International Health Regulations Act, 1974 (Act No. 28 of 1974)International Health RegulationsAppendix 1 : Deratting Certificate |
DERATTING EXEMPTION CERTIFICATE (a)
Issued in accordance with Article 54 of the International Health Regulations
(Not to be taken away by Port Authorities)
Port of
Date
This certificate records the inspection and deratting/exemption (a) at this port and on the above date of the ship/inland navigation vessel (a) ………………………………………………of net
tonnage for a sea-going vessel/ ………………tonnage for an inland navigation vessel (a) (f). At the time of inspection/deratting (a) the holds were laden with ………………….tons of ……… cargo.
Rat harbourage |
Deratting |
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By fumigation |
By catching, trapping or poisoning |
Compartments (b) |
Rat indications c) |
Discovered (d) |
treated |
Hold 1 |
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Hold 2 |
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Hold 3 |
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Hold 4 |
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Hold 5 |
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Hold 6 |
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Hold 7 |
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Shelter deck space |
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Bunker space |
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Engineroom and shaft alley |
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Forepeak and storeroom |
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Afterpeak and storeroom |
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Lifeboats |
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Charts and wireless |
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rooms |
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Galley |
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Pantry |
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Provision storerooms |
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Quarters (crew) |
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Quarters (officers) |
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Quarters (cabin passengers) |
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Quarters (steerage) |
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TOTAL |
Hours exposure |
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Space (cubic feet) |
Quantity used (e) |
Rats found dead |
Traps set or poison put out |
Rats caught or killed |
a) | Strike out the unnecessary indications. |
b) | In case any of the compartments enumerated do not exist on the ship or inland navigation vessel, this fact must be mentioned, |
c) | Old or recent evidence of excreta, runs, or gnawing. |
d) | None, small, moderate, or large. |
e) | State the weight of sulphur or of cyanide salts or quantity of HCN acid used. |
f) | Specify whether applies to metric displacement or any other method of determining the tonnage. |
RECOMMENDATIONS MADE - OBSERVATIONS - In the case of exemption, state here the measures taken for maintaining the ship or inland navigation vessel in such a condition that it is free of rodents and the plague vector.
Seal, name, qualification, and signature of the inspector.