Various International Agreement Certificates and Documents

OMB No. 1625-XXXX
Expires: mm/dd/yyyy

DECLARATION OF MARITIME LABOUR COMPLIANCE - PART II
(Statement of Voluntary Compliance)
Measures adopted to ensure ongoing compliance between inspections
The following measures have been drawn up by the owner/operator, named in the Maritime Labour Certificate
to which this Declaration is attached, to ensure ongoing compliance between inspections:
(The owner/operator should identify the measures they have put in place to ensure ongoing compliance with the U.S.
National Requirements listed in the SOVC-DMLC Part I. Specific measures for each of the 14 requirements are to be
clearly drafted to ensure flag state and port state inspectors are easily able to check the requirements are being properly
implemented. It’s recommended that owner/operator make reference more comprehensive documentation covering
policies or procedures in the appropriate sections.)

1. Minimum age (Regulation 1.1)

2. Medical certification (Regulation1.2)

3. Qualifications of seafarers (Regulation 1.3)

4. Use of any licensed or certified or regulated private recruitment and placement services (Regulation 1.4)

5. Seafarers’ employment agreements (Regulation 2.1)

6.

Payment of wages (Regulation 2.2)

7.

Hours of work or rest (Regulation 2.3)

8.

Manning levels for the ship (Regulation 2.7)

9.

Accommodation (Regulation 3.1)

10, Onboard recreational facilities (Regulation3.1)

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a
valid OMB control number. The Coast Guard estimates that the average burden for each response is 4 hours. You may submit
comments concerning the accuracy of this burden for each estimate or any suggestions for reducing the burden to: Commandant
(CG-CVC-1), U.S. Coast Guard, 2100 2nd Street SW Stop 7581, Washington, DC 20593-7581 or Office of Management and
Budget, Paperwork Reduction Project (1625-XXXX), Washington, DC 20503

DECLARATION OF MARITIME LABOUR COMPLIANCE - PART II
(Statement of Voluntary Compliance) (continued)
11. Food and catering (Regulation 3.2)

12. Onboard medical care (Regulation 4.1)

13. Health and safety and accident prevention (Regulation) 4.3)

14. Onboard complaint procedures (Regulation 5.1.5)

I hereby certify that the above measures have been developed to ensure ongoing compliance, between inspections, with
the requirements listed in Part I of this Declaration.
Name of shipowner: …….…………………………….…………
Company address: …………………………………………………
…………………………………………………
…………………………………………………
Title: ………………………………….……………..
Signature: ……………………………………………
Date: …………………………………………………
(Stamp or seal of the ship-owner)

The above measures have been reviewed by (insert name of competent authority or duly recognized organization) and,
following inspection of the ship, have been determined as meeting the purposes set out under Standard A5.1.3, paragraph
10(b), regarding measures to ensure initial and ongoing compliance with the requirements set out in Part I of this
Declaration.
Name: …………………………………….…………
Title: …………………………………………………
Address: ………………………………..……………
………………………..……………………
……………………………….……………
Signature: ………………………………….…..……..
Place: …………………………………………………
Date: …………………………………………………
(Seal or Stamp of authority as appropriate)