[별지 제2호서식]

(앞쪽)

적합성 시험 결과 보고서

Conformance Test Report

선박위치발신장치의 설치기준 및 운영 등에 관한 규정 제8조제5항에 따라 발급함

issued under the provisions of MSC.1/Circ.1296 on Guidance on the survey and certification of compliance of ships with the requirements to transmit LRIT information issued by Ministry of Oceans and Fisheries, Republic of Korea

선 박 명(Name of ship)
등록항(Port of registry)
선박등록번호 및 호출부호 (Distinctive number or letters)
IMO 번호(IMO Number)
해상이동서비스식별번호 (Maritime Mobile Service Identity)
총톤수(Gross tonnage)
운항구역 (Sea areas in which the ship is certified to operate)
보고서 유효구역 (Sea areas for which this report is valid)
시험수행응용서비스제공자(ASP) (Application Service Provider conducting the test)

해양수산부

Ministry of Oceans and Fisheries

LRIT정보를 전송하도록 지정된 선박설비가 아래 명시한 바와 같음을 인증합니다.

THIS IS TO CERTIFY that the shipborne equipment designated to transmit LRIT information and specified below:

.1 has been found to meet the requirement of the provision of regulations V/19-1.6 and V/19-1.7 and of the Revised performance standards and functional requirements for the long-range identification and tracking of ships adopted by resolution MSC.263(84) and:

	.1 is of a type approved by the Administration in accordance with the provisions of regulation V/19-1;	□ Yes □ No
	.2 is of a type approved by the Administration in accordance with the provisions of regulation IV/14;	□ Yes □ No
	.3 has been certified by the Administration as meeting the requirements of IEC 60945(2002-08) and IEC 60945 Corr.1(2008-04) on Maritime navigation and radiocommunication equipment and systems - General requirements - Methods of testing and required test results;	□ Yes □ No
	.4 is the ship security alert system of the ship and has been found to comply with the provisions of regulation XI-2/6; and of resolution MSC.136(76) on Performance standards for a ship security alert system/resolution MSC.147(77) on Adoption of the Revised performance standards for a ship security alert system;	□ Yes □ No

.2 has undergone conformance testing in accordance with the procedures and provisions set out in MSC.1/Circ.1257 and has shown that it can operate within the tolerances of the acceptance criteria stated in the aforesaid circular.

적합성시험 완료 일자:                            .

The conformance test was satisfactorily completed on(date of completion of testing)

선박설비 상세사항

Details of the shipborne equipment used to transmit LRIT information

(e.g., maker model, serial number and shipborne equipment identifier):

발행장소:                         발행일자:                    .

Issued at  (place of issue)            on     (date of issue)

○○지방해양수산청 선원해사안전과장 (인)

Director of Seafarers, Maritime Affairs and Safety Division,

○○ Regional Oceans and Fisheries Administration