Form O 01

Ship Certificates

Next Annual / Audit Date

NOTE: where the date of issue is
available means there is certificate Back / ‫السابق‬

Current Validity

Current Annual

Annual Status
Expiry Status
Expiry Date
Last Annual / Audit
Item Certificate Name Today Date of Issue
Date Location
Part I Flag Administration
FA01 DOC Certificate 2/28/2024 -45350 45350 due ok
FA02 DOC Audit Report 2/28/2024 -45350 45350 due ok
FA03 Registry 2/28/2024 -45350 45350 due ok
FA04 Safety Management Certificate 2/28/2024 -45350 -45350 due due
FA05 ISM Audit Log (Vessel Audit) 2/28/2024 -45350 -45350 due due
FA06 International Ship Security 2/28/2024 -45350 -45350 due due
FA07 ISPS Audit Log (Shipboard Security) 2/28/2024 -45350 -45350 due due
FA07A Ship Security Plan (Letter of Approval) 2/28/2024 45350 45350 ok ok
FA08 Continuous Synopsis Record (CSR) 2/28/2024 45350 45350 ok ok
FA09 Maritime Labour Convention Certificate 2/28/2024 -45350 45350 due ok
FA10 DMLC Part I 2/28/2024 45350 45350 ok ok
FA11 DMLC Part II 2/28/2024 45350 45350 ok ok
FA11 DMLC - Letter of Review 2/28/2024 45350 45350 ok ok
FA12 MLC Inspection Log 2/28/2024 -45350 45350 due ok
FA13 Minimum Safe Manning 2/28/2024 45350 45350 ok ok
FA14 Endorsements - Master Mustafa Jomah (COC) 2/28/2024 -45350 45350 due ok
FA14 Endorsements - Master Mustafa Jomah (GOC) 2/28/2024 -45350 45350 due ok

FA14 Endorsements - Chief Officer Mostafa Othman (COC) 2/28/2024 -45350 45350 due ok

FA14 Endorsements - Chief Officer Mohamad Hammoud (GOC)

2/28/2024 -45350 45350 due ok

FA14 Endorsements - Hammoud Mohamad Deck Officer 1 2/28/2024 -45350 45350 due ok

FA14 Endorsements - Khairallah Massouh Deck Officer 2 2/28/2024 -45350 45350 due ok

FA14 Endorsements - Chief Engineer Ahmad Hammoud 2/28/2024 -45350 45350 due ok

FA14 Endorsements - Second Engineer Abdulhadi Alsayed 2/28/2024 -45350 45350 due ok

FA14 Endorsements - Engine Officer Assem Markabi 2/28/2024 -45350 45350 due ok
FA15 International Tonnage 2/28/2024 45350 45350 ok ok
FA16 Ship Radio (Station) Licence 2/28/2024 -45350 45350 due ok
FA17 LRIT Conformance Test 2/28/2024 45350 45350 ok ok
FA18 Carving and Marking Note 2/28/2024 45350 45350 ok ok
FA19 Civil Liability for BOP 2/28/2024 -45350 45350 due ok
FA20 Liability for Removal of Wreck 2/28/2024 -45350 45350 due ok
FA21 Sanitation Certificate 2/28/2024 -45350 45350 due ok
FA22 Medical Certificate 2/28/2024 -45350 45350 due ok
FA23 Certificate of Disposal 2/28/2024 45350 45350 ok ok
FA24 ISM Code Declaration of the Company 2/28/2024 45350 45350 ok ok
FA25 Checklist for Accommodation 2/28/2024 45350 45350 ok ok
Part II Classification Society
CC01 Certificate of Class 2/28/2024 -45350 -45350 due due
CC02 Safety Construction 2/28/2024 -45350 -45350 due due
CC03 Load Lines Certificate 2/28/2024 -45350 -45350 due due
CC04 Load Lines Assignment 2/28/2024 45350 45350 ok ok
CC05 Safety Equipment 2/28/2024 -45350 -45350 due due
CC06 Safety Equipment Record E 2/28/2024 45350 45350 ok ok
CC06 Safety Equipment Record SEC 2/28/2024 45350 45350 ok ok
CC07 Safety Radio 2/28/2024 -45350 -45350 due due
CC08 Safety Radio Record R 2/28/2024 45350 45350 ok ok
CC09 IOPP Certificate 2/28/2024 -45350 -45350 due due
CC10 IOPP Supplement 2/28/2024 45350 45350 ok ok
CC11 IOPP Diagram & Shore Connection 2/28/2024 45350 45350 ok ok
CC12 IAPP Certificate 2/28/2024 -45350 -45350 due due
CC13 IAPP Supplement 2/28/2024 45350 45350 ok ok

CC14 International Energy Eficiency Certificate and Record 2/28/2024 45350 45350 ok ok

CC15 Confirmation of Compliance - SEEMP Part II 2/28/2024 45350 45350 ok ok

CC16 DoA for Carriage of Bulk Grain 2/28/2024 45350 45350 ok ok
CC17 Sewage pollution prevention cert. 2/28/2024 -45350 -45350 due due
CC18 Sewage Diagram & Shore Connection 2/28/2024 45350 45350 ok ok
CC19 Carriage of solid bulk cert. with Annex 2/28/2024 -45350 45350 due ok

CC20 DOC for carriage of dangerous goods with the Appendix2/28/2024 -45350 45350 due ok

Revision: 01.July.2022 Approved by MD Page 1 of 2

 Form O 01
Ship Certificates

CC21 Checklist for special requirements for ships carrying dangerous

2/28/2024goods 45350 45350 ok ok

CC22 Cargo Gear Annual Survey 2/28/2024 -45350 -45350 due due
CC22A Cargo Gear Annual Indian Survey 2/28/2024 -45350 -45350 due due
CC23 Cargo Gear Load Test 2/28/2024 -45350 45350 due ok
CC24 Ballast water management certificate 2/28/2024 -45350 0 due soon
CC25 Anti-Fouling System Certificate & Record 2/28/2024 45350 45350 ok ok
CC26 Class Status Report 2/28/2024 -45350 45350 due ok
CC27 Class Status Report INSB 2/28/2024 45350 45350 ok ok
CC28 Ship Implementation Plan 2/28/2024 45350 45350 ok ok
Part III Insurance
I01 Hull & Machinery Policy 2/28/2024 -45350 45350 due ok
I02 P&I Certificate of Insurance 2/28/2024 -45350 45350 due ok
I03 Bunker Blue Card 2/28/2024 -45350 45350 due ok
I04 Wreck Removal Blue Card 2/28/2024 -45350 45350 due ok
I05 P& I MLC 2.5.2 Certificate 2/28/2024 -45350 45350 due ok
I06 P&I MLC 4.2 Certificate 2/28/2024 -45350 45350 due ok
Part IV Marine Product

MP01 Lifeboat, Davit and Winch Inspection (Port location) 2/28/2024 -45350 45350 due ok

MP02 Lifeboat, Davit and Winch Inspection (STBD location) 2/28/2024 -45350 45350 due ok

MP03 No.1 & No. 2 Life Boat, Davit & Release Gear Certificate (5 Yearly)
2/28/2024 -45350 45350 due ok

MP04 Release Gear System Attestation According MSC.1 1392

2/28/2024 45350 45350 ok ok

MP05 3Nos Liferaft Annual Inspection 2/28/2024 -45350 45350 due ok

MP05A Hydrostatic Release Unit for Liferaft 2/28/2024 -45350 45350 due ok
MP06 Fixed CO2 System Inspection 2/28/2024 -45350 45350 due ok
MP07 Fixed CO2 System Cylinders Hydraulic Test 2/28/2024 -45350 45350 due ok
MP08 Fire Extinguishers Annual Inspection 2/28/2024 -45350 45350 due ok
MP09 Fire Extinguishers Hydrostatic Test 2/28/2024 -45350 45350 due ok
MP10 Portable Foam Applicator Inspection Report 2/28/2024 -45350 45350 due ok
MP11 Breathing Apparatus Units & Cylinders 2/28/2024 -45350 45350 due ok
MP12A Breathing Apparatus Cylinders Hydrostatic Test 2/28/2024 -45350 45350 due ok
MP12 Breathing Apparatus Cylinders Hydrostatic Test 2/28/2024 -45350 45350 due ok
MP13 E.E.B.D Annual Service 2/28/2024 -45350 45350 due ok
MP14 E.E.B.D Cylinders Hydrostatic Test 2/28/2024 -45350 45350 due ok
MP15 Medical Oxygen Set 2/28/2024 -45350 45350 due ok
MP16 Medical Oxygen Cylinder Hydrostatic Test 2/28/2024 -45350 45350 due ok

MP17 Immersion suit inspection (pressure test due 18042022) 2/28/2024 -45350 45350 due ok

MP18 Multi Gas Detector Calibration 2/28/2024 -45350 45350 due ok

MP19 Life Jackets Inspection 2/28/2024 -45350 45350 due ok
MP20 Lifebuoy Inspection Certificate 2/28/2024 -45350 45350 due ok
MP21 Fireman outfit certificate 2/28/2024 -45350 45350 due ok
MP22 SSAS Annual Test 2/28/2024 -45350 45350 due ok
MP22 SSAS Checklist for Survey 2/28/2024 -45350 45350 due ok
MP23 EPIRB Annual Test 2/28/2024 -45350 45350 due ok
MP23 EPIRB Shore-Based Maintenance 2/28/2024 -45350 45350 due ok
MP23 EPIRB Battery 2/28/2024 -45350 45350 due ok
MP23 EPIRB Release 2/28/2024 -45350 45350 due ok
MP24 AIS Test Report 2/28/2024 -45350 45350 due ok
MP25 SART No 1 & 2 Test Report 2/28/2024 -45350 45350 due ok
MP26 SVDR Annual Test Report 2/28/2024 -45350 45350 due ok
MP27 GMDSS ShoreBased Maintenance Cert. 2/28/2024 -45350 45350 due ok

MP28 Checklist for intial-renewal of cargo ship safety radio equipment

2/28/2024 GMDSS -45350 45350 due ok

MP29 Anchor Chain Calibration 2/28/2024 -45350 45350 due ok

MP30 Annual Test of Portable VHF Equipment 2/28/2024 -45350 45350 due ok
MP31 Oil Content Detector (Bildge Separator) 2/28/2024 -45350 45350 due ok
MP32 BNWAS Annual Test Certificate 2/28/2024 -45350 45350 due ok
MP33 Gyro Compass Annual Service Certificate 2/28/2024 -45350 45350 due ok
MP34 Gangway Annual Inspection 2/28/2024 -45350 45350 due ok
MP35 Gangway 5-Year Inspection & Load Test 2/28/2024 -45350 45350 due ok
MP36
Part V Approval

Signature E/O

Signature C/E

Revision: 01.July.2022 Approved by MD Page 2 of 2