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    Form SSCec Bolak Balik

    Uploaded by

    Sasqia Orina Safitri
    This document contains a ship sanitation control exemption/control certificate issued after an inspection. It records that the holds were either unladen or laden with cargo. Areas on the ship inspected include the galley, pantry, stores, hold(s)/cargo, quarters for crew, officers and passengers, deck, potable water, sewage, ballast tanks, solid and medical waste, standing water, engine room, and medical facilities. The certificate notes there was no evidence found and the ship is exempted from control measures, or control measures were applied on the date listed. An attachment provides details on additional areas/facilities inspected, evidence found, sample results, documents reviewed, and control measures applied.

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    Attribution Non-Commercial (BY-NC)
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    Form SSCec Bolak Balik

    Uploaded by

    Sasqia Orina Safitri
    478 views2 pages
    This document contains a ship sanitation control exemption/control certificate issued after an inspection. It records that the holds were either unladen or laden with cargo. Areas on the ship inspected include the galley, pantry, stores, hold(s)/cargo, quarters for crew, officers and passengers, deck, potable water, sewage, ballast tanks, solid and medical waste, standing water, engine room, and medical facilities. The certificate notes there was no evidence found and the ship is exempted from control measures, or control measures were applied on the date listed. An attachment provides details on additional areas/facilities inspected, evidence found, sample results, documents reviewed, and control measures applied.

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    This document contains a ship sanitation control exemption/control certificate issued after an inspection. It records that the holds were either unladen or laden with cargo. Areas on the ship inspected include the galley, pantry, stores, hold(s)/cargo, quarters for crew, officers and passengers, deck, potable water, sewage, ballast tanks, solid and medical waste, standing water, engine room, and medical facilities. The certificate notes there was no evidence found and the ship is exempted from control measures, or control measures were applied on the date listed. An attachment provides details on additional areas/facilities inspected, evidence found, sample results, documents reviewed, and control measures applied.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    478 views2 pages

    Form SSCec Bolak Balik

    Uploaded by

    Sasqia Orina Safitri
    This document contains a ship sanitation control exemption/control certificate issued after an inspection. It records that the holds were either unladen or laden with cargo. Areas on the ship inspected include the galley, pantry, stores, hold(s)/cargo, quarters for crew, officers and passengers, deck, potable water, sewage, ballast tanks, solid and medical waste, standing water, engine room, and medical facilities. The certificate notes there was no evidence found and the ship is exempted from control measures, or control measures were applied on the date listed. An attachment provides details on additional areas/facilities inspected, evidence found, sample results, documents reviewed, and control measures applied.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    The form of this certificate is prescribed in Annex 3 of the International Health Regulations 2005 and Schedule 3 of the Public

    Health (Ships) (Amendment) (England) Regulations 2007

    Certificate Number:

    SHIP SANITATION CONTROL EXEMPTION CERTIFICATE/SHIP SANITATION CONTROL CERTIFICATE Port of : . Date of : This Certificate records the inspection and 1) exemption from control or 2) control measures applied Name of ship or inland navigation vessel....................................................Flag................................................. Registration/IMO No. ........... At the time of inspection the holds were unladen/laden with .............................................................. tonnes of ............................. cargo
    Ship Sanitation Control Exemption Certificate
    Areas , [systems, and services] inspected Galley Pantry Stores Hold(s)/cargo Quarters: - crew - officers - passengers - deck Potable water Sewage Ballast tanks Solid and medical waste Standing water Engine room Medical facilities Other areas specified -see attached
    Note areas not applicable, by marking N/A.

    Ship Sanitation Control Certificate


    Control measures Applied Re-inspection date Comments regarding conditions found

    Evidence found1

    Sample results2

    Documents reviewed

    No evidence found. Ship/vessel is exempted from control measures.

    Control measures indicated were applied on the date below.

    Catatan Kepala Kantor Kesehatan Pelabuhan Kelas II Banjarmasin, ................................................................... ...................................................................

    Kesimpulan & Rekomendasi Atasan Langsung Pemeriksa, .................................................................... ....................................................................

    Disetujui , Master/Nakhoda :

    Petugas Pemeriksa, 1. .................... 2. .................... ........................ ....................... .........................

    ........................ ..................................................

    3. ....................

    The form of this certificate is prescribed in Annex 3 of the International Health Regulations 2005 and Schedule 3 of the Public Health (Ships) (Amendment) (England) Regulations : 2007

    Certificate Number:

    ATTACHMENT TO SHIP SANITATION CONTROL EXEMPTION CERTIFICATE / SHIP SANITATION CONTROL CERTIFICATE
    Areas/facilities/systems inspected Food Source Storage Preparation Service Water Source Storage Distribution Waste Holding Treatment Disposal Swimming pools/spas Equipment Operation Medical facilities
    Equipment and medical devices

    Evidence found

    Sample results

    Documents reviewed

    Control measures applied

    Re-inspection date

    Comments regarding conditions found

    Operation Medicines Other areas inspected

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