Division INTERIM SAFETY MANAGEMENT CERTIFICATEF1
United Kingdom
(Official seal)/(State)
Certificate No
Issued under the provisions of [the INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as amended and] f1 of Regulation (EC) No 336/2006 on the implementation of the ISM Code within the Community
Under the authority of the Government of …
(name of the State)
by …
(person or organisation authorised)
Name of ship: …
Distinctive number or letters: …
Port of registry: …
Type of ship f2 : …
Gross tonnage: …
IMO Number: …
Name and address of Company: …
(see paragraph 1.1.2 of Part A of Annex I to Regulation (EC) No 336/2006)
THIS IS TO CERTIFY THAT the requirements of paragraph 14.4 of Part A of Annex I to Regulation (EC) No 336/2006 have been met and that the Document of Compliance/Interim Document of Compliance f3 of the Company is relevant to this ship.
This Interim Safety Management Certificate is valid until … subject to the Document of Compliance/Interim Document of Compliance remaining valid.
Issued at: …
(place of issue of the document)
Date of issue: …
(Signature of the duly authorised official issuing the certificate)
(Seal or stamp of issuing authority, as appropriate)
Certificate No
The validity of this Interim Safety Management Certificate is extended to:
Date of extension: …
(Signature of the duly authorised official extending the validity)
(Seal or stamp of issuing authority, as appropriate)
Annotations
Textual amendments
Footnotes
- f1
-
May be deleted for ships engaged only on voyages within one Member State.
- f2
-
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; ro-ro passenger ferry.
- f3
-
Delete as appropriate.