Annual Inspection; Declaration On Completion Of Annual Inspection For Vdr - JRC JCY-1800 Installation Manual

15. ANNUAL INSPECTION

15.1. Declaration on completion of annual inspection for VDR

DECLARATION ON COMPLETION OF ANNUAL INSPECTION
To
Vessel :
IMO Number :
1. This is to certify that the annual inspection for the VDR on board the captioned vessel have been completed
satisfactorily as follows.
1) Date of Completion of Inspection:
2) Place of Inspection:
3) Name/Model of VDR:
4) Serial Number:
5) Manufacturer:
6) Certificate Number of Type approval:
2. The items of performance test have been examined and recorded in accordance with the requirements of SOLAS
V/18.8 and found to be in compliance with the IMO Resolution A.861(20) .
□ Annual Inspection Check
□ General Condition
□ Verification of Input Data and Data Stored in the Capsule
(□ Tick as appropriate)
FOR VDR PERFORMANCE TEST
Date:
(Name)
□ Ship's Information up-date
□ Verification of the VDR Functions
Inspection Company:
Signature of Inspector:
(Name:
175
15. Annual Inspection
JCY-1800/1850 VDR/S-VDR Installation Guide
)
DOC No. 7ZPJD0387C