- Name of Ship
- Official Number
- Call Sign
- Port of Registry
- Name of Owner
- Register Number
- Date of Issue
- Issued by
- Signature and Stamp
- Initial examination and certification of “All lifting appliances and loose gear”.
- Periodic examinations and re-testing of “All lifting appliances and loose gear”.
- Inspections of “All lifting appliances and loose gear”.
Note :
The thorough examinations to be indicated in column include:
- Initial
- 12 monthly
- Five yearly
- Repair/damage
- Other thorough examinations including those associated with heat treatment.
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