CI 76 safeTt of lite at sea 



Form of Safety Equipment Certificate for Cargo Ships 



C.\RGO SHIP SAFETY* EQUIPMENT CERTIFICATE 



{Official Seal) {Country) 



Issued under the pro\isions of the 



Internation-vl CoNTVEsnoN for the Sapeti' of Life at Sea. 1960 



Distinctive Date on which 



Nanie of Ship Number or Pon of Registr> Gross keel was laid 



Leners Tonnage (see Note 



below) 



The [Same) Government certifies 



I, the undersigned (yame) certif>- 



I. That the above-mentioned ship has been duly inspected in accordance 

 with the provisions of the Convention referred to above. 



II. That the inspection showed that the hfe-saving appliances provided 

 for a total number of persons and no more viz.: — 



lifeboats on port side capable of accommodating 



persons; 



lifeboats on starboard side capable of accommodating__ 



persons; 



motor lifeboats (included in the total lifeboats shown above), 



includin g m nrnr lifeboats fitted with radio- 

 telegraph installation and searchlight, and— motor 



lifeboats fitted with searchlight only; 



Jiferafts, for which approved launching devices are required, 

 capable of accommodating persons; and 



Jiferafts, for which approved launching devices are not 

 required, capable of accommodating persons; 



-lifebuoys ; 

 Jifejackets. 



Note. — It will be suflScient to indicate the year in which the keel W3S laid except for 1952 

 and the year of the coming into force of the International Convention for the Safety of Life 

 at Sea, I960, in whidi cases the actual date should be given. 



App. 



