{"natural_text": "ประกาศกรมเจ้าท่า\nที่ ๒๒๒/๒๕๖๖\nเรื่อง แก้ไขเพิ่มเติมแบบใบสำคัญรับรองและแบบบันทึกรายการอุปกรณ์เกี่ยวกับความปลอดภัยแห่งชีวิต ในทะเล โดยเป็นไปตามอนุสัญญาระหว่างประเทศว่าด้วยความปลอดภัยแห่งชีวิตในทะเล ค.ศ. ๑๙๗๔ (ฉบับที่ 2)\n\nสืบเนื่องจากกรมเจ้าท่าได้ออกประกาศกรมเจ้าท่า ที่ ๑๒/๒๕๖๐ เรื่อง แบบใบสำคัญรับรอง และแบบบันทึกรายการอุปกรณ์เกี่ยวกับความปลอดภัยแห่งชีวิตในทะเล และประกาศกรมเจ้าท่า ที่ ๑๙/๒๕๖๐ เรื่อง แบบใบสำคัญร

{"natural_text": "แห่งชีวิตในทะเล พ.ศ. ๒๕๕๙ ดังต่อไปนี้ ให้เป็นไปตามรายละเอียดที่ปรากฏตามมาตรฐานระหว่างประเทศว่าด้วยความปลอดภัยแห่งชีวิตในทะเล พ.ศ. ๑๙๗๔ (International Convention for the Safety of Life at Sea 1974 : SOLAS 1974)\n\nสำหรับแบบใบสำคัญรับรองอุปกรณ์และความปลอดภัยของเรือสินค้า ( Cargo Ship Safety Equipment Certificate ) และแบบบันทึกรายการอุปกรณ์ ( Record of Equipment : Form E )\n\nและแบบใบสำคัญรับรองวิทยุเพื่อความปลอดภัยของเรือสินค้า ( Cargo Ship Safety Radio Certificate ) และแบบบันทึกรายการอุปกรณ์ ( Record of Equipment : Form R )\n\nข้อ ๔ ในกรณีที่ใบสำคัญรับรองออกโดยสถาบันการตรวจเรือ ( Recognized Organization

ใบสำคัญรับรองวิทยุเพื่อความปลอดภัยของเรือสินค้า (Cargo Ship Safety Radio Certificate)
และบันทึกรายการอุปกรณ์ (Record of Equipment : Form E)

{"natural_text": "# CARGO SHIP SAFETY EQUIPMENT CERTIFICATE\n\nThis certificate shall be supplemented by a Record of equipment of cargo ship safety (Form E)\n\nIssued under the provisions of the\nINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974,\nIn accordance with Assembly resolution 496(105) relating to\nthe global implementation of the harmonized system of survey and certification\nunder the authority of the Government of THAILAND\nby the MARINE DEPARTMENT\n\nParticulars of ship\\(^1\\)\n\n| Name of Ship | Distinctive Number or Letters | Port of Registry | Gross Tonnage | Deadweight of ship (metric tons)\\(^2\\) | Length of ship (regulation III/3.12) |\n|---------------|---------------------------------|------------------|--------------|--------------------------------------|------------------------------------|\n\nIMO Number\\(^3\\)\n\nType of Ship\\(^4\\)\nBulk Carrier\nOil tanker\nChemical tanker\nGas carrier\nCargo ship other than any of the above\n\nDate on which keel was laid or ship was at a similar stage of construction

The above essential requirements shall be regarded as fulfilled if:

1. The ship has a documented plan for the installation of safety equipment that complies with the requirements of Regulation(EC) No 768/2009.
2. The plan includes details of the manufacturer and the date of manufacture of all safety-related components covered by Regulation(EC) No 768/2009.
3. The plan shows the layout of the ship's interior, including the location of all safety-related components.
4. A copy of the plan is retained on board at all times.

The plan referred to in paragraph 1 shall be submitted to the local authority for examination and approval not less than 3 months before the start of construction work or major alterations to the structure or design of the vessel.

{"natural_text": "Endorsement for annual and periodical surveys\nTHIS IS TO CERTIFY that, at a survey required by Regulation I/8 of the Convention, the ship was found to comply with the relevant requirements of the Convention.\n\nAnnual Survey :\nSigned : ( )\nPlace : \nDate : \n\nAnnual/Periodical Survey :\nSigned : ( )\nPlace : \nDate : \n\nAnnual/Periodical Survey :\nSigned : ( )\nPlace : \nDate : \n\nAnnual Survey :\nSigned : ( )\nPlace : \nDate : \n\nAnnual/Periodical Survey in accordance with Regulation I/14(h)(iii)\nTHIS IS TO CERTIFY that, at an annual/a periodical survey in accordance with Regulation I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.\n\nSigned : ( )\nPlace : \nDate : \n\nEndorsement to extend the certificate if valid for less than five years where Regulation I/14(c) applies\nThis ship complies with the relevant requirements of the Convention, and this certificate shall,

{"natural_text": "Endorsement where the renewal survey has been completed and Regulation 1/14(d) applies\nThis ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation 1/14(d) of the Convention, be accepted as valid until ___________\n\nSigned : ________________________\n(\n)\nPlace : _________________________\nDate : ___________________________\n\nEndorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where Regulation 1/14(e) or 1/14(f) applies\nThis certificate shall, in accordance with Regulation 1/14(e)/1/14(f) of the Convention, be accepted as valid until ___________\n\nSigned : ________________________\n(\n)\nPlace : _________________________\nDate : ___________________________\n\nEndorsement for advancement of anniversary date where Regulation 1/14(h) applies\nIn accordance with Regulation 1/14(h) of the Convention, the new anniversary date is ___________\n\nSigned : ________________________\n(\n)\nPlace : _________________________

{"natural_text": "# RECORD OF EQUIPMENT FOR CARGO SHIP SAFETY (FORM E)\n\nRECORD OF EQUIPMENT FOR COMPLIANCE WITH\nTHE INTERNATIONAL CONVENTION FOR THE SAFETY\nOF LIFE AT SEA, 1974, AS AMENDED\n\n## 1 Particulars of ship\n- Name of ship\n- Distinctive number or letters\n\n### 2 Details of life-saving appliances\n| No. | Description of life-saving appliance | Port | Starboard |\n| --- | ---------------------------------- | ---- | --------- |\n| 1   | Total number of persons for which life-saving appliances are provided |      |           |\n| 2   | Total number of davit launched lifeboats                        |      |           |\n| 2.1  | Total number of persons accommodated by them                    |      |           |\n| 2.2  | Number of self-righting partially enclosed lifeboats (regulation III/43<sup>5</sup>)       |      |           |\n| 2.3  | Number of totally enclosed lifeboats (regulation III/31 and LSA Code, section 4.6)     |

{"natural_text": "# 2 Details of life-saving appliances (continued)\n\n|       | Lifeboats |\n|-------|-----------|\n| 6      |           |\n| 6.1   | Those for which approved launching appliances are required |\n| 6.1.1 | Number of lifeboats |\n| 6.1.2 | Number of persons accommodated by them                     |\n| 6.2   | Those for which approved launching appliances are not required |\n| 6.2.1 | Number of lifeboats |\n| 6.2.2 | Number of persons accommodated by them         |\n| 6.3   | Number of liferafts required by regulation III/31.1.4     |\n| 7     | Number of lifebuoys                                  |\n| 8     | Number of lifejackets                                 |\n| 9     | Immersion suits                                   |\n| 9.1   | Total number                                    |\n| 9.2   | Number of suits complying with the requirements for lifejackets |\n| 10    | Number of anti-exposure suits                        |\n\n## 3 Details of

{"natural_text": "| Item                                                                 | Actual provision |\n|-----------------------------------------------------------------------|-------------------|\n| Second radar (3 GHz/9 GHZ)<sup>5</sup>                                |                   |\n| Automatic radar plotting aid (ARPA)<sup>6</sup>                    |                   |\n| Automatic tracking aid<sup>6</sup>                                    |                   |\n| Second automatic tracking aid<sup>6</sup>                            |                   |\n| Electronic plotting aid<sup>6</sup>                                   |                   |\n| Automatic identification system (AIS)                                  |                   |\n| Long-range identification and tracking system                         |                   |\n| Voyage data recorder (VDR)<sup>4</sup>                                 |                   |\n| Simplified voyage data recorder (S-VDR)<sup>4</sup>                 |                   |\n| Speed and distance measuring device (through the water)<sup>6</sup>|                   |\n| Speed and distance measuring device (over the ground in the forward and athwartships direction)<sup>6</sup>|               |\n| Echo-sounding device<sup>6</sup>                                     |                   |\n| Rudder, propeller, thrust, pitch and operational

ใบสำคัญรับรองวิทยุเพื่อความปลอดภัยของเรือสินค้า (Cargo Ship Safety Radio Certificate)
และบันทึกรายการอุปกรณ์ (Record of Equipment : Form R)

{"natural_text": "# CARGO SHIP SAFETY RADIO CERTIFICATE\n\nThis certificate shall be supplemented by a Record of Equipment of Radio Facilities (Form R)\nIssued under the provisions of the\nINTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974,\nIn accordance with Assembly resolution 496(105) relating to\nthe global implementation of the harmonized system of survey and certification\nunder the authority of the Government of THE KINGDOM OF THAILAND\nby the MARINE DEPARTMENT\n\nParticulars of ship\\(^1\\)\n\n| Name of Ship | Distinctive Number or Letters | Port of Registry | Gross Tonnage |\n|---------------|---------------------------------|------------------|--------------|\n\nSea areas in which ships is certified to operate (regulation IV/2)\\(^2\\)\n\nIMO Number\\(^3\\)\n\nDate on which keel was laid or ship was at a similar stage of construction or, where applicable, date on which work for a conversion or an alteration or modification of a major character was commenced.\n\n---\n\nTHIS IS TO CERTIFY :\n\n1. That the

This certificate is valid until _______________ subject to the periodical surveys in accordance with Regulation 1/9 of the Convention.

Completion date of the survey on which this certificate is based ________ (dd/mm/yyyy)

Issued at _______________________

__________________________

Government Ship Surveyor

{"natural_text": "Endorsement for periodical surveys\n\nTHIS IS TO CERTIFY that, at a survey required by Regulation I/9 of the Convention, the ship was found to comply with the relevant requirements of the Convention.\n\nPeriodical survey\n\nSigned : .................................................................(\n)\n\nPlace : .............................................................................\nDate  :..........................................................................\n\nPeriodical survey\n\nSigned : ......................................................(\n)\n\nPlace : ..........................................................................\nDate  :...........................................................................\n\nPeriodical survey\n\nSigned :....................................................(\n)\n\nPlace :..........................................................................\nDate  :............................................................................\n\nPeriodical Survey in accordance with Regulation I/14(h)(iii)\n\nTHIS IS TO CERTIFY that, at a periodical survey in accordance with regulation I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.\n\nSigned :\n(\n)\n\nPlace :\n\nDate :\n\nEndorsement to extend the certificate if valid for less than five years where Regulation I/14(c) applies\nThe ship complies with the relevant requirements of the Convention, and this

{"natural_text": "Endorsement where the renewal survey has been completed and Regulation I/14(d) applies\nThe ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with Regulation I/14(d) of the Convention, be accepted as valid until ___________\n\nSigned : ________________________\n(\n)\nPlace : _________________________\nDate  : _______________________\n\nEndorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace where Regulation I/14(e) or I/14(f) applies\nThis certificate shall, in accordance with Regulation I/14(e)/I/14(f) of the Convention, be accepted as valid until ___________\n\nSigned : ________________________\n(\n)\nPlace : _________________________\nDate  : _______________________\n\nEndorsement for advancement of anniversary date where Regulation I/14(h) applies\nIn accordance with Regulation I/14(h) of the Convention, the new anniversary date is ___________\n\nSigned : ________________________\n(\n)\nPlace : _________________________\nDate  :

{"natural_text": "# RECORD OF EQUIPMENT FOR THE CARGO SHIP SAFETY RADIO CERTIFICATE (Form R)\n\nRECORD OF EQUIPMENT OF RADIO FACILITIES FOR COMPLIANCE WITH\nTHE INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974\nin accordance with Assembly Resolution 496(105) relating to the global\nimplementation of the harmonized system of survey and certification.\n\n## 1. Particulars of ship\n- Name of Ship:\n- Distinctive Number or Letters:\n- Minimum number of persons with required qualifications to operate the radio installations:\n\n## 2. Details of radio facilities\n| Item | Actual provision |\n| --- | --- |\n| Primary systems |  |\n| VHF radio installation |  |\n| DSC encoder |  |\n| DSC watch receiver |  |\n| Radiotelephony |  |\n| MF radio installation |  |\n| DSC encoder |  |\n| DSC watch receiver |  |\n| Radiotelephony |  |\n| MF/HF radio installation |  |\n| DSC encoder |  |\n| D

## Item
| 6.3 | AIS search and rescue transmitters (AIS-SART) stowed for rapid placement in survival craft |
| --- | --- |
| 6.4 | AIS search and rescue transmitters (AIS-SART) stowed in survival craft |

### Actual provision

3. Methods used to ensure availability of radio facilities (regulation IV/15.6 and 15.7)

- 3.1 Duplication of equipment .................................................................
- 3.2 Shore-based maintenance ......................................................
- 3.3 At-sea maintenance capability .............................................

THIS IS TO CERTIFY that this record is correct in all respects.

Issued at ...........................................................................................................

(date of issue)

Government Ship Surveyor