Australian Maritime Safety Authority

Ship Safety

Title MS Word
Format
PDF Format Form Number Current Version
Application for an Australian certificate for the carriage of livestock Microsoft Word Icon DOC: 54Kb

PDF Icon PDF: 76Kb

AMSA 338 7/13
Application for survey/certification of ship or ship's equipment Microsoft Word Icon DOC: 79Kb PDF Icon PDF: 80Kb AMSA 41 9/15
Calculation of Stability for Ships Carrying Bulk Grain   PDF Icon PDF: 187Kb AMSA 226 12/12
Cargo Record Book   Available from AMSA Offices (Cost is $4.00) AMSA 227 9/06
Record of Service   Available from AMSA Offices (Cost is $20.00) AMSA 143 9/15
Certificate of test and examination of derricks and cranes   PDF Icon PDF: 135Kb AMSA 365
MO32
1/17
Certificate of test and examination of cargo gear being blocks, chains, rings, hooks, shackles, swivels, connecting plates and overhauling weights   PDF Icon PDF: 154Kb AMSA 366
MO32
1/17
Certificate of test and examination of cargo trays, crates, tubs scrap bins and other loading and unloading receptacles   PDF Icon PDF: 135Kb AMSA 367
MO32
1/17
Certificate of test of wire rope   PDF Icon PDF: 143Kb AMSA 368
MO32
1/17
Certificate of test and examination of cargo lifts and mechanical ramps   PDF Icon PDF: 143Kb AMSA 641
MO32
1/17
Certificate of test and examination of lifting beams, spreaders, lifting frames, magnetic lifting devices and vacum lifting devices   PDF Icon PDF: 143Kb AMSA 642
MO32
1/17
Garbage Record Book   Available from AMSA Offices (Cost is $4.00) AMSA 230 11/12
GMDSS radio logbook   PDF Icon PDF: 125Kb AMSA 343 7/16
Harmful substances report (POLREP)
(MO 91 - Marine Pollution Prevention - Oil)
Microsoft Word Icon DOC: 71Kb

PDF Icon PDF: 75Kb

 

AMSA 197
(MO 91/2)
10/14
Harmful substances report (POLREP)
(MO 93 - Marine Pollution Prevention - Noxious Liquid Substances)
Microsoft Word Icon DOC: 84Kb

PDF Icon PDF: 75Kb

 

AMSA 196
(MO 93/2)
10/14
Incident alert - Please download the form, save it, then open it in Word or Adobe. Microsoft Word Icon DOC: 150Kb PDF Icon PDF: 58Kb
AMSA18 9/13

Incident report - Please download the form, save it, then open it in Word or Adobe.
For MARPOL Pollution Reporting Formats see IMO Assembly Resolution A.851(20)

Microsoft Word Icon DOC: 174Kb PDF Icon PDF: 78Kb
AMSA 19 9/13
Loading, or sailing after partial discharge, of bulk grain Microsoft Word Icon DOC: 541Kb PDF Icon PDF: 304Kb
AMSA 225 (MO33) 4/13
Masters report carriage of livestock Microsoft Word Icon DOC: 100Kb

PDF Icon PDF: 92Kb

AMSA 337 5/13
Multimodal Dangerous Goods Form Microsoft Word Icon DOC: 98Kb

PDF Icon PDF: 144Kb

AMSA 250

(MO 41)

8/13
Notice of alteration or damage to an Australian ship
(MO 98 - Anti-fouling Systems)
  PDF Icon PDF: 71Kb AMSA 254
(MO 98/1)
10/14
Notice of alteration or damage to an Australian ship
(MO 97 - Marine Pollution Prevention - Air Pollution)
  PDF Icon PDF: 71Kb AMSA 253
(MO 97/1)
10/14
Notice of alteration or damage to an Australian ship
(MO 93 - Marine Pollution Prevention - Noxious Liquid Substances)
  PDF Icon PDF: 71Kb AMSA 193
(MO 93/1)
10/14
Notice of alteration or damage to an Australian ship
(MO 91 - Marine Pollution Prevention - Oil)
  PDF Icon PDF: 68Kb AMSA 192
(MO 91/1)
10/14
Notice of intention to conduct in-transit fumigation Microsoft Word Icon DOC: 150Kb PDF Icon PDF: 64Kb
AMSA 82 12/12
Notice of intention to load livestock Microsoft Word Icon DOC: 67Kb PDF Icon PDF: 67Kb
AMSA 32 7/13
Official Log Book   Available from AMSA Offices (Cost is $11.00) AMSA 361 8/16
Oil Record Book - Part 1   Available from AMSA Offices (Cost is $4.00) AMSA 228 6/10
Oil Record Book - Part 2   Available from AMSA Offices (Cost is $4.00) AMSA 229 6/10
Radiocommunications equipment survey details   PDF Icon PDF: 115Kb AMSA 220 1/03
Register of Materials Handling Equipment   Available from AMSA Offices AMSA 357 1/15
Report of suspected non-compliance with Navigation Act or safety/pollution conventions Microsoft Word Icon DOC: 104Kb

PDF Icon PDF: 126Kb

Online

AMSA 355
(SV-HH)
10/14
Shipper's Declaration (MO 34, MO 42) Microsoft Word Icon DOC: 42Kb

PDF Icon PDF: 44Kb

AMSA 268 1/15
Summary of radio survey/inspection   PDF Icon PDF: 89Kb AMSA 219 1/03
Table of deviations of the standard/steering compass   PDF Icon PDF: 127Kb AMSA 408 7/16

If you cannot access these forms please email AMSA Communication or ring 02 6279 5820.

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