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APPENDIX (C)
Installation and Maintenance Record
The following installation record should be completed and retained on board the vessel for
maintenance records.
Vessel Information
Vessel Name
Flag State
IMO Number
MMSI Number
Owner/Company
Radio call sign
Type of vessel
Gross tonnage
Length
m Beam
m
AIS Class A Transponder Information
Transponder S/N
Pilot Plug S/N
Junction Box S/N
GPS Ant. S/N
Password
Power supply
Voltage: V Maximum output current: A
Note
GPS/GNSS Antenna Location
A= Distance to Bow
m C= Dist. To Port-Side
m
B= Distance to Stern
m D= Dist. To Starboard
m
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Connected Sensors and Devices
Connected Port
Equipment
Model Number
Sensor 1
Sensor 2
Sensor 3
Ext Display Port
Pilot Port
Long Range Port
DGNSS Data Port
Other Device
Installer Information
Company Name
Technician’s Name
Telephone/Mobile
No.
Address
Place
Date
Installer’s Signature