REPORT OF INSPECTION OF PLEASURE YACHT (ENGAGED IN COMMERCIAL TRADE) INITIAL RENEWAL ANNUAL Nae of yacht Official nuber Year built Type of yacht Class Yacht s Builder Place where built Tonnage Length Breadth ax Depth Mean draft Gross / Net tonnage Material Address of the Yacht s owner Accredited Surveyor s Nae Date of Accreditation Place of survey Survey coenced Survey copleted on rest yard afloat (dd//yy) (dd//yy) te: Check the ites with "X and/or fill in the applicable blanks and give details of the condition actually found. Mark N A where the ite is t Applicable. A. HULL AND EQUIPMENT (Reg.4) Yes The following ites were exained as far as practicable and found in satisfactory condition: 1. Accoodation decks, casings and superstructures. 2. Keel, stern, ste, rubber. 3. Shell and deck plating. 4. W.T bulkheads, fraes, beas, floors (delete as appropriate). 5. Stringers, girders. 6. Boundaries of spaces containing internal cobustion engine. 7. Hatchways, hatch covers, doors and other deck openings. 8. Bulwark rails. 9. Watertight integrity. 10. Skylights. 11. Side scuttles, their deadlights and windows. 12. Air pipes, sounding pipes, ventilators, guardrails, bulwarks. 13. Guardrails, bulwarks. 14. Ventilators exhaust ducts. 15. Scuppers. 16. Ballast - fuel tanks. 17. Sea inlets and discharges and their shut-off valves. 18. Anchoring equipent, chain lockers. Nuber of anchors: 1 Weight: 19. Mooring equipent. 20. Botto plating, rudder(s), propeller(s), shaft(s) (applicable during dry-docking at initial and renewal survey. Indicate type/nuber of propeller(s)/shaft(s):
Yes 21. Stability inforation booklet approved by the Flag Adinistration or its RO. Approved on: (Yachts > 24 or yachts < 24 of category 1 and 2) 22. Freeboard and its arking. (Yachts > 24 ) 23. General Arrangeent plan has been checked, and no odification was carried out to the structure of the yacht. Additional requireents for Sailing Yachts (Reg. 5.4): 24. Masts and spars. 25. Running and standing rigging. 26. Sails. B. MACHINERY AND ELECTRICAL INSTALLATION (Reg.5.3) Main engines particulars: Type: Serial nuber: Date of construction: Power: RPM: Bore: Stroke: Cylinders: Diesel generators particulars: Type: Serial nuber: Date of construction: Power: RPM: Type: Serial nuber: Date of construction: Power: RPM: The following ites were exained and/or tested as far as practicable, and found in order: 27. Main engine parts: 28. 29. Main engine starting batteries: Batteries for eergency/service use: 30. Batteries area adequately ventilated: 31. The ain and auxiliary steering achinery: 32. The bilge syste consist of: (iniu 2 independent powered bilge pup) 33. Bilge level alar: (for unanned propulsion achinery spaces).1 Bilge alar is audible and visual..2 Bilge alar is installed in Master's cabin and wheel house. 33. Bilge level alar (for unanned propulsion achinery spaces). 34. Fuel shut-off valve(s) can be closed outside the engine roo (yachts > 24 ). 35. Means of insulation for any source of fuel that ay feed a fire in engine space. 36. The switchboards and other electrical equipent. 37. All eans of counication between Navigation Bridge, achinery control positions. 38. Windlass and associated gears. C. FIRE-FIGHTING EQUIPMENT (Reg.6) The following ites were exained and found in satisfactory condition: 39. Fire ain, fire hydrants. 40. Fire pups. i. Power driven fire pup (yachts > 24 ). Type: Particulars: Additional: ii. Hand or Power driven fire pup not located in sae space with other fire pup: Type: Particulars: 41. Fire hose and nozzle (should not exceed 18 each). Indicate nuber of fire hoses/nozzles: Diaeter of hose: 2
Yes 42. Fire extinguishers: Accoodation area (in.3) Wheel house (in.1) Machinery spaces (in.4) Galley (in.1) Date of inspection: Nuber Mediu Location Inspection certificate(s) attached: 43. Fixed fire-extinguishing syste (CO2 or other) for engine roo/achinery spaces: Indicate equipent: Inspection certificate Date of inspection : attached: 44. Eergency Escape Breathing Devices (EEBD): Accoodation spaces (in.2): Manned Machinery spaces only(in.2): (For Yachts < 24 one is required in accoodation and one in anned achinery spaces only) 45. Firean outfit (in.1 for yachts >24): Indicate equipent: Date of inspection : 46. Means of escape:.1 Machinery spaces (in.2)..2 Accoodation spaces or restricted/group spaces (in.2 each space). 47. Fire blanket inside galley (1pcs). 48. Fire detection/fire alar syste (control panel in crew area and wheelhouse ): Indicate location: 47. Firean Axe (1pcs). Inspection certificate attached: D. LIFE-SAVING EQUIPMENT(Reg.7) nuber of crew to be deterined as per sec. 19.4 of the code Indicate: NUMBER OF CREW: NUMBER OF PASSENGERS: The following ites were exained and found in satisfactory condition: 49. Life rafts (110 % capacity) (certificate of annual inspection to be subitted with this report). Type Capacity Location Date of inspection Attached certificate Transferable yes / no HRU / expiry date 50. Tender boat: Indicate Type: Capacity: Falls renewed: Turn end for end: 51. Tender s Outboard engine: Indicate Type: Serial no.: Power: 52. Lifejacket with lights, whistle and retro reflective tape: Quantity for Adults : pieces. Quantity for children: pieces. 53. Lifebuoys or SOLAS Approved Strobe Lights..1 Lifebuoys with self-igniting light and soke signal (in.2pcs): Indicate quantity: Exp. dates:.2 Lifebuoys with buoyant line of in. 30 eters. (in.2pcs): Indicate quantity: Location: 54. Iersion suits. Indicate quantity: 3
Yes 55. Distress signals: Parachute signals (in. 6pcs). Quantity: Expiry date: Hand flares (in.3pcs). Quantity: Expiry date: Soke signals (in.2pcs). Quantity: Expiry date: 56. Line throwing appliances (one with 4 projectiles): (For category 3, 4 and 5 one with two projectiles): 57. General alar. 58. Radar transponder (in.1 unit for yachts > 300GT). Indicate type: 59. Portable VHF apparatus (in.2pcs for yachts > 300GT). Indicate type:.1.2 Expiry date: 60. Autoatic Identification Syste (AIS) (yachts > 300GT). Indicate aker/type: 61. Long Range Identification Tracking (LRIT). Indicate aker/type: Conforance Test Report issued on: 62. Miscellaneous equipent: i) First aid equipent sufficient for the persons on board and length of voyages, ii) torch light, iii) stor lantern, iv) whistle, v) two black ball shapes, vi) International edical guide for ships, vii) COLREG convention, viii) training or instruction for LSA, ix) Copy of the table "Life-saving signals and rescue ethods". E. NAVIGATION EQUIPMENT (Reg.10) The following ites were exained and found in satisfactory condition: Magnetic copass. Type: 63. 64. Gyro or spare agnetic copass or equivalent. Type: 65. Set of updated navigation charts, publications: 66. Baroeter. 67. Radar(s). Type: (in 1 at 9 GHz): 68. Global position navigation syste "GPS" (in.2 units). Type: 69. Echo sounder or equivalent. Type: 70. Signalling lap and/or handheld searchlight: 71. Navigation lights, shapes and sound signals as per COLREG requireents: 72. Bridge Navigational Watch Alar Syste (BNWAS) (yachts >150GT): Other equipent: F. RADIO COMMUNICATION EQUIPMENT (Reg.8) Indicate sea areas in which vessel will operate. (A1, A2, A3) etc): The following ites were exained and found in satisfactory condition: 73. Main and reserve source of energy: 74. VHF radio installation (radiotelephony, DSC, DSC watch receiver). Indicate Maker/type/Ser. : 75. MF radio installation (radiotelephony, DSC, DSC watch receiver). Indicate Maker/type/Ser. : 4
Yes 76. MF/HF radio installation (radiotelephony, DSC, DSC watch receiver). Indicate Maker/type/Ser. : 77. INMARSAT ship earth station. Indicate Maker/type/Ser. : te: MF/HF with DSC or INMARSAT earth station for category 1 and 2 78. Satellite EPIRB (yachts of categories 1 and 2 and yachts > 300GT). Indicate type: Expiry date: 79. NAVTEX or EGC receiver (yachts of categories 1 and 2) of type: 80. Ship station license/shore based aintenance. Copies to be subitted to Adinistration or its RO: 81. Other equipent: G. I.O.P.P. EQUIPMENT (for yachts of 400 GT and over) in accordance with the requireents of ANNEX I of MARPOL Convention The following ites were exained and/or tested as far as practicable, and found in order: 82. Oil Filtering Equipent : i. Oil filtering equipent 15 pp was externally (An.)/internally (Ren.) * and pups with bilge piping and pipes of sludge tank exained/tested and found satisfactory. ii. Operational instructions for the oil filtering equipent and piping diagra are displayed. iii. Sufficient storage of filtering and/or coalescing is provided (An.)/found renewed (Ren.)* iv. The oil contents eter for the 15 pp alar along with the autoatic stopping device was tested (An.) and calibrated according to anufacturer's instruction (Ren.)* 83. Overboard discharge valve was externally exained and found satisfactory. 84. Holding tank for oily bilge water, where fitted, and sludge tank installation is in good condition. 85. Installation for oil residues discharge to shore reception facilities along with the standard. Discharge connections are in good condition. 86. Vessel is provided with S.O.P.E.P. in accordance with regulation 37 and a revised oil record book in accordance with regulation 17. * Delete as appropriate. te: ''an'': Annual, ' ' Int'': interediate, ' ' Ren'': Renewal H. SEWAGE (> 400 GT or for yachts carrying ore than 15 persons) ANNEX IV of MARPOL; Convention. Valid International Sewage Pollution Prevention Certificate sighted on board The following ites (one of the is applicable) were exained and/or tested as far as applicable and found in order: 87. Sewage treatent plant. Indicate type: Effluent Standard : 88. Coinuter Indicate Standard of sewage after disinfection: 89. Holding tank. Indicate capacity: Location:.1 Means to indicate visually the aount of its contents..2 Sufficient openings for cleaning/aintenance..3 Transfer pup of sewage content tested and found in order. 5
Yes I. GARBAGE (applicable to all yachts) in accordance with the requireents of ANNEX V of MARPOL Convention. 90. The Garbage Manageent Plan was available on board (Yachts >100GT or > 15 persons) 91. Garbage record book filled in in copliance with the requireents. (Yachts >400GT or >15 persons) The following ites (one of the is applicable) were exained and/or tested as far as applicable and found in order: 92. Incinerator. Indicate type : Incinerator is suitable for Sewage/Oil sludge incineration. 93. Garbage treatent plant. Indicate type : Garbage Treatent Plant ensures grinding/pressing of garbage.* 94. Garbage collection facilities. Indicate capacity: *Delete as appropriate Location: J. I.A.P.P. EQUIPMENT (for yachts of 400 GT and over) in accordance with the requireents of ANNEX VI of MARPOL Convention. Docuentation. 95. Are there certificates for copliance with the NOx Technical Code onboard for each engine required to be certified? (Refer to section 2.2.1 of the Records of Construction and Equipent). IAPP Certificate and IEEC available? 96. Are there any of the below docuents on board: i. Approved Technical file for each Certified engine on board? ii. Approval Certificate for each incinerator on board? iii. Approval Certificate for the exhaust gas cleaning syste? Ozone depleting substances (Reg.12). 97. Does any syste or equipent onboard contain ozone depleting substances? If Yes, Check dates such equipent are peritted to reain onboard. 98. Is any syste or equipent still in use or approaching its allowable date to reain onboard? If Yes, advise Owners to reove and dispose into appropriate reception facilities. Nitrogen Oxide eissions fro diesel engines (Reg.13). 99. Verification ethod depending on the approved technical file requireents. i. Engine paraeter check ethod, and/or ii. Siplified easureent ethod and/or iii. Direct easureent and onitoring ethod and/or 100. Has NOX-treatent device been installed afterwards? If so, perfor external exaination and advise if found in generally satisfactory condition. Sulphur oxides (Reg.14). 101. Is the exhaust cleaning syste operated as per the anufacturer's instructions? Has the external exaination found it in a satisfactory condition? 102. Where equipped with tanks for low (1.5% /) and noral (4.5% /) sulphur content fuel, are switching arrangeents operational and relevant changeover records provided on board? 103. Are the bunker notes for carriage of correct quality fuel(s) as required by Reg.18? 104. Are saples of fuel oil on board as required by Reg.18? Incinerators (Reg.16). 105. Fro an external exaination, was each incinerator in a general satisfactory condition and free fro leaks of gases or soke? te: The regulations in parenthesis refer to ANNEX VI of the MARPOL Convention. 6
K. INTERNATIONAL CONVENTION ON THE CONTROL OF HARMFUL ANTIFOULING SYSTEMS ON SHIPS 106. Stateent of Copliance with the International Convention on the Control of Harful Antifouling Systes on Ships is required for all yacht over 400 GT. 107. For yachts of less than 400 GT and ore than 24, a Declaration on Anti-Fouling Syste is required. Yes L. RENEWAL SURVEY (ADDITIONAL REQUIREMENTS) 108. Has an overall thorough inspection of the yacht's structure, achinery, equipent been carried out in addition to the above applicable requireents including exaination tests and sufficient checks that all surveyed ites are in satisfactory condition. 109. Dry-dock inspection/botto survey carried out and vessel found in satisfactory condition. Related report is attached. 110. Electronic Photos reflecting the overall condition of the yacht are attached. M. MARITIME LABOUR CONVENTION (MLC), 2006 111. Is a valid MLC Inspection Report or Voluntary ML Certificate available? N. BALLAST WATER MANAGEMENT CONVENTION 112. Is a valid Stateent of Copliance with BWMC available? 113. Is an approved Ballast Water Manageent Plan and a Ballast Record Book available? O. SURVEYOR'S NOTES* 114. Describe in detail each discrepancy with the Safety Code of Practice for Pleasure Yachts engaged in Coercial Trade (if any): (Add separate sheet(s) if necessary). 7
P. CERTIFICATE 115. Docuent of Copliance. was endorsed on 116. A Short Ter Docuent of Copliance. was issued on at valid until Yes 117. It is recoended that*: A full ter Docuent of copliance valid until for persons and perforing voyages within N M fro a safe heaven to be issued by the Flag Adinistration. Full Ter Docuent of Copliance is to be issued before the survey is copleted. Date: (dd//yy) Surveyor * Copulsory entry 8
ST. VINCENT AND THE GRENADINES MARITIME ADMINISTRATION APPLICATION FOR SIMPLIFIED MEASUREMENT FOR YACHTS BELOW 24 IN OVERALL LENGTH* (to be copleted at an Initial Survey of the yacht) Refer to the Clause 13.5.1 of the Safety Code of Practice for Pleasure Yachts Engaged in Coercial Trade. Application for the Siplified Measureent for Yachts below 24 in overall length copleted by St. Vincent and The Grenadines appointed surveyor is required during the initial inspection of the yacht. For existing yachts this application should be copleted on the occasion of the annual or renewal inspection if not copleted before. Yachts over 24 in overall length should be subitted to the tonnage easureent by a Recognized Organization for the issue of an International Tonnage Certificate If the owner dees that the yacht over 24 in overall length is less than 24 (in accordance with the International Convention on Tonnage Measureent of Ships, 1969, Article 2 (8)), then a copy of general arrangeent plan of the yacht should be subitted to this Adinistration for further evaluation and instruction. 1. VESSEL NAME 2. OFFICIAL NUMBER (if assigned) 3. HULL MATERIAL Wood Steel FRP (Fibreglass) Aluiniu Concrete Other (specify) 4. PROPULSION MACHINERY: Located Inside hull (e.g. inboard engine or stern drive) Located entirely outside hull (e.g. outboard otor) n-self-propelled (not fitted with any propulsion achinery) 5. SHAPE OF HULL(S): (for tri-hull vessels, check the block describing the center hull) Ship-shaped and cylindrical hulls Barge-Shaped hulls Sailing hulls distinct keel (or no keel) Sailing hulls (keel included in D) 6. OVERALL DIMENSIONS: Overall Length (L) Overall Breadth (B) Overall Depth (D) * Refer to Section 10 of this Application 9
7. ADDITIONAL DIMENSIONS FOR LARGE DECK STRUCTURES: (Coplete only if the volue of the principal deckhouse, cabin or siilar structure above the ain deck exceeds the hull volue) Structure Length (Ls) Structure Breadth (Bs) Structure Depth (Ds) 8. ADDITIONAL DIMENSION FOR TWIN HULL VESSELS: (Applies only if there is no buoyant volue in the structure that connects the hulls together.) Individual Hull Breadth (B1) 9. ADDITIONAL DIMENSIONS FOR TRI-HULL VESSELS: (Applies only if there is no buoyant volue in the structure that connects the hulls together.) Centre Hull Length (L1) Centre Hull Breadth (B1) Centre Hull Depth (D) Outer Hull Length (L2) Outer Hull Breadth (B2) Outer Hull Depth (D1) 10
10. OVERALL DIMENSIONS Length (L) Distance in eters easured along the ain deck at the centreline of the yacht fro the fore side of the hull to the aft side of the transo. Bowsprits, stern ounted diving platfors, and other appendages that do not contribute to the volue of the yacht should not to be included in this easureent. Breadth (B) Maxiu width of the yacht, excluding rub rails and deck caps, easured in eters fro the outside of the hull on one side to the outside of the hull on the other side of the yacht. Depth (D) Maxiu depth of the yacht easured in etres vertically fro the top of the deck at the side to the underside of the hull where it eets the keel or to the point where the projected line of the botto intersects the yacht s centreline. 11. COMMENTS (if any) Place: Date: (dd//yy) Surveyor s signature 11