Orolia Ltd – SBM / BRC Provider Questionnaire

(Company Confidential upon Completion)

Important:

This questionnaire must be completed for each location you would like to become listed as either an SBM or BRC

SBM = Shore Based Maintenance according to IMO MSC/Circ.1039

BRC = Battery Replacement Centre, authorised by Orolia Ltd for vessels not subject to Circ.1039 (usually leisure boats)

Company:

Name of Company:

Address:
Fax Number: / Email:
Telephone Number: / Website:

Company Structure:

Position / Name
Managing Director, General Manager:
Sales Director/Manager:
Engineering / Technical Manager:
Quality Manager:
Service Manager:

Range of Services provided:

List other manufacturers for which you are service providers or authorised SBM
In addition to SBM do you carry out annual surveys in accordance with IMO circ 1040?

Quality control system:

IMO Requirement:

In order to approve companies for Shore Based Maintenance a quality control system must be in place and be audited by a competent authority in respect of the servicing operation.

Please indicate the quality management standard/s to which your system is approved and which accredited organisation/s carries out your assessment.
Please supply a copy of your registration and scope certificate.

1. Standard:

/

Organisation:

Certificate Number:

/

Expiry Date:

2. Standard:

/

Organisation:

Certificate Number:

/

Expiry Date:

Please add further detail if required:

If your organisation is not audited by a competent authority in regard of its servicing operation, please indicate below if you wish to be audited by Orolia Ltd.

To comply with the requirements of IMO Circ 1039 please confirm that the following apply.

The SBM provider should: / YES / NO

Have access to adequate calibrated test equipment and facilities to carry out the SBM in accordance with IMO Circ 1039

Have access to McMurdo / Kannad batteries and other spare parts

Have access to up-to-date technical manuals, service bulletins and the latest software versions as provided by Orolia Ltd.

Keep records of maintenance, available for inspection as may be required

Ensure that all personnel responsible for supervising and for carrying out the maintenance procedures are adequately trained and fully competent to perform their duties – please also complete training table

Issue a shore-based maintenance report with a list of the test results and maintenance performed and label the product with Company name and next SBM date – please confirm that this will be carried out

Service Documentation/further information:

Please provide name of company used to calibrate test equipment
Do you currently have copies of McMurdo / Kannad: / McMurdo / Kannad
Service Manuals?
Sales Bulletins?
Service Bulletins?
If the above are not currently received please contact
Please confirm who you purchase McMurdo / Kannad Marine spare parts from.
Orolia Ltd
Other Please specify:

SBM Workshop(s) facilities (If several locations, complete one form per site)

Designation / Avail. ? / SBM/BRC use
/ PKR programming kit (PKR2, PKR3, PKR4)
P/N: K1201604 / Mandatory for SAFELINK and Legacy Kannad EPIRBs
/ McMurdo USB Programming pen
P/N: 82-1012A (64bits) / Mandatory
/ Cospas-Sarsat beacon tester / Mandatory
WS Technologies BT100A(Commerciallyavailable ) / Recommended
ARG 5410 / ARG5410 MKII (Commercially available)
Futronic GMDSS Box(Commercially available)
Other (specify)
/ Screened enclosure (FC3 with GPS recommended)
Commerciallyavailable / Mandatory for SBM
/ GPS re-radiator SX537 or equivalent(included in FC3)
Commerciallyavailable / Mandatory for GPS EPIRB SBM
/ Multimetre (Fluke 77 or equivalent)
Commercially available / Recommended with µA capability (SBM)
/ Airband receiver/scanner (121.5MHz capable)
Commercially available / Highly recommended (mandatory in some countries)
/ BNC CableCommercially available / Mandatory for SBM(Screened enclosure)
/ Torque driver 0.5-2.5Nm + Allen bit + Phillips bit + flat bit
Commercially available / Mandatory
/ Opening / tightening device for Kannad Auto/Manual+
P/N: KCS0143033 / Mandatory
/ Wall mounting bracket for Kannad Auto/Manual+
P/N: KCS5104340 / Recommended for water tightness test
/ Wall Mounting bracket for Safelink EPIRB
P/N: KCS1202380 / Recommended for water tightness test
/ Manual bracket for E3/G4
P/N: 82-276B or 82-586B / Recommended for water tightness test
/ Carry safe bracket for SmartFind
P/N 82-897A or K82-1048A / Recommended for water tightness test
/ Antenna rewinding tool
P/N: 85-753A / For PLB maintenance
Leak test facility Immersing equipment in hot water (30°C above ambient) / Mandatory
NAVTEX test facility
Safe disposal facility of batteries

Agents Technical Staff

Please list all technical and supervisory service staff and indicate applicable training (either with McMurdo / Kannad / Orolia or other manufacturers) as well as qualifications and experience gained.

Name / TrainingCertificate or other relevant training/qualification / Date of Issue

Please note that it is the responsibility of the SBM/BRC provider to inform Orolia Ltd of any changes in circumstances regarding your (the company) ability to provide SBM/BRC in accordance with the current regulations.

Questionnaire Completed By:

Name:Position:

Date:

Page 1 of 6 Form QA4278 Issue 6