F-LLS-02c

Authorization No.:
Certificate No.:
INTERNATIONAL LOADLINE SURVEY CHECKLIST

Name of Ship: IMO Number: Flag: Port of Registry:

Date Survey
Assignment No: Port of Survey: Date Survey Completed:
Commenced:

Note: Complete relevant sections as applicable for the surveys carried out. Check boxes under ‘Y’
to indicate YES, ‘N‘ to indicate NO and “N/A“ to indicate NOT APPLICABLE.

A PERIODICAL LOADLINE INSPECTION Y N N/A

Have any changes been made or any new equipment installed which would affect
the validity of the International Loadline Certificate or have any alterations been
1 made to the hull or superstructure, which would affect the calculation determining
the position of the load lines? (If YES, provide details on page 3)
2 Were all other statutory and Classification certificates valid at the time of survey?
All weather tight doors at end bulkheads of superstructures, exposed machinery
casings and deckhouses protecting openings in freeboard and superstructure decks
3
have been examined and tested as far as practicable and found in satisfactory
condition
All fiddley openings, casings, doors, sills and skylights including their closing
4 appliances / arrangements for machinery spaces have been examined and found
satisfactory
Hatch covers have been examined and tested and found weather tight. Satisfactory
operations of mechanically operated hatch covers have been verified. Coamings,
5
stiffeners, stays, beams, fore and aft members, portable covers, tarpaulins, cleats,
battens, wedges and lashings have been examined and found satisfactory
Ventilators on freeboard and superstructure decks have been examined (including
6 their coamings, supports, deck connections and closing arrangements) and tested as
far as practicable and found in satisfactory condition
Air pipes on freeboard and superstructure decks have been examined including
their closing arrangements and tested as far as practicable and found in satisfactory
7 condition. Automatic closing arrangements, where fitted, have been examined and
found in satisfactory condition. Flame screens on air pipes at all fuel oil tanks are
satisfactory as far as could be seen.
Cargo and coaling ports in ship's sides and superstructure have been examined and
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found in satisfactory condition.
Flush bunker scuttles and attachments, where fitted, have been examined and found
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in satisfactory condition.
Scuppers, sanitary discharges and valves have been examined and found in
10
satisfactory condition.
Windows, side scuttles and deadlights on the ship's sides, superstructures and
11 deckhouses have been examined and tested as far as practicable and found in
satisfactory condition.
Freeing ports including their shutters and bars or rails have been examined and the
12 shutters operation verified and found satisfactory

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 F-LLS-02c
A PERIODICAL LOADLINE INSPECTION (continued) Y N N/A
Arrangements for protection of crew and access to crew’s quarters such as gang-
13 ways or under deck passageways, lifelines, walkways, bulwark and/or guard rails
examined and found in satisfactory condition.
For ships with special arrangements such as timber carriers (uprights, sockets,
lashings, guard rails and lifelines), tankers (safe access to tanker bows etc), Ro-Ro
14
vessels (bow, stern, side doors etc) and other special type ships, the condition of
the special arrangements is satisfactory as far as could be seen.
The freeboard marks have been verified and found in accordance with the
15
freeboards assigned in the International Loadline Certificate.
Stability booklet approved by on . (All ships)
Loading manual approved by on .
(Cargo ship more than 100 meters in length)
16
Loading instrument approved by on .
(Bulk carriers more than 150 meters in length)
Loading/stability information are in language(s) understood by the ship’s officers.
For ships assigned timber loadlines, the approved timber deck cargo loading and
17
lashing plan is on board, approved by on .

ADDITIONAL REQUIREMENTS FOR PERIODICAL LOADLINE

B Y N N/A
SURVEY
The ship’s structure, openings and closing appliances have been thoroughly
1 examined and found in satisfactory condition.

C FIRST SURVEY BY CONARINA Y N N/A

Have copies of previous International Loadline Certificate and Record of
Conditions of Assignment of Loadlines been forwarded to CONARINA
Technical Head Office along with survey reports?
(Where previous certificate is not available, or not issued by a major society or
1
national administration, freeboard calculations must be submitted for approval
and CONARINA TECHNICAL HEAD OFFICE permission must be obtained
before issue of interim certificates)
Is vessel issued with an exemption certificate?
2 (Copy of the exemption certificate should be forwarded to CONARINA Technical
Head Office along with survey reports. )
Is there evidence of approval of the stability information by the organization that
issued the previous Loadline certificate?
3
(If not, the stability information is to be submitted for approval to CONARINA
Technical Head Office.)
Do the present arrangements on board comply with the applicable regulations as
per International Convention on loadlines, 1966 as amended?
4
(If not, Loadline certificate is to be issued only after approval from CONARINA
Technical Head Office)
Have all outstanding surveys/recommendations, if any, imposed by the previous
society/organization, been dealt with satisfactorily?
5
(If not, Interim certificate is not to be issued unless Head Office has agreed
postponement.)

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C FIRST SURVEY BY CONARINA (continued) Y N N/A
Was any service restriction (trading area limits etc) imposed by the previous
society/organization?
6 (If YES, the same service restrictions should be included/ endorsed in the Interim
certificate)
Has vessel been modified since the last Loadline Certificate was issued?
7 (full details to be forwarded to CONARINA Technical Head Office and certificate
to be issued only after confirmation from CONARINA Technical Head Office)
Has new Record of Conditions of Assignment of Loadlines been prepared, a copy
left on board and a copy forwarded to CONARINA Technical Head Office?
8
(required only if a previous record is not available or if the previous record does
not contain the necessary information as contained in IS form LL-1)

D MODIFICATIONS / ALTERATIONS

Details:

E DEFICIENCIES / REMARKS

Details:

THIS IS TO CERTIFY THAT:

A Periodical Load Line Survey has been carried out in accordance with the Article 14 (b) of
the Convention and as described above;
(a)
A Periodical Load Line Inspection has been carried out in accordance with the Article 14(c)
of the Convention and as described above.
(b) Minor deficiencies, if any, has been described in section E
An INTERIM/CONDITIONAL Load Line Certificate No.
(c) has been issued on and valid until ;
A full term Certificate may be issued by CONARINA Technical Head Office;
A full term International loadline Certificate should not be issued by CONARINA Technical
(d)
Head Office
until the deficiencies noted at E above have been rectified.
The full term International loadline Certificate No. has been endorsed for the
(e) periodical loadline inspection on at .

Signature of Surveyor
Name of Surveyor
Port
Date

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