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Survey Checklist Security Alert System
International Convention for the Safety of Life at Sea, 1974, (Chapter XI-2) Survey requirements for all passenger ships including high speed passenger craft, cargo ships including cargo high speed craft of 500 gross tonnage and upwards and mobile offshore drilling units.
Particulars Name of ship IMO number Distinctive number or letters Port of registry Gross tonnage Date on which keel was laid
Complete all relevant sections; give information, dates or measurements, as appropriate. Mark boxes "x" to indicate satisfactory inspection. Dates should be given in the format mm/yyyy (month/year; e.g. May 2002 = 05/2002) A satisfactory operational status means that all major operating facilities and requirements of the equipment or unit have been tested and found to function in accordance with the relevant SOLAS regulations and associated IMO performance standards.
AA Sources of Energy
Item 1.0 2.0 Primary source of electrical power (main or emergency power) Reserve source of energy to supply the Security Alert System Operational status
Approval Requirements
Performance Standard Type Approval certification issued by Certificate Number If Type Approval not issued by ship's flag administration or LR, a copy of the Test Report to be provided to LR for review
Does the manufacturer of the security alert system have:
Quality control system in place to continuously ensure compliance, or Final product verification? Competent authority Copy of Certificate attached
Class Requirements
Any new wiring is to satisfy the requirements of class Reference documents: - Resolution MSC-136(76), Annex 5 This is to certify that a survey of the security alert system has been carried out in accordance with the relevant regulations of the Convention and as described above:
Surveyed by:
Specialist Surveyor
Accepted by:
Surveyor to Lloyd's Register EMEA
BSJ SARMA
A member of the Lloyds Register Group
Port Date
Port Date
Form 2127 (2005.02)