ANNEX IISupplementary provisions
ANNEX II FORM OF PASSENGER SHIP SAFETY CERTIFICATE PASSENGER SHIP SAFETY CERTIFICATE Text of image (Offical seal) (State) Issued under the provisions of the (name of the relevant measure(s) introduced by the Flag State) and confirming compliancy of the vessel named hereafter with the provisions of Directive 2009/45/EC of the European Parliament and of the Council on safety rules and standards for passenger ships under the authority of the Government of (full official designation of the Flag State) by (full official designation of the competent organisation recognised under the provisions of Council Directive 94/57/EC) Name of the ship Distinctive numbers or letters Port of registry Number of passengers IMO number ( 1 ): … Length: … Date on which the keel was laid or ship was at a similar stage of construction: … Date of initial survey: Class of ship in accordance with the sea area in which the ship is certified to operate: A / B / C / D ( 2 ) subject to following restrictions or additional requirements ( 3 ): … ( 1 ) IMO ship identification number in accordance with Resolution A.600(15), if any. ( 2 ) Delete as appropriate. ( 3 ) Record of any restriction applicable by reason of either the route, area of operation or restricted period of operation or any additional requirement due to specific local circumstances. Text of image (Reverse of certificate) Initial survey This is to certify, 1. that the ship has been surveyed in accordance with Article 12 of Directive 2009/45/EC of the European Parliament and of the Council 2. that the survey showed that the ship fully complies with the requirements of Directive 2009/45/EC 3. that the ship is, under the authority conferred by Article 9(3) of Directive 2009/45/EC, exempted from the following requirements of the Directive: Conditions, if any, on which the exemptions are granted: 4. that the following subdivision load lines have been assigned: Subdivision load lines assigned and marked on the ship’s side at amidships (Regulation II-1/B/11) Freeboard (in mm) Remarks with regard to alternative service conditions: C.1 ( 1 ) C.2 C.3 This certificate is valid until … (date of next renewal survey) in accordance with Article 12 of Directive 2009/45/EC Issued at … (Place of issue of certificate) on … (Date of issue) (Signature of official issuing the certificate) and/or (Seal of issuing authority) If signed, the following paragraph is to be added: The undersigned declares that he is duly authorised by the said Flag State to issue this Passenger Ship Safety Certificate. (Signature) ( 1 ) The Arabic numerals following the letter ‘C’ in the subdivision load line notations may be replaced by Roman numerals or letters if the Administration of the flag State considers this necessary to distinguish them from the international subdivision load line notations. Text of image (Next page of certificate) Periodical surveys This is to certify that a periodical survey as required by Article 12 of Directive 2009/45/EC of the European Parliament and of the Council carried out and that the survey showed that the ship was found to comply with all the relevant requirements of Directive 2009/45/EC Place … Date … (Signature and/or seal of issuing authority) Place … Date … (Signature and/or seal of issuing authority) Place … Date … (Signature and/or seal of issuing authority) Place … Date … (Signature and/or seal of issuing authority) Place … Date … (Signature and/or seal of issuing authority)