/ Record of Condition of Assignment / raLL

Under the Provisions of the International Convention on Load Lines, 1966.

Name of Ship
Port of Registry
Nationality
Distinctive Number or Letters
Shipbuilders
Yard Number / Registered Number(1)
Date of Construction / Conversion(1) /
Freeboard assigned as a ship of Type
Classification society
Date and Place of initialsurvey

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NOTE: ISClass assumes no responsibility and shall not be liable for any loss, damage directly or indirectly caused by the report in this document.

/ Record of Condition of Assignment / raLL

1.SKETCH OF THE SHIP

Disposition and dimensions of superstructures, trunks, deckhouses, machinery casings, extend of bulkwarks, guard rails and wood sheathing on exposed deck, to be inserted in the diagrams and tables following; together with positions of hatchways, gangways, and other means for the protection of the crew; cargo ports, bow and stern doors, side scuttles, scuppers, ventilators, air pipes, companionways, and other items that would affect the seaworthiness of the ship.



L = m

Superestructure deck



0.25 L
Position 2 Position 1
Freeboard deck

Position 1
Note: A plan of suitable size may be attached to this Record in preference to sketches. Where appropriate, the information on subsequent pages of the record can be supplemented with , or certain items substituted by sketches or extracts of plan of a size consistent with that of the Record, Provided such material is referred to in the relevant space of the sketch or the plan of the ship.

2. DOORWAYS IN SUPERESTRUCTURES, EXPOSED MACHINERY CASINGS AND DECKHOUSES PROTECTING

OPENINGS IN FREEBOARD AND SUPERESTRUCTURE DECKS (Regs. 12, 17 & 18 )

POSITION / Ref. No. on Sketch or PLAN / Number and Size of openings / Height of Sills
(mm) / Closing Appliances
Type and Material / Number of Clips
In Forecastle bulkhead
In bridge forward bulkhead
In bridge after bulkhead
In raised quarter deck bulkhead
In poop bulkhead
In exposed machinery casing on freeboard or raised quarter decks
In exposed machinery casing on superstructure decks
In machinery casings within superstructure or deckhouse on freeboard deck
In deckhouse in Position 1 enclosing openings leading below freeboard deck
In deckhouse in Position 2 enclosing openings leading below freeboard deck
In exposed pump-room casings
  1. HATCHWAYS AT POSITIONS 1 AND 2 CLOSED BY PORTABLE COVERS AND SECURED WEATHERTIGHT

BY TARPAULINS AND BATTENING DEVICE ( Reg. 15 )

Position and reference No. on sketch or plan
Dimensions of clear opening at top of coamings, (m)
Height of coamings above deck, (mm)
Spacing of Cleats
Means of securing each section of covers (Reg. 15):
Are wood covers fitted with galvanized end bands?

Note: Some authorities require that galvanized steel bands protecting the ends of wood hatch boards be efficiently secured. Indicated if fitted.

4.HATCHWAYS AT POSITIONS 1 AND 2 CLOSED BY WEATHERTIGHT COVERS OF STEEL (OR OTHER EQUIPMENT MATERIAL) FITTED WITH GASKETS AND CLAMPING DEVICES (Reg. 16)

Position and Reference No. on sketch or plan
Dimensions of clear opening at top of coamings
Height of coamings above deck
Type of covers or patent name
Material
  1. MACHINERY SPACE OPENINGS AND MISCELLANEOUS, OPENINGS IN FREEBOARD AND SUPERSTRUCTURE

DECKS (REG. 17 & 18)

Position and Reference Number on Sketch or Plan / Dimensions / Height of Coaming, (mm) / Cover / Number and Spacing of Toggles
Material / How attached

6.VENTILATORS ON FREEBOARD AND SUPERSTRUCTURE DECKS IN POSITION 1 AND2 (REG.19)

Deck on which fitted / Number fitted / Coaming / Type (State Patent Name, if any) / Closing Appliances
dimensions, (mm) / height, (mm)

7.AIR PIPES ON FREEBOARD AND SUPERSTRUCTURE DECKS (Reg. 20 )

Deck on which fitted / Number fitted / Coaming / Type (state patent name, if any) / Closings Appliances
Dimensions / Height,(mm)

8.CARGOPORT AND OTHER SIMILAR OPENINGS (Reg. 21)

Position of port / dimensions of opening, (mm) / distance of lower edge from
freeboard deck, (mm) / Securing devices / Notes

9.SCUPPERS, INLETSAND DISCHARGES (REG.22)

State if Scupper, or Discharge / Number / Pipe / From / Vertical distance above top of keel / Number, Type and material of discharge vales / Position
Of controls
Diameter, (mm) / Thickness, (mm) / Material / Discharge / uppermost Valve
Outlet in hull / Inboard end

Recommended symbols:

S – ScupperB – BronzeSD – Screw Down e

D – DischargeV – Screw-Down ValveMS – Mild Steel

A– Automatic Non-Return ValveCS – Cast Steel GM – Gun Metal

NOTE: If other materials are used, appropriate symbols adopted in each particular case are to be added.

10.SIDE SCUTTLES (Reg. 23)

Position / Number fitted / Clear glass size, (mm) / Type
(fixed or opening) / Material / Type of glass and thickness, (mm) / Standards used and type No. / Note
Frame / Deadlight
The vertical distance between the freeboard deck and the lower sill of the side scuttle positioned at the greatest vertical distance below the freeboard deck is: / (mm)
  1. FREEING PORTS (Reg. 24)

Freeing ports in ship’s portions where no trunks are fitted

Length of bulkwark / Height of bulkwark / Number and size freeing ports each side / Total area each side / Required area
each side
Freeboard deck after well
Forward well
Superstructure deck

12.Protection of the crew (Reg.25 and 26)

1 / Bulwarks or guard rails on exposed parts of the freeboard and superstructure decks,( location, height, opening below the lowest course of the guard rails, distance between courses)
2 / Details of lifelines, walkways, gangways or underdeck passage ways where required to be fitted.

13.ADDITIONAL INFORMATION FOR SHIPS CARRYING TIMBER DECK CARGO (REG.43,44)

1. / Construction of ship:
1.1 / Length and height of a forecastle. If there is no poop, is there a raised quarter deck with a strong steel hood or a deckhouse fitted aft
1.2 / Have double bottom tanks fitted within the midship half length of the ship watertight longitudinal subdivision
1.3 / Have bulwarks a sufficient height and are they specially stiffened or are there rails of an approved construction
1.4 / Is a deck of a sufficient strength for a cargo to be carried thereon

The conditions of assignment shown on this form are a record of the arrangements and fittings provided on the ship and are in accordance with the requirements of the relevant regulations of the International Convention on Load Lines, 1966

Signature: / Signature:
Name: / Name:
Date of Survey: / Date of Survey:
Place of Survey: / Place of Survey:
Surveyor ID: / Surveyor ID: / Office:

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NOTE: ISClass assumes no responsibility and shall not be liable for any loss, damage directly or indirectly caused by the report in this document.