of the duly authorised official issuing the certificate)\n(Seal or stamp of issuing authority, as appropriate)\nCertificate No\nThe validity of this Interim Safety Management Certificate is extended to: …\nDate of extension: …\n(Signature of the duly authorised official extending the validity)\n(Seal or stamp of issuing authority, as appropriate)",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "footnote",
      "label": "f1",
      "text": "Insert the type of ship from among the following: passenger ship; passenger high-speed craft; cargo high-speed craft; bulk carrier; oil tanker; chemical tanker; gas carrier; mobile offshore drilling unit; other cargo ship."
    },
    {
      "type": "footnote",
      "label": "f2",
      "text": "If applicable. Reference is made to paragraph 3.4.1 of the Guidelines on Implementation of the International Safety Management (ISM) Code by Administrations (Resolution A.913(22))."
    },
    {
      "type": "footnote",
      "label": "f3",
      "text": "Insert the type of ship from among the following: passenger ship; passenger high-speed craft; cargo high-speed craft; bulk carrier; oil tanker; chemical tanker; gas carrier; mobile offshore drilling unit; other cargo ship."
    },
    {
      "type": "footnote",
      "label": "f4",
      "text": "Delete as appropriate."
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eur/2006/336/annex/I/appendix",
    "retrieved_at": "2026-11-01T14:53:53.359423+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}