PT JASON ELEKTRONIKA

VDR and SVDR PRE-SURVEY FORM

VESSEL DETAILS
Vessel Name SAKTI
IMO Number 8717685
Hull Number -
Vessel Flag INDONESIA
Vessel Class Society BKI + NK ( DUAL CLASS )

VDR / SVDR DETAILS

VDR/SVDR Manufacturer HEADWAY
VDR/SVDR Model HMT – 101
VDR/SVDR Serial Number MCU 121532
VDR/SVDR Software Version VERSION NO : B
VDR/SVDR Date of Installation 01 JAN 2015
Capsule type ✘ Fixed Capsule Float Free Capsule
Manufacturer / Model of Capsule (FRM/HSM) HEADWAY / HMT – S100
Serial Number of Capsule (FRM/HSM) PDC 121067

VDR / SVDR CONDITION

Indicate any present or recent alarms displayed NORMALY
by the VDR/SVDR
Note any change of the bridge navigational -
equipment since the last survey ie… GPS, Gyro…
Expiration date of the VDR/SVDR internal back up DEC 2018
batteries
Expiration date of the acoustic beacon -
Expiration date of the Float Free Capsule battery DEC 2018
Expiration date of the Float Free Capsule HRU NOT USE HRU

REPORT OF ANY DEFICIENCIES

CHECK AND SERVICE S-VDR REMOTE ALARM
CONDISION MONITOR OFF

CONTACT DETAILS
Provide a postal address where the Certificate of SERVICE PHONE : + 86 - 13954217693
Compliance can be sent if the APT is successful. EMAIL : tech@headwaytech.com
http://www.headwaytech.com

Important Notes:
1) Please make sure all navigational equipment is switched on 12 hours (old VDR/SVDR) / 48
hours (new VDR/SVDR) prior to the scheduled time for the APT.
2) Please forward last APT test report with this completed VDR pre-survey form.
Failure to complete this form and report accurately may result in the APT having to be stopped until
such time as any found deficiencies are corrected.
Rev 01 - Jan 2018