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SURAT EDARAN
Nomor : U W . 0 0 V \ l / W v V ~ t f -

TENTANG

PERUBAHAN TERHADAP FORMAT

SERTIFIKAT KESELAMATAN PERLENGKAPAN KAPAL BARANG
YANG MENGIKUTI ATURAN KONVENSI SOLAS

1. Sehubungan dengan adanya amandemen Konvensi Internasional Keselamatan Jiwa Dilaut

(International Convention For The Safety of Life At Sea) 1974, Resolusi IMO No.
MSC.380(94) terkait lampiran Sertifikat Keselamatan Perlengkapan Kapal Barang yang
diadopsi pada tanggal 21 November 2014 yang diberlakukan pada tanggal 1 Juli 2016.

2. Menindaklanjuti butir 1 (satu) diatas, dengan ini disampaikan bahwa format lampiran
Sertifikat Keselamatan Perlengkapan Kapal Barang untuk kapal yang mengikuti aturan
konvensi SOLAS mengikuti format terlampir.

3. Demikian disampaikan, untuk menjadi perhatian dan pelaksanaannya.

Ditetapkan d i : J a k a r t a
pada tanggal: $ fa^z^- 2016

A.N. DIREKTUR JENDERAL PERHUBUNGAN LAUT

DIREKTUR PERKAPALAN DAN KEPELAUTAN

/ S U G E N G WIBOWO
Pembina Utama Muda (IV/c)
NIP. 19620305 198803 1 002

Model Takah 02
 UPDATE 04 AGUSTUS 2016
SESUAIMSC. 380(94)
SERTIFIKAT KESELAMATAN PERLENGKAPAN KAPAL BARANG

CARGO SHIP SAFETY EQUIPMENT CERTIFICA TE

No |

Diterbitkan menurut kententuan

Issued under the provisions of the

K O N V E N S I I N T E R N A S I O N A L T E N T A N G K E S E L A M A T A N J I W A D I L A U T , 1974,
INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974,

R E P U B L I K INDONESIA
The Republic Of Indonesia

Oleh D I R E K T O R A T J E N D E R A L P E R H U B U N G A N L A U T
By Directorate General of Sea Transportation
Nama kapal Angka atau huruf pengenal Pelabuhan pendaftaran Isi kotor
Name of ship Distinctive number or letters Port of registry Gross tonnage

Jenis k a p a l 1
Bobot mati kapal Panjang kapal
3
Type of Ship' (ton) 2
(Aturan 1II/3.12) Nomor I M O
3
Deadweight of ship Length of ship IMO Number
1 1 Kapal curah ] Kapal tangki kimia | |Kapal barang selain 2
(Reg. 111/3.12)
(Metric tons)
1 1 Bulk carrier Chemical tanker dari yang disebutkan
disamping
|—1 Kapal tangki minyak ( " H Kapal tangki gas Cargo ship other than
1 1 1
L - Oil tanker Gas carrier any of the aside

Tanggal peletakan lunas atau kapal pada tahap pembangunan yang setara atau j i k a ada
tanggal dimulainya pekerjaan konversi, perubahan atau modifikasi bagian penting kapal
Date on which keel as laid or ship was at a similar stage of construction or, where applicable date
on which work for a conversion or an alteration or modification of a major character was commenced

D E N G A N INI D I N Y A T A K A N
THIS IS TO CERTIFY

1. Bahwa kapal telah diperiksa sesuai dengan persyaratan Peraturan 1/8 Konvensi
That the ship has been surveyed in accordance with the requirements of regulation 1/8 of the Convention

2. Bahwa pemeriksaan menunjukan bahwa :

That the survey showed that
2.1 kapal memenuhi persyaratan Konvensi berkaitan dengan sistem dan sarana keselamatan kebakaran serta bagan pengendali
kebakaran
the ship complied with the requirements of the Convention as regards fire safety system and appliance andfire control plans
2.2 sarana dan perlengkapan penyelamatan diri dari sekoci penolong, rakit penolong dan sekoci penyelamatan dilengkapi sesuai
dengan persratan Konvensi
the life-saving appliance and the equipment of the lifeboats, liferafts and rescue boats were provided in accordance with the
requirements of the Convention
2.3 kapal dilengkapi dengan sarana pelempar tali dan instalasi radio yang digunakan pada sarana penyelamatan diri sesuai dengan
persyaratan Konvesi
the ship was provided with line-throwing appliance and radio installations used in life-saving appliances in accordance with
the requirements of the Conventions

1. Pilih dan tandai X yang sesuai

Choose and mark X accordingly
2. Untuk kapal tangki minyak, kapal tangki kimia dan kapal tangki gas saja
For oil tanker, chemical tanker and gas carriers only
3. Sesuai dengan skema Nomor Identifikasi Kapal IMO yang diadopsi Organisasi dengan resolusi A.600(15)
In accordance with IMO ship identification number scheme adopted by Organization by resolution A. 60(15)
D K P 11-07
 2.4 kapal memenuhi persyaratan Konvensi yang berkaitan dengan perlengkapan navigasi pelayaran, sarana embarkasi pandu dan
publikasi nautika.
the ship complied with the requirements of the Convention as regards ship borne navigational equipment, means of
embarkation for pilots and nautical publications.

2.5 kapal dilengkapi dengan penerangan, sosok dan sarana pembuat isyarat bunyi dan isyarat marabahaya sesuai dengan
persyaratan Konvensi dan Peraturan Internasional tentang Pencegahan Tubrukan di Laut.
the ship was provided with lights, shapes and means of making sound signals and distress signals in accordance with the
requirement of the Convention and the International Regulations for Preventing Collisions at Sea in force.

2.6 dalam segala hal kapal memenuhi persyaratan terkait Konvensi.

in all other respects the ship complied with the relevant requirement of the Convention

2.7 kapal telah / tidak mengalami perubahan bentuk dan susunan yang berkaitan dengan pemenuhan aturan-aturan 11-2/17 / 111/38
dari Konvensi
the ship was / was not subject to alternative design and arrangements in pursuance of regulalion(s) 11-2/17 / 111/38 of the
Convention

2.8 dokumen yang memberikan persetujuan akan perubahan bentuk dan susunan untuk proteksi kebakaran / sarana penyelamatan
4 4
d i r i ditambah / tidak ditambah pada catatan dalam sertifikat ini.
4 4
a Document of approval of alternative design and arrangements for fire protection / life saving appliance is / is not
appended to this Certificate

3. Bahwa telah / tidak diterbitkan Sertifikat Pembebasan

That an Exemption Certificate has / has not been issued

5
Sertifikat i n i berlaku sampai dengan berdasarkan pemeriksaan tahunan dan
berkala sesuai dengan aturan 1/8 dari Konvensi
This Certificate is valid until subject to the annual and periodical surveys
in accordance with regulation 1/8 of Convention

Tanggal selesainya pemeriksaan sebagai dasar penerbitan sertifikat i n i

Completion date of the survey on which this certificate is based

Diterbitkan di Pada tanggal

Issued at Date on

PUP 1 No. AN. M E N T E R I P E R H U B U N G A N

OB. MINISTER OF TRANSPORTATION

Catatan:

4. Coret yang tidak perlu

Delete as appropriate
5. Masukan tanggal berakhimya seperti yang dijelaskan oleh Administrasi sesuai dengan aturan l/14(a) dari pada Konvensi. Tanggal dan Bulan yang digunakan harus
sama dengan tanggal ulang tahun, seperti yang dijelaskan pada aturan 1/2 (n) daripada Konvensi, kecuali dirubah sesuai dengan aturan 1/4 (h)
Insert the date of expiry as specified by the Administrator in accordance with regulation 1/14(a) of the Convention. The day and the month of this date correspond to
the anniversary date, as defined in regulation l/2(n) of the Convention unless amended in accordance with regulation l/4(h)
 CATATAN PERLENGKAPAN UNTUK MEMENUHI KONVENSI INTERNASIONAL
T E N T A N G K E S E L A M A T A N J I W A D I L A U T , 1974
RECORD OF EQUIPMENT FOR COMPLIANCE WITH THE INTERNATIONAL CONVENTION
FOR THE SAFETY OF LIFE AT SEA, 1974

( F O R M E)

No

1. Data K a p a l
Particulars of ship

Nama K a p a l
Name of ship

Nomor atau huruf pengenal

Distinctive number or letters

2. Rincian sarana penyelamatan diri

Details of life saving appliance

1. Jumlah total pelayar dimana tersedia perlengkapan keselamatan jiwa

Total number ofpersons for which life saving appliances are provided
Sisi K i r i Sisi K a n a n
Port Side Starboard Side
2. Jumlah total sekoci yang dimiliki dewi-dewi
Total number of davit launched lifeboats
2.1 J u m l a h total pelayar yang dapat ditampung
Total number of persons accommodated by them
2.2 J u m l a h sekoci semi tertutup yang dapat tegak sendiri
1
Number of self-righting partially enclosed lifeboats (regulation HI/43 )
2.3 J u m l a h sekoci tertutup
Number of totally enclosed lifeboats (regulation 111/31 andLSA Code, section 4.6)
2.4 J u m l a h sekoci dengan system udara dukung sendiri
Number of lifeboats with a self-contained air support system (regulation HI/31 and
LSA Code, section 4.8)
2.5 Jumlah sekoci yang memiliki perlindungan dari api
Number offire-protected lifeboats (regulation 111/31 and LSA Code, section 4.9
2.6 Sekoci lainnya
Other lifeboats
2.6.1 Jumlah
Number
2.6.2 Tipe
Type
3. Jumlah total sekoci jatuh bebas
Total number of free-fall lifeboats
3.1 Jumlah total pelayar yang dapat ditampung
Total number of persons accommodated by them
3.2 Jumlah sekoci tertutup
Number of totally enclosed lifeboats (regulation HI/31 and LSA Code, section 4.7)
3.3 Jumlah sekoci dengan system udara dukung sendiri
Number of lifeboats with a self-contained air support system (regulation HI/31 and
LSA Code, section 4.8)
3.4 Jumlah sekoci yang memiliki perlindungan dari api
Number of fire-protected lifeboats (regulation 111/31 and LSA Code, section 4.9)
4. Jumlah sekoci bermotor
Number of motor lifeboats (included in the total lifeboats shown in 2 and 3 above)

1 Merujuk kepada amandemen SOLAS 1983 (MSC.6(48)), untuk kapal yang dibangun setelah tanggal 1 Juli 1986 tetapi sebelum 1 JU
Refer to the 1983 amendments to SOLAS (MSC.6(48)J, applicable to ships constructed on or after 1 July 1986, but before 1 July 1998
 4.1 J u m l a h sekoci yang dilengkapi dengan lampu pencarian
Number of lifeboats fitted with searchlights
5. Jumlah perahu penolong
Number of rescue boat
5.1 J u m l a h perahu yang termasuk dalam j u m l a h sekoci yang disebutkan pada butir
2 dan 3 diatas
Number of boats which are included in the total lifeboats shown in 2 and 3 above
6. R a k i t penolong
Lifer afts
6.1 R a k i t yang membutuhkan alat peluncur yang memenuhi syarat
Those for which approved launching appliances are required
6.1.1 J u m l a h rakit penolong
Number of liferafts
6.1.2 J u m l a h orang yang dapat ditampung
Number of persons accommodated by them
6.2 R a k i t yang tidak membutuhkan alat peluncur yang memenuhi syarat
Those for which approved launching appliances are not required
6.2.1 J u m l a h rakit penolong
Number of liferafts
6.2.2 J u m l a h orang yang dapat ditampung
Number of persons accommodated by them
6.3 J u m l a h rakit penolong yang dipersyaratkan peraturan 111/31.1.4
Number of liferafts required by regulation 111/31.1.4
7. J u m l a h pelampung
Number of lifebuoys
8. J u m l a h jaket penolong
Number of lifejackets
9. B a j u cebur
Immersion suits
9.1 J u m l a h total
Total number
9.2 J u m l a h baju yang memenuhi persyaratan sebagai jaket penolong
Number of suits complying with the requirements for lifejackets
10. J u m l a h baju perlindungan
Number of anti-exposure suits
11. Instalasi radio yang digunakan pada alat penyelamatan diri
Radio installations used in life saving appliance
11.1 J u m l a h alat penentu lokasi pencarian dan pertolong
Number of search and rescue locating device
11.1.1 Transponder Radio pencarian dan pertolongan
Radar search and rescue transponders
11.1.2 Pemancar A I S pencarian dan pertolongan
AIS search and rescue transmitters (AIS-SART)
11.2Jumlah perangkat telefon radio V H F dua arah
Number of two-way VHF radiotelephone apparatus

Keterangan tentang sistem dan perlengkapan navigasi

Details of navigational system and equipment
1
1.1 Pedoman magnit standar
1
Standard magnetic compass
1
1.2 Pedoman magnit cadangan
Spare magnetic compass'
1
1.3 Pedoman Gasing
1
Gyro-compass
1
1.4 Repeter haluan pedoman gasing
Gyro-compass heading repeater

1. Peralatan alternatif agar dapat memenuhi aturan ini dapat diijinkan Sesuai aturan V/19. Jika menggunakan alat alternatif maka harus dijelaskan
Alternatve mean of meeting this requirements are permitted under Regulation V/19. In case of other they shall be specified
2. Coret yang tidak perlu

Delete an appropriate
 1
1.5 Repeter baringan pedoman gasing
1
Gyro-compass bearing repeater
1
1.6 Sistem kendali hakuan atau lintasan
1
Heading or track control system
1
1.7 Pelorus atau alat baringan pedoman
1
Pelorus or compass bearing device
1.8 Ala? koreksi garis haluan dan baringan
Means of correcting heading and bearings
1
1.9 Alat pancar penuntun haluan ( T H D )
Transmitting heading device (THD) '
2
1.1 Peta laut / Sistem peraga peta dan informasi elektronik ( E C D I S )
2
Nautical charts / Electronic chart display and information system (ECDIS)
1.2 Penataan cadangan untuk E C D I S
Backup arrangements for ECDIS
1.3 Publikasi nautika
Nautical publication
1.4 Penataan cadangan untuk pubkikasi nautika elektronik
Backup arrangements for electronic nautical publication
12
3.1 Alat penerima sistem satelit navigasi global / sistem navigasi radio t e r r e s t r i a l
1 2
Receiver for a global navigational satellite system / terrestrial radio navigation system
1
3.2 R a d a r 9 G H z
9 GHz Radar'
1 2
3.3 R a d a r kedua (3 G H z / 9 G H z )
2
Second Radar (3 GHz / 9 GHz) '
1
3.4 Alat bantu ploting r a d a r otomatis ( A R P A )
1
Automatic radar plotting aid (ARPA)
1
3.5 Alat bantu garis haluan otomatis
1
Automatic tracking aid
1
3.6 Alat bantu garis haluan otomatis kedua
1
Second automatic tracking aid
1
3.7 Alat bantu plotting eketronika
1
Electronic plotting aid
4.1 Sistem identifikasi otomatis ( A I S )
Automatic identification system (AIS)
4.2 Sistem identifikasi dan Penjejakan kapal j a r a k j a u h
Long-range identification and tracking of ships (LRIT)
2
5.1 Pencatat data pelayaran ( V D R )
Voyage data recorder (VDR)
2
5.2 Pencatat data pelayaran ( V D R )
2
Simplified voyage data recorder (S-VDR)
1
6.1 Alat u k u r kecepatan dan j a r a k (melalui a i r )
1
Speed and distance measuring device (through the water)
1
6.2 Alat u k u r kecepatan dan j a r a k (terhadap daratan pada arah depan dan samping)
Speed and distance measuring device (over the ground in the forward and athwart ship
direction) '
1
6.3 Perum g e m a
1
Echo sounding device

1. Peralatan alternatif agar dapat memenuhi aturan ini dapat diijinkan Sesuai aturan V/19. Jika menggunakan alat alternatif maka harus dijelaskan
Alternative mean of meeting this requirements are permitted under Regulation V/19. In case of other they shall be specified
2. Coret yang tidak perlu
Delete an appropriate
 •

1
7.1 Penunjuk daun kemudi, baling-baling, pendorong, slip dan mode operasional
1
Rudder, propeller, thrust, pitch and operational mode indicator
1
7.2 Penunjuk lingkaran putar
1
Rate of turn indicator
1
8. Sistem penerima suara
1
Sound reception system
1
9. Telepon ke tempat pengemudian d a r u r a t
1
Telephone to emergency steering position
1
10. L a m p u isyarat siang h a r i
Daylight signaling lamp'
1
11. Refiektor radar
1
Radar reflector
12. Kode isyarat internasional
International code of signal
13. B u k u manual I A M S A R , Volume I I I
IAMSAR Manual, Volume III
14. Sistem alarm jaga navigasi anjungan ( B N W A S )
Bridge navigational watch alarm system (BNWAS)

D E N G A N I N I D I N Y A T A K A N bahwa lampiran ini seluruhnya benar

THIS IS TO CERTIFY that this record is correct in all respect

Diterbitkan d i Pada tanggal

AN. M E N T E R I P E R H U B U N G A N
OB. MINISTER OF TRANSPORTATION

N o . M . I Endorsement

1. Peralatan alternatif agar dapat memenuhi aturan ini dapat diijinkan Sesuai aturan V/19. Jika menggunakan alat alternatif maka harus dijelaskan
Alternative mean of meeting this requirements are permitted under Regulation V/19. In case of other they shall be specified
2. Coret yang tidak perlu
Delete an appropriate
 MSC 94/21/Add.1
Annex 1,page 1

ANNEX 1

RESOLUTION MSC.380(94)
(adopted on 21 November 2014)

AMENDMENTS TO THE INTERNATIONAL CONVENTION

FOR THE S A F E T Y O F L I F E AT S E A (SOLAS), 1974, A S AMENDED

THE MARITIME SAFETY COMMITTEE,

RECALLING Article 28(b) of the Convention on the International Maritime Organization

concerning the functions of the Committee,

RECALLING ALSO article Vlll(b)(vi)(2) of the International Convention for the Safety of Life
at Sea (SOLAS), 1974 ("the Convention"), concerning the amendment procedure applicable
to the annex to the Convention, other than to the provisions of chapter I,

HAVING CONSIDERED, at its ninety-fourth session, amendments to the Convention,

proposed and circulated in accordance with article Vlll(b)(i) thereof,

1 ADOPTS, in accordance with article Vlll(b)(iv) of the Convention, amendments to

the Convention, the text of which is set out in the annex to the present resolution;

2 DETERMINES, in accordance with article Vlll(b)(vi)(2)(bb) of the Convention, that

the said amendments shall be deemed to have been accepted on 1 January 2016 unless,
prior to that date, more than one third of the Contracting Governments to the Convention
or Contracting Governments, the combined merchant fleets of which constitute not less
than 50% of the gross tonnage of the world's merchant fleet, have notified to the
Secretary-General of the Organization their objections to the amendments;

3 INVITES SOLAS Contracting Governments to note that, in accordance with

article Vlll(b)(vii)(2) of the Convention, the amendments shall enter into force on 1 July 2016
upon their acceptance in accordance with paragraph 2 above;

4 REQUESTS the Secretary-General, for the purposes of article Vlll(b)(v) of the

Convention, to transmit certified copies of the present resolution and the text of the
amendments contained in the annex to all Contracting Governments to the Convention; and

5 ALSO REQUESTS the Secretary-General to transmit copies of this resolution and

its annex to Members of the Organization which are not Contracting Governments to the
Convention.

I:\MSC\94\MSC 94-21-Add-1.doc
MSC 94/21/Add.1
Annex 1, page 4

APPENDIX

CERTIFICATES

Record of Equipment for Cargo Ship Safety (Form C)

Record of Equipment for Cargo Ship Safety (Form E)

4 Section 2 of the Record of Equipment for Cargo Ship Safety (Form C) and the
Record of Equipment for Cargo Ship Safety (Form E), is replaced with the following:

"2 Details of life-saving appliances

1 Total number of persons for which life-saving appliances are provided

Port Side Starboard Side
2 Total number of davit launched lifeboats
2.1 Total number of persons accommodated by
them
2.2 Number of self-righting partially enclosed
1
lifeboats (regulation III/43 )
2.3 Number of totally enclosed lifeboats
(regulation 111/31 and LSA Code, section 4.6)
2.4 Number of lifeboats with a self-contained air
support system
(regulation 111/31 and LSA Code, section 4.8)
2.5 Number of fire-protected lifeboats
(regulation 111/31 and LSA Code, section 4.9)
2.6 Other lifeboats
2.6.1 Number
2.6.2 Type
3 Total number of free-fall lifeboats
3.1 Total number of persons accommodated by
them
3.2 Number of totally enclosed lifeboats
(regulation 111/31 and LSA Code, section 4.7)
3.3 Number of lifeboats with a self-contained air
support system
(regulation 111/31 and LSA Code, section 4.8)
3.4 Number of fire-protected lifeboats
(regulation 111/31 and LSA Code, section 4.9)
4 Number of motor lifeboats (included in the
total lifeboats shown in 2 and 3 above)
4.1 Number of lifeboats fitted with searchlights
5 Number of rescue boats
5.1 Number of boats which are included in the
total lifeboats shown in 2 and 3 above
6 Liferafts
6.1 Those for which approved launching
appliances are required
6.1.1 Number of liferafts

1 Refer to the 1983 amendments to SOLAS (MSC.6(48)), applicable to ships constructed on or after
1 July 1986, but before 1 July 1998.

I:\MSC\94\MSC 94-21-Add-1.doc
 MSC 94/21/Add.1
Annex 1, page 5

2 Details of life-saving appliances (continued)

6.1.2 Number of persons accommodated by

them
6.2 Those for which approved launching
appliances are not required
6.2.1 Number of liferafts
6.2.2 Number of persons accommodated by
them
6.3 Number of liferafts required by
regulation 111/31.1.4
7 Number of lifebuoys
8 Number of lifejackets
9 Immersion suits
9.1 Total number
9.2 Number of suits complying with the
requirements for lifejackets
10 Number of anti-exposure suits
11 Radio installations used in life-saving
appliances
11.1 Number of search and rescue locating
devices
11.1.1 Radar search and rescue transponders
(SART)
11.1.2 AIS search and rescue transmitters
(AIS-SART)
11.2 Number of two-way VHF radiotelephone
apparatus

l:\MSC\94\MSC 94-21-Add-1.doc