International Naval Surveys Bureau

INTERNATIONAL NAVAL SURVEYS BUREAU

RECORD OF APPROVED GMDSS RADIO INSTALLATION INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974 AS AMENDED IN 1988

Applicable to passenger ships irrespective of size and cargo ships of 300 tons gross tonnage and upwards.

Distinctive No. Date on which Name of ship Port of Registry G.R.T. or letters keel was laid

This form should be kept on board and must be available for inspection by a nominated surveyor or recognized organization at all times.

Sea areas in which the ship is certified to operate (reg. IV/2) : A1 A1 + A2 A1 + A2 + A3 A1 + A2 + A3 + A4

Methods to ensure availability of radio facilities [reg. IV/15 and IMO Assembly Resolution A702 (17) ] :

Duplication of equipment Shore - based maintenance At - sea maintenance capability

Sections A, B, C, H, I, J and K should be completed for all ships; also one only from section D, E, F or G (dependent upon radio. Sea area certification required), and section L, if appropriate. Indicate compliance with the relevant requirements by description of the equipment [manufacturer, type identification and serial number (s/n)] or appropriate response to the information requested.

A. REG. IV/13 SOURCE OF ENERGY

A1 MAIN SOURCE OF ELECTRICAL POWER (reg. II - 1/41) (voltage, phase, frequency) A2 EMERGENCY SOURCE OF ELECTRICAL POWER with capacity to supply the RADIO INSTALLATIONS for a period of: 18 HOURS (Cargo ships, reg. II - 1/43.2.3.2) or 36 HOURS ( Passenger ships, reg. II - 1/42.2.2.2) (voltage, phase, power) A3 RESERVE SOURCE OF ENERGY TO SUPPLY RADIO INSTALLATIONS (reg. IV/13.2) Location Capacity (AH)

A4 AUTOMATIC CHARGING ARRANGEMENTS for RESERVE SOURCE OF ENERGY capable of recharging it WITHIN 10 HOURS (reg. IV/ 13.6) 4.1 Manufacturer / type sn

4.2 Maximum charging current

A5 An additional RESERVE SOURCE OF ENERGY may be provided to give an electrically independent supply to the "DUPLICATED EQUIPMENT" , if provided: Location Capacity (AH) A6 AUTOMATIC CHARGING ARRANGEMENTS for an additional RESERVE SOURCE OF ENERGY, if provided: 6.1 Manufacturer / type sn

6.2 Maximum charging current

Form 1215225-GM/01-2012 Page 1 of 7 B. REG. IV/6 RADIO INSTALLATIONS

B1 Confirm that ALL radio installations are satisfactory in respect of the following characteristics: Electronic compatibility Adequate illumination of radio controls Environmental conditions Clear marking of radio identities

B2 VHF equipment / facilities to provide navigational safety communications from the bridge

In sections C to G the numeration to the left-hand margin, refers to the corresponding SOLAS regulations

C. REG. IV/7 RADIO EQUIPMENT - GENERAL

7.1.1 VHF RADIO INSTALLATION capable of transmitting and receiving: 7.1.1.1 RADIOTELEPHONY on channels 6 + 13 + 16 s/n 7.1.1.2 DSC on channel 70 s/n With means of initiating the transmission of DISTRESS ALERTS from the position from which the ship is normally navigated

7.1.2 DSC WATCH RECEIVER on channel 70 s/n 7.1.3** SHIP’S RADAR TRANSPONDER s/n Location 7.1.4 NAVTEX RECEIVER on 518 kHz s/n 7.1.5*** INMARSAT EGC RECEIVER s/n 7.1.6 FLOATFREE SATELLITE EPIRB s/n Location

Maritime Mobile Service Identity (MMSI) (or MID/serial number or MID / call sign)

Every ship must also comply with the requirements for each sea area in which voyages will be undertaken; please complete ONE ONLY of the following sections D, E, F or G.

D. REG. IV/8 RADIO EQUIPMENT FOR SEA AREA A1 ONLY****

8.1 RADIO INSTALLATION capable of initiating the transmission of ship-to-shore distress alerts from the position from which the ship is normally navigated by: 8.1.1 VHF using DSC s/n or 8.1.2 406MHz SATELLITE EPIRB s/n or 8.1.3 MF using DSC s/n or 8.1.4 HF using DSC s/n or 8.1.5.1 INMARSAT SES s/n or 8.1.5.2 INMARSAT EPIRB s/n (required by 7.1.6) 8.2 VHF general radio communications using RADIOTELEPHONY s/n (required by 7.1.1)

Form 1215225-GM/01-2012 Page 2 of 7 E. REG. IV/9 RADIO EQUIPMENT FOR SEA AREAS A1 + A2 ONLY*****

9.1.1 MF RADIO INSTALLATION capable of transmitting and receiving for DISTRESS and SAFETY purposes on the frequencies: 9.1.1.1 & 2187.5 kHz using DSC and 9.1.1.2 2182 kHz using RADIOTELEPHONY s/n 9.1.2 Equipment for CONTINUOUS DSC WATCH on frequency 2187.5 kHz: Receiver s/n DSC unit s/n 9.1.3 Means of initiating the transmission of ship-to-shore distress alerts by a radio service other than MF from the position from which the ship is normally navigated: 9.1.3.1 460 MHz SATELLITE EPIRB s/n or 9.1.3.2 HF DSC s/n or 9.1.3.3.1 INMARSAT SES s/n or 9.1.3.3.2 INMARSAT EPIRB s/n 9.2 Means of initiating the transmission of DISTRESS ALERTS from the position from which the ship is normally navigated 9.3 Transmission and reception of general radio communications using radiotelephony or direct-printing telegraphy by: 9.3.1 A RADIO INSTALLATION operating on working frequencies in the bands between 1605 kHz and 4000 kHz or between 4000 kHz and 27500 kHz s/n or 9.3.2 An INMARSAT SES s/n

F. REG. IV/10 RADIO EQUIPMENT FOR SEA AREAS A1 + A2 + A3 ONLY***** Complete section F.1 or F.2

Ship must comply with the requirements of either: - reg. IV/10.1 (INMARSAT SES and MF RADIO INSTALLATION), or - reg. IV/10.2 (MF/HF RADIO INSTALLATION). F.1 INMARSAT SES and MF RADIO INSTALLATION:

10.1.1 INMARSAT SHIP EARTH STATION capable of: s/n

10.1.1.1 Transmitting and receiving DISTRESS and SAFETY communications using DIRECT-PRINTING TELEGRAPHY 10.1.1.2 Initiating and receiving DISTRESS PRIORITY calls 10.1.1.3 Maintaining watch for shore-to-ship DISTRESS ALERTS 10.1.1.4 Transmitting and receiving general radio communications 10.1.2 MF RADIO INSTALLATION capable of transmitting and receiving for DISTRESS and SAFETY purposes on the frequencies: 10.1.2.1 & 2187.5 kHz using DSC and 10.1.2.2 2182 kHz using RADIOTELEPHONY s/n 10.1.3 Equipment for CONTINUOUS DSC WATCH on frequency 2187.5 kHz: Receiver s/n DSC unit s/n

10.1.4 Means of initiating the transmission of ship-to-shore distress alerts by a radio service other than MF from the position from which the ship is normally navigated by : 10.1.4.1 406 MHz SATELLITE EPIRB s/n or 10.1.4.2 HF using DSC s/n or 10.1.4.3 Either an ADDITIONAL INMARSAT SES s/n or INMARSAT EPIRB s/n

Form 1215225-GM/01-2012 Page 3 of 7 F.2 MF/ HF RADIO INSTALLATION:

10.2.1 MF/HF RADIO INSTALLATION capable of transmitting and receiving, for distress and safety purposes, on all DISTRESS

and SAFETY frequencies in the bands between 1605 kHz and 4000 kHz and between 4000 kHz and 27500 kHz:

10.2.1.1 Using DSC s/n

10.2.1.2 Using RADIOTELEPHONY s/n

10.2.1.3 Using DIRECT-PRINTING TELEGRAPHY s/n

10.2.2 Equipment capable of maintaining DSC WATCH on 2187.5 kHz, 8414.5 kHz, and at least one other HF DSC DISTRESS and SAFETY frequency

Receiver s/n

DSC unit s/n

10.2.3 Means of initiating the transmission of ship-to-shore distress alerts by a radio service other than HF from the position from which the ship is normally navigated by:

10.2.3.1 406 MHz SATELLITE EPIRB s/n

or 10.2.3.2.1 INMARSAT SES s/n

or 10.2.3.2.2 INMARSAT EPIRB s/n

10.2.4 Transmission and reception of general radio communications using radiotelephony or direct-printing telegraphy by an MF/HF RADIO INSTALLATION operating on working frequencies in the bands between 1605 kHz and 4000 kHz and between 4000 kHz and 27500 kHz s/n 10.3 Means of initiating the transmission of DISTRESS ALERTS from the position from which the ship is normally navigated

G. REG. IV/11 RADIO EQUIPMENT FOR SEA AREAS A1 + A2 + A3 + A4

G1. MF/HF INSTALLATION

Compliance is required with ALL parts of reg. IV/10.2 (except reg. IV/10.2.3.2 because reg. IV/10.2.3.1 is MANDATORY) ; please refer to, and complete, Section F.10.2.

H. REG. IV/15 MAINTENANCE

For ships sailing in sea areas A3 and / or A4 a minimum of TWO methods of maintenance are required (reg. IV/15.7); for sea areas A1 and / or A2, ONE method is sufficient (reg. IV/15.6). Guidance concerning methods of maintaining the availability of the functional requirements of reg. IV/4 and ensuring that the relevant performance standards are met is given in the annex to IMO Assembly Resolution A702 (17) of 25 November 1991.

Radio installations provided to satisfy regulations IV/7 and IV/10 or IV/11 are described as "BASIC EQUIPMENT" ; those

Form 1215225-GM/01-2012 Page 4 of 7 provided to satisfy duplication of equipment, if used as a method of ensuring availability of the functional requirements of reg. IV/4 and as specified in A702 (17), are described as "DUPLICATED EQUIPMENT". Irrespective of the methods used for maintenance each piece of equipment required and installed should have the manufacturer's instruction books and maintenance manuals available on board.

H1. DUPLICATION OF EQUIPMENT (sea areas A3 and / or A4)

An ADDITIONAL VHF DSC radio installation and either an ADDITIONAL INMARSAT installation (for sea area A3) or an ADDITIONAL MF/HF radio installation (for sea Areas A3 and / or A4) must be provided. Please complete sections H.1.1 , and H.1.2 or H.1.3.

H.1.1 A VHF DSC RADIO INSTALLATION complying with reg. IV/7.1.1 capable of transmitting and receiving: 7.1.1.1 DSC on channel 70 s/n With means of initiating the transmission of DISTRESS ALERTS from the position from which the ship is normally navigated 7.1.1.2 RADIOTELEPHONY on channels 6 + 13 + 16 s/n H.1.2 An MF/HF RADIO INSTALLATION complying with reg.IV/10.2.1 capable of transmitting and receiving, for distress and safety purposes, on all DISTRESS and SAFETY frequencies in the bands between 1605 kHz and 4000 kHz and between 4000 kHz and 27500 kHz: 10.2.1.1 Using DSC s/n 10.2.1.2 Using RADIOTELEPHONY s/n 10.2.1.3 Using DIRECT-PRINTING TELEGRAPHY s/n 10.2.2 Equipment capable of maintaining DSC WATCH on 2187.5 kHz, 8414.5 kHz, and at least one other HF DSC DISTRESS and SAFETY frequency Receiver s/n DSC unit s/n 10.3 Means of initiating the transmission of DISTRESS ALERTS from the position from which the ship is navigated normally 12.1.3 Facilities for maintaining a CONTINUOUS WATCH on the DSC DISTRESS and SAFETY frequencies of 2187.5 kHz, and at least one other HF distress and safety frequency: Receiver s/n DSC unit s/n H.1.3 An INMARSAT SHIP EARTH STATION complying with reg IV/10.1.1. Capable of s/n 10.1.1.1 Transmitting and receiving DISTRESS and safety communications using DIRECT-PRINTING TELEGRAPHY 10.1.1.2 Initiating and receiving DISTRESS PRIORITY calls 10.1.1.3 Maintaining watch for shore-to-ship DISTRESS ALERTS 10.1.1.4 Transmitting and receiving general radio communications 10.3 Means of initiating the transmission of DISTRESS ALERTS from the position from which the ship is normally navigated All radio installations provided as "DUPLICATED EQUIPMENT" must be connected to a separate antenna and be installed and ready for immediate operation from power supplies including the RESERVE SOURCE OF ENERGY. H2. SHORE - BASED MAINTENANCE 2.1 Arrangements H3. AT-SEA MAINTENANCE CAPABILITY 3.1 Technical Documentation 3.2 Test equipment

Form 1215225-GM/01-2012 Page 5 of 7 3.3 Spare parts 3.4 Radio maintainer

I. CAPACITY OF RESERVE SOURCE OF ENERGY FOR RADIO INSTALLATIONS (reg IV/12.2) *

The capacity of the battery must be sufficient to operate the radio installations described in reg IV/13.2 (and in para 2.3 of IMO A702 (17) for "duplicated equipment" , if appropriate) for a minimum period of 1 hour if the emergency source of electrical power is available, for a minimum period of 6 hours if it is not available.

CURRENT CONSUMPTION (Amps) I.1 “ BASIC EQUIPMENT” BATTERY (section A.3) 7.1.1 VHF RADIO INSTALLATION 9.1.1 MF RADIO INSTALLATION or 10.1.2 10.2.1 MF/HF RADIO INSTALLATION or 11.1 10.1.1 INMARSAT INSTALLATION 13.8 GYRO COMPASS for continuous heading information to INMARSAT- A(if INMARSAT-A provided to satisfy reg IV/10.1.1 13.5 Electrical lighting for illumination of radio controls CURRENT CONSUMPTION (Amps) I.2 “ DUPLICATED EQUIPMENT” BATTERY BATTERY (section A.3) (section A.3) (section A.5) 7.1.1 VHF RADIO INSTALLATION 10.2.1 MF/HF RADIO INSTALLATION or 11.1 10.2.1 INMARSAT INSTALLATION 13.8 GYRO COMPASS for continuous heading information to INMARSAT-A (if INMARSAT-A provided to satisfy reg IV/10.1.1

I.3 ANY OTHER EQUIPMENT PERMANENTLY CONNECTED a) b) Total current: Amps Amps++ I.4 ENDURANCE OF RESERVE SOURCE OF ENERGY ++ if provided

For calculation of the required battery endurance the IMO recommended formula = one half of the current consumption necessary for transmission + the current consumption necessary for reception + the current consumption of any additional loads (for each radio installation). The additional loads include, as appropriate, DSC encoders / decoders, direct-printing telegraphy apparatus, and for INMARSAT installations, all mandatory peripherals. AH capacity of battery x de-rating0 = Hours Hours++ total current

0To allow for the reduced capacity of a battery when discharged over a shorter period than its rated specification (usually 10 or 20 hours) a de-rating factor of 0.5 for a 1 hour discharge and 0.85 for a 6 hour discharge should be applied. The result, in hours, should exceed the IMO minimum requirement.

Form 1215225-GM/01-2012 Page 6 of 7 J. REG III/6.2 RADIO LIFE-SAVING APPLIANCES

6.2.1 TWO-WAY VHF RADIOTELEPHONE APPARATUS (quantity 3 for vessels >500gt and 2 for vessels >300gt<500gt) Location s/n 6.2.2 RADAR TRANSPONDERS (quantity 2for vessels >500gt and 1 for vessels >300gt<500gt) Location s/n

K. REG IV/14 PERFORMANCE STANDARDS

K1 Any INMARSAT SHIP EARTH STATION provided to satisfy reg. IV/10.1.1 for BASIC or DUPLICATED equipment is installed fully in compliance with the requirements of IMO Resolutions A698 (17) for INMARSAT-A and A663 (16) for INMARSAT-C terminals.

K2 All equipment fitted conforms to performance standards adopted by IMO

L. ADDITIONAL RADIO COMMUNICATIONS EQUIPMENT (additional to, and not considered for, SOLAS requirements)

Surveyed by: Accepted by: Radio Surveyor: Surveyor to class: Port: Port: Date / Signature: Date / Signature: (stamp) (stamp)

Notes: * It is assumed that either lead -acid or nickel - alkaline secondary batteries are fitted. If a different form of power source is provided, please describe it. ** The ship's radar transponder may be one of the radar transponders required by reg. III/6.2.2 provided it is stowed in a position convenient to the bridge. *** For ships engaged exclusively on voyages in areas where an HF direct-printing telegraphy maritime safety information service is provided, an INMARSAT EGC receiver may be replaced by an HF direct-printing telegraphy MSI receiver. **** For ships sailing exclusively in SEA AREA A1, reg IV/7.1.6 may be satisfied by compliance with reg IV/8.3 ; and the facility required by reg IV/7.3 need not be provided. ***** A698 (17) and A663 (16) describe various general requirements which include installation guidelines; those for antenna, given in Section 6, should be carefully observed.

Form 1215225-GM/01-2012 Page 7 of 7