Dromon Bureau of Shipping Cargo Ship Safety Radio Survey

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SWP05/Form 06
Cargo Ship Safety Radio Survey

Assignment No.

Name of Ship IMO Number Flag

This is to confirm that the following survey has been conducted on board the above mentioned ship in accordance with the
IMO Resolution A.1156(32):

Survey Scope:

Survey Code Survey Scope Result

Certificates:

Certificate Name Endorsed Issued / Extended Expiry Date

Number Finding Due date

Radio Surveyor

Place of Surveyor

Surveyor started

Surveyor completed
(Radio Surveyor's Signature & Stamp)

Surveyor's name

Place of Surveyor

Surveyor started

Surveyor completed
(Surveyor's Signature & Stamp)

SWP05/Form 06 Revision 5 Page 1 of 10

Dromon Bureau of Shipping Cargo Ship Safety Radio Survey
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*Explain in remarks the reason(s) that this survey has been postponed.
**The number of deficiency is the corresponding number of the survey report (overleaf) that the ship or its equipment is unsatisfactory.

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Dromon Bureau of Shipping Cargo Ship Safety Radio Survey
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Remarks /
No. Item Reference Addressed
Comments
For radio installations, including radio life-saving appliances, on cargo ships the examination of current
certificates and other records should consist of:
1.1 checking the validity, as Yes No N/A
appropriate, of the Cargo Ship
Safety Equipment Certificate, the
Cargo Ship Safety Radio Certificate
and the Cargo Ship Safety
Construction Certificate or the
Cargo Ship Safety Certificate;
1.2 checking, as appropriate, the Yes No N/A
validity of the Polar Ship
Certificate;
1.3 checking that the ship's SOLAS 74/00/12 Yes No N/A
complement complies with the reg.V/14; SOLAS
Minimum Safe Manning Document 74/88
reg.V/13(b)
1.4 checking the validity of the Yes No N/A
International Ship Security
Certificate;
1.5 checking the validity of the Yes No N/A
International Load Line Certificate
or International Load Line
Exemption Certificate;
1.6 checking the validity of the Yes No N/A
International Oil Pollution
Prevention Certificate;
1.7 checking the certificates of class, if Yes No N/A
the ship is classed with a
classification society;
1.8 checking, when appropriate, the Yes No N/A
validity of the International
Certificate of Fitness for the
Carriage of Dangerous Chemicals
in Bulk or the Certificate of Fitness
for the Carriage of Dangerous
Chemicals in Bulk;
1.9 checking, when appropriate, the Yes No N/A
validity of the International
Certificate of Fitness for the
Carriage of Liquefied Gases in
Bulk;
1.1 checking, when appropriate, the Yes No N/A
validity of the International
Pollution Prevention Certificate for
the Carriage of Noxious Liquid
Substances in Bulk;
1.11 checking, when appropriate, the Yes No N/A
validity of the International
Sewage Pollution Prevention
Certificate;
1.12 checking, when appropriate, the Yes No N/A
validity of the International Air
Pollution Prevention Certificate;
1.13 confirming, when appropriate, the MARPOL Annex Yes No N/A
validity of the International Energy VI, regs.6.4 and
Efficiency Certificate; 6.5
1.14 confirming, when appropriate, that MARPOL Annex Yes No N/A
confirmation of compliance for the VI, reg. 5.4.5
SEEMP part II is provided to and
retained on board the ship[1];
1.15 confirming, when appropriate, the MARPOL Annex Yes No N/A
validity of the Statements of VI, regs.6.6 and
Compliance related to fuel oil 6.7
consumption reporting;

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Dromon Bureau of Shipping Cargo Ship Safety Radio Survey
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Remarks /
No. Item Reference Addressed
Comments
1.16 checking, when appropriate, the Yes No N/A
validity of the International Ballast
Water Management Certificate;
1.17 checking that the ship's SOLAS 74/88 Yes No N/A
complement complies with the reg.V/13(b)
Minimum Safe Manning Document
1.18 checking that adequate Yes No N/A
information is on board to enable
the equipment to be properly
operated and maintained;
1.19 checking that the master, officers Yes No N/A
and ratings are certificated as
required by the STCW Convention;
1.2 confirming that any new Yes No N/A
equipment has been properly
approved before installation and
that no changes have been made
such as would affect the validity of
the certificate;
1.21 confirming that a record has been SOLAS 74/88 Yes No N/A
kept in the period since the last reg.IV/17
survey to the satisfaction of the
Administration and as required by
the Radio Regulations;
1.22 checking documentary evidence SOLAS 74/88 Yes No N/A
that the actual capacity of the reg.IV/13
battery has been proved in port
within the last 12 months;
confirming that the below provisions have been met;
1.23.1 checking for a valid radio licence ITU RR Article Yes No N/A
issued by the flag Administration; 24
1.23.2 checking the radio operator's SOLAS 74/88 Yes No N/A
certificates of competence; reg.IV/16 and
ITU RR Article
56
1.23.3 checking the radio record (log); SOLAS 74/88 Yes No N/A
reg.IV/17 and
ITU RR App.11
1.23.4 checking the carriage of up-to- ITU RR App.11 Yes No N/A
date ITU publications;
1.23.5 checking the carriage of operating SOLAS 74/88 Yes No N/A
manuals for all equipment; and reg.IV/15
1.23.6 checking the carriage of service SOLAS 74/88 Yes No N/A
manuals for all equipment when reg.IV/15
at-sea maintenance is the
declared option.
1.24 checking that the annual test has Yes No N/A
been carried out for the Satellite
EPIRB and, if applicable,
shorebased maintenance has been
carried out at intervals not
exceeding five years (SOLAS 74/04
reg.IV/15); and
1.25 confirming the availability of the Yes No N/A
International Anti-fouling System
Certificate (AFS 2001 annex 4
reg.2) when applicable.
For radio installations, including radio life-saving appliances, of cargo ships the periodical survey should
consist of:
2.1 examining the position, physical SOLAS 74/88 Yes No N/A
and electromagnetic protection reg.IV/6
and illumination of each radio
installation

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Remarks /
No. Item Reference Addressed
Comments
2.2 confirming the provision of SOLAS 74/88 Yes No N/A
equipment for the radio regs.III/6, IV/7
installation with due regard to the to 11, 14 and
declared sea areas in which the 15
ship will trade and the declared
means of maintaining availability
of functional requirements
2.3 confirming the ability to initiate SOLAS 74/88/06 Yes No N/A
the transmission of ship-to-shore regs.IV/4, 7 to
distress alerts by at least two 11
separate and independent means,
each using a different
radiocommunication service, from
the position from which the ship is
normally navigated
examining all antennas, including:
2.4.1 visually checking all antennas, SOLAS 74/88 Yes No N/A
including recognized mobile reg.IV/14
satellite service antennas, and
feeders for satisfactory siting and
absence of defects
2.4.2 checking insulation and safety of Yes No N/A
all antennas;
examining the reserve source of energy, including:
2.5.1 checking there is sufficient SOLAS 74/88 Yes No N/A
capacity to operate the basic or reg.IV/13
duplicated equipment for 1 hour or
6 hours, as appropriate
if the reserve source of energy is a battery:
2.5.2.1 checking its siting and installation SOLAS 74/88 Yes No N/A
reg.IV/13
2.5.2.2 where appropriate, checking its Yes No N/A
condition by specific gravity
measurement or voltage
measurement;
2.5.2.3 with the battery off charge, and Yes No N/A
the maximum required radio
installation load connected to the
reserve source of energy, checking
the battery voltage and discharge
current;
2.5.2.4 checking that the charger or SOLAS 74/88 Yes No N/A
chargers are capable of recharging reg.IV/13
the reserve battery within 10
hours
2.5.2.5 checking that information on ship's SOLAS 74/88 Yes No N/A
position is provided continuously reg.IV/18
and automatically to all two-way
communication equipment
examining the VHF transceiver(s), including:
2.6.1 checking for operation on channels SOLAS 74/88 Yes No N/A
6, 13 and 16 regs.IV/7 and 14
2.6.2 checking frequency tolerance, SOLAS 74/88 Yes No N/A
transmission line quality and radio reg.IV/14
frequency power output
2.6.3 checking for correct operation of SOLAS 74/88 Yes No N/A
all controls including priority of reg.IV/14
control units
2.6.4 checking that the equipment SOLAS 74/88 Yes No N/A
operates from the main, reg.IV/13
emergency (if provided) and
reserve sources of energy

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Dromon Bureau of Shipping Cargo Ship Safety Radio Survey
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Remarks /
No. Item Reference Addressed
Comments
2.6.5 checking the operation of the VHF SOLAS 74/88 Yes No N/A
control unit(s) or portable VHF reg.IV/6
equipment provided for
navigational safety
2.6.6 checking for correct operation by Yes No N/A
on-air contact with a coast station
or other ship;
examining the VHF DSC controller and channel 70 Digital Selective Calling (DSC) watch receiver, including:
2.7.1 performing an off-air check SOLAS 74/88 Yes No N/A
confirming the correct Maritime reg.IV/14
Mobile Service Identity is
programmed in the equipment
2.7.2 checking for correct transmission Yes No N/A
by means of a routine or test call
to a coast station, other ship,
onboard duplicate equipment or
special test equipment;
2.7.3 checking for correct reception by Yes No N/A
means of a routine or test call
from a coast station, other ship,
onboard duplicate equipment or
special test equipment;
2.7.4 checking the audibility of the Yes No N/A
VHF/DSC alarm;
2.7.5 checking that the equipment SOLAS 74/88 Yes No N/A
operates from the main, reg.IV/13
emergency (if provided) and
reserve sources of energy
examining the MF/HF radiotelephone equipment, including:
2.8.1 checking that the equipment SOLAS 74/88 Yes No N/A
operates from the main, reg.IV/13
emergency (if provided) and
reserve sources of energy
2.8.2 checking the antenna tuning in all SOLAS 74/88 Yes No N/A
appropriate bands; reg.IV/14
2.8.3 checking that the equipment is SOLAS 74/88 Yes No N/A
within frequency tolerance on all reg.IV/14
appropriate bands
2.8.4 checking for correct operation by Yes No N/A
contact with a coast station and/or
measuring transmission line
quality and radio frequency
output;
2.8.5 checking receiver performance by Yes No N/A
monitoring known stations on all
appropriate bands;
2.8.6 if control units are provided SOLAS 74/88 Yes No N/A
outside the navigating bridge, regs.IV/9, 10,
checking that the control unit on 11 and 14);
the bridge has first priority for the
purpose of initiating distress alerts
examining the HF radiotelex equipment, including:
2.9.1 checking that the equipment SOLAS 74/88 Yes No N/A
operates from the main, reg.IV/13
emergency (if provided) and
reserve sources of energy
2.9.2 confirming that the correct Yes No N/A
selective calling number is
programmed in the equipment;
2.9.3 checking correct operation by SOLAS 74/88 Yes No N/A
inspection of recent hard copy or regs.IV/10 and
by a test with a coast radio station 11

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Dromon Bureau of Shipping Cargo Ship Safety Radio Survey
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Remarks /
No. Item Reference Addressed
Comments
examining the MF/HF DSC controller(s), including:
2.10.1 checking that the equipment SOLAS 74/88 Yes No N/A
operates from the main, reg.IV/13
emergency (if provided) and
reserve sources of energy
2.10.2 confirming that the correct Yes No N/A
Maritime Mobile Service Identity is
programmed in the equipment;
2.10.3 checking the off-air self-test Yes No N/A
program;
2.10.4 checking operation by means of a SOLAS 74/88 Yes No N/A
test call on MF and/or HF to a regs.IV/9, 10
coast radio station if the rules of and 11
the berth permit the use of MF/HF
transmissions
2.10.5 checking the audibility of the Yes No N/A
MF/HF DSC alarm;
examining the MF/HF DSC watch receiver(s), including:
2.11.1 confirming that only distress and SOLAS 74/88 Yes No N/A
safety DSC frequencies are being regs.IV/9 to 12
monitored
2.11.2 checking that a continuous watch SOLAS 74/88 Yes No N/A
is being maintained while keying reg.IV/12
MF/HF radio transmitters
2.11.3 checking for correct operation by Yes No N/A
means of a test call from a coast
station or other ship;
2.12 examining the recognized mobile
satellite Ship Earth Station(s),
including:
2.12.1 checking that the equipment SOLAS 74/88 Yes No N/A
operates from the main, regs.IV/13 and
emergency (if provided) and 14
reserve sources of energy, and
that where an uninterrupted
supply of information from the
ship's navigational or other
equipment is required ensuring
such information remains available
in the event of failure of the ship's
main or emergency source of
electrical power
2.12.2 checking the distress function by SOLAS 74/88 Yes No N/A
means of an approved test regs.IV/10, 12
procedure where possible and 14
2.12.3 checking for correct operation by Yes No N/A
inspection of recent hard copy or
by test call;
if appropriate, examining the NAVTEX equipment, including:
2.13.1 checking for correct operation by SOLAS 74/88 Yes No N/A
monitoring incoming messages or regs.IV/7, 12
inspecting recent hard copy; and 14
2.13.2 running the self-test program if Yes No N/A
provided;
examining the Enhanced Group Call equipment, including:
2.14.1 checking for correct operation and SOLAS 74/88 Yes No N/A
area by monitoring incoming regs.IV/7 and 14
messages or by inspecting recent
hard copy;
2.14.2 running the self-test program if Yes No N/A
provided;

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Dromon Bureau of Shipping Cargo Ship Safety Radio Survey
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Remarks /
No. Item Reference Addressed
Comments
if appropriate, examining the radio equipment for receipt of maritime safety information by HF Narrow Band
Direct Printing (NBDP), including:
2.15.1 checking for correct operation by SOLAS 74/88 Yes No N/A
monitoring incoming messages or regs.IV/7, 12
inspecting recent hard copy; and 14
2.15.2 running the self-test program if Yes No N/A
provided;
examining the 406 MHz satellite Emergency Position Indicating Radio Beacon (EPIRB), including:
2.16.1 checking position and mounting Yes No N/A
for float free operation;
2.16.2 carrying out visual inspection for Yes No N/A
defects;
2.16.3 carrying out the self-test routine; Yes No N/A
2.16.4 checking that the unique beacon Yes No N/A
identification code is clearly
marked on the outside of the
equipment and, where possible,
decoding the unique beacon
identification code confirming it is
correct;
2.16.5 checking that the unique beacon Yes No N/A
identification code programmed in
the EPIRB corresponds with the
unique beacon identification code
assigned by or on behalf of the
Administration;
2.16.6 checking that the MMSI number if Yes No N/A
encoded in the beacon
corresponds with the MMSI
number assigned to the ship;
2.16.7 checking the battery expiry date; Yes No N/A
2.16.8 if provided, checking the Yes No N/A
hydrostatic release and its expiry
date;
2.16.9 checking the emission on Yes No N/A
operational frequencies, coding
and registration on the 406 MHz
signal without transmission of a
distress call to the satellite;
2.16.10 checking that the EPIRB has been SOLAS 74/04 Yes No N/A
subject to maintenance at reg.IV/15.9
intervals not exceeding five years
at an approved shore-based
maintenance facility
2.16.11 if possible, checking the emission Yes No N/A
on operational frequencies, coding
and registration on the 121.5 MHz
homing signal without
transmission of a distress call to
the satellite;
examining the two-way VHF radiotelephone apparatus[3], including:
2.17.1 checking for correct operation on SOLAS 74/88 Yes No N/A
Channel 16 and one other by reg.IV/14
testing with another fixed or
portable VHF installation
2.17.2 checking the battery charging Yes No N/A
arrangements where re-
chargeable batteries are used;
2.17.3 checking the expiry date of Yes No N/A
primary batteries where used;

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Dromon Bureau of Shipping Cargo Ship Safety Radio Survey
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Remarks /
No. Item Reference Addressed
Comments
2.17.4 where appropriate, checking any Yes No N/A
fixed installation provided in a
survival craft;
examining the search and rescue locating device(s), including:
2.18.1 checking the position and Yes No N/A
mounting;
2.18.2 monitoring response on ship’s 9 Yes No N/A
GHz radar;
2.18.3 checking the battery expiry date; Yes No N/A
and
2.18.4 examining the test equipment and SOLAS 74/88 Yes No N/A
spares carried to ensure carriage reg.IV/15
is adequate in accordance withthe
sea areas in which the ship trades
and the declared options for
maintaining availability of the
functional requirements.
2.19 The test equipment and spares SOLAS 74/88 Yes No N/A
have been examined to ensure reg.IV/15
carriage is adequate in accordance
with the sea areas in which the
ship trades and the declared
options for maintaining availability
of the functional requirements.
For radio installations, including those used in radio life-saving appliances, of cargo ships the completion of
the periodical survey should consist of:
3.1 after a satisfactory survey, Yes No N/A
endorsing the Cargo Ship Safety
Radio Certificate; and
3.2 After the survey it has been Yes No N/A
showed that the condition of a ship
or its equipment is
unsatisfactory[2].
Notes:

[1] Refer to the Sample Format of Confirmation of Compliance, Early Submission of the SEEMP part II on the
ship fuel oil consumption data collection plan and its timely verification pursuant to regulation 5.4.5 of
MARPOL Annex VI (MEPC.1/Circ.876).

[2] If a survey shows that the condition of the ship or its equipment is unsatisfactory, the Surveyor should
refer to SOLAS 74/88 Reg. I/6(c). It is a requirement that corrective action been taken immediately and the
Administration notified in due course. In cases where the corrective action has not been undertaken the
relevant certificate should be withdrawal and the Administration notified immediately. If the ship is in the
port of another Party, the appropriate authorities of the port State should also be notified immediately.

[3] Expired primary batteries, which complied with the requirements of paragraph 12.5 of Revised
recommendation on performance standards for survival craft portable two-way VHF radiotelephone
apparatus (resolution MSC.149 (77)), could be used for no other purpose than to examine and check the
operation of two-way VHF radiotelephone apparatus.

Remarks

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