Particulars of Ship

20
DNV·GL REPORT ON SURVEY OF GMDSS RADIO INSTALLATIONS Certificate No: DNV GL Id No: 17869 Date of issue: 2018-04-04 Ref. INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974 and amendments thereto; IMO Res. A1053(27), Protocol of 2011 regarding SURVEY GUIDELINES UNDER THE HARMONIZED SYSTEM OF SURVEY AND CERTIFICATION (HSSC) and amendments thereto. Particulars of Ship Name of Ship: ... THOR .......... ............................................................................. ............... ..... ............... . Call sign: ... 5BQL4 ....... ... ........... ..................... ......................... ............ ................. .. ..... ................ . Port of Registry: LIMASSOL ·····-·················-··-································· ················-···-·--··········· ·· ···· ··············· ·-·-·············-··-- Flag: ... CYPRUS ............................................................................... . .............. .... ................ .. . Gross Tonnage: 1229 ---····················••············-·································································•··········· ················--·-·· SOLAS tonnage (Ref. 29): ... N/A_ ........................................................................................................ ..................... . MMSI number: ... 209029000 ........... ....... .............. ..... ................. ................ .................................... . .. IMO Number: 9056789 --- ----- ---················- ···············------·-·····•·· --- --- ·········· ·- - --· --·············-- --- --·············-· ··-················• Date on which keel was laid: ... {yyyy-mm-dd) .... .............................................................................................. . 0 Newbuilding initial IZI Periodical survey IZI Renewal survey O Flag change O Passenger ship survey O Class entry O Cargo ship Radio telex (NBDP) number: Inma r sat C. number(s): Inmarsat B/ Fleet/ M number: N/A 420902910420902913 N/A Ex isting CRC or PSSC issued Date of issue: I Valid until date: Has an exemption certificate at: TALLINN, ESTONIA 2016-12-15 2018-04-30 been issued? 0 Yes IZI No Marks to be used: y = Yes N = No N/A = Not applicable 1. Generall to be answered by radio ins~ector Item y N N/A 1.1 Has DNV GL been contacted before conducting the radio survey? IZI Note: If no, then the survey result may be rejected by DNV GL. 1.2 Has DNV GL Surveyor attended and verified the survey? IZI If no, the reason to be given here: N/ A Note: If DNV GL surveyor has not been present during the survey, the result may be rejected unless clarified with DNV GL prior to conducting the survey. 1.3 Does the GMDSS installation conform to DNV GL approved plans? 1 • • Note: The drawings shall be made available by relevant DNV GL station. 1.4 Are relevant pending approval comments, if any, complied with? 1 • • • 1.5 Has the Radio Surveyor been informed by responsible DNV GL station about any IZI Flag State Requirements? (items 2.25/2.26 to be answered by radio surveyor) 1.6 Are there any deficiencies? IZI (If yes, please record deficiencies under i tem 2. 27) 1.7 Does the draft radio certificate reflect the actual installation? IZI (if no, then DNV GL surveyor should be informed about the necessary changes that need to be made to the certificate) for newbuilding and major conversion survey only ~.M Form code: CRC 629-a - Revision: 2016-12 www.dnvgl.com Page 1 of 11 l!l"'N © DNV GL 2014. DNV GL and the Horizon Graphic are trademarks of DNV GLAS.

Transcript of Particulars of Ship

Page 1: Particulars of Ship

DNV·GL

REPORT ON SURVEY OF GMDSS RADIO INSTALLATIONS

Certificate No:

DNV GL Id No: 17869 Date of issue: 2018-04-04

Ref. INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974 and amendments thereto; IMO Res. A1053(27), Protocol of 2011 regarding SURVEY GUIDELINES UNDER THE HARMONIZED

SYSTEM OF SURVEY AND CERTIFICATION (HSSC) and amendments thereto.

Particulars of Ship

Name of Ship: ... THOR .......................................................................................................................... .

Call sign: ... 5BQL4 .......................................... ..................................... ........................................ .

Port of Registry: LIMASSOL ·····-·················-··-······················ ··········· ················-···-·--··········· ····················· ·-·-·············-··--

Flag: ... CYPRUS ............................................................................... ..................................... .

Gross Tonnage: 1229 ---····················••············-·································································•··········· ················--·-··

SOLAS tonnage (Ref. 29): ... N/A_ ........................................................................................................ ..................... .

MMSI number: ... 209029000 ........................................................................................................... ..

IMO Number: 9056789 -----------················--················------·-·····•·· -------············----·--·············----- --·············-···-················•

Date on which keel was laid: ... {yyyy-mm-dd) .................................................................................................. .

0 Newbuilding initial IZI Periodical survey IZI Renewal survey O Flag change O Passenger ship

survey O Class entry O Cargo ship

Radio telex (NBDP) number: Inmarsat C. number(s): Inmarsat B/ Fleet/ M number: N/A 420902910420902913 N/A

Existing CRC or PSSC issued Date of issue: I Valid until date: Has an exemption certificate at: TALLINN, ESTONIA 2016-12-15 2018-04-30 been issued? 0 Yes IZI No

Marks to be used: y = Yes N = No N/A = Not applicable

1. Generall to be answered by radio ins~ector Item y N N/A 1.1 Has DNV GL been contacted before conducting the radio survey? IZI •

Note: If no, then the survey result may be rejected by DNV GL. 1.2 Has DNV GL Surveyor attended and verified the survey? IZI •

If no, the reason to be given here: N/ A Note: If DNV GL surveyor has not been present during the survey, the result may be rejected unless clarified with DNV GL prior to conducting the survey.

1.3 Does the GMDSS installation conform to DNV GL approved plans? 1 • • • Note: The drawings shall be made available by relevant DNV GL station.

1.4 Are relevant pending approval comments, if any, complied with? 1 • • • 1.5 Has the Radio Surveyor been informed by responsible DNV GL station about any IZI •

Flag State Requirements? (items 2.25/2.26 to be answered by radio surveyor)

1.6 Are there any deficiencies? • IZI (If yes, please record deficiencies under item 2.27)

1.7 Does the draft radio certificate reflect the actual installation? IZI • (if no, then DNV GL surveyor should be informed about the necessary changes that need to be made to the certificate)

for newbuilding and major conversion survey only

~.M Form code: CRC 629-a - Revision: 2016-12 www.dnvgl.com Page 1 of 11

l!l"'N © DNV GL 2014. DNV GL and the Horizon Graphic are trademarks of DNV GLAS.

Page 2: Particulars of Ship

DNV GL Id No : 17869 Date of issue : 2018-04-04

1.8 Alterations, Replacements or Renewals of Safety Radio Equipment: All new equipment/units shall be type approved based on the standards as referred to by SOLAS Ch. IV Reg. 14. Also observe that GMDSS equipment installed onboard ship's flying EU Flag (Norway inclusive) shall carry "wheel mark". Please fill in the table below, if applicable.

Item No. I Old equipment I New Equipment

1.9 The undersigned confirms that the radio station has been inspected based on the check items listed in the Appendix A and complies with the requirements of SOLAS 1974 and protocol of 1988 and later amendments; and recommends issuance of a certificate or endorsement of the existing certificate.

Place: VELSEN (THE NETHERLANDS) Date: 2018-04-04

Radio inspector's stamp and signature

The signed and stamped report without the appendix shall be scanned and submitted to the attending DNV GL surveyor without delay

Form code: CRC 629a Revision: 2016-12

for RADIO HOLLAND NET

--maaf~~------------------------------------ -Rli Marine Netherlan;:~_.J. KRIELE

Patrick Kriele Radio Inspector Radio/N~..,/VDR klrv&yQr Company ID109l06-1

www_dnvgl.com

LANDS

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2. 2.1 2.1.1

DNV GL Id No : 17869 Date of issue : 2018-04-04

Technical details to be answered by radio inspector for all surveys Sea area and maintenance Sea area in which the ship is certified to operate:

0 Al O A1+A2 [8] A1+A2+A3 0 A1+A2+A3 0 A1+A2+A3+A4 (Inmarsat solution) (MF/HF solution) - - - - ------- - -'---- - - -

2.1.2

2.1.3

2.1.4

2.1.5

2.2

2.2.1

2.2.2

2.2.3

2.3 2.3.1

2.4 2.4.1

2.4.2

2.4.3

2.4.4

2.4.5

2.4.6

2.4.7

2.4.8

Method ( s) of maintenance (Reg. IV/15)

[8] Duplication [8] Shore based maintenance O At-sea maintenance

If at-sea maintenance: Is electronic test equipment, service manuals and spare parts available, and are authorised or approved personnel onboard? (Reg. IV/15) If shore-based maintenance: Is a written agreement with a service company or a plan of how it should be carried out available? (Reg. IV/15)

Approproate secondary means of alerting for the applicable sea area (Reg. IV/8.1 or IV/9.1.3 or IV/ 10.1.4, or IV/10.2.3)

Equipment: VHF-DSC & EPIRB

Ref. item on the report: 2.08 & 2.19

GMDSS radio operators (Any required flag endorsement to be specified in item 26) GMDSS radio operator Certificate type and No. Place of issue

Kai Markus Holmroos GOC MTOD1132328 FINLAND

Jay Louie Pantaleon GOC 46-22349 PHILIPPINES

Radio licence

Y N N/A

• • [8]

[8] • •

Expiry date

2018-11-26

2020-10-21

Radio licence No. (RR Art 18): Place and date of issue: Expiry date: 12751 LIMASSOL 2017-11-23 2018-12-13

Note: If expired, see restrictions under national requirements and IS 11-3.3 item 1.4.

General requirements y N N/A Is a radio record kept in accordance with the regulations? (Reg. IV/17) [8] • • Are ITU publications, in accordance with Radio Regulations Appendix 16, [8] • • present? Hint: A table of ITU publications required, including the last edition and the next edition, can be found in the last page of the ITU publication "List of coast stations"

Are tools, spare parts and relevant manuals as required by manufacturers [8] • • available onboard? (Reg.IV/15) Hint: Not to be confused with item 2.1.2 "At-sea maintenance" requirements. Is the emergency light in order and the switch properly marked? (Reg. [8] • • IV/6.2.4)

Is the ship's call sign, ship station identity (MMSI) and other codes as [8] • • applicable clearly marked near each radio installation? (Reg. IV/6.2.5)

Are the antennae drawings, radio arrangement drawings and cable wiring [8] • • diagram available for service and survey purposes? Hint: Such Drawings need not to be approved by the class society, but must show the actual installation (Reg. IV/15.3)

Are the plans/drawings of possible alternations (ref. item 1.8) examined and [8] • • found in compliance with the appropriate requirements? Is the radio installation protected against environmental influence? [8] • • (Reg. IV/ 6.2.3)

Form code: CRC 629a Revision: 2016- 1-2 - www.dnvgl.com Page Jof 11

Page 4: Particulars of Ship

2.4.9

2.5

2.5.1

2.5.2

2.5.3

2.5.4

2.5.5

DNV GL Id No : 17869 Date of issue : 2018-04-04

Form AIS 00la completed

Power supplies Main source of electrical power (Reg. II-1/41, IV/13.1)

Voltage: 220 VAC

~ • •

Emergency source of electrical power/emergency generator (Reg. II- 1/42 or II 1/43) D Emergency battery D Emergency generator

Voltage: Capacity (Ah): or hours of operation:

Reserve source of energy (Reg. IV/13.2, 13.4, 13.5, 13.8) Make and type: SONNAK SE2253

D UPS D Accumulators ~ Sealed Accumulators

Voltage: 24 VDC Sp. gravity {when applicable): N/ A Capacity (Ah): 225 AH sufficient for the operation of all required equipment for a minium time of: D 1 hour {if 2.5.2 is provided)/ ~ 6 hours (if 2.5.2 is not provided)

Has an appropriate method for checking the capacity of the radio battery been determined either by the manufacturer or by the ship management and followed up? (Reg IV/13.6.2.)

Has there been a discharge test during the last 12 months verifying the capacity according to item 2.5.3? (Reg IV/13.6.2.)

Y N N/A

~ • •

~ • • 2.5.6 With the battery off charge, and the maximum required radio installation load

check the battery voltage and discharge current (Reg. IV/13.7)

2.5.7

2.5.8

2.6 2.6.1

2.6.2

2.7 2.7.1

2.7.2

2.8

2.8.1

2.8.2

2.8.3

2.8.4

2.8.5

Battery voltage and discharge current: 24 VDC 15 A

Is the reserve source of energy in good working condition?

Is the location of the batteries in accordance with the specification given by the manufacturers with regard to temperature tolerance and environmental strain? (Reg. IV /13. 7)

Battery charger Automatic charger make and type (Reg.IV/13.6): ELTEK SMPS 600 Charging voltage and maximum charging current: 24 VDC 25 A

Is the charger capable of recharging the batteries to the minimum required capacity within 10 hours? (Reg. IV/13.6.1)

Antenna installation Are the antennae locations in accordance with antennae arrangement drawings?

~ • • ~ • •

Y N N/A

~ • • Y N N/A

~ • • Are all antennae well supported? [gl D D VHF radio installation, basic equipment for sea area A1-A2-A3-A4 (Reg. IV/7.1) Power supply ~ Mains D Emergency ~ Reserve

Sub-unit Make and type

VHF radio installation Set No.1 SAILOR RT4822 DSC controller BUILT-IN

DSC Watch receiver BUILT-IN

Is an audible and a visual indication of reception of incoming DSC distress calls provided?

Is the VHF installation in good working condition?

Y N N/A [gl • D

~ • •

Form code; CRC 629a Revision : 2016-12 www.dnvgl.com P~gG 4 of 11

Page 5: Particulars of Ship

2.8.6

2.9

2.9.1

2.9.2

2.9.3

2.9.4

2.9.5 2.9.6

2.10

2.10.1

2.10.2

2.10.3

2.10.4

2.10.5

2.10.6

2.11

2.11.1

2.11.2

2.11.3

DNV GL Id No : 17869 Date of issue : 2018-04-04

Is protection against inadvertent activation of alarm button(s) provided? igj

VHF radio installation, duplicated equipment for sea area A3-A4 (Reg. IV/ 15.7) Power supply igj Mains O Emergency [8] Reserve

Sub-Unit Make and type

VHF radio installation Set No. 2 SAILOR RT2048

DSC controller SAILOR RM2042

DSC Watch receiver SAILOR RM2042 y

Is an audible and a visual indication of reception of incoming DSC distress igj calls provided?

• •

N N/A

• • Is the VHF installation in good working condition? [8] 0 0 Is protection against inadvertent activation of alarm button(s) provided? [8] 0 0 MF radio installation, basic equipment for sea area A2 (Reg.IV /9.1) or Inmarsat solution sea area A3 (Reg.IV /10.1.2 and 10.1.3) Power supply [8] Mains O Emergency [8] Reserve

Sub-Unit Make and type

MF transceiver SAILOR T2130

DSC controller SAILOR RM2150

DSC Watch receiver {2187.5kHz) SAILOR RM2150

Is an audible and a visual indication of reception of incoming DSC distress calls provided?

Is the MF installation in good working condition?

y N N/A

• • igJ • •

Is protection against inadvertent activation of alarm button(s) provided? [8] D D MF radio installation, duplicated equipment for sea area A2 (Reg. IV /15.6) Power supply O Mains O Emergency O Reserve

Sub-Unit Make and type

MF transceiver

DSC controller

DSC Watch receiver (2187.5 kHz)

Y N N/A 2.11.4 Is an audible and a visual indication of reception of incoming DSC distress

calls provided? • • [8]

2.11.5

2.11.6

2.12

2.12.1

2.12.2

2.12.3

2.12.4

Is the MF installation in good working condition? 0 0 Is protection against inadvertent activation of alarm button(s) provided? 0 0 MF/HF radio installation, basic equipment for sea area A4 or A3 with HF solution (Reg. IV /11.1, 10.2.1) Power supply O Mains O Emergency D Reserve

Sub-Unit Make and type

MF/HF transceiver

DSC controller

DSC Watch receiver (2187.5 kHz, 8814.5 kHz and minimum one other HF DSC distress frequency) Radio telex (NBDP)

Form code: CRC 629a Revision : 2016-12 www.dnvgl.com Page 5 of 11

Page 6: Particulars of Ship

DNV GL Id No : 17869 Date of issue : 2018-04-04

2.12.5 I Printer y

2.12.6 Is the HF telex system capable of receiving Maritime Safety Information (MSI) D messages? (Ref. Resolution A.699(17))

N N/A

• IZl

2.12. 7 Is an audible and a visual indication of reception of incoming DSC distress calls provided?

• • IZl

2.12.8 2.12.9

2.13

2.13.1

2.13.2

2.13.3

2.13.4

2.13.5

Is the MF/HF installation in good working condition? D D Is protection against inadvertent activation of alarm button(s) provided ? D D MF/HF radio installation, duplicated equipment for sea area A4 or A3 {Reg. IV /15.7) Power supply D Mains D Emergency D Reserve

Sub-Unit Make and type

MF/HF transceiver

DSC controller

DSC Watch receiver (2187.5 kHz, 8414.5 kHz and minimum one other HF DSC distress frequency)

Radio telex (NBDP)

Printer

Y N N/A 2.13.6 Is the HF telex system capable of receiving Maritime Safety Information

(MSI) messages? (Ref. Resolution A.699(17)) • • IZl

2.13. 7 Is an audible and a visual indication of reception of incoming DSC distress calls provided?

• • IZl

2.13.8

2.13.9

2.14

2.14.1

2.14.2

Is the MF/HF installation in good working condition? D D IZl Is protection against inadvertent activation of alarm button(s) provided? D D IZl Inmarsat Ship Earth Station, basic equipment for sea area A3 - Inmarsat solution {Reg. IV /10.1.1) Power supply IZl Mains D Emergency IZl Reserve

Sub-Unit Make and type

Inmarsat transceiver SAILOR H2095C

Printer SAILOR H1252B y N N/A

2.14.3 Is an audible alarm and a visual indication of reception of incoming Inmarsat IZl distress calls provided?

• • 2.14.4 2.14.5

2.14.6

2.14.7

2.15

2.15.1

2.15.2

Is the Inmarsat installation in good working condition? [8J Is protection against inadvertent activation of alarm button(s) provided? IZl Is there a type approval certificate supporting the configuration if the SSAS is D combined with this Inmarsat system?

Is there a type approval certificate supporting the configuration if the LRIT is D combined with this Inmarsat system?

Inmarsat Ship Earth Station, duplicated equipment for sea area A3 Inmarsat solution or HF solution {Reg. IV /15.7) Power supply IZl Mains D Emergency IZl Reserve

Sub-Unit Make and type

Inmarsat transceiver SAILOR 3027 GMOSS

Printer SAILOR H1252B

----- - - ----Form code: CRC 629a Revision: 2016·12 www.dnvgl.com

• • • • • •

Page 6 ofll

Page 7: Particulars of Ship

DNV GL Id No : 17869 Date of issue : 2018-04-04

y

2.15.3 Is an audible alarm and a visual indication of reception of incoming Inmarsat 1Z1 distress calls provided?

2.15.4

2.15.5

2.15.6

2.15.7

2.16

Is the Inmarsat installation in good working condition?

Is protection against inadvertent activation of alarm button(s) provided?

Is there a type approval certificate supporting the configuration if the SSAS is D combined with this Inmarsat system?

Is there a type approval certificate supporting the configuration if the LRIT is combined with this Inmarsat system?

Facilities for reception of Maritime Safety Information, MSI {Reg. IV /7.1.4, 7.1.5)

N N/A

• • D D D • • •

2.16.1 EGC receiver, basic equipment in areas in which NAVTEX service has not been provided. (Reg. IV/7.1.5)

Power supply [81 Mains O Emergency [81 Reserve

2.16.1.1 EGC receiver Make and type: SAILOR 3027 GMDSS y

2.16.1.2 Is an audible alarm and a visual indication of reception of incoming Inmarsat [81 distress calls provided?

2.16.1.3 Is the EGC printer located on the navigation bridge? [81 2.16.1.4 Is the EGC installation in good working condition? [81 2.16.2 Navtex receiver, basic equipment in any sea area where NAVTEX service is

provided. (Reg. IV/7.1.4)

Power supply [81 Mains O Emergency D Reserve [81 Other

2.16.2.1 Navtex receiver make and type: JRC NCR-333 y

2.16.2.2 Is an audible alarm and a visual indication of reception of incoming distress 1Z1 calls provided?

2.16.2.3 Is the Navtex receiver or the associated printer located in the navigation [81 bridge?

N N/A

• • • • D D

N N/A

• • D D

2.16.2.4 Does the Navtex receiver comply with the new Performance Standard; [81 0 0 IMO Resolution MSC.148(77)? Note: This item is to be answered "not applicable" if the Navtex receiver was installed before 2005-07-01.

2.16.2.5 Is the Navtex receiver in good working condition?

2.17 Two-way VHF GMDSS radiotelephone apparatus Basic equipment for sea area A1-A2-A3 -A4 (Regs. III/6.2.1, IV /4)

IZI • •

Note: 2 sets required for cargo ships 300-500GT; and 3 sets required for passenger ships and cargo ships greater than 500GT.

Set Make and type Serial No. Primary (sealed) battery No. expiry date

2.17.1 1 JOTRON TRON VHF 9DH11526 2019-08

2.17.2 2 JOTRON TRON VHF 9DH11518 2019-08 2.17.3 3 JOTRON TRON VHF 9DH11439 2019-08

y N N/A 2.17.4 Are the transceivers marked with the ship's name and call sign and VHF IZI • •

channel numbers? 2.17.5 Are the two-way VHF's in good working condition? [8] D D

Form code: CRC 629a Revision : 2016-12 www.dnvgl.com Page 7 of 11

Page 8: Particulars of Ship

DNV GL Id No : 17869 Date of issue : 2018-04-04

2.18 Search and rescue locating device(s)

2.18.1

2.18.2

2 .18.3

2.18.4

2.18.5

2.18.6

2.19

2.19.1

2.19.2

2.19.3

2. 19.4

2.19.5

2.19.6

2.19.7

2.20

2.20.1

2.20.2

2.20.3

2.20.4

Basic equipment for all sea areas: Al, A2, A3 and A4 (Regs. III/6.2.2, IV/7.1.3) Note: 1 set required for cargo ships 300-S00GT; and 2 sets required for passenger ships and

cargo ships greater than S00GT.

Set SART AIS-SART Make and type Serial No. Battery expiry No. date

1 y N JOTRON TRONSART 1950 2020-05

2 y N JOTRON TRONSART 1919 2020-05 y N N/A

Are the search and rescue locating device(s) marked with the ship's name IZI • • and call sign?

Are the search and rescue locating device(s) located in an easily accessible IZI • • position on each side of the ship?

If free-fall lifeboats are provided, is one of the search and rescue locating • • IZI device(s) installed in a free-fall life boat and the second located in the immediate vicinity of the navigation bridge? (Reg. III/6.2.2. as modified July 1998)

Are search and rescue locating device(s) in good working order? IZI • • Float free satellite EPIRB Basic equipment for all sea areas: Al, A2, A3 and A4 (Reg. IV/7.1.6)

Sub-Unit Make and type

EPIRB JOTRON TRON 40S MKII Serial No: 16278

Hydrostatic release HAMMAR H20 HRU expire date: 2018-12 unit (HRU)

y N N/A Is the EPIRB waterproof marked with the ship's name, callsign, 15 HEX ID, ~ • • MMSI no, serial no and battery expire date?

Is the EPIRB located according to the relevant requirements? ~ • • Has an annual test according to SOLAS requirements been satisfactori ly ~ • • carried out in accordance with MSC/Circ.1040/Rev.1 and Form CRC 630a filled in? (Observe that the orig inal of Form CRC 630a shall be left onboard)

Has a periodical shore based maintenance in accordance with requirements ~ • • been carried out and the unit been labelled accordingly? (MSC Circ. 1039) Observe that the shore based maintenance report shall be available onboard.

Next shore based maintenance date: 2019-04

Additional satellite EPIRB Sub-Unit Make and type

(N/A for Manual EPIRB)

EPIRB JOTRON TRON 45SX Serial No.: 130AD05721

Hydrostatic release N/A MANUAL HRU expiry date: N/A unit (HRU)

y N N/A Is the EPIRB waterproof marked with the ship's name, callsign, 15 HEX ID, IZI • • MMSI no., serial no. and battery expire date ?

Is the EPIRB located according to the relevant requirements ? cg) • •

Form code: CRC 629a Revision: 2016- 12 www.dnvgl.com Page 8 of 11

Page 9: Particulars of Ship

DNV GL Id No: 17869 Date of issue : 2018-04-04

2.20.5 Has an annual test according to SOLAS requirements been satisfactorily [8] D D carried out in accordance with MSC/Circ.1040/Rev.l and Form CRC 630a filled in? Observe that the original of Form CRC 630a shall be left onboard.

2.20.6 Has a periodical shore based maintenance in accordance with requirements [8] D D been carried out and the unit been labelled accordingly? (MSC Circ. 1039)

2.20.7

2.21

Observe that the shore based maintenance report shall be available onboard.

Next shore based maintenance date: 2019-09

GPS/GNSS satellite navigator basic equipment for GMDSS position updating (Reg. IV/13.8, IV/18) Note: If the satellite navigator is connected to the GMDSS equipment it shall be supplied from

a source of energy ensuring continuous supply of the ship's position information in the event of failure of the ship's main or emergency source of electrical power. (Reg. IV/13.8).

2.21.1 Make and type: FURUNO GP-150

Power supply [8] Mains D Emergency [8] Reserve

2.21.2 Is all relevant GMDSS equipment connected to above GPS/GNSS?

Note: If answered No, then all equipment that is not connected but is required to be connected to GPS/GNSS shall be recorded as a deficiency in item 2.27. In addition item 1.6 on page 1 shall be checked Y.

For Cargo ships: All GMDSS equipment that is capable of automatically including the ship's position shall be connected to the above GPS/GNSS (Ref. IV/18).

For Passenger ships: All GMDSS equipment shall be connected to the above GPS/GNSS (Ref. IV/6.5).

Y N N/A

[8] • •

2.22 Two-way on-scene communication on the aeronautical frequencies 121.5 and 123.1 MHz Equipment required for passenger ships on international voyages (Reg. IV/7.2) Power supply D Mains and alternate source D Sealed battery

2.22.1 Transceiver make and type: Serial No.: Battery expiry date:

Y N N/A 2.22.2 Is the transceiver, if portable, marked with the ship's name and call sign, and D D cg)

aeronautical VHF frequencies?

2.23 Distress and Distress alarm panels Equipment required for passenger ships on international voyages (Reg. IV /6.4, 6.6) Power supply D Mains D Emergency D Reserve

2.23.1 Distress and distress alarm panels Note: Both to be filled in even if combined .

Sub-Unit Make and type Panel location

Distress Panel

Distress Alarm Panel

Form code: CRC 629a Revision: 2016-12 www.dnvgl.com Page 9 of 11

Page 10: Particulars of Ship

DNV GL Id No : 17869 Date of issue : 2018-04-04

y N N/A 2.23.2 Is all relevant GMDSS equipment connected to the above Distress Panel and • • 0

the Distress Alarm Panel?

2.23.3 Is protection against inadvertent activation of alarm button(s) provided? • • 0 Note 1: All equipment that is not connected but is required to be connected

to the above Panels shall be recorded as a deficiency in item 2.27 and in addition item 1.6 on page 1 shall be be checked Y.

Note2: If the EPIRB in 2.19 is used as the secondary means of alerting, then it shall be connected to the distress panel. Otherwise, a manual EPIRB on the Bride is required. Item 2.20 should be used for reporting the possible manual EPIRB.

Note 3: As an alternative to items 2.23.1 and 2.23.2, control over DSC TX and DSC RX functionalities of all of or part of required equipment may be avaiable at the conning position. These individual DSC controls shall be clearly identied. In such a case item 2.27 should be used to explain.

2.24 Dedicated GMDSS operator required for passenger ships on y N N/A international voyages (Reg. IV/ 16.2) Is at least one GMDSS operator assigned to perform only radio • • 0 communication duties during distress incidents?

2.25 Additional GMDSS equipment (National requirements). Use the free text area after item 2.26 if needed.

Make and type Power supply Is in good working

Mains Emergency Reserve Other y

2.25.1 • • • • • 2.25.2 • • • • • 2.25.3 • • • • • 2.25.4 • • • • • 2.26 Additional Flag State functional/ documentation requirements

(GMDSS only)

2.26.1 CYPRUS ENDORSEMENTS FOR ITEM 2.2:

2.26.2 Kai Markus Holmroos ENDORSEMENTNR RE00208017, ISSUED 2017-03-01, VALID UNTIL 2018-06-23

2.26.3 Jay Louie Pantaleon ENDORSEMENTNR RE00500017, ISSUED 2017-06-23, VALID UNTIL 2020-10-21

2.26.4

2.26.5

Additional specifications of items 2.25/2.26 if needed :

Form code: CRC 629a Revision: 2016-12 www.anvgl.com

condition? N N/A

• • • • • • • •

Compliance

y N

• • 0 •

• • • • •

Page 10 of 11

Page 11: Particulars of Ship

2.27

DNV GL Id No : 17869 Date of issue : 2018-04-04

Additional space for any relevant information Minor deficiencies to be dealt wit h within a time limit not exceeding 3 months (normally 1 month). Major deficiencies to be dealt with before leaving port. NONE, ALL IN GOOD WORKING ORDER. ITU PUBLICATIONS ARE UPDATED WEEKLY BY SECOND OFFICER AND ARE IN DIGITAL FORM ONBOARD

--- - -- -- - ---- ----Form code: CRC 629a Revision: 20 16- 12 www.dnvol.com PagC> 11 of 11

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DNV GL Id No : 17869 Date of issue : 2018-04-04

APPENDIX

A. Guidelines for the Technical Inspection of Radio Installations onboard Ships fitted for Compliance with GMDSS

The guidelines apply to cargo ships above 300 The guidelines apply to cargo ships above 300 tons gross and to all passenger ships irrespective of size, Dynamically Supported Crafts, and High Speed Light Crafts and Naval Surface Craft (HSLC).

Terms and definitions GMDSS NIFE NICA EPIRB SES DSC NBDP MMSI NAVTEX

Scanning watch receiver

EPIRB testing device

A.1 Introduction

Global Maritime Distress and Safety System Nickel-ferro nickel-cadmium Emergency Position Indicating Radio Beacon Ship Earth Station Digital Selective Calling Narrow Band Direct Printing (radio telex) Maritime Mobile Service Identity a system for reception of messages to seafarers related to safety at sea using NBDP. a receiver continuously scanning dedicated frequencies used solely for safety purposes. a device designed for monitoring transmitted frequencies and the verification of correct coding EPIRBs.

The intention of these Guidelines is to enable the radio inspectors contracted by DNV GL to carry out the radio surveys in a unified and correct manner on ships of any flag. Observe that some flags may have special national requirements. Information regarding special national requirements shall be provided to the radio inspector by DNV GL office prior to attending the vessel.

A.1.1 Performance of radio survey The technical radio survey must always be performed by a qualified radio engineer from an approved local radio firm, hereafter referred to as radio inspector (A list of approved radio firms/service suppliers can be found on -line on the DNV Exchange and GL Approval Finder web portals), who has adequate knowledge of the current SOLAS conventions and associated performance standards, and the latest Radio Regulations as appropriate.

Radio survey should be carried out using suitable test equipment capable of performing all the relevant measurements required by these guidelines.

A.1.2 Interpretations The radio inspector may occasionally observe that compliance with GMDSS requirements are met in different ways. Therefore, in order to avoid any confusion that may arise, IMO has made a set of clarifications. Relevant IMO clarifications are added where appropriate, also referring to relevant regulation of the 1974 SOLAS Convention as amended.

A.2 Documentation A.2.1 Initial survey For the radio installations of cargo ships the examination of plans and designs should consist of:

Examining the plans for the provision and positioning of the radio installation including sources of energy and antennas (SOLAS 74/ 88-II-1/ 43, IV/ 6, 13 and 14) Examining the plans for the provision and positioning of the radio life-saving appliances (SOLAS 74/88-III/ 6).

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Page 13: Particulars of Ship

DNV GL Id No : 17869 Date of issue : 2018-04-04

For the radio installations, including radio life-saving appliances, of cargo ships the survey during construction and after installation should consist of: Examining the position, physical and electromagnetic protection and illumination of each radio installation (SOLAS 74/88-IV/6). Guidance note: If public correspondence from the communication workstation might cause audible or visual interference to the navigator, such communication shall be performed from another place or room in the ship. Confirming the provision of equipment for the radio installation with due regard to the declared sea areas in which the ship will trade and the declared means of maintaining availability of functional requirements (SOLAS 74/88-III/6, IV/7 to 11, 14 and 15) Confirming the ability to initiate the transmission of ship-to-shore distress alerts by at least two separate and independent means, each using a different radio communication service, from the position from which the ship is normally navigated (SOLAS 74/88-IV/4, 7 to 11).

A.2.2 Initial and Ships in operation survey Prior to the technical inspection: It shall be checked that the radio equipment fitted is in accordance with the information stated in Form R - Record of Equipment. In case alternations to GMDSS installation or replacement of any GMDSS equipment is discovered, the radio inspector shall examine the "as carried plans/drawings" which shall be available on-board; and confirm compliance with the requirements.

Identification of radio equipment and the result of the survey shall be recorded in the relevant survey report forms CRC 629a and CRC 630a or F412BE.

A.3 Antennae A.3.1 Examining all antennae, including:

Visually checking all antennae, including INMARSAT antennas, and feeders for satisfactory siting and absence of defects (SOLAS 74/88-IV/14) Checking insulation and safety of all antennae. Checking for protection against inadvertent touching by the ship's staff. Checking for possible mutual electrical interference vertical separation and safe distances with respect to transmitting and receiving antennae Checking free line of sight - Inmarsat antennae.

A.4 Inspection of the reserve source of energy and automatic battery charger(s)

A.4.1 Reserve source of energy is a battery: Checking its siting and installation (SOLAS 74/88-IV/13) Guidance note: Lead-Acid accumulator batteries and NICO batteries must not be located in the same battery compartment. Where appropriate, checking its condition by specific gravity measurement or voltage measurement with the battery off charge, and the maximum required radio installation load connected to the reserve source of energy, checking the battery voltage and discharge current. Guidance note: For lead accumulators specific gravity readings between 1.24 and 1.30 are acceptable. Readings below 1.24 indicates defective charger/ wrong setting on charger, or that the battery needs to be replaced. Variations in the specific gravity between the battery cells (variation in specific gravity of 0.03 or more) indicates a defective cell, and hence that the battery must be replaced. For alkali accumulators, including sealed accumulators, a voltage reading of 1.2V per cell at maximum discharge current is acceptable. If there is doubt as to the condition of accumulators and whether the capacity requirement has been met, the accumulators must be replaced or alternatively undergo capacity testing. Checking there is sufficient capacity to operate the basic or duplicated equipment for 1 hour or 6 hours, as appropriate (SOLAS 74/88-IV/13), and

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DNV GL Id No : 17869 Date of issue : 2018-04-04

Checking that the charger(s) are capable of re-charging the reserve battery to the required capacity within 10 hours (SOLAS 74/88-IV/13) Inspecting mechanical condition of accumulators, connections, cables, fuse circuits etc. The battery compartment is to be inspected for mechanical defects and sufficient ventilation. Where outdoors wooden or composite battery compartments are used, the accumulator specifications regarding the ability to withstand extreme temperature variations to be checked. Checking that an appropriate method for controlling the capacity of the battery has been established and that a discharge test has been carried out during the last 12 months (SOLAS 74/88-IV/ 13).

A.4.2 Automatic chargers Maintenance voltage for lead accumulators shall be 26.8 volts, " boost" 28.8 volts. When using NiCd accumulators, 28 and 32 volts respectively.

A.4.3 General The following items are to be checked:

That dedicated AC and DC fuses/circuit breakers for both basic and duplicated GMDSS equipment are provided That the main DC supply line from the radio battery is provided with fuses/circuit breaker -alternatively has been protected by separate and secured pipes That the basic and duplicated GMDSS equipment are electrically separated. A 'line by line black­out test' should be carried out.

A.S Inspection of maritime VHF A.5.1 The examination should include:

Checking for operation on channels 6, 13 and 16 (SOLAS 74/88-IV/7 and 14) Frequency tolerance, transmission line quality and radio frequency power output (SOLAS 74/88-IV /14) For correct operation of all controls including priority of control units in conning positions (SOLAS 74/88-IV /14) The operation of the VHF control unit(s) or portable VHF equipment provided for navigational safety (SOLAS 74/88-III/6) For correct operation by on-air contact with a coast station or other ship That the equipment operates from the main, emergency (if provided) and reserve sources of energy (SOLAS 74/88-IV/13).

A.5.2 VHF DSC controller The examination should include:

Performing an off-air check confirming the correct Maritime Mobile Service Identity is programmed in the equipment (SOLAS 74/88-IV/14) Checking for correct transmission/receiving by means of a routine or test call to a coast station, other ship, onboard duplicate equipment or special test equipment Checking that the equipment is capable of automatically including the ship's position in the distress alert and that such data is provided from an external/internal GPS receiver (SOLAS Reg. IV/18).

A.5.3 VHF channel 70 DSC watch receiver Clarification: The requirement may be met by:

A separate VHF channel 70 DSC watch receiver; or A dedicated VHF channel 70 DSC watch receiver combined with the VHF radiotelephone; or A standard VHF radiotelephone permanently locked on channel 70.

A.5.4 Power supply Checking that the equipment operates from the main, emergency (if provided) and reserve sources of energy (SOLAS 74/88-IV/13). Tick off as appropriate.

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DNV GL Id No : 17869 Date of issue : 2018-04-04

A.5.5 Alarm Checking the audibility of the VHF/DSC alarm.

A.6 A.6.1

A.6.2

MF or MF/HF radiotelephone equipment including DSC and NBDP The examination should include: Checking that the equipment operates from the main, emergency (if provided) and reserve sources of energy (SOLAS 74/ 88-IV/ 13) Checking the antenna tuning in all appropriate bands Checking the equipment is within frequency tolerance on all appropriate bands (SOLAS 74/88-IV / 14) Checking for correct operation by contact with a coast station and/or measuring transmission line quality and radio frequency output Checking receiver performance by monitoring known stations on all appropriate bands If control units are provided outside the navigating bridge, checking the control unit on the bridge has first priority for the purpose of initiating distress alerts (SOLAS 74/88-IV/9, 10, 11 and 14) Checking that the equipment is capable of automatically including the ship's position in the distress alert and that such data is provided from an external/internal GPS receiver.(SOLAS Reg. IV/18).

Examining the MF or MF/HF DSC controller(s), including: Checking that the equipment operates from the main, emergency (if provided) and reserve sources of energy (SOLAS 74/88-IV/13) Confirming that the correct Maritime Mobile Service Identity is programmed in the equipment Checking the off-air self-test programme Checking operation by means of a test call on MF and/or HF to a coast radio station if the rules of the port permit the use of MF/HF transmissions (SOLAS 74/88-IV/9, 10 and 11) Checking that the equipment is capable of automatically including the ship's position in the distress alert and that such data is provided from an external/internal GPS receiver. (SOLAS Reg. IV/ 18).

A.6.3 Examining the MF or MF/HF DSC watch receiver(s), including: Confirming that only distress and safety DSC frequencies are being monitored (SOLAS 74/88-IV/9 to 12) Checking that a continuous watch is being maintained whilst keying MF/HF radio transmitters (SOLAS 74/88 R.IV/12) Checking for correct operation by means of a test call from a coats station or other ship.

Clarification: This requirement can be met by:

A separate MF/HF DSC scanning watch receiver for distress and safety DSC frequencies only; or A dedicated MF/HF DSC scanning watch receiver for distress and safety DSC frequencies only combined with the MF/HF radiotelephone. If MF mode DSC only is required, a separate MF DSC watch receiver locked on 2187.5 KHz or a dedicated 2187.5 KHz watch receiver combined with the MF radiotelephone installation will suffice. If DSC operation is desirable on other frequencies, an additional scanning receiver shall be provided.

A.6.4 Examining the MF/HF radiotelex equipment, including: Confirming that the correct selective calling number is programmed in the equipment Checking correct operation by inspection of recent hard copy or by a test with a coast radio station (SOLAS 74/88 Rs.lV/10 and 11). Guidance note: A test of the telex may be preformed by sending the telex message to the vessels Inmarsat-C installation (i.e. through the Inmarsat system).

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Page 16: Particulars of Ship

DNV GL Id No : 17869 Date of issue : 2018-04-04

A.6.5 Power supply Checking that the equipment operates from the main, emergency (if provided) and reserve sources of energy (SOLAS 74/88-IV/13). Tick off as appropriate.

A.6.6 MF or MF /HF DSC alarm Checking the audibility of the MF or MF/ HF DSC alarm.

A.7 INMARSAT ship earth station A.7.1 INMARSAT ship earth station Examining the INMARSAT Ship Earth Station(s), including:

Checking that the equipment operates from the main, emergency (if provided) and reserve sources of energy.

A.7.2 Examination of the distress function should include: Checking the distress function by means of an approved test procedure where possible (SOLAS 74/88-IV/10, 11, 12 and 14) Checking for correct operation by inspection of recent hard copy or by link test.

A.7.3 Automatic position updating support Checking that the equipment is capable of automatically including the ship's position in the distress alert and that such data is provided from an external/internal GPS receiver.(SOLAS Reg. IV/18).

A.8 A.8.1

Float-free satellite EPIRB Examining the 406 MHz satellite EPIRB (SOLAS 74/88 IV /7 and 14) including: The items listed in Form No. CRC630a "Annual testing of 406MHz EPIRBs" or or F412BE to be attended to, filled in, signed and left onboard for documentation. A copy of the form to be recorded in NPS. Guidance note: If the float-free satellite EPIRB is used as the secondary means of alert (see Record of Equipment, Form R) the EPIRB can be accepted if it is installed in the vicinity of the bridge, e.g. in the wings, on top of the wheelhouse, if accessible by stairs, or if its activation is possible by remote control from the position from which the ship is normally navigated. Where intended for remote activation, the EPIRB should be installed so that it has unobstructed hemispherical line of sight to the satellites. Check that a valid Shore Based Maintenance (SMB) test report for the EPIRB(s) is(are) available onboard and that the EPIRB is marked with the date of the next SMB. Guidance note: This report is a test report of the, normally, 5-yearly (or according to manufacturer, whichever is less) test of the EPIRB to be performed at an approved EPIRB SMB provider. For EPIRBs less than 5 years old, an initial test report shall be available onboard. (Ref. IMO MSC/Circ.1039). Observe that some flags may have special national requirements. The EPIRB SMB test report should not be confused with the shore based maintenance requirement of the GMDSS radio installation required by SOLAS 74/88-IV/15.

A.9 Enhanced group call (EGC) receiver A.9.1 Examining the EGC receiver should include:

Checking for correct operation and area by monitoring incoming messages or by inspecting recent hard copy running the self-test programme if provided.

A.10 HF direct-printing (NBOP) receiver If appropriate, examining the radio equipment for receipt of maritime safety information by HF NBDP (SOLAS 74/88 Rs.IV/7, 12 and 14) including:

Checking for correct operation by monitoring incoming messages or inspecting recent hard copy Running the self-test programme if provided.

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Page 17: Particulars of Ship

DNV GL Id No : 17869 Date of issue : 2018-04-04

A.11 NAVTEX receiver Examining the NAVTEX equipment (SOLAS 74/88-IV/7, 12 and 14) including:

Checking for correct operation by monitoring incoming messages or inspecting recent hard copy Running the self-test programme if provided checking that the equipment complies with the Performance Standard in IMO Res. MSC.148(77) if the equipment was installed prior to 2005-07-01.

A.12 Two-way VHF radiotelephone apparatus SOLAS III/6.2.1, IV/4

Checking for correct operation on channel 16 and one other channel by testing with another fixed or portable VHF. Checking the battery charging arrangement where rechargeable batteries are used. Checking expiry date of the primary (sealed) batteries. Checking outside markings; ship's name and call sign to be permanently fixed and clearly readable.

A.13 Search and Rescue Locating Devices (SOLAS 74/88, III/6, IV/7 and 14) Guidance note: Two types of Search and Rescue Transmitters (SART) may be utilised; Radar SART (Ref. IMO Res. A.802(19) for detection on 9 GHz (x-band) radars or; AIS-SART (Ref. IMO Res. MSC.246(83) for detection on AIS/ECDIS equipment

Checking position, mounting and monitoring response on the ship's 9 GHz (x-band) radar for Radar SART or on dedicated AIS test equipment or on the ship's AIS/ECDIS equipment for AIS-SART. Manufacturer's Checking battery expiry date Checking outside markings; ship's name and call sign to be permanently fixed and clearly readable Guidance note: One of the SARTs shall be mounted in free-fall life boat, if provided.

A.14 Methods of maintenance Check possible special national requirements with regards to carriage of spare parts which shall be provided to inspector by the DNV GL office prior to survey.

A.14.1 Test equipment Examining the test equipment and spares carried to ensure carriage is adequate and in accordance with the sea areas in which the ship trades and the declared options for maintaining availability of the functional requirements (SOLAS 74/88-IV/15).

A.15 Handbooks and documentation A.15.1 Examination of documentation For the radio installations, including those used in life-saving appliances, the check that documentation, etc., has been placed on board should consist of:

checking for a valid radio licence issued by the flag Administration (ITU RR Art.24) Observe:

Possible Flag restrictions regarding the validity of the safety radio certificate in case of outdated radio licence. Checking the carriage of up-to-date ITU publications (ITU RR App.11) Guidance note: The required publications are: List of Coast Stations List of Ship Stations List of Radio determination and Special Services Stations List of Call Signs and Numerical Identities Manual for Use by the Maritime Mobile and Maritime Mobile-Satellite Services.

Form code: CRC 629a Revision: 2016- 12 www.°dnvgl.com Page A-6 of 7

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DNV GL Id No : 17869 Date of issue : 2018-04-04

Regarding what editions are the latest, please refer to ITU List of Coast Stations (back cover), which lists the various publication dates.

Checking the carriage of operating manuals for all equipment (SOLAS 74/88-IV/15) Checking the carriage of service manuals for all equipment when at-sea maintenance is the declared option (SOLAS 74/88-IV/15) .

A.15.2 Radio record Checking the radio record (log) for correct entries (SOLAS 74/88-IV/17 and ITU RR App.11).

A.15.3 Radio operator's certificates Checking the radio operator's certificates of competence (SOLAS 74/88-IV/16 and ITU RR Art.56).

Observe: Possible Flag restrictions regarding the validity of the radio certificate in cases where the holder does not possess GOC issued by the flag authorities.

A.16 Signs and labels Checking that signs/labels indicating the ship's name, call sign, MMSI number and telex identification are permanently posted and is clearly readable for the operator using the relevant GMDSS equipment.

A.17 Special requirements for passenger vessels This item applies to:

All Passenger Ships All Passenger HSLCs whose keels are laid (or at a similar stage of construction) on or after 2002-07-01.

The following is to be checked by the radio surveyor: Check that all two-way communication equipment capable of transmitting the ships position is continuously and automatically updated with the ships position from the ships navigation receiver (i.e. GPS). Activation of the EPIRB to be possible from the conning position. This will require remote activation of the EPIRB, or alternatively the provision of two EPIRBs (as the EPIRB also shall be located where it may float freely, should the vessel sink). If possible, verify that the distress panel and distress alarm panel are operating satisfactory. Check that VHF operating on the aeronautical distress frequencies {121.5 MHz and 123.1 MHz FM) are operational and in good working order, and are available on the navigation bridge. Verify that one of the officers on board holding valid GOC is especially assigned to perform radio communication duties only during distress incidents.

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Page 19: Particulars of Ship

ANNUAL TESTING OF

406MHZ EPIRBS MSC/Circ. 1040 Rev- 1 and SOLAS reg . IV/ 15.9

Particulars of Vessel -- -- ------- -

Name of Vessel: THOR

Call sign : __ 5BQL4 ........ .

MMSI number: 209029000 -·············-·---··········------·········

IMO Number: 9056789

Item

1 EPIRB 1.1 Make and type: JOTRON, TRON 45SX 1.2 Serial No. : 130AD05721

1.3 Expiry date of battery: 2019-09

DNV·GL Certificate No:

DNV GL Id No : 17869 Date of issue: 2018-04-04

y N N/ A

1.4 Transmitted MMSI No. (shall be the same as the ship's MMSI No.) : (Ref . National requirements): 209029000

1.5 When required by Flag, Transmitted call sign/ Serial No: N/ A

1.6 User protocol and Hexadecimal ID: MARITIME, 9A28D64334D35D1

1.7 Measured Frequency (406 MHz): 406.024,7 MHZ

1.8 Emission on 121,5 MHz checked? 0 D D 1.9 Location/ mounted according t o requirements? 0 D D 1.10 Satisfact ory result of v isual inspect ion (of both EPIRB and lanyard)? 0 D D 1.11 Satisfactory result of self test? 0 D D 1.12 Operating I nstructions available? 0 D D 1.13 Is the EPIRB waterproof marked with the ship's name, callsign, 15 HEX ID,

MMSI no, serial no and battery expi re date? 0 D D

1. 14 Last shore-based maintenance report prov ided onboard?

1.15 Date for next shore-based maintenance: 2019-09

2 Hydro-static Release Unit 2. 1 Make and type: N/ A, MANUAL

2.2 Expiry date: N/ A

I ssued at VELSEN (THE NETHERLANDS) Date : 2018-04-04

Approved Radio Firm (stamp)

RADIO HOLLAND NETHERLANDS

Note: 1) The original of this document to remain on the vessel. 2) One copy of this document to be stored in NPS.

0 D D

f:f:'i~ADIO :u:,~ HOLLAND

;.H Ma-inc Netherlands B.V. Patrick Kriete

Radiu/Nav/VDR surveyor ,:;-,.,,panv !D108106,1

www.dnvgl.com Page 1 of 1 ~- Form code: CRC 630a - - - - R-ev- is- io_n_: 2017-08

~ © ONV GL 2014. DNV GL and the Horizon Graphic are trademarks of DNV GL AS.

Page 20: Particulars of Ship

ANNUAL TESTING OF 406MHZ EPIRBS MSC/Circ. 1040 Rev-1 and SOLAS reg. IV/15.9

Particulars of Vessel

Name of Vessel: THOR ··-···········----·········•··-

Call sign: _ 5BQL4 _______ _

MMSI number: 209029000

DNV·GL Certificate No:

DNV GL Id No: 17869 Date of issue: 2018-04-04

······························--······························-································-··•············································

IMO Number: 9056789 ·············--------------------··········· ·-------········ ----···························-····································--···········

Item

1 1.1

1.2

1.3

1.4

1.5

EPIRB Make and type: JOTRON, TRON 40S MKII

Serial No.: 16278 Expiry date of battery: 2019-04

Transmitted MMSI No. (shall be the same as the ship's MMSI No.): (Ref. National requirements): 209029000

When required by Flag, Transmitted call sign/ Serial No: N/ A

y N N/A

1.6 User protocol and Hexadecimal ID: MARITIME, 9A28D64334D34Dl

1.7 Measured Frequency (406 MHz): 406.036,9 MHZ

1.8 Emission on 121,5 MHz checked? 1:8] • • 1.9 Location/ mounted according to requirements? 1:8] • • 1.10 Satisfactory result of visual inspection (of both EPIRB and lanyard)? 1:8] • • 1.11 Satisfactory result of self test? [gJ • • 1.12 Operating Instructions available? r8J • • 1.13 Is the EPIRB waterproof marked with the ship's name, callsign, 15 HEX ID,

MMSI no, serial no and battery expire date? r8J • •

1.14 Last shore-based maintenance report provided onboard?

1.15 Date for next shore-based maintenance: 2019-09

2 Hydro-static Release Unit 2.1 Make and type: HAMMAR, H20

2.2 Expiry date: 2018-12

I ssued at VELSEN (THE NETHERLANDS) Date: 2018-04-04

Approved Radio Firm (stamp)

RADIO HOLLAND NETHERLANDS

Note: 1) The original of this document to remain on the vessel. 2) One copy of this document to be stored in NPS. J:I - AJ:1 --~:il11~ Form code: CRC 630a Revision: 2017· 08

1:8] • •

'!f!1RADIO ~HOLLAND

Ref Marine Netherlands 8. V. Patrick Kriete

lhdio/N1vl\lOR 1yrvevor <:omp•nv 10108106·1

www.dnvgl.com Page 1 of 1 I~,. ~l:'r,_:: · © DNV GL 2014. DNV GL and the Horizon Graphic are trademarks of DNV GLAS.