Einde inhoudsopgave
International Health Regulations
Appendix 1
Geldend
Geldend vanaf 01-01-1971
- Bronpublicatie:
25-07-1969, Trb. 1970, 30 (uitgifte: 19-02-1970, kamerstukken/regelingnummer: -)
- Inwerkingtreding
01-01-1971
- Bronpublicatie inwerkingtreding:
13-08-1971, Trb. 1971, 143 (uitgifte: 01-01-1971, kamerstukken/regelingnummer: -)
- Vakgebied(en)
Gezondheidsrecht / Individuele gezondheidszorg
Deratting certificate a)
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) a) | at this port and on the above date |
(exemption) | ||
of the | (ship) a) | of (net tonnage for a sea-going vessel) a)f) |
(inland navigation vessel) | (……… tonnage for an inland navigation vessel) | |
At the time of | (inspection) a) | the holds were laden with ……… tons of ……… cargo |
(deratting) | ||
RAT HARBOURAGE | DERATTING | |||||||
|---|---|---|---|---|---|---|---|---|
by fumigation — Fumigant — Hours exposure | by catching, trapping, or poisoning | |||||||
RAT INDICATIONS c) | ||||||||
COMPARTMENTS b) | ||||||||
discovered d) | treated | Space (cubic feet) | Quality used e) | Rats found dead | Traps set or poisons put out | Rats caught or killed | ||
Holds 1 … | ||||||||
Holds 2 … | ||||||||
Holds 3 … | ||||||||
Holds 4 … | ||||||||
Holds 5 … | ||||||||
Holds 6 … | ||||||||
Holds 7 … | ||||||||
Shelter deck space … | ||||||||
Bunker space … | ||||||||
Engineroom and shaft alley … | ||||||||
Forepeak and storeroom … | ||||||||
Afterpeak and storeroom … | ||||||||
Lifeboats … | ||||||||
Charts and wireless rooms … | ||||||||
Galley … | ||||||||
Pantry … | ||||||||
Provision storerooms … | ||||||||
Quarters (crew)… | ||||||||
Quarters (officers)… | ||||||||
Quarters (cabin passengers)… | ||||||||
Quarters (steerage)… | ||||||||
Total … | ||||||||
RECOMMENDATIONS MADE In the case of exemption, state here the measures taken for maintaining the ship or inland navigation vessel in such a condition that they are free of rodents and the plague vector.
Seal, name, qualification, and signature of the inspector.
Voetnoten
Strike out the unnecessary indications.
Strike out the unnecessary indications.
Strike out the unnecessary indications.
Strike out the unnecessary indications.
Strike out the unnecessary indications.
Specify whether applies to metric displacement or any other method of determining the tonnage.
Strike out the unnecessary indications.
Old or recent evidence of excreta, runs, or gnawing.
In case any of the compartments enumerated do not exist on the ship or inland navigation vessel, this fact must be mentioned.
None, small, moderate, or large.
State the weight of sulphur or of cyanide salts or quantity of HCN acid used.