Detail

Schedule 4

RECORD OF PARTICULARS RELATING TO CONDITIONS OF ASSIGNMENT

SHIPPING (LOAD LINE) REGULATIONS

DOORWAYS IN SUPERSTRUCTURES, EXPOSED MACHINERY CASINGS AND DECKHOUSES PROTECTING OPENINGS IN FREEBOARD AND SUPERSTRUCTURE DECKS

HATCHWAYS AT POSITIONS 1 AND 2 CLOSED BY PORTABLE COVERS AND SECURED WEATHERTIGHT BY TARPAULINS AND BATTENING DEVICES

HATCHWAYS AT POSITIONS 1 AND 2 CLOSED BY WEATHERTIGHT COVERS OF STEEL (OR OTHER EQUIVALENT MATERIAL) FITTED WITH GASKETS AND CLAMPING DEVICES

MACHINERY SPACE OPENINGS AND MISCELLANEOUS OPENINGS IN FREEBOARD AND SUPERSTRUCTURE DECKS

VENTILATORS ON FREEBOARD AND SUPERSTRUCTURE DECKS (POSITIONS 1 AND 2)

AIR PIPES ON FREEBOARD AND SUPERSTRUCTURE DECKS

CARGO PORTS AND OTHER SIMILAR OPENINGS

SCUPPERS, INLETS AND DISCHARGES

SIDE SCUTTLES

FREEING PORTS

PROTECTION OF THE CREW

TIMBER DECK CARGO FITTINGS

Back to Revised Laws of Saint Lucia (2023)

(Regulation 13)

In this record, references to Regulations are references to the Regulations set out in Annex I to the Convention of 1966, and reference to paragraphs are references to paragraphs of Schedule 3 Conditions of Assignment of those Regulations.

Name of ship

Port of registry

Nationality

Distinctive number or letters

Shipbuilders

Yard number

Date of Build/conversion

Freeboards assigned as a ship of Type

Classification

Date and place of initial survey

A plan of suitable size may be attached to this report in preference to the sketches on this page

Disposition and dimensions of superstructures, trunks, deckhouses, machinery casings; extent of bulwarks, 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.

LOCATION	REF NO. ON SKETCH OR PLAN	NUMBER AND SIZE OF OPENINGS	HEIGHT OF SILLS	CLOSING APPLIANCES
LOCATION	REF NO. ON SKETCH OR PLAN	NUMBER AND SIZE OF OPENINGS	HEIGHT OF SILLS	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 casings on freeboard or raised quarter decks
In exposed machinery casings on superstructure decks
In machinery casings within superstructures or deckhouses on freeboard deck
In deckhouses in Position 1 enclosing openings leading below freeboard deck
In deckhouses in Position 2 enclosing openings leading within enclosed superstructures or below freeboard deck
In exposed pump room casings

Position and Reference No. on sketch or Plan

Dimensions of clear openings at top of coaming

Height of coamings above deck

Portable Beams

Number

Spacing

Bf x tf

D x tw

b2 x tf

Bearing surface

Means of securing each beam

PORTABLE COVERS

Material

Thickness

Direction fitted

Bearing surface

Spacing of cleats

Tarpaulins

No. of layers

Material

Means of securing each section of covers:

Are wood covers fitted with galvanized end bands?

(Regulations 27 and 28)

Positions and Reference No. on Sketch or Plan

Dimensions

Height of coaming

Cover

Material

How attached

Number and spacing of Toggles

Positions and Reference No. on Sketch or Plan

Dimensions

Height of coaming

COVER

Material

How attached

Number and spacing of Toggles

Particulars of spurling pipe closing arrangements

DECK ON WHICH FITTED	NUMBER FITTED	COAMING		TYPE (STATE PATENT NAME IF ANY)	CLOSING APPLIANCES
		DIMENSIONS	HEIGHT

DECK ON WHICH FITTED	NUMBER FITTED	COAMING		TYPE (STATE PATENT NAME IF ANY)	CLOSING APPLIANCES
		DIMENSIONS	HEIGHT

(Regulation 21)

POSITION OF PORT	DIMENSIONS OF OPENING	DISTANCE OF LOWER EDGE FROM FREEBOARD DECK	SECURING DEVICES	REMARKS

State if Discharge or Scupper	Number	PIPE			From	Vertical Distance Above Top of Keel			Number, Type and Material of Discharge Valves	Position of Controls
						Discharge		Upper- most Valve
		Diameter	Thickness	Material		Outlet in Hull	Iboard Valve








NOTE: In Ro-ro ships, indicate how ready accessibility to scupper valves is ensured when vehicle space is filled
S – Scupper			MS – Mild Steel			SD – Screw down
D – Discharge			CS – Cast Steel			ANR – Automatic non-return
GM – Gun Metal			SD ANR – Screw down automatic non-return
Any other approved material to be designated.

Position	Number Fitted	Clear Glass Size	Fixed or Opening	Material		Type & Thickness of Glass	Standards Used & Type No.
				Frame	Deadlight








Indicate 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

	LENGTH OF BULWARK	HEIGHT OF BULWARK		NUMBER AND SIZE OF FREEING PORTS EACH SIDE	TOTAL AREA EACH SIDE	REQUIRED AREA EACH SIDE
FREEBOARD DECK AFTER WELL
FORWARD WELL
SUPER-STRUCTURE DECK
State fore and aft position of			(After Well
each freeing port in relation			(
to superstructure end bulkheads			Forward Well
Particulars of shutters, bars or rails fitted to freeing ports.
Height of lower edge of freeing port above deck.

(Regulations 25 and 26)

State particulars of bulwarks or guardrails on freeboard and superstructure decks:

State details of lifelines, walkways, gangways or underdeck passageways where required to be fitted:

Position and reference No. on Sketch or Plan

Dimensions of clear opening at top of coaming

Height of coaming above deck

Type of cover or Patent Name

(Regulation 44)

State particulars of uprights, sockets, lashings, guardrails and lifelines:

OTHER SPECIAL FEATURES

INITIAL SURVEY

The condition 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 set out in Annex I to the Convention of 1966 and of the Shipping (Load Line) Regulations.

(Surveyor's Signature)

(Date)
SUBSEQUENT PERIODICAL SURVEY
I have completed the periodical survey and am satisfied that the fittings and appliances are in accordance with the particulars shown in this record and are in good condition and that approved stability information and, where applicable, information relating to loading and ballasting of the ship is on board.
Signature	Port of Survey	Date of Survey