Document ID: chunk:federal_register_of_legislation:C2004A03104:schedule:1:p27
Version: federal_register_of_legislation:C2004A03104
Segment Type: schedule
Provision Reference: sch 1 (pt 27/48)
Character Range: 266129–270377

Ship other than an oil tanker with cargo tanks coming under Regulation 2 (2) of Annex I of the Convention*
Ship other than any of the above*

———
*Delete as appropriate.

SCHEDULE 3—continued

THIS IS TO CERTIFY:
     1. That the ship has been surveyed in accordance with Regulation 4 of Annex I of the Convention; and
     2. That the survey shows that the structure, equipment, systems, fittings, arrangement and material of the ship and the condition thereof are in all respects satisfactory and that the ship complies with the applicable requirements of Annex I of the Convention.

This Certificate is valid until........................................................................................................ subject to surveys in accordance with Regulation 4 of Annex I of the Convention.

     Issued at................................................................................
              (Place of issue of Certificate)

...........................19....  ........................................................
(Date of issue)                    (Signature of duly authorized official issuing the Certificate)

(Seal or stamp of the Authority, as appropriate)

SCHEDULE 3—continued

ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS

THIS IS TO CERTIFY that at a survey required by Regulation 4 of Annex I of the Convention the ship was found to comply with the relevant provisions of the Convention:

Annual survey:     Signed..........................................................................
(Signature of duly authorized official)

                      Place ............................................................................

                      Date.............................................................................

(Seal or stamp of the Authority, as appropriate)

Annual*/Intermediate* survey:  Signed..........................................................................
(Signature of duly authorized official)

                      Place............................................................................

                      Date.............................................................................

(Seal or stamp of the Authority, as appropriate)

Annual*/Intermediate* survey:  Signed..........................................................................
(Signature of duly authorized official)

                      Place............................................................................

                      Date.............................................................................

(Seal or stamp of the Authority, as appropriate)

Annual survey:    Signed..........................................................................
(Signature of duly authorized official)

                      Place ............................................................................

                      Date.............................................................................

(Seal or stamp of the Authority, as appropriate)

———
*Delete as appropriate.

SCHEDULE 3—continued

FORM A
SUPPLEMENT TO THE INTERNATIONAL OIL POLLUTION PREVENTION CERTIFICATE (IOPP CERTIFICATE)

RECORD OF CONSTRUCTION AND EQUIPMENT FOR SHIPS OTHER THAN OIL TANKERS

in respect of the provisions of Annex I of the International Convention for the Prevention of Pollution from Ships, 1973, as modified by the Protocol of 1978 relating thereto (hereinafter referred to as "the Convention")

  Notes:
     1. This form is to be used for the third type of ships as categorized in the IOPP Certificate, i.e. "ships other than any of the above". For oil tankers and ships other than oil tankers with cargo tanks coming under Regulation 2 (2) of Annex I of the Convention, Form B shall be used.
     2. This Record shall be permanently attached to the IOPP Certificate. The IOPP Certificate shall be available on board the ship at all times.
     3. If the language of the original Record is neither English nor French, the text shall include a translation into one of these languages.
     4. Entries in boxes shall be made by inserting either a cross (x) for the answers "yes" and "applicable" or a dash (—) for the