Application for a Radio Inspection of a Compulsorily Fitted Vessel

Pdf version of this form is available here (PDF, 47 KB)

Is the vessel fully delegated in the Delegated Statutory Inspection Program (DSIP)? (required)

Yes

Please contact your classification society to schedule this inspection.

Name of Vessel (required)

Port of registry (required)

MMSI

Call sign

Gross tonnage (grt) (required)

Overall Length (m) (required)

Official number (required)

IMO number

Agent: Name, Address, Telephone Number (required)

Check if appropriate to this inspection (required)

New vessel or first inspection?

Change of Voyage?

Change of Certificate Type?

Renewal of radio certificate

Email (required)

Confirm Email (required)

Radio Services Representative: Name and Telephone Number

Inspection requested Date (required)

Time (required)

Canadian Coast Guard will contact you within the next 72 business hours.

Check appropriate vessel type (required)

Cargo

Tanker

Passenger

Tow Boat

Fishing

Workboat

Region (required)

Port, Dock or Quay at which survey is to be conducted (required)

Zone

Precise the port location

Application is hereby made for a radio inspection for the ship indicated above in accordance with Canadian Law and International Convention or Treaty as applicable. If after inspection the radio apparatus is found to comply with the requirements, it is requested that the following document(s) be issued.

Please check all certificates requested (required)

RADIO INSPECTION CERTIFICATE (Sea Coast of Canada) With Great Lakes Endorsement

CARGO SHIP RADIO SAFETY CERTIFICATE (SOLAS) Renewal Survey Periodical Survey

Sea Area

Not available

Voyage type (required)

Sheltered waters

Inland Voyages

Near coastal voyage, Class 1

Near coastal voyage, Class 2

Unlimited voyage

Conditions of inspection

Transport Canada is responsible for the conduct of ship radio inspections pursuant to the Canada Shipping Act, 2001. The Minister of Transport has appointed Canadian Coast Guard Radio Inspectors to carry out radio inspections.
An application for inspection shall be submitted to the Canadian Coast Guard office nearest to the desired port of inspection at least 5 working days in advance of inspection date.
When an inspection is requested of a ship registered elsewhere than in Canada, the application must be accompanied by a letter from the Consul or another official representative of the Administration concerned in accordance with Regulation 13, Chapter 1, SOLAS 1974, or Protocol 1988.
The ship's electrical power shall be available and a person with authority to operate the radio shall be on board at the date and time determined for the inspection.
Fees are payable as outlined in the Ship Radio Inspection Fees Regulations.

Date

Requester's name

You will need to check your email to confirm the submission of the form.

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