SWP05 - Form 09
SWP05 - Form 09
www.dromon.com
SWP05/Form 09
406 MHz Satellite EPIRB Report
Assignment No.
MMSI Number
This is to confirm that the following survey has been conducted on board the above mentioned ship:
Survey Scope:
THIS IS TO CONFIRM:
The 406 MHz Satellite EPIRB has been tested in accordance with IMO MSC.1/Circ.1040/Rev.1 as required by SOLAS Reg.
IV/15.9 and HSC Code para. 14.15.10.
Radio Surveyor
Place of Surveyor
Surveyor started
Surveyor completed
(Radio Surveyor's Signature & Stamp)
Remarks /
No. Item Reference Addressed
Comments
Installation details:
1.1 EPIRB make & type:
1.1 EPIRB S/N:
1.1 EPIRB location:
1.1 Battery expiry date:
1.1 HRU type:
1.1 HRU expiry date:
1.1 Homing frequency:
1.1 Date of shore-based maintenance:
1.1 Next date of shore-based
maintenance:
Test details:
2.1 Test equipment used:
2.1 Last calibration
2.1 Frequency measured:
2.2 The position and mounting for Yes No N/A
float-free operation has been
checked.
2.3 The presence of firmly attached Yes No N/A
lanyard has been verified and
found in good condition (the
lanyard should be neatly stowed
and must not be tied to the vessel
or the mounting bracket).
2.4 A visual inspection for defects has Yes No N/A
been carried out.
2.5 Self-test routine has been carried Yes No N/A
out.
2.6 The EPIRB identification (15 Hex Yes No N/A
ID) and other information is clearly
marked on the outside of the
equipment.
2.7.1 It has been checked that the EPIRB Yes No N/A
15 Hexadecimal Identification Digit
(15 Hex ID) and other information
from the transmitted signal has
been decoded.
2.7.2 It has been checked that the Yes No N/A
decoded information (15 Hex ID or
MMSI / call sign data, as required
by the Administration) is identical
to the identification marked on the
beacon.
2.7.3 It has been checked that the MMSI Yes No N/A
number encoded in the beacon
corresponds with the MMSI
number assigned to the ship.
3 EPIRB registration through Yes No N/A
documentation or through the
point of contact associated with
that country code has been
checked.
4 The battery expiry date has been Yes No N/A
checked.
5 The hydrostatic release unit (HRU) Yes No N/A
and its expiry date have been
checked.
6 The emission in the 406 MHz band Yes No N/A
using the self-test mode or an
appropriate device to avoid
transmission of a distress call to
the satellites has been checked.
Remarks /
No. Item Reference Addressed
Comments
7 The emission on the 121.5 MHz Yes No N/A
frequency using the self-test mode
or an appropriate device to avoid
activating the SAR system has
been checked.
8 The EPIRB has been maintained by Yes No N/A
an approved shore-based
maintenance provider at intervals
not exceeding 5 years as required
by the Administration.
9 Following the test, remounted the Yes No N/A
EPIRB in its bracket, and it has
been checked that no transmission
has been started.
10 The presence of beacon operating Yes No N/A
instructions has been verified.
Remarks