-

. f-:/1,AJn,> VilflA,.V arA..I -

CHECKLIST FOR SAFETY RADIO EQUIPMENT (GMDSS) SURVEY

(FOR RADIO TECHNICIAN1>)
¥~1 l:fl 'c:jA~ ~ 'c:i.H.(¥~ ~ l:fl ~ 'c:j 'lJ it§)

Partlculars of ship
Ships Name: ass No.:
-MIT
- YOUNGSAN - - - Cl
- - - - -GAS Ma 1!! A
9800032

Report No.: BSN-S0709-24 survey Date: 14™, AUG, 2024

,1 •• lf.1§ ~A.ii»

Registered Tonnage: 999TON Date Keel Laid: 24TH,JUN, 1998

s•~* - - - - - - - - - - 8~Jl~liJ
Port of Registry and Flag State : BUSAN/ KOREA
~ ~ w W JI~ ----------------------
cal I Sign.: _D_7_V_Q..,,__________ Official No.: BSR-200032
§e¥§ ~~lf.1§

MMSI Number: 441299000

IEI lf.1§

Sea Area in which vessel is certified to trade(lf applicable, multiple sea areas should be selected):
~~8 08~ e1t2! LHOUI weam£• QeJ@J(eft~~~ ~~- •* ~-- 3:!).

181 A1 181 A2 181 A3 □ A4

Kind of Survey (Type of ship : ~ Cargo Ship D Passenger Ship O Other: _ _ _ _ _ )

0 Initial Survey ~ Periodical Survey O Renewal· Survey
D FI ag change D Transfer of Class(TOC)
General YES NO N/A
A. Has KA been contacted before conducting the radio survey? ~□□
- If no, the survey result may be rejected by KR
B. Has KA Surveyor attended and verified the technician?
- If No, the reason to be written :
C. Radio Technician has been approved by KR?
- If No, the reason to be writ ten :
D. Are there any deficiencies?
E. Replacements or Additions of Safety Radie Equipment as fol low;
In accordance with SOLAS IV/Reg. 14, the ~auipment newly replaced or added to on ships shal I
be of a type approved and conform to appropriate performance standards.
PI ease , f i I I in the bIank be Iow. i f·---·•···
0Id Equipment
app l i-.
r.ab-Ie.
-··--•·-------------~
-----l·-------N_ew_E_qu_i_pme_nt_ _ _ _ __

I)ag~ .lil~ilHIOI CJI!! ~Al~~. ll«l ~8Jl~OII at~ A~!! Xl6l:il .lil~ilHI ~~~~a ~Hl8tOI !!~~aOIAI Xl21M
el~!! .lil~ilHI ~~ Jl8Xla011 ~eft)d~ Al~~.
The survey of fol lowing part should always be performed by a fully Qual lfled radio technician who has adeQuate knowledge of radio
regulations, the~ Convention, and II«> Performance Standard, thus duly approved by the Society or other IACS llelbers

For11 No. CH<-<lt--01K(2024.01) 1/1

-
1. Olecked that the fol lowing oocunents/su,I lcat Ions are aval Iable on board;
08~ MWaOI ~~Oil 1:t1i1£!ot i18a •21•.
YES NON/A
a. Val id Radio License............................................................................................. 1:83 D D
~:§~ ~~~ olJ·~.
- Radio license No.(Radio Regulation Art. 18):42-2020-20-0000423/73-2020-20-0000026
~~~ oD~~ ~~
- Place and date of issue:REPUBLIC OF KOREA/2020.09.27
W~ ~::!::./ilX~
- Expiry date:UNLIMITEO
e.Ls.il
b. Radio Operators' Certificates.......................................................................... 1:83 D D
~~g~A~ x•~~-
Name of Operator Class Number Validity Duration Issued by
JUNYICHOI G.O.C BS-H3-23-1025 2028.11.07 KOREA
INJAELEE G.O.C BS-H3-21-1942 2027.04.15 KOREA
BONGSIK.CHOI G.O.C BS-H3-23-0025 2028.04.21 KOREA

c. Radio log.................................................................................................................. 1:83 D D

~~ilXI
d. Manual for Use by the Maritime Mobile and Maritime Mobile-Sate I Ii te
Services.................................................................................................................. 181 D D
eH~OI~ ~ ~~ 01§ ~~gt~ ~~
e. List IV - List of Coast Stat ions and Special Service Stat ions.............. 181 D D
~~~ ~~ ~* MttlA~
f. List V - List of Ship
i1
Stations and Maritime Mobile Service Identity
Ass i gnmen ts........................................................................................................... 181 D D
~~~ ~~ i1 ~~Ol§gt~ ~~
g. lnternat ional code of signals.............................................................................. 181 D D
~Ail~~M
h. Operating manuals and other instructions................................................... 181 D D
~~XlelM

2. The fol lowing test lnstrunents are used;

08.21 AlljJIJlaM A•81t.
a.Fr eQuency count er ................................................................................................. 181 □ □
b.Wat t meter wi th pI ug i n eI emen ts cover i ng MF , HF , and VHF .............................. 181 □ □
c.Ampere/Vol t/Ohm meter .......................................................................................... 181 □ □
d. I nsu Iat i on tester ................................................................................................. 181 □ □
e.Acid tester (specific gravity) ........................................................................ □ □ 181
f. Instrument for decoding the ID-signal of sate I Ii te EPIRBs ........................... 181 □ □
g. Osc i 11 oscope .......................................................................................................... □ □ 181

Form No. CH<-<ll-01K(2024.01) 2/13

The following Items were checked and tested as necessary and fou,d satisfactory.
08~ tJ~aOII atfllt n~R~ et~ot¥■ Alll/11~~~8.

3. Radio lnstal lat Ions

~~iHtl.
a.The radio controls for operating the radio installation are adeQuately
i I luminated.............................................................................................................. C8:I D D
~ ~ il1 ti I Xii Oi ~ Al ii g ~ a1 ~I ~ ~ £1 Oi £1 S
b.The capacity of battery(s) has been checked at Intervals not
exceeding 12 months................................................................................................. C8:I D D
~HE-12.121 ~~g OH 12JHil ~XI Ble ~~2~ eJ~£1~~
c.Electrical lighting Is permanently arranged and connected to a source
of power independent of the main/emergency source of pawer............................. C8:I D D
C'! § g ~ C'! ~ / ti I MC'! ~ m ~ ~ 21 C'! ~ OIi e! ii: £1 Oi ~ Al £1 Oi £1 ~
d.Aadio installation clearly marked with cal I sign, ship station identify,
and other app I i cab Ie codes..................................................................................... C8:I D D
~~~tllwOII ~~21 ~-~~. ~~~ 61~~~. JIS ~~ ncwol
~-~I I!A1£10i ~~
e.Radio eQUipment is located at : Wheel House NAV Deck
~~~tllJ~ ~xi@ ~±
f.Remotecontrol fromconningpositionprovided................................................... D D C8:I
~~~ll~~EI ~~XilOiJI ~01 Xil~£10i £1~
g.Aeronaut ical 121.stliz/123. Hliz two-way radio communication (Puaenoer lhlponly)......... D D C8:I
~~~m* 121.st.t-iz/123. H.tlz ~~~ ~~ ~~~61 *801 Xil~£10i ~~
( 012!!~ OIi ail@~)

4. EQulPlll8flt lnstal led ful f I I ls the funct Iona I re<JJI rements for
the vessel's sea areas of operat Ion.................................................................... C8:I D D
•11e ~tllaOI !!~~ ltll,2~0II WR!! JI-~ 22! ■8 et•Al3I~
il&

5. Metoods used to ensure aval labl 11 ty of radio facl 11 tes2>

Jls2il 22!~ tt•w~
a .Oup I i cat ion of 8QU i pmen t.......................................................................................... C8:I D D
~t1121 O18~
b.Shore-based maintenance (copy of contract verified on board)..................... C8:I D D
~M~ l:fl ( ~~ OIi l:fl xi 8 ~ l:fl JU~ M N~ -=!-£1)
c . At-sea ma i nt enance capab i I i t y................................................................................. D D cg:i
~~~l:fl

21
fJl!l,12101 A32! Mel ~!;lt2 2Jf Al ~wa fJJJI Af8~fOIOt ~.
Ships engaged on voyage in sea area A3 and M must use a cont>lnatlon of two methods.

Form No. Of<-<ll-01K(20'l4.O1) 3/13

-
6. Source of energy
~@

a. Main source of energy aval Iable ~□□

in accordance with requirements ......................................................................... ..
~C'.i ~

b. Emergency source of energy(specify below):

t:ll~C'.i~ (O~2H0U ~AIW ~)
□ Emergency Battery D Emergency generator
D Others:
Capacity: _-____________________
Location: _-____________________

c. Reserve source of energy(specify below):

0Ut:IIC'.i~ (O~2H0U ~Allt ~)
□ UPS D Accumulators ~ Sealed Accumulators D Others:
Capacity: 25.SV / 200AH
Loca t ion: BATTERY BOOM
0
0
0
7. Reserve source of energy 0
0..
OIi t:11 ~@. ..
0
a. Checking there is sufficient capacity to operate the basic or duplicated equipment 0
for 1hour or 6 hours as appropr late (Regulation IV/13) .................................. 181 D D 0
0
Specify 1 or 6 hour: _6_H_O_UR
_ _ _ _ _ _ _ _ _ _'.'"'-=:'.""-::"."""""=:-:-:-:-=--=-- 0
Ail4g A'.1113-ri~OII W2J 1Al2! EE= 6Al2! ~2! JI~ il O18~ ~tllii~ ~~AliJ 'l

* ~= ~~~ §~~ Ollt:11~~O1 ~=XI •ei~. 1Al2! EE= 6Al2!~ ~JIit ~- D

0
b. Checked i ts s i t ing and ins ta I Iat ion .. .. .. ..... .. ... ... ... .. ... .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. •.. 181 D D I D
~ll~EJI ■ •ei~ ~
c. Checked for defects, inc Iud ing a11 cab Ies.................................................... 181 D D J:
~~Ol~ g~~ (3U0IV .£~)
d. Checked its condition by specific gravity measurement or
voltage measurement....................................................................................... 181 D D
Spec i fy vo It age/spec i f ic gr av i t y: 25 .5V I Maintenance Free Type
tll8 EE= ~gt~~~~~ ~EJI •ei~. ~gt il tlls~ ~JIit ~
e. With battery off charge, and the maximum required radio installation
load connected to the reserve source of energy, checked the battery
E
voltage and discharge current........................................................................ 181 D D E
Specify maximum discharge current: - 27A-----------
~H El 2.1 ~ C'.i ~ 8 8 o~ .:iJ. , OIi ti I ~ ~ OIi e:! ii@ ~ ~ g ti Iii OI !I QI£ • a~ J ~ ~ 2.1 ~ •
~~Alz.! ~EJIOIIM ~HE:12.1~ ~gt~ ~C'.i-W9 g~~- !!QI ~C'.i-W9 ~JIit ~-
f. Checked that the charger(s) are capable of recharging the reserve
battery within 10 hours................................................................................... 181 D D e

g.
~HE:12.1 ~C'.iJIJ~ 10Al(l OILHOII Olltll ~HE:12.I• XH~C'.ilt
Checked that battery charger is of an automatic type..................................
* ~=x1• ~~.
181 D D
e
i
~~JIJ~ X~~~~XI -~.

Form No. Qf(-<ll-01K(2024.01) 4/13

 ,. -....,
rn

8. Antennas
~SIU. tell ite Service
s, including Recognized Mobile Sa
a.Visual inspection of all antenna ... ~ D □
ry siti ng and defects.........................
antennas, and feeders for satisfacto al~ ~f i~
eJEIIU, ~~~ ~m 2§ eJEflUaOII
Recognized Mobile Sa tell ite Service
~Al.2f ~m ~-' ~8~ ~~ ~eJ al~
.
ided enabling MF/t-f transmitting
b.Checked that arrangements are prov . ~ D D
..................................................................
antennas to be grounded......................
ei~ .
MF/HF eJEIIUJ~ ~.Xl~~IJ~ £10i~e.XI
g antennas are protected against
I c.Checked that the MF/t-f transmittin IZJ D D
.............................................................
being touched accidentally..................
Bl~ ~ ~~~AIJ~ £10i£l=XI ei~ .
MF/t-f 2JBIUJ~ M~ £ Q~ ~OIi i;.XI

9. ff transceivers
ff ~AT tJJ I DUPl. I CATl ON
BASIC
JRC I JHS-32A
SAMYUNG ENC/ STR-6000A
I Maker/ Model
IZJ D D
13, and 16.................................................
a.Checked for operation on channels 6,
.
A/I~ 6, 13 i 160llki£J ~§MEH ei~ IZJ D D
freQ uency tolerance ..............................
b.Checked that eQuipment is within
~W * ~* 2x~ ~~LHOII ~= XI lf2J. ..... IZJ D D
ecke d RF pow er outp ut and VSW 1 on channels 6, 13, and 16..........................
c.Ch
1 ei~ .
AH~ 6, 13 i 160llki Pf• ~ i VSW
controls
d.Checked correct operation of all IZJ D D
................................................................
including prio rity of control uni ts...
o~ =x I• ei~ .
A'IIOi~xla£J ~~ e~ .2} ~lt ol ~§
s from the main, emergency
e.Checked that the eQuipment operate IZJ D D
energy......................................................
(if provided) and reserve sources of
~§. £1 =XI ei~ .
~tilJ~ ~~~, til~ ~~ , Olltil~~OIIM
on-air contact with a coast station
f .Checked for correct cperation by rgJ D D
.................................................................
or other ship..........................................
~~~EH ei~ .
El- ~~ ~= ml2f~:ilf ~g ID ~6! 181 D D
ecke d that corr ect DSC num ber is programmed into the unit.......................
g.Ch
~= XI e1~.
~tilOII DSC ~§J ~ ~lt ol gJ~.£10i
re and DSC number are clearly
h.Checked that DSC distress procedu rgJ D D
..............................................................
displayed near the unit........................
H~ :£:OIi JIIAl.£10i ~= XI e1~ .
DSC ~8~t~ i DSC ~.2J~ ~til J~J 181 □ □
edc omp lian cew ith IMO perf orm anc estandards .........................................
i.Check
1g~JleOII ~~~XI e1~.

v.atch receiver
10. \1f DSC controller and Ol&nnel 70 DSC
JI.
\1f DSC ~IOfI!t, ~~ 70 DSC ~* *6!
STR -600 0A
Maker /model: SAMYUNG ENC/
Maker /model: JRC I IBS-32A
ing the correct Maritime Mobile
a.Performed an off- air check confirm
ed in the equipment.. ........................ .. 181 D □
~rv !;e ldentity(MMSI) is programm
, 6!. g e ~ ~ EH OIi M ~ ti I OIi MMS
I J~ ~ ~ ol gJ ~ .£1 Oi ~ = xI • ~ ~ .

Form No. Of(-<lf-01K{2024.01) 5/13

le

b.O"lecked for correct transmission by means of a routine or test cal I to a coast station.
other ship, on board duplicate equipment or special test equipment.............. 181 □ D
a\121~, s~~, EE::: ~~~ 0I8~ gt:JI EE::: ~*Al~gt:ll£ Al~g~· ~oH
~ti\~ Wt!~EH ~~.
c.Checked for correct reception by means of a routine or test cal I from a coast station,
other ship, on board duplicate equipment, or special test equipment............ 181 D D
~~~. 0 ~~. ~~~ 01~~ gt:JI EE::: ~*Al~gt1I£~E:i Al~g~a ~all
gt:H~ *~~EH el~.
d.Checked the audibi I ity of the vt-f/DSC alarm................................................ 181 □ □
VHF/DSC ~~821 J~~~ (aJll1i) el~.
e.Checked that the equipment operates from the main, emergency
(if provided) and reserve sources of energy...................................................... 181 D D
~ ~ ~ ti I ~ ~ ~ ' OIi ti I ~ ~ 9. £ ¥ Ei ~ ti I J ~ ot ~ a~ e XI el ?3 .
f .Checked for c~liancewith IMOperformancestandards................................... 181 D D
IMO ~:; JI eOII ~ eJ-~ XI el ?3.
a.Checked DSC alerting avai I able from conning position(in case of passenger ship).
~ ~ ~ 8 ~ Al OIi kl DSC ~ ~ ~ ~ 0 I J ~:;~XI at eJ . ( OI 2!l ~ eJ ~ ~) .......... .... 0 0 ~

11. IF radiotelephone eQUipment

IF Jil~~§L
Maker /model: SAMYUNG ENC/ SRG-3150DN

a.Checked that the equipment operates from the main, emergency

(if provided), and reserve sources of energy.................................................... 181 D D
~ ~ ~ , ti I~~~ , Oil ti 1~ ~ 0 £ ¥ E, ~ ti I J ~ ~~a~:: XI ~ ~ .
b.Checkedantennatuninginallappropriatebands............................................... 181 DD
2§ ~ ~ ~m* Ql~OUkl eJEllL~2! ff~ ~EH ~~.
c.Checked that equipment is within frequency tolerance
on al I appropriate bands ( 10 Hz) ......................................................................... ~ D D
2§ ~ ~ ~II~* QI~ Oil kl ~tll J~ ~II.~*21 ol § .2A~ ~ ~ UIOII ~::: XI ~eJ.
d.Checked for correct operation by contact with a coast station and/or measure RF
power output and VS't'tfl............................................................................................. 181 D D
~eJ~:m g§!. g~ ~-ol ~~o~:::xI• ~~ EE::: RFA~ il VS't\fl ~~.
a.Checked receiver performance by monitoring known stations
on al I apprapr iate bands ................................................................................... 181 D D
2§ ~~ ~m* QIQ:lOllkl JIXl~•21 ~m• 6'-Al~ 0 £M *~ ~~~ ~~-
f .Checked that the control unit on the bridge has first priority for the purpose of
initiating distress alerts. if control units are provided outside the navigational
bridge...................................................................................................................... D O 181
x!IOl~xl~OI ~iil~OIIEc ~C~e!. ~iilOII ~::: XilOi~xlJ~ ~8~.2W~OII
QI o~ OI ~ ~ e ¥19 ~ .::i1 ~ ::: XI ~ ~ .
g.Checked for comp I iance with IMO performance standards................................... 181 0 0
IMO ~ ~JI~ OIi ~ ru- ~ XI ~ ~ .

Form No. CH<-Qf-01K(2024.01) 6/13

 12. IF DSC controller{s)
IF DSC ~I Oi JI.
Maker /model: SAMYUNG ENC/ SRG-3150DN
a.Checked that equipment ooerates from the main, emergency
(if provided), and reserve sources of energy.................................................... 181 D D
~ C°! ~ , ~ ~ C"! ~ , otl l:1I C"! ~ 2 £ 1¥ El ti ot § ~ e XI e1 ~
b.Confirmed that the correct t.145I is programmed in theeQuipment..................... 181 D D
t.WSI n ~-~~Jil eJ~~OI ~eXI ei~
c. Checked the off-air se If test program................................................................. 181 D D
X~J~~B II£.:J~ ei~
d.Checked operation by means of a test cal I on MF to a coast radio station
if the rules of the berth permit the use of MF transmissions..................... 181 D D
tE ~t!JI A~&0I &t&8Oe! 811~ .!?~JIXl~:U.21 MF Al~g~ ■ g8ff ot§ot~ 21~.
a.Checked the audibi Ii ty of the MF/H= DSC alarm............................................. 181 D D
MF DSC ~~@01 a2.I :::xI ~~.
f.Checked for compliance with IMO performance standards................................... 181 D D
IMO {g ~Jle0II ~lt!!-XI ~~.
a.Checked DSC alerting from conning position
avai I able ( in case of passenger ship)................................................................. D D 181
~~~ ~~~Xl£•EI DSC~~ ~~01 J~~~XI ate!. (ot2!!~0II ffllg)

13. IF DSC watch recelver(s)

IF DSC ~* *~JI.
Maker /model: SAMYUNG ENC/ SRG-3150DN
a.Confirmed that only DSC channels indicated in Regulations IV/9 and
12 are being mon i tared ............................................................................... 181 D D I i
x-iI4g 9 'iJ 12n~0IIM XI~8 0SC~'!i21 ~ru*e..i- ~Alo~:::xI ate!. (
b.Checked that a continuous watch is being maintained while keying C

MF rad i o t r ansm i t t er........................................................................................ 1:8:1 D D I t

MF $~JI. keyingo~::: ~210!1~ JU~ ~*• ~Xllt * £l:::XI ~~. ~
c.Checked for correct operation by means of a test cal I
from a coast stat ion or other ship....................................................................... 1:8:1 D D ~
6~~0IU, oH2!~ 0 £¥Ei21 Al~2-~ goff ~atol ~~~~ ~~. '
I

14. IF/tf radiotelephone e<JJlpment

IF /tf Sill!! ~ §l- . !
C
Maker /model: SAMYUNG ENC/ SRG-3150DN
C
9
a.Checked that the equipment operates from the main, emergency
(if provided). and reserve sources of energy.................................................... 1:8:1 D D
~~~, tjl~~~, ()1I1:jl~~ 0 £¥8 gtjlJ~ ~~o~:::xI ~~.
b.Checked antenna tuning in al I appropriate bands............................................... 1:8:1 D D
!
2 § ~ ~ ~ ru *
CH~ OIi M 2l Eil L~ 21 fl-~ ~ EH ~ ~ . [
c.Checked that equipment is within frequency tolerance
on al I appropriate bands ( 10 Hz) ......................................................................... 181 D D
2§ ~~ ~ru* CH~OIIM gtjlJ~ ~ID*21 ~~ S?.x~ ~~ LHOII ~EAi lte!.
d.Checked for correct operation by contact with a coast station and/or measure RF
power output and VSWR............................................................................................. 181 D D
oH21~:m gm ■ gffll ~atol ~~o~:::xI• ~~ ~e RF•~ 'iJ VSY.R ~~.

For11 No. CH<-<ll-01K(2024.01) 7/13

I
-
e.Checked receiver performance by monitoring known stations
on al I appropriate bands ................................................................................... cgi D D
2§ ~~ ~II~* (]~OIIM JIXI~•~ ~m■ ~Al~.9.$.M
f .Checked that the control unit on the bridge has first priority for the purpose of
*~ ~g~ ~~ •
initiating distress alerts, if control units are provided outside the navigational
bridge...................................................................................................................... D D cgi
Xii Oi ~ xi a OI ~ .iil tft OIi £ ~ Q 12! , ~ .iil OIi ~ ::: A'II Oi ~ Al J ~ ~ 8 ~ 2 W~ OIi
(]oH~ ~~~~I ■ 1Fj} ~!::XI ~~.
a.Checked for compliance with IMO performance standards................................... cgi D D
IMO ~ ~JI e OIi ~ m~ XI e1 ~ .

15. lf/tf DSC controller(s)

If /tf DSC Ail Oi JI.
Maker /model: SAMYUNG ENC/ SRG-3150DN
a.Checked that eQuipment operates from the main, emergency
(if provided), and reserve sources of energy.................................................... 181 D D
~~~, !2.~~~, Ollt:1I~~~£-'=FE:i ~ ~§£1 !::XI e1~
b.Confirmed that the correct Wt1SI is programmed in theeQuipment..................... 181 D D
t.'MS I J ~ ~ It oDll gJ ~ £1 Oi ~::: XI e1 ~
c.Checked the off-air self test program................................................................. 181 D D
X~J~~8 Il.£:1~ e1~
d.Checked operation by means of a test cal I on MF and/or HF to a coast radio station
if the ru I es of the berth perm It the use of MF /1-F tr ansm i ss ions..................... cgi D D
MF/HF ~~JI A~§OI ~§~Qe! fflle! ~~JIXl~:i» ~ MF/HF Al~gm• gfflj ~~Ol-'=F ~~.
a.Checked the audibi I ity of the MF/1-F DSC alarm............................................. 181 0 0
MF/tf DSC ~ :agoI s2.I::: XI ~~.
f.Checked for c001)Iiancewith IMO performance standards................................... 181 D D
IMO ~~JleOII ~at~Xl e1~.
g.Checked DSC alerting from conning position
avai I able ( in case of passenger ship)................................................................. D D 181
~~~ ~~!t!Al£-'=FE:i DSC~~ ~~01 J~~~XI lt£J. (Oli!!~OII ~@)

16. IF/tf DSC watch recelver(s)

tlf/tf DSC ~* *t1JI.
Maker /mode I : SAMYUNG ENC/ SRG-3 ISODN
a.Confirmed that only DSC channels indicated in Regulations IV/11
and 12 are being mon i tared ............................................................................... 181 0 0
Xil4~ 11 ~ 12-rt~Ollki Xl~8 DSC~H~.£1 ~m*el ~Alo~!::J.:I lt£J.
b.Checked that a continuous watch is being maintained while keying
MF/1-f radio transmitter........................................................................................ 181 D D
MF/tf §tJJI. keyingo~::: ~'210!15: Jll~
c.Checked for correct operation by means of a test cal I
~*• .g.xI~ * ~!::XI e1~.

from a coast stat ion or other ship....................................................................... [8J □ □

e~~OIU, ~~~~£-'=FE:i~ Al~£·• ~~ ~Itel ~~~~ e1~.

Form No. Of<-<ll:-01K{2024.01) 8/13

17. Recognized ltlblie Satett lte
Recognized Mobile Sate I 11 t SeServtce ~Ip Earth Stat lon(s)
e rvtce Ci lilt x1;:i ~
No. 1
l Maker / Model
F'UR.UNo I FELCOM-15
No.2
No.3
- - .,I
a.Checked that the equiPment Ol)erate .
reserve sources of energy, and thas from the main, emeraency (if Provided), and
from the ship's naviaatlonal 0 0 t~ where an uninterrupteddsupply of information
information remains aval I bi '. er equiPment is require ensuring such
of failure of the ship's main or .('
emer0 encysourceofelectri:ai8 tn the event ... . l'vl D D
POWer ............
"~t:II JL x. ,:~
~• ~~~ , Oll lj I ~ ~ o .£
0 0
•;;;--..................................·........ · 1e,1
=- ¥Et ~81!1~ 111'.!a;.:;i !H! t!"t~ ~~
,
r -r \..:! lj I
!El= JiEf afijl~" 'Et "' o
~c!~ . ijit!lc !~; !'-I;: ~ ~S.i!1So1 f<'i'.!cl~ ?J,;>, :Jci~ ~.!i!Jf tit!/~
2/!c~ £I Oi 21 ~ Ai al~.
--
b.Checked the dis ~ .?J ,-cf !c e't! Oil kl OI ~It
Procedure,
* 0
where POssibl tress function by means of an approved test
l'vl D D
J '-
hs~
c.Checked f
e............................ ...... .... . .
~~ ~~§ Al~81AH>ll (U2J ·i~~·J·
.
I·~~...;~•;....................................
. L..: 0 • 0 0 •
1e,1 -
'
1
7

~0
or correct operation by inspection of recent hard copy 3.
0
ex or te I8Phone ••••••••••••••••••••••••••••••···•································· ..
: ~~;_1 c~ ~.~,tel
-,_, ~~~ Al~§ :-~ ~±!!~ ~ ~at! ~-~~JII ~§~L il ~::XI • ~~. 0
d.Checked distress function only If permitted to carry out test by
······························ ~ □ □
3

~~c~~;~~:~ i:·i,'j~··i;;;·i,'j·'i8...Ji';··~·iij·:········
9
6

ds................................... ~ D D
2

IMO ~ d~Jl~O
e •Checke Iianee w
for U ~m~x ~ IMO performance standar
, Itha1~.
3 )'

18. Aacelv er(s) C81)8ble of receiving IISI and search and rescue related Information
(Refer to IISC.1/Clrc. 1645)
8H Ale!l!! l!I .!i! ii .;,.<111 :;>:Ei!!i!! l!l .!i!• .;,.c1 • .;,. 2.l ~ l!lijl (IISC. 1/CI re. 1645 al :E)
0
1) Type of eQuipment/ Maker / Model: NAVTE X I SAMYUNG ENC/ SNX-30
inspecting recent
a.Checked for correct operation by monitoring incoming messages or
hard copy................................................................................................................
.. [81 D D
!J2~ £!±!!~ ~N EE:: *~ DIIAIXI ~Al• ga!l ~~ ~~Ol~ ~~.
.......... [81 D D
b.Per formed test run of the self-te st program, if provided......................
JJJ~ Al~n- £:J~ Al~ ~~. (~Xl£l 0l ~:: ~~)
... [81 D D
c .Checked for comp Ii ance with IMO performance standards................................
IMO ~ :;;Jl~Ofl ~et~X I ~~.

RUNO/FELCOM-15
2) (if applicable) Type of equipment/ Maker /Model: IN-C/FlJ
inspecting recent
a.Checked for correct operation by monitoring incoming messages or
.................................................. [81 D D
hard copy................................................................
!12~ e.!±!I~ ?3N ~~ *~ DllAIXI ~AIW ~~H ~~ ~§Ol ~ ~~.
b. Per formed test run of these If-test program. if provided................................ D D t8I
J,JJ~ Al~Il ~:J~ Al~ ~§. (~Xlfl Oi ~= ~~)
........... 181 D D
c.Checked for compliance with IMO performance standards........................
IMO ~ :;;Jl~Ofl ~~~XI ~?3.

_ _ _ _ _ _ _ __
3) (if applicable) Type of eQuipment/ Maker /Model: _N_IA
Form No. Of<-<IH>1K(2024.01) 9/13
 C I tr

a.Checked
h d for correct operation bY monI•t orIng
• IncomIng
• • messages or inspecting
• recent
ar copy,............... 0 0 ""
!1 2 ~ 21 ~ • ~ i~"i•;..·;~...mi.Ai'i . ~·Ai·■.. fi·~...i.;j.. ~·§·~~.. ~-~-:.... '°'
b.~~rJ~ormed test run of the self-test program, If provided................................ D D 181
Ar r Al In ~.:J ~ Al I ot§. ( ii ll £1 Oi ~::: ~ ~)
I c.Checked for C001)1 iance with IMO performance standards................................... D D 181
IMO ~gJl~otl ~lt!!XI e1~.

19. Float free satellite EPIF!

:ij~¥W 9t{!I EPRIB.
Maker /mode I : SAMYUNO ENC / SEP-500
a.Checked posit ion and mount Ing for f Ioat free oPerat Ion.............................. 181 D D
Loca t ion: BRIDGE WING SIDE
X.~ ~~- * ~S:- ~ll iJ glll~EH ~~.
b. Carried out vi sua I inspection for defects......................................................... 181 D D
i:~~~- ~!! ~e!~M Al~.
c. Carried out these If-test routine....................................................................... 181 D D
X~J~AI~ Al~.
d.Checked that the EPIRB ID is clearly marked on the outside of the equipment,
decod i ng the EP IRB i dent i t y number con f i rm i ng i t i s co r rec t.......................... 181 D D
~ttfl21 ~•otl EPIRB21 IDJ~ ~-~~JU .H.AlxJOi ~:::x1• ~~ iJ
decoding~~~ EPIRB ID ~~J~ ~-~XI ~~.
Identity number: 441299000
D
e.Battery expire date: ........................................................... ![i]] I ~ (DD !WA /YY)
HH Ei 2.1 ~~JI(!
f.Checked hydrostatic release and its expire date......... D /~/[ill (DD /WA /YY)
*~OIW el'AI iJ ~§JI(! ei~.
Maker/model : SAMYUNG ENC/ SEH-02
g.Checked cal I sign of ship is marked clearly on the EPIRB............................... 181 D D
EPIRBotl ~~21 §••§J~ ~Ital .H.AlxJOi 2!:::XI ate!.
h.Checked EPIRB is tested annually in accordance with MSC/Circ.1040/Rev.2.. 181 D D
MSC/Ci re. 1040/Rev .2otl ru~ EPIRB ~ ~~~ Al~.
I.Maintenance at intervals not exceeding five(5) years, to be performed at an approved
D/
shore-based maintenance faci Ii ty ......................................... [Q] / ~ (DO /WA /YY)
5~~ 'esXI PJ::: ~~o~ ~e!€! ~~~l::Het~otlM ~ttl.
j. Frequencies:
(Some administrations require sate! I ite EPIRBs to also operate on 121.5/243 t.tiz in
addition to 406 MHz) See IMO performance resolution.............................................. 181 D D
~m*:
(~• ~J~otlM::: ~~ EPIRBJ~ 406 MHz ~el O~LI~ 121.5/243 t.tizotlMS: ~§o~S:-
g_,:ia~.u 2!~) - IMO {g ~Jle et~
k.The date system last replaced or overhauled: .......................O;[Q];[Q] (DD /WA /YY)
!12 21 ii! x~I ~::: ~ all ~ X~ .
I .Checked for comp I iance with IMO standards......................................................... 181 D D
IMO ~ ~Jleotl ~et~XI ~~.

20. Type of secondary ineans of alert Ing: EPIRB / SEP-500

2~ ~!i! +e~ •~-

For■ No. CH<-<lt-01K(2024.01) 10/1

 21. Two-w&Y vtF radloteleptme apparatus for survival craft
:;i~~- WWW Vtf 5tl~cim -t:JI.

Maker / Mode I Primary Battery Rechargeable Battery

1 SAMYUNG ENC / STV-160 181 Fitted O Not Fitted f8I Fitted O Not Fitted
~ SAMYUNG ENC/ STV-160 181 Fitted O Not Fitted f8I Fitted O Not Fitted
n SAMYUNG ENC / STV-160
I "" f8I Fitted O Not Fitted f8I Fitted O Not Fitted

a.Checked for correct operation on Channel 16 and other by testing

with another fixedor portable ff Installation.............................................. ~ D D
0~ vt-f~t:11~~ Al~ .iil~a ~ffll XII.! 16 ~ JIS Q!! DH~ XH'ai!OIIM ~-ol
~~o~ :i1 ~!::XI e1 ~.
b.Checked the battery charging arrangements where rechargeable
batteries are used................................................................................................. ~ D D
~~~ tlHE:i2.IJ~ A~~~~ ~5f ~~~l::ll ~~.
c.Checked that avai Iable channels are in c0fl1)1 lance with reQuirements
of flag administration.......................................................................................... 181 D D
A~~Xll'!iOI JI~~¥~ gci:ut ~Alo~!::XI OI~ ~~.
d.Checked the battery expire dates if primary eel Is are used............................. 181 D □
1~ ~ XI• N ~ o~ !:: ~ 5f tlH El 2.1 ~ ~ 2 JI l!- ~ ~ .
1) §/~1 / 6 (00/tlN/YY)
2) / 11 / 6 (00/W/YY)
3) / 11 / 6 (00/W/YY)
a.Checked any fixed installation provided in a survival craft, D D
where appropr I ate ................................................................................................. . 181
=?~~Oil ~ll8 :ii~ ~~g1::11 ~~.
f .Checked they are clearly marked with ship's cal I sign. (fixed)............. 181 D D
gl::llOII ~~~ Cal I SignOI ~-~~JU lIAl~Oi ~~XI ~~ •
g.Checked for comp I iance with IMO performance standards.............................. 181 D D
IMO ~ ~Jl~OII ~;t~XI ~~.
h. In case of the eQuipment installed/replaced on or after 1.1.2024, it should be
confirmed whether the followings label led or marked on eQuipment properly.
2024.1.1 01• ~~OIi ~~1/iilA~I§ gl::lle.! ~~. 0~ A~~OI gl::llOII lIJl£10i ~~XI
01¥ i\ ~EH• ~J~£ ate.! ............................................................................. □ □ 181
1) Brief operating instruction
21~~ A~g XI el
2) In case of primary battery, manufacture and expiry date·
• Refer to Res.MSC.515(105) for the detai I
1x~ ~ XI e.! ~ ~ HH E:i 2.1 .£1 Ail ~ ii X~ il EI ii ii X~
3) Original eQuipment manufacturer
gl::ll Ail~X~
4) Awarning notice that a broken non-replaceable seal wi II cause the indicated
expiry date to be void.
HHE:i2.I• N~a~XI Pi£t~~ ~~of~ sealOI me~ ~~. HAI§ E!E~X~J~
~g~§Q~ ~:ii ~:;:i

Form No. Of<-<ll-01K(~4.01) 11/13

 22. Radar SN\T or AIS-SART
Radar SART !:f:: AIS-SART

Cargo ship 300 ~ 500 GT: 1 set Cargo ship 500 GT ~ and Passenger ship·. 2 sets
Set Radar SART or AIS-SART ' Maker &Type Serial No. Battery expiration
I No. date
1 RADAR SAR1 1AIYO / TBR 600 3643808 AUG - 2028
2 RADAR SAR1 TAIYO/ TBR-600 3640612 AUG - 2028
a.Checked for satisfactory capabi Ii ty of operat Ing either in the 9 GHz band 181 D D
or on f reQuencies dedicated for AIS, If possible ........................................... ..
J~~~H~ ~~~ ~ ~IOIC1 !:£:: AIS• M§~~~ ~~!! JI~ Al~ i!AI
b.Checked for satisfactory stowage ............................................................... 181 D D
~ ~ oD\I ii xi £1 Oi CU:: XI ei ~ .
c.Checked for operating instruct ions.................................................................... 181 D D
~~ XlelM ~~.
ct.Checked for sufficient battery capacity for stand-by condition and
to provide transmissions...................................................................................... 181 D D
Q\J\~81 !:£:: ~~~ o~JI ~~ ~~~ ~HE:i2.I ~~01 ~::XI -~.
e.Checked for clear markings with ship I s ca 11 sign.............................................. 181 D D
~tat~ Call SignOI ~-o~JII HA\£\Oi ~::XI ~~.
f .()per ating fr eQuenc i es: 9.410MHz
, o , ,-.
,::~~:,::,m. A.

a.Checked for comp I iance with IMO performance standards................................... 181 D D

IMO {g ~J\eOI\ ~m~XI ~~.

23. Olecked test e<JJ\pment and spares carried to ensure carriage Is ade(JJate In
accordance w\th the sea areas In ~lch the ship trades and the declared apt Ions for
lla\nta\n\ng ava\ lab I 11 ty of the funct Iona I re<JJI rements............................... 181 D D
ww:;i~R~OII atlt!! Alli~~I it Oll~P;t&wa !!cJOII ~1118·~ i12~, W~,22tOII
atlt!! Jlsat R~a ~-8.JI ~811 ~Ill!! ~~,2~a ~:Xl8·~ ile:XI ~~.

llE SlRVEY I'S

~an~
( sEo-sEONGYEO
Name and Signature of Radio Technician
f?~~~Jl ~J.J ~H~ il kl~ ---r,;-~&-c~

\-418-
KUMK.ANG NAV & COM CO.,LTD \-4\4-
eon.>any (§.I A~~ )
AN, 't(.
14™, AUG, 2024
Date(~~)

For11 No. Of<~1K(2024.01) 12/13

 Radio Technician's Remarks:
~~-t:flel~XJ~ .efc!
AIS : FURUNO I FA-150

LT-IN
SSAS & LRIT : FURUNO I FELCOM-15 BUI

ARPA RADAR : FURUNO I FAR-2127 2SET

D-GPS: FURUNO/GP-150

J
l

-
2.
2.
2.

-t...• ''
.6
.7

-l
J

-
''

rn
13/13
Form No. CH<-<ll-01K(2024.01)