CG-6056A Supplement to IAPP Certificate

OMB APPROVAL 1625-0041

SUPPLEMENT TO
INTERNATIONAL AIR POLLUTION PREVENTION CERTIFICATE
(IAPP CERTIFICATE)
RECORD OF CONSTRUCTION AND EQUIPMENT
In respect of the provisions of Annex VI of the International Convention for the
Prevention of Pollution from Ships, 1973, as modified of the Protocol of 1978 relating
thereto (hereinafter referred to as “the Convention”).

Notes:
1. This Record shall be permanently attached to the IAPP Certificate.
The IAPP Certificate shall be available on board the ship at all times.
2. If the language of the original Record is not English, French or
Spanish, the text shall include a translation into one of these
languages.
3. Entries in boxes shall be made by inserting either a cross (x) for
the answer “yes” and “applicable” or a (-) for the answers ”no” and
“not applicable” as appropriate.
4. Unless otherwise stated, regulations mentioned in this Record
refer to regulations of Annex VI of the Convention and resolutions
or circulars refer to those adopted by the International Maritime
Organization.

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Particulars of Ship

1.1 Name of Ship ………………………………………………….…….………………
1.2 Distinctive numbers or letters ………………………………………..…………….
1.3 IMO Number ……………………………………………………………...………….
1.4 Port of Registry …………………………………………………………..………….
1.5 Gross tonnage ……………………………………………………………………….
1.6 Date on which keel was laid or ship was at a similar stage of
construction ……………………………………………………………………………….
1.7 Date of commencement of major engine conversion (if applicable)
(regulation 13) ……………………………………………………………………..………

U.S. DEPT. OF HOMELAND SECURITY, USCG, CG-6056A (11/2004)

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Vessel Name:

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Date Issued:

Control of emissions from ships

2.1 Ozone-depleting substances (regulation 12)
2.1.1 The following fire-extinguishing systems and equipment containing halons
may continue in service …………………………………………………….

System equipment

Location on board

2.1.2 The following systems and equipment containing CFCs may continue in
service ………………………………………………………………………..
System equipment

Location on board

2.1.3 The following systems and equipment containing hydro-chlorofluorocarbons
(HCFCs) installed before 1 January 2020 may continue in
service ………………………………………………….…………………….
System equipment

Location on board

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Vessel Name:

Date Issued:

2.2 Nitrogen Oxides (NOx) (regulation 13)
2.2.1 The following diesel engines with power output greater than 130kW, and
installed on a ship constructed on or after 1 January 2000, comply with the
emission standards of regulation 13(3)(a) in accordance with the NOx
Technical Code ……………………………………..……………………….
Manufacturer
and model

Serial number

Use

Power output
(kW)

Rated speed
(rpm)

2.2.2 The following diesel engines with power output greater than 130kW, and
which underwent major conversion per regulation 13(2) on or after 1 January
2000, comply with the emission standards of regulation 13(3)(a) in
accordance with the NOx Technical Code ……………….………………….
Manufacturer
and model

Serial number

Use

Power output
(kW)

Rated speed
(rpm)

2.2.3 The following diesel engines with power output greater than 130kW, and
installed on a ship constructed on or after 1 January 2000, or with a power output
greater than 130 kW and which underwent major conversion per regulation
13(2) on or after 1 January 2000, are fitted with an exhaust gas cleaning
system or other equivalent methods in accordance with regulation 13(3), and
the NOx Technical Code …………………………..……………………….

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Vessel Name:

Manufacturer
and model

Date Issued:

Serial number

Use

Power output
(kW)

Rated speed
(rpm)

2.2.4 The following diesel engines from 2.2.1, 2.2.2 and 2.2.3 above are fitted with
NOx emission monitoring and recording devices in accordance with the
NOx Technical Code ……………………………………………………
Manufacturer
and model

Serial number

Use

Power output
(kW)

Rated speed
(rpm)

2.3 Sulfur oxides (SO x) (regulation 14)
2.3.1 When the ship operates within SOx emission control area specified in
regulation 14(3), the ship uses:
.1 fuel oil with a sulfur content that does not exceed 1.5% m/m as
documented by bunker delivery notes; or …………………………………….
.2 an approved exhaust gas cleaning system to reduce SOx emissions below
6.0 g SOx /kW h; or …………………………………………………………...
.3 other approved technology to reduce SOx emissions below 6.0 g SOx
/kW h ………………………………………………………………………….

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Vessel Name:

Date Issued:

2.4 Volatile organic compounds (VOCs) (regulation 15)
2.4.1 The tanker has a vapor collection system installed and approved in
accordance with MSC/Circ.585 ..…….……………………….……………..
2.5 The ship has an incinerator:
.1 which complies with resolution MEPC.76(40) as amended ..…………….
.2 installed before 1 January 2000 which does not comply with resolution
MEPC.76(40) as amended ………………………………………….……….

THIS IS TO CERTIFY that this Record is correct in all respects.
Issued at ………………………………………………………………………….

………………..
Date of issue

………………………………..
Signed

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