Division Certificate No ENDORSEMENT FOR INTERMEDIATE VERIFICATION AND ADDITIONAL VERIFICATION (IF REQUIRED)F1

United Kingdom

THIS 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 and] ^f1 Article 6 of Regulation (EC) No 336/2006 on the implementation of the ISM Code within the Community, the safety management system was found to comply with the requirements of the ISM Code.

INTERMEDIATE VERIFICATION (to be completed between the second and third anniversary date)

Signed: …

(Signature of authorised official)

Place: …

Date: …

ADDITIONAL VERIFICATION ^f2

Signed: …

(Signature of authorised official)

Place: …

Date: …

ADDITIONAL VERIFICATION

Signed: …

(Signature of authorised official)

Place: …

Date: …

ADDITIONAL VERIFICATION

Signed: …

(Signature of authorised official)

Place: …

Date: …

Annotations

Textual amendments

F1: Substituted by Commission Regulation (EC) No 540/2008 of 16 June 2008 amending Annex II to Regulation (EC) No 336/2006 of the European Parliament and of the Council on the implementation of the International Safety Management (ISM) Code within the Community, as regards format of forms.

Footnotes

f1: May be deleted for ships engaged only on voyages within one Member State.
f2: If applicable. Reference is made to paragraph 13.8 of the ISM Code and paragraph 3.4.1 of the Guidelines on Implementation of the International Safety Management (ISM) Code by Administrations (Resolution A.913(22)).