PANAMA MARITIME AUTHORITY

sleepyeyeegyptianOil and Offshore

Nov 8, 2013 (3 years and 9 months ago)

80 views

PANAMA MARITIME AUTHORITY

Technical Office


Segumar Panama

Pan
-
Canal Building 4th fl., Omar Torrijos Herrera Ave. Albrook

Panama City, Panama

Tel: (507) 501
-
5358

Fax: (507) 501
-
5363/64

E
-
mail:
msm@segumar.com


SEG
-
01
-
09
-
03










Pag.
1

/ 1

Rev. Sept
. 201
3

APPLICATION FOR MOBILE OFFSHORE DRILLING UNIT (MODU)

MINIMUN SAFE MANNING

CERTIFICATE

………………………………………………………………………………………………………………………
......

GENERAL INFORMATION

Applicant Name / Address /
e
-
mail
:

Name of MODU
:













Year of
Built
:







Call Letters:







IMO No.:







Operating Company
Name:

(
copy of
Safety Management Certificate,
shall be
submitted

if applicable)

Gross Tonnage
:







ITC 69







National







Existing Unit

New Unit


Unit is fitter

with GMDSS

YES

NO


Has there been a MSM for this MODU?

NO


IF

YES


MSMC
No.:









Previous ITC:











…………………………………………………………………………………………………………………………
..

MACHINERY

Non
-
Self Propelled

IF

Self Propelled


Main Engine’s
Power (Kw):







……………
………………………………
……………………………………………………………………………..

TYPE OF MODU



Surface Units






Bottom
-
Supported

Drilling Rigs





1.

Semi
-
Submersible or Colum stabilized unit


1.
Submersible

2.

Drill ships



2.

Self
-
Elevating (Jack
-
Up
)




………………………………………………………………………………………………

OPERATION MODES

ON LOCATION

(check one of the following)

TRANSIT CONDITION (underway)

(check one of the following)


Floating


Underway

8

Hrs. or less



Moored with anchors


Underway 16 Hrs. or less in any 24 Hrs. periods






Dynamically

positioned


Underway 1
6

to 72 Hrs.




Underway 72 Hrs. or less


Bottom Bearing


Underway more than 72 Hrs.



Moveable legs


Under Tow


Others



PANAMA MARITIME AUTHORITY

Technical Office


Segumar Panama

Pan
-
Canal Building 4th fl., Omar Torrijos Herrera Ave. Albrook

Panama City, Panama

Tel: (507) 501
-
5358

Fax: (507) 501
-
5363/64

E
-
mail:
msm@segumar.com


SEG
-
01
-
09
-
03










Pag.
2

/ 1

Rev. Sept
. 201
3

.......................................................................................................................
..................................

PROPOSED MINIMUM SAFE MANNING

(
) Offshore Installation Manager

(
) Master

(II/2)
(II/3)

(
) Chief Engineer

(II
I/2)
(III/3)

(
) Barge Supervisor

(
) Chief Officer

(II/2)
(II/3)

(
)
Second
Engineer

(III/2)
(III/3)

(


) Ballast Control Operator

(


) Deck Officer

(II/1)

(


) Engineer Officer

(III/1)

(


) A.B. Seaman

(II/4)

(


) A.B. Seaman

(II/4)

(


) Oiler(s) / Motormen

(III/4)

(


) O. Seaman

(VI/1)

(


) O. Seaman

(VI/1)

(


) Certifi
cated Person

(


) Certifi
cated

Person

(


) Certificated

Person

(


) Radio Operator


Fee for each certificate is USD$150.00 Paya
ble to: "PANAMA MARITIME AUTHORITY" DRAWN ON A USA BANK

THE ROUTING & ABA NUMBERS OF THE USA BANK NEED TO BE MICRO
-
INCLUIDED ON THE BOTTOM OF
THE CHECK (NO REGULAR TYPE WRITER)