PACIFIC MARINE SERVICES

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1 APPR No : PMS/D.A.RSP/ Date : Pages : One (7) /UAE Data Sheet for Approval of Firms Issued within the scope of the Pacific Marine Services General Conditions - Radio Service Supplier for Inspection Services on Ships and Mobile Offshore Units. - Firm's Data Name of Firm Address ZIP / City Country Tel. no. Fax no. Telex / Contact Approval Data (to be filled in by PMS) Certificate no. Approval clarified on services Certificate issuance on the Date Certificate valid until Approval refused on Reasons FORM NO. PMS-D.A.RSP /-rev0 Page Ajman Free Zone F.Z.E P.O.BOX 87 Ajman Tel Fax Mobil No Mail (pacific.m.s@eim.ae)

2 - Submission of Documents Code letter Yes 0 No Not applicable Following documents have been submitted to PMS for review : Outline of company, e.g. organization and management structure, including subsidiaries to be included in the approval/certification. List of nominated agents, subsidiaries and subcontractors. Experience of the company in the specific service area. 5 List of operators/technicians/inspectors documenting training and experience within the relevant service area, and qualifications according to recognised national, international or industry standards, as relevant. For categories of Service Suppliers that require authorization from manufacturers, manufacturer s documentary evidence that the Service Supplier has been authorized or licensed to service the particular makes and models of equipment for which approval is sought shall be provided. 6 Description of equipment used for the particular service for which approval is sought. 7 A guide for operators of such equipment. 8 Training programmes for operators/technicians/ inspectors. 9 Checklists and record formats for recording results of the services provided. 0 Quality Manual and/or documented procedures covering requirements given below. Documented procedures for communication with the crew prior to commencing work, so that it is safe to decommission the equipment being maintained, and to provide a safe system of work in place. Relevant with point (5), list and documentation of licenses granted by equipments manufacturer. Information on any activities that represent a conflict of interest. Record of customer claims and of corrective actions requested by certification bodies 5 Evidence of approval/acceptance by other bodies, if any. The above documents are to be submitted to PMS Head office, for Approval. General requirements concerning suppliers are given in. and specific requirements as relevant, in Annex I. Summary FORM NO. PMS-D.A.RSP /-rev0 Page Ajman Free Zone F.Z.E P.O.BOX 87 Ajman Tel Fax Mobil No Mail (pacific.m.s@eim.ae)

3 - General Requirements the Supplier must comply with below : Code letter :- () YES - (0) NO - () N.A Extend of approval : The service supplier has demonstrated the competency and control needed to. perform the services for which approval is sought, as required by section. to.8 and 5, if applicable. Training of personnel The qualification and training of the personnel complies to a recognised national, international or industry standard. Where such standards do not exist, standards for the training and.. qualification of its personnel relevant to the functions each is authorised to perform, have been defined by the supplier. The personnel has an adequate experience and is familiar with the operation of any necessary equipment... Operators / technicians / inspectors have a minimum of one () year tutored on-the-job training. Supervision The supplier provides supervision for all services provided. The responsible supervisor has. a minimum of two () years experience as an operator / technician / inspector within the service field for which the supplier is approved. Personnel records The supplier keeps records of the approved operators / technicians / inspectors. The. records contain information on age, formal education, training and experience for the services for which they are approved. Equipment and facilities The supplier has the necessary equipment and facilities for the services to be.5 supplied. A record of the equipment used is kept. The record contains information on maintenance and calibration..6 Procedures - The supplier has documented work procedures covering all services supplied. Verification The supplier has verified that the services provided are carried out in accordance with.7 documented procedures..8 Reporting The reports are prepared in a form acceptable to PMS Auditing of the Supplier Upon reviewing the submitted documents found in satisfactory result, the supplier is audited in order to ascertain that the supplier is duly organised and managed in accordance with the submitted documents, and that it is considered capable of conducting the services. the supplier is approved / certificate will be sought. - Quality System must comply with below : Code letter :- () YES - (0) NO - () N.A A documented quality system complying with the most current version of ISO 900 series and including. the below items, has been considered acceptable.. The supplier has a documented system covering at least the following: a Code of conduct for the relevant activity b Maintenance and calibration of equipment c Training programmes for operators / technicians / inspectors Supervision and verification of operations to ensure compliance with the documented operational d procedures. e Recording and reporting of information f Quality management of subsidiaries and agents g Job preparation Periodic review of work process procedures, complaints, corrective actions and issuance, h maintenance and control of documents. Did that Manufacturers of equipment (and service suppliers) apply to PMS to include his nominated. agents and/or subsidiaries to the approval? Does the applicant have an implemented and certified quality system in accordance with the most current. version of ISO 900 series, with effective controls of his agents and/or subsidiaries? FORM NO. PMS-D.A.RSP /-rev0 Page Ajman Free Zone F.Z.E P.O.BOX 87 Ajman Tel Fax Mobil No Mail (pacific.m.s@eim.ae)

4 5- Subcontractors Code letter :- () YES - (0) NO - () N.A 5. Are there any parts of the services provided subcontracted? (Sections 5. to 5. to be completed only, if section 5. is yes ) 5. Please state, which parts of the services are subcontracted: The supplier has given information of agreements and arrangements with its subcontractors. Particular emphasis is given to quality management by the supplier in following-up of its subcontractors. Subcontractors providing anything other than subcontracted personnel or equipment do also meet the requirements of section and. 6- Specific Requirements for the above company (RADIO SERVICES ) :- Code letter :- () YES - (0) NO - () N.A 6. Radio survey division for the customer complaint register 6. Company organization charts 6. Certificates of the authorization for the following :- A voyage data recorder ( VDR ) B simplified voyage data recorder (SVDR) C radio communications equipments D as agent services of marine electronic authorization if there is. E measurements Calibration Record for Testing Equipments F Calibration Certificates for Testing Equipments G radio survey division ( list of the programming kits ) H radio survey division ( list of the testing equipments ) I radio survey division (CONDUCTED RADIO SURVEY RECORD (YAER 06)) for IACS J radio survey division (Company experience profile for the nominated field) 6. quality manual of the ISO according to amendment 6.5 valid certificate of the ISO checklist of certificates to the radio services ( radio certificates forms ) 6.7 Radio-Technical Staff Qualifications & Certificates. 6.8 list of the technical persons inspector for the (VDR & SVDR) 6.9 list of the technical persons inspector for the (radio survey) 6.0 Record for Classification Serviced Vessels for ( non IACS ) 6. Technical Annual training programming record. Year (05 06) 6. Technical training content. 6. approved by National Competent Authorities( valid trading license of the company ) 6. Personal records 6.. The supplier keeps records of the approved operators / technicians / inspectors. Auditing of the Supplier Upon reviewing the submitted documents found in satisfactory result, the supplier is audited in order to ascertain that the supplier is duly organised and managed in accordance with the submitted documents, and that it is considered capable of conducting the services. the supplier is approved / certificate will be sought. FORM NO. PMS-D.A.RSP /-rev0 Page Ajman Free Zone F.Z.E P.O.BOX 87 Ajman Tel Fax Mobil No Mail (pacific.m.s@eim.ae)

5 7- Please complete the following :- (servicing and testing of radio communication equipment and AIS) 7. Supervisor No Name Age Qualification Experience 5 Notes: Minimum years experience is required for supervisor Qualification to include certification according to a recognised national or international. The supervisor shall have minimum two () years education from a technical school and experience as an inspector, and shall hold a General Operator s Certificate (GOC) or an equivalent certificate. For a supplier consisting of one person, that person shall meet the requirements of a supervisor. 7. Operators No Name Age Id Qualification 5 Notes: Minimum years experience is required for supervisor Qualification to include certification according to a recognised national or international. The inspectors carrying out the inspection shall have passed the internal training of the supplier in Radiotelephony, Radiotelegraphy, GMDSS, and initial, periodical and renewal surveys, as applicable. The inspector shall also have at least one () year s technical school and at least one () year experience as an assistant radio inspector and shall hold a General Operator s Certificate (GOC) or an equivalent certificate. Inspectors of initially approved firms without experience as an assistance radio inspector at least one () year experience in installation and commissioning of radio equipment may be considered as acceptable. 7. Training of personnel (Training records) 7.. Training records The supplier keeps records of the training of operators / technicians / inspectors. Please complete the following : No Name Age Last planner training (date/subject) Instructor 7.. Training program There is a procedure for personnel training. Intern : Extern : The procedure has the following standard : A training program is available FORM NO. PMS-D.A.RSP /-rev0 Page 5 Ajman Free Zone F.Z.E P.O.BOX 87 Ajman Tel Fax Mobil No Mail (pacific.m.s@eim.ae)

6 8- Equipment data. 8. Equipments 8.. The firm has adequate major and auxiliary radio equipments as required and a log of maintenance and calibrations. available. 8.. The firm has adequate the equipment employing software Conjunction with testing/examination, and this software shall be fully described and verified. available. 8.. required instruments and equipments : Equipment for measuring frequency, voltage, current and resistance Equipment for measuring output and reflect effect on VHF and MF/HF Equipment for measuring modulation on MF/HF and VHF (AM, FM, PM) Acid tester for checking specific gravity of lead batteries Tester for checking of correct output from Free-Float Satellite EPIRB Equipment for testing the performance of the automatic identification system (AIS) 8.. Please complete the following : No Manufacturer Type of instruments Last calibration date 8. Reporting 8.. The report forms are acceptable to the PMS 8.. For ESP ships the report will be based on the guidelines given in IACS UR Z7. as amendment. Notes: Reference documents : The supplier shall have access to SOLAS 97 as amended, IMO Res.A.789(9) : Specification on the survey and certification functions of recognized organizations acting on behalf of the administration, ITU Radio Regulations, and IMO Performance Standards as well as relevant parts, if any of the PMS Rules and Guidelines. 8. Firms engaged for performance of Voyage Data Recorders (VDR) The firm has been authorized or licensed by the equipment s manufacturer to service the particular makes 8.. and models of equipment for which approval is sought. The firm have IMO Resolution A.86(0) and applicable industry performance standard (e. g. IEC ). and have documented procedures and instructions. The firm have documentation and equipment as specified in the authorization or license from the equipment manufacturer. 8.. Please complete the following : No Manufacturer Model 8..5 Engineers No Name Rank FORM NO. PMS-D.A.RSP /-rev0 Page 6 Ajman Free Zone F.Z.E P.O.BOX 87 Ajman Tel Fax Mobil No Mail (pacific.m.s@eim.ae)

7 8. Approval by third party(ies) Has the firm been approved by other classification societies or authorized organizations? State which : No 9- Audit Data. Place of audit. Date of audit Place/Date Stamp of PMS Name & Signature of PMS Surveyor Notes: Handling of Documentation. All necessary technical documents and forms signed and stamped together with corresponding Statement of fees will be sent to the H.O. person in charge. All other documents such as videos, reference lists and brochures to be kept in the respective. station after thorough examination by the attending surveyor. Where such services are used by PMS Surveyors in making decisions affecting statutory certifications, the firms are subject to approval by Pacific Marine Services where the Society is so authorized by the relevant flag Administration. For such services may accept approvals done by : - the flag Administration itself - duly authorized organizations acting on behalf of the flag Administration. - other organizations that are acceptable to the flag Administration (e.g. other governments, etc.). The approval will be issued until Issued at the day of 0 For the pacific marine services Head office Technical Manager FORM NO. PMS-D.A.RSP /-rev0 Page 7 Ajman Free Zone F.Z.E P.O.BOX 87 Ajman Tel Fax Mobil No Mail (pacific.m.s@eim.ae)

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