SCV2 V2 December 2013 PDF Format
SCV2 V2 December 2013 PDF Format
SCV2 V2 December 2013 PDF Format
This document follows the paragraph numbering in MGN 280 as indicated in the margin.
The IIMS Examiner should complete all sections relevant to the vessel, mark non-relevant sections as such,
confirm the statements made by initialling in the appropriate columns and complete the section dealing with the
material condition of the vessel. Both Owner / Managing Agent and Examiner must sign the Declarations Section.
The Examiner must forward the completed form to the IIMS for checking prior to issue of a Certificate.
The information on the form is the property of IIMS and is not to be used for any purpose other than for the issue of
a Certificate for the Code of Practice. Please note that change of ownership invalidates the certification.
LOA: m Beam: m
Surveyors must indicate which stability assessment method has been used.
11.1.1.2 Does the Vessel require a Stability Information Booklet YES NO N/A
(Cat 0 or 1; carrying > 16 persons; Sailing multihull >6m)
If yes has the SIB been submitted to IIMS CA for approval? YES NO
Has the ISO 122217-1 been used in lieu of Heel Test? YES NO N/A
Have any davits / cranes (personnel recovery devices)
YES NO
been included in test?
11.8 Sailing Vessels: Full stability booklet (Non ISO / Cat 0 / Cat 1 / Sailing Multihulls)
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Does the vessel fully comply with CE build certification rules? YES NO
4.2.1
Is a valid certificate attached? YES NO
4.3.1.1 Does a watertight weather deck extend from stem to stern? YES NO
4.3.2.4 Are cockpit lockers and deck recesses weather tight & secure? YES NO
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If watertight bulkheads are required state number, positions, watertight door details
if relevant:
For RIBs & inflatable boats operated as workboats contact IIMS CA for Form WB2-R
2
Position Area m Off CL m Hinged Height Open at Sea?
5.1.2.1 Not more than 1m² in plane area at top of coaming YES NO
5.1.2.3 Opening at least 300mm above adjacent weather deck at side YES NO
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5.2 DOORWAYS
5.2.1.1 Doorway above weather deck and giving access to spaces below is:
Weathertight YES NO
5.2.1.3 Doorway on house side or front has 300mm or higher coaming YES NO
List area accessed, door position, construction material, size and hinge position and
coaming height:
5.2.2 COMPANIONWAYS
A companion hatch from recess or cockpit to below decks must have a coaming or
5.2.2.1
washboard with its top at least 300mm above the cockpit / recess sole.
List top of coaming / washboard height: mm
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Portlights below weather deck and not fitted with an attached deadlight should be
5.4.5
supplied with sufficient blanks for half the number of each size of portlight.
List positions, size and material and whether blanks are onboard
5.4 WINDOWS
Are blanks provided? (50% required for Categories 0 & 1) YES NO N/A
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Detailed description;
Other notes:
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Valve or
Above or
No System Closure Material
Below WL
Type
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Is the rim of the heads bowl 300 mm or more above W/L? YES NO N/A
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6.1 Does vessel have bulwarks that may trap shipped water? YES NO
6.2.2 Motor Vessel under 12m, in Cat 2 to 6, with Well Deck aft
Are two (port and starboard) freeing ports fitted in the
YES NO N/A
transom each of not less than 225 sq cm?
Describe arrangements:
6.4.7 Does Vessel operate where ice accreditation may occur? YES NO N/A
Para 7 MACHINERY
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7.2 / 7.3 Fuel (If petrol only outboard type engine permissible):
7.3.3 Is fuel tank capacity adequate for area of operation? YES NO N/A
With pipe end having bead, flare or annular grooves? YES NO N/A
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7.5.3 Secure means of remote stopping engine(s) from outside engine space
7.7.1 Spare petrol onboard in portable containers for any purpose is:
Kept to a minimum quantity? YES NO N/A
And where any spillage will drain directly overboard? YES NO N/A
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8.3 Lighting
Is general lighting within vessel from a centralised
8.3.1 YES NO N/A
electrical system?
If yes emergency lighting is required, which may be from battery operated lamps,
sufficient to:-
enable persons to make their way to open deck YES NO N/A
8.4 Batteries
8.4.1 Is the battery capacity & charging adequate for the radios fitted? YES NO
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8.4.2.2/3/4 Battery charging capacity < 0.2Kw - batteries may be in any space
Battery charging between 0.2 and 2.0 Kw – batteries to be in machinery space or
other well ventilated box or locker
Maximum battery charging power exceeds 2 Kw – batteries to be in suitably
ventilated compartment in vessel or a locker on open deck,
space to be for batteries only
8.4.3 Ventilation
8.4.3.1 Battery spaces vented out at top and in at bottom? YES NO N/A
8.4.3.2 Battery Fans, if fitted, must not be a source of ignition? YES NO N/A
8.5 Cables
8.5.2 Cables to be single core with insulation and outer sleeve? YES NO N/A
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9.1.3
Describe Emergency Steering Arrangements:
10.1.3 Can all pumps be operated with all hatches closed? YES NO
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10 BILGE PUMPING
12.1 Sailing Vessels (those not conforming with ISO 12217-2 only)
Measured at mid length of the longitudinal centre of flotation.
12.2.2.1 Vessels carrying less than 1000kg Cargo and not Lifting or Towing
Details of freeboard measurements are to be recorded on the IIMS Heel Test Form.
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12.2.4.1 Freeboard not less than 300mm to top of buoyancy tubes YES NO N/A
Freeboard not less than 250mm at lowest part of transom YES NO N/A
Para 13 &
LIFESAVING APPLIANCES
Annex 1
13.3 Lifebuoys
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13.4 Lifejackets
DOT approved / BS EN396 / MED fitted with whistle, retro-reflective tape and light.
Note that when lifejackets are inflatable and additional 10% or 2, whichever is the
greater are required.
Adult size total inflatable:
Total non Inflatable:
Child size:
Total number:
Within service dates? YES NO
13.10 Pyrotechnics
Flares, Smoke Signals and Pyrotechnics
MED approved (wheelmarked) or comply YES NO N/A
with MSN1676 (does not apply to hand
held smoke signals)
Category (list 6 5 4 3 2 1 0
quantities under Area Cat)
Parachute Flares
Red hand Flares
Buoyant or hand
smoke Signals
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Check list for use when carrying our inspections YES NO N/A
14.1.1 Describe the means to retain fire extinguishant in the engine space:-
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14.2 Vessel Cat 0 or 1 or Total Power over 750Kw or carrying 16+ Persons
Steel Construction with no insulation has Class 1 Surface
14.2.1 YES NO N/A
Spread of Flame Coating to opposite sides of Bulkheads
14.5
OPEN FLAME GAS APPLIANCES
Annex 5
14.5 None Fitted or list Make and Models of all gas appliances fitted:
14.5.6 Is ISO 9094 used to confirm 14.5.4 and 14.5.5 YES NO N/A
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Annex 5 Non Fitted or Describe the gas bottle stowage, draining & venting arrangement:
2.1
6. Describe ventilation:
7. Are gas detectors fitted in all compartments with gas appliances? YES NO
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If single means of escape from accommodation is accepted
14.8.2 YES NO N/A
are fire detectors provided to give early warning
Describe Accommodation Fire Detectors:-
15.4 Under 15 metres with 15 or Less Persons not 15.2 or 15.3 YES NO
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VHF Portable 0 to 6
0 and 1;
MF SSB with DSC
R2
MF / HF Trans-
R 0 and 1
ceiver with DSC
0 and 1;
Navtex Receiver
R 2 to 5
Brief and Clear Operating Instructions for Hand-Held VHF YES NO N/A
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Describe:
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Tide Tables; Tidal Stream Atlas; List of Radio Signals; YES NO N/A
and International Code Signals
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20.3.5 If cable is wire rope are thimbles fitted both ends YES NO N/A
Note that anchor cables for vessels under 15m may be of chain and warp but there
must be a minimum of 10 metres or 20% of chain (whichever is the longer). The total
length of the anchor cable should not be less than 4 x LOA or 30 metres, whichever
is the longer, for each of the main and kedge anchors
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21.1.1 Are there adequate handholds and grab rails? YES NO N/A
21.1.5 Hot water systems suitable for the operating pressure YES NO N/A
21.2.5 Galley has cooker, sink and working surface YES NO N/A
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Safe Location for all Persons in a RIB or Non-Decked Vessel YES NO N/A
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22.10 Noise
Vessel meets Noise Level Req’ts as listed in Section 22.10 YES NO N/A
Tri-Sail
YES NO N/A
Deep Reef Main (60% hoist)
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REPORT BY THE SURVEYOR ON THE MATERIAL CONDITION OF THE VESSEL.
EXTERNAL EXAMINATION
1. Keel and keel to hull joint A B
2. Rudder blade and hangings A B
3. Shaft, propeller and associated stern gear A B
4. Skin fittings A B
5. Underwater hull A B
6. Cathodic protection A B
7. Topsides A B
8. Deck A B
9. Deck fittings A B
10. Chain plates and shroud anchorages A B
11. Windows A B
12. Steering gear A B
13. Mast and rig (general condition views from the deck) A B
A B
A B
INTERNAL EXAMINATION
14. Skin fittings including pipe work and toilets A B
Structural bonding, including bulkheads, framing, floors
15. A B
and longitudinals. Engine bearers and deck joint
16. Shroud attachment and reinforcement A B
17. Engine mounting A B
18. Engine pipe work A B
19. Stern glands, stern tube and propeller shaft A B
20. Cathodic protection A B
21. Electrical wiring A B
22. Keel attachment and surrounding area A B
23 Steering gear and emergency steering A B
24. Tanks A B
A B
A B
A B
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DECLARATIONS
A. By the Surveyor
I have examined the Vessel Unique Number at (OW) on and (IW) on
(out of water photo must be attached to this document).
I believe that the vessel complies with the requirements of the MGN 280 Alternative Construction Standards.
I declare that the vessel is designed, built and equipped as described on this form and I hereby undertake:
1. To maintain the vessel in a sound and seaworthy condition.
2. To report any changes to the details shown on this form.
3. To notify the Certifying Authority of any collision or grounding, fire or other event causing major damage. (Any repairs must be
approved by the IIMS)
4. To make the vessel available for examination by the MCA inspectorate or to the Certifying Authority at any time during the validity of
this certificate.
5. The Owner agrees to comply with the Marpol Clean Seas Act and the Vessel Manning Procedures contained within MGN280.
6. To submit a photocopy of this page with the appropriate fee on the due date in return for an annual hard card Certificate.
(A three month period of grace is given before the certificate will be cancelled in years 1,2&4. Year 3 there is no period of grace)
7. To keep the SCV certificate, the SCV2, and the annual card certificate on board the vessel at all times.
8. That the manning and operation of the vessel complies with annex 3 in MGN 280.
9. That I will inform the IIMS IMMEDIATELY if the Vessel is sold at which point this certificate will be cancelled.
First annual examination - to be carried out by: Owner Agent Marine Surveyor (select as required)
st
1 Date Review Due: Print Name Signature
Second annual examination - to be carried out by: Owner Agent Marine Surveyor (select as required)
nd
2 Date Review Due: Print Name Signature
Third annual examination must be carried out by an IIMS Examiner – Renewal Date Must Not Be Exceeded.
rd
3 Date Review Due: Print Name Signature
Fourth annual examination-to be carried out by: Owner Agent Marine Surveyor (select as required)
th
4 Date Review Due: Print Name Signature
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