Cargo Ship Safety Radio Survey Checklist

Name of Ship: IMO Number: Flag: Port of Registry:

Click or tap here to enter Click or tap here to enter Click or tap here to enter Click or tap here to enter
text. text. text. text.
Assignment No: Port of Survey: Date Survey Commenced: Date Survey Completed:
Click or tap here to enter Click or tap here to enter Click or tap here to enter Click or tap here to enter
text. text. text. text.
Survey Type: Initial: Intermediate: Renewal: Annual:

Notes:

1. Complete relevant sections as applicable for the surveys carried out. Check boxes under ‘Y’ to indicate YES, ‘N‘ to indicate
NO and “N/A“ to indicate NOT APPLICABLE.

2. Complete all sections (if applicable) for all surveys. In renewal/periodical surveys.

A INITIAL SURVEY (CARGO VESSELS) Y N N/A

1 Plan / design review
Establishing the sea areas declared for operation, the equipment installed to fulfil the functional
requirements for the sea areas of operation, the methods adopted to ensure the availability of
1.1 ☐ ☐ ☐
the functional requirements and the arrangements for supply of an emergency source of energy
(if any)

Establishing which radio equipment is to be surveyed and, if duplication of equipment is used as

1.2 a means of ensuring the availability of the functional requirements, establishing which is the ☐ ☐ ☐
"basic equipment" and which the "duplicated equipment"
Confirming all SOLAS equipment complies with appropriate performance standards not inferior
1.3 ☐ ☐ ☐
to those adopted by IMO
Examining the plans for the provision and position of the radio installation, including sources of
1.4 ☐ ☐ ☐
energy and antennas

1.5 Examining the plans for the provision and positioning of the radio life-saving appliances ☐ ☐ ☐

2 Survey during construction and after installation ☐ ☐ ☐

Examining the position, physical and electromagnetic protection and illumination of each radio
2.1 ☐ ☐ ☐
installation
Confirming the provision of equipment for the radio installation with due regard to the declared
2.2 sea areas in which the ship will trade and the declared means of maintaining availability of ☐ ☐ ☐
functional requirements

Confirming the ability to initiate the transmission of ship-to-shore distress alerts by at least two
2.3 separate and independent means, each using a different radiocommunication service, from the ☐ ☐ ☐
position from which the ship is normally navigated

2.4 Examining all antennas, including ☐ ☐ ☐

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 Visually checking all antennas, including inmarsat antennas, and feeders for satisfactory siting
2.5 ☐ ☐ ☐
and absence of defects
2.6 Checking insulation and safety of all antennas ☐ ☐ ☐
2.7 Examining the reserve source of energy, including ☐ ☐ ☐

Checking there is sufficient capacity to operate the basic or duplicated equipment for 1 hour or
2.8 ☐ ☐ ☐
6 hours, as appropriate

2.9 If the reserve source of energy is a battery ☐ ☐ ☐

2.10 Checking its siting and installation ☐ ☐ ☐
Where appropriate, checking its condition by specific gravity measurement or voltage
2.11 ☐ ☐ ☐
measurement

With the battery off charge, and the maximum required radio installation load connected to the
2.12 ☐ ☐ ☐
reserve source of energy, checking the battery voltage and discharge current

2.13 Checking that the charger(s) are capable of recharging the reserve battery within 10 hours ☐ ☐ ☐

Checking that information of ship's position is provided continuously and automatically to all
2.14 ☐ ☐ ☐
two-way communication equipment

2.15 Examining the vhf transceiver(s), including ☐ ☐ ☐

2.16 Checking for operation on channels 6, 13 and 16 ☐ ☐ ☐

2.17 Checking frequency tolerance, transmission line quality and radio frequency power output ☐ ☐ ☐

2.18 Checking for correct operation of all controls including priority of control units ☐ ☐ ☐

Checking that the equipment operates from the main, emergency (if provided) and reserve
2.19 ☐ ☐ ☐
sources of energy

Checking the operation of the vhf control unit(s) or portable vhf equipment provided for
2.20 ☐ ☐ ☐
navigational safety

2.21 Checking for correct operation by on-air contact with a coast station or other ship ☐ ☐ ☐

Examining the vhf dsc controller and channel 70 digital selective calling (dsc) watch receiver,
2.22 ☐ ☐ ☐
including

Performing an off-air check confirming the correct maritime mobile service identity is
2.23 ☐ ☐ ☐
programmed in the equipment

Checking for correct transmission by means of a routine or test call to a coast station, other
2.24 ☐ ☐ ☐
ship, onboard duplicate equipment or special test equipment

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 Checking for correct reception by means of a routine or test call from a coast station, other
2.25 ☐ ☐ ☐
ship, onboard duplicate equipment or special test equipment

2.26 Checking the audibility of the vhf/dsc alarm ☐ ☐ ☐

Checking that the equipment operates from the main, emergency (if provided) and reserve
2.27 ☐ ☐ ☐
sources of energy

2.28 Examining the mf/hf radiotelephone equipment, including ☐ ☐ ☐

Checking that the equipment operates from the main, emergency (if provided) and reserve
2.29 ☐ ☐ ☐
sources of energy
2.30 Checking the antenna tuning in all appropriate bands ☐ ☐ ☐

2.31 Checking that the equipment is within frequency tolerance on all appropriate bands ☐ ☐ ☐

Checking for correct operation by contact with a coast station and/or measuring transmission
2.32 ☐ ☐ ☐
line quality and radio frequency output

2.33 Checking receiver performance by monitoring known stations on all appropriate bands ☐ ☐ ☐

If control units are provided outside the navigating bridge, checking that the control unit on the
2.34 ☐ ☐ ☐
bridge has first priority for the purpose of initiating distress alerts

2.35 Examining the hf radio telex equipment, including ☐ ☐ ☐

Checking that the equipment operates from the main, emergency (if provided) and reserve
2.36 ☐ ☐ ☐
sources of energy

2.37 Confirming that the correct selective calling number is programmed in the equipment ☐ ☐ ☐

Checking correct operation by inspection of recent hard copy or by a test with a coast radio
2.38 ☐ ☐ ☐
station
2.39 Examining the mf/hf dsc controller(s), including ☐ ☐ ☐
Checking that the equipment operates from the main, emergency (if provided) and reserve
2.40 ☐ ☐ ☐
sources of energy

2.41 Confirming that the correct maritime mobile service identity is programmed in the equipment; ☐ ☐ ☐

2.42 Checking the off-air self-test program ☐ ☐ ☐

Checking operation by means of a test call on mf and/or hf to a coast radio station if the rules of
2.43 ☐ ☐ ☐
the berth permit the use of mf/hf transmissions

2.44 Checking the audibility of the mf/hf dsc alarm; ☐ ☐ ☐

2.45 Examining the mf/hf dsc watch receiver(s), including ☐ ☐ ☐

2.46 Confirming that only distress and safety dsc frequencies are being monitored ☐ ☐ ☐

2.47 Checking that a continuous watch is being maintained while keying mf/hf radio transmitters ☐ ☐ ☐

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 2.48 Checking for correct operation by means of a test call from a coast station or other ship ☐ ☐ ☐

2.49 Examining the inmarsat ship earth station(s), including ☐ ☐ ☐

Checking that the equipment operates from the main, emergency (if provided) and reserve
sources of energy, and that where an uninterrupted supply of information from the ship's
2.50 ☐ ☐ ☐
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

2.51 Checking the distress function by means of an approved test procedure where possible ☐ ☐ ☐

2.52 Checking for correct operation by inspection of recent hard copy or by test call; ☐ ☐ ☐

2.53 If appropriate, examining the navtex equipment ☐ ☐ ☐

2.54 Checking for correct operation by monitoring incoming messages or inspecting recent hard copy ☐ ☐ ☐

2.55 Running the self-test program if provided; ☐ ☐ ☐

2.56 Examining the enhanced group call equipment ☐ ☐ ☐
Checking for correct operation and area by monitoring incoming messages or by inspecting
2.57 ☐ ☐ ☐
recent hard copy
2.58 Running the self-test program if provided; ☐ ☐ ☐

If appropriate, examining the radio equipment for receipt of maritime safety information by hf
2.59 ☐ ☐ ☐
narrow band direct printing (nbdp)

2.60 Checking for correct operation by monitoring incoming messages or inspecting recent hard copy ☐ ☐ ☐

2.61 Running the self-test program if provided; ☐ ☐ ☐

2.62 Examining the 406 MHz satellite emergency position indicating radio beacon (epirb), including: ☐ ☐ ☐

2.63 Checking position and mounting for float free operation ☐ ☐ ☐

2.64 Carrying out visual inspection for defects ☐ ☐ ☐

2.65 Carrying out the self-test routine ☐ ☐ ☐

Checking that the unique beacon identification code is clearly marked on the outside of the
2.66 equipment and, where possible, decoding the unique beacon identification code confirming it is ☐ ☐ ☐
correct

Checking that the unique beacon identification code programmed in the epirb corresponds with
2.67 ☐ ☐ ☐
the unique beacon identification code assigned by or on behalf of the administration

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 Checking that the mmsi number if encoded in the beacon corresponds with the mmsi number
2.68 ☐ ☐ ☐
assigned to the ship

2.69 Checking the battery expiry date ☐ ☐ ☐

2.70 If provided, checking the hydrostatic release and its expiry date ☐ ☐ ☐

Checking the emission on operational frequencies, coding and registration on the 406 MHz
2.71 ☐ ☐ ☐
signal without transmission of a distress call to the satellite

Checking that the epirb has been subject to maintenance at intervals not exceeding five years at
2.72 ☐ ☐ ☐
an approved shore-based maintenance facility

If possible, checking the emission on operational frequencies, coding and registration on the
2.73 ☐ ☐ ☐
121.5 MHz homing signal without transmission of a distress call to the satellite;

2.74 Examining the two-way vhf radiotelephone apparatus (solas 74/88 reg.iii/6), including ☐ ☐ ☐

Checking for correct operation on channel 16 and one other by testing with another fixed or
2.75 ☐ ☐ ☐
portable vhf installation

2.76 Checking the battery charging arrangements where re-chargeable batteries are used ☐ ☐ ☐

2.77 Checking the expiry date of primary batteries where used; ☐ ☐ ☐

2.78 Where appropriate, checking any fixed installation provided in a survival craft ☐ ☐ ☐

2.79 Examining the search and rescue locating device(s) ☐ ☐ ☐

2.80 Checking the position and mounting ☐ ☐ ☐
2.81 Monitoring response on ship's 9 ghz radar; ☐ ☐ ☐
2.82 Checking the battery expiry date; and ☐ ☐ ☐

Examining the test equipment and spares carried to ensure carriage is adequate in accordance
2.83 with the sea areas in which the ship trades and the declared options for maintaining availability ☐ ☐ ☐
of the functional requirements

3 Documentation check

3.1 Checking for a valid radio licence issued by the flag administration ☐ ☐ ☐

3.2 Checking the radio operator's certificates of competence ☐ ☐ ☐

3.3 Checking the radio record (log) ☐ ☐ ☐

3.4 Checking the carriage of up-to-date itu publications ☐ ☐ ☐

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 3.5 Checking the carriage of operating manuals for all equipment ☐ ☐ ☐

Checking the carriage of service manuals for all equipment when at-sea maintenance is the
3.6 ☐ ☐ ☐
declared option

4 Issuance

The surveyor preparing and forwarding a survey report, indicating clearly the organization he or
she represents, to the relevant authorities, detailing results of the survey and recording
4.1 ☐ ☐ ☐
omissions and deficiencies, if satisfied, the relevant authorities should issue a cargo ship safety
radio certificate and the associated record of equipment (form r).

B PERIODICAL SURVEY (CARGO VESSELS) Y N N/A

1 Documentation check

Checking the validity, as appropriate, of the Cargo Ship Safety Equipment Certificate, the Cargo
1.1 Ship Safety Radio Certificate and the Cargo Ship Safety Construction Certificate or the Cargo ☐ ☐ ☐
Ship Safety Certificate

1.2 Checking, as appropriate, the validity of the Polar Ship Certificate; ☐ ☐ ☐

1.3 Checking that the ship's complement complies with the Minimum Safe Manning Document ☐ ☐ ☐

1.4 Checking the validity of the International Ship Security Certificate ☐ ☐ ☐

Checking the validity of the International Load Line Certificate or International Load Line
1.5 ☐ ☐ ☐
Exemption Certificate

1.6 Checking the validity of the International Oil Pollution Prevention Certificate ☐ ☐ ☐

1.7 Checking the certificates of class, if the ship is classed with a classification society; ☐ ☐ ☐

Checking, where appropriate, the validity of the International Certificate of Fitness for the
1.8 Carriage of Dangerous Chemicals in Bulk or the Certificate of Fitness for the Carriage of ☐ ☐ ☐
Dangerous Chemicals in Bulk;

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 Checking, when appropriate, the validity of the International Certificate of Fitness for the
1.9 ☐ ☐ ☐
Carriage of Liquefied Gases in Bulk;

Checking, when appropriate, the validity of the International Pollution Prevention Certificate for
1.10 ☐ ☐ ☐
the Carriage of Noxious Liquid Substances in Bulk;

Checking, when appropriate, the validity of the International Sewage Pollution Prevention
1.11 ☐ ☐ ☐
Certificate
Checking, when appropriate, the validity of the International Air Pollution Prevention
1.12 ☐ ☐ ☐
Certificate;

1.13 Confirming, when appropriate, the validity of the International Energy Efficiency Certificate ☐ ☐ ☐

Checking, when appropriate, the validity of the International Ballast Water Management
1.14 ☐ ☐ ☐
Certificate

1.15 Checking that the ship's complement complies with the Minimum Safe Manning Document ☐ ☐ ☐

Checking that adequate information is on board to enable the equipment to be properly

1.16 ☐ ☐ ☐
operated and maintained;
Checking that the master, officers and ratings are certificated as required by the STCW
1.17 ☐ ☐ ☐
Convention;

Confirming that any new equipment has been properly approved before installation and that no
1.18 ☐ ☐ ☐
changes have been made such as would affect the validity of the certificate;

Confirming that a record has been kept in the period since the last survey to the satisfaction of
1.19 ☐ ☐ ☐
the Administration and as required by the Radio Regulations

Checking documentary evidence that the actual capacity of the battery has been proved in port
1.20 ☐ ☐ ☐
within the last 12 months

1.21 Confirming that the provisions of (RI) 4.1.3 have been met ☐ ☐ ☐

Checking that the annual test has been carried out for the Satellite EPIRB and, if applicable,
1.22 ☐ ☐ ☐
shore-based maintenance has been carried out at intervals not exceeding five years

1.23 Confirming the availability of the International Anti-Fouling System Certificate ☐ ☐ ☐

2 Survey
2.1 The provisions of (RI) 2.1- 2.19 ☐ ☐ ☐
3 Issuance

3.1 After a satisfactory survey, endorsing the Cargo Ship Safety Radio Certificate; and ☐ ☐ ☐

If a survey shows that the condition of a ship or its equipment is unsatisfactory, see part
3.2 ☐ ☐ ☐
"General" section 4.8.

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 C RENEWAL SURVEY (CARGO VESSELS) Y N N/A
1 Documentation check
The provisions of (RP) 1.1-1.23, except for the validity of the Cargo Ship Safety Radio Certificate
1.1 ☐ ☐ ☐

2 Survey
2.1 The provisions of (RI) 2.1-2.19 ☐ ☐ ☐
3 Issuance
After a satisfactory survey, issuing the Cargo Ship Safety Radio Certificate as per the provisions
3.1 of (RI) 4.1 ☐ ☐ ☐

MODIFICATIONS/ALTERATIONS
Details:
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DEFICIENCIES
Details:
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REMARKS

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THIS IS TO CERTIFY THAT:

(a) A cargo ship safety radio survey has been carried out in accordance with the relevant regulation of the Convention and
as described above;

(b) Minor deficiencies, if any, are described above;

(c) A PROVISIONAL /SHORTTERM /CONDITIONAL Cargo Ship Safety Radio Certificate No.:
Click or tap here to enter text.
has been issued on Click or tap here to enter text. and valid until Click or tap here to enter text.

(e) A full-term Certificate may be issued by HO .

(f) A full-term certificate should not be issued by HO until the deficiencies noted at B above have been rectified .

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 (g) The full-term Cargo Ship Safety Radio certificate No.: Click or tap here to enter text. has been endorsed for the
Annual (A) / Periodical (P) survey on Click or tap here to enter text. at Click or tap here to enter text.
.

Signature of Surveyor

Name of Surveyor Click or tap here to enter text.

Port Click or tap here to enter text.

Date Click or tap here to enter text.

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