1. General description of ship

Name of ship
IMO number	Port of registry

Arrangements for the carriage of livestock for (kind of livestock):

Position of livestock spaces

On exposed deck
In enclosed spaces

Livestock carried

Species

Pen area available for the carriage of livestock (sum of total available pen areas on all decks as calculated in section 2 below)

Note: where appropriate indicate: (a) space available for sheep only; (b) space available for cattle only; (c) space available for each species of livestock for mixed shipment.

2. Pen construction and areas

Details appear on drawing(s) No.
Deck covering
Tier construction
General description of pens
Livestock space or deck*
Tiers	Fixed or portable
Total volume of space	Number of air changes
Species of livestock

* These details are to be provided for each deck on which livestock is carried.

Deck: Refer to appendix A-AMSA35	Species: Refer to appendix A-AMSA35
Pen number**	Total allowable pen floor area (m2)***	Pen number**	Total allowable pen floor area (m2)***	Pen number**	Total allowable pen floor area (m2)***
Refer to appendix A-AMSA35	Refer to appendix A-AMSA35	Refer to appendix A-AMSA35	Refer to appendix A-AMSA35	Refer to appendix A-AMSA35	Refer to appendix A-AMSA35
a) Total allowable pen floor area	m2
b) Less area of pens allocated as hospital pens	m2
Total available pen area on this deck (a-b)	m2

** Pen number shall identify deck.
*** Total floor area of pen less deductions for intrusions into the space and excluded.

3. Ventilation

Details appear on drawing(s) No.

Fans

Position	Motor type and size	Air quantity delivered (m3/h)	Reversible or single direction

Description of initial testing procedure to show compliance with MO 43 section 35 and part 2 of Schedule 2.
Spare components
Failure alarms (description and location)
Fan starter panels (description and location)

4. Vessel’s generating capacity

Main sources of power: Sources of power sufficient to supply power continuously for all livestock services while livestock is on board without interfering with the normal operation of the vessel.

Number	Type	kW or kVa	Consumption per day (full load)

Secondary sources of power: Sources of power sufficient to supply power continuously for all livestock services while livestock is on board if the primary source of power is out of action for any reason.

Number	Type	kW or kVa	Consumption per day (full load)

Total capacity of fuel tanks available for generators (excluding secondary source of power)
Capacities of fuel tanks available for generators providing secondary sources of power
Is fuel for main sources of power compatible with fuel for secondary sources of power?
Can secondary sources of power be supplied with fuel from all fuel tanks for secondary sources?
Can secondary sources of power be supplied with fuel from any or all fuel tanks for main sources?
Normal maximum load, auxiliary and domestic services, including cargo non-livestock services	(a) at sea: (b) in port:
Normal load, livestock services, continuous running	(c) ventilation: (d) lighting: (e) fodder: (f) water:

Generating capacity cross-connection arrangements

SOLAS generators	Can these supply livestock services?	Non-SOLAS generators	Can these supply non-livestock services?
Main 1	Yes No	Livestock 1	Yes No
Main 2	Yes No	Livestock 2	Yes No
Main 3	Yes No
Main 4	Yes No
Emergency*	Yes No

* Emergency source of power as per paragraph 1.1 of Regulation 43, chapter II-1 of SOLAS is only to supply power for emergency lighting in livestock spaces and starting secondary source of power.

Spares for SOLAS generators

Spares for secondary source of power

5. Drainage

Details appear on drawing(s) No.
General description
Position and capacity of drain wells
Types of pumps
Situation of pumps
Type of alarm system
Sewerage retention facilities

6. Fire-fighting appliances (livestock spaces only)

Details appear on drawing(s) No.
Type of hydrants and hoses
Type of fire extinguishers
Type of fixed fire-fighting installation	silos:
enclosed spaces:

7. Fodder

Details appear on drawing(s) No.
Type	Silo capacity
Other	Stowage
Distribution arrangements from stowage to pens
Feeding arrangements at pens
Alternative arrangements in event of mechanical failure

8. Water

Details appear on drawing(s) No.
Tank capacities
Total
Fresh water generation	type:
production per day:
Fresh water pumps	type:
capacity:
Description of automatic system
Description of additional portable or fixed pump	type:
capacity:

9. Summary of equipment

Compartment or zone	Number of extinguishers	Date of test	Fire hydrants	Fire hoses	Fresh water hydrants	Fresh water hoses

10. Humane killing device
Insert a statement indicating the devices provided for humanely killing livestock:

11. Disposal of carcases
Insert a statement indicating the means of disposal of carcases, together with details of comminuters/grinders and lifts usable for hoisting out carcases from lower decks:

12. Lighting

Lighting in passageways	type:
level of illumination:
Emergency lighting	type:
level of illumination:
Lighting in pens:	type:
level of illumination:

Note: ‘Level of illumination’ means illumination in the horizontal plane measured at a height of one metre above the walking surface. Minimum and maximum levels are to be included.

13. Sewage
Arrangements provided under MARPOL Annex IV of discharge of livestock effluent:

Sewage treatment plant	Fitted Not fitted
Holding tanks	M3 in total
Maximum discharge rate of untreated undiluted effluent	M3 / hr

14. List of supporting information and drawings

Title	Plan No.	Date

Note: Drawings listed to be approved by AMSA.