Certificate of Inspection
Freefall Lifeboat
Service
annual
5 yearly
Name of Vessel:
IMO Number:
Owner/Manager:
Flag:
Classification Society:
Type of Vessel:
Place of Service:
Date of Service:
Next Service:
Type of Freefall Lifeboat
Type of Release System
Mechanical
Hydraulic
Serial number
Date of manufacture
Name of manufacturer
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Freefall Lifeboat General
Rows
good
part exchange
repair
n/a
Color condition of the Hull
GRP condition of the Hull
Canopy
Windows
Fender
Lifeline
Hatches including Gaskets
Hoisting Slings
Fittings Hoisting Slings
Seats
Seatbelts
Inside Structure
Reflective tape
Call sign and
Lettering
Ventilation
Sprinkler System (if available)
Rows
good
part exchange
repair
n/a
Pump
Nozzles
Pipes
Function Test
Release Gear
Rows
good
part exchange
repair
n/a
Release Gear General Condition
Securing Pin of Release Gear
Main Release Lever
Emergency Release Gear
Hydraulic Pump
Drain Valve
Release Function Main System
Release Function Emergency System
Reset Condition of Release Gear
Tolerances
Hook fastening
Release gear condition prior to operational testing
Release gear condition after operational testing
Operational test with empty boat
Operational test with 10% overload
5-yearly overhauling of release gear unit
Adjustment after overhauling (5-yearly)
Reset Condition of release gear and operational readiness
Hook foundation before testing
Hook foundation after testing
Tolerances and free-play
Air Supply System (if available)
Rows
good
part exchange
repair
n/a
Last hydro test of lifeboat air cylinders
Air cylinder hydrostatic test due
System Check
System Pressure
Pressure Regulator
Air Cylinder
Breather Valve
Hoses of Air Supply System
Bailing System
Rows
good
part exchange
repair
n/a
Bilge Pump
Hose of Bilge Pump
Drain
Electric System
Rows
good
part exchange
repair
n/a
Batteries
Wiring
Battery Switch
Battery Charger
Search Light
Position Light
Interior Light
Compass Light
Propulsion System
Rows
good
part exchange
repair
n/a
V-Belt Tension / Condition
Engine Spare Parts
Fuel System (Fuel Filter, Fuel Pipes)
Fuel Level
Cooling System / Cooling-Water Pipe
Steering Gear and Rudder Blade
Test Run
Equipment
Rows
good
part exchange
repair
n/a
Parachute Rockets
Hand Flares
Smoke Signals
First Aid Kit
Seasickness Tablets
Food Rations
Drinking Water
Fire Extinguisher
Repair Kit / Tools
Survival Manual
Sea Anchor
Bailer
Bucket
Boat Hook
Radar Reflector
Thermal Protective Suits
Signal Mirror
Tools for Engine
Jackknife
Notes
5 yearly overload test has been performed with a weight of
This equipment has been inspected and is fit for operation as of today
Classification attended
Yes
No
Woell Marine Stamp & Signature
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Cusomer Name
First Name
Last Name
Customer E-Mail
example@example.com
Technician Name
First Name
Last Name
Technician Email
example@example.com
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