AMERICAN BUREAU OF SHIPPING
CHECK SHEET ON SOLAS SURVEYS – “AIS” RADIO TECHNICIAN’S SURVEY

(ORIGINAL TO BE RETAINED ONBOARD BY VESSEL’S MASTER)

VESSEL	CLASS NO.

Associated REPORT NO.	DATE

AUTOMATIC IDENTIFICATION SYSTEM (AIS) Test Report

Ship’s details:

CALL SIGN	MMSI NUMBER

PORT OF REGISTRY

IMO NUMBER	GROSS TONNAGE

DATE KEEL LAID	OFFICIAL NUMBER

Inspection Details

NAME OF RADIO TECHNICIAN	COMPANY

INSPECTION DATE	INSPECTION LOCATION

Installation details
Item	Status
1.1	AIS transponder type:
1.2	Type approval certificate
1.3	Initial installation configuration report on board?
1.4	Drawings provided? (Antenna-, AIS-arrangement and block diagram)
1.5	Main source of electrical power,
1.6	Emergency source of electrical power,
1.7	Capacity to be verified if the AIS is connected to a battery
1.8	Pilot plug near pilots operating position?
1.9	120 V AC provided near pilot plug? (Panama and St. Lawrence requirement)

AIS programming - Static information
2.1	MMSI number
2.2	IMO number
2.3	Radio call sign
2.4	Name of ship
2.5	Type of ship
2.6	Ship length and beam
2.7	Location of GPS antenna

AIS programming - Dynamic information
3.1	Ships position with accuracy and integrity status (Source: GNSS)
3.2	Time in UTC (Source: GNSS)
3.3	Course over ground (COG) (will fluctuate at dockside) (Source GNSS)
3.4	Speed over ground (SOG) (zero at dockside) (Source: GNSS)
3.5	Heading (Source: Gyro)
3.6	Navigational status
3.7	Rate of turn, where available (ROT)
3.8	Angle of heel, pitch and roll, where available

VESSEL	CLASS NO.

Associated REPORT NO.	DATE

AIS programming - voyage related information
4.1	Ships draught
4.2	Type of cargo
4.3	Destination and ETA (at masters discretion)
4.4	Route plan (optional)
4.5	Short safety-related messages

Performance test using measuring instrument
5.1	Frequency measurements AIS ch. 1 and 2, GMDSS ch. 70
5.2	Transmitting output, AIS ch. 1 and 2, GMDSS ch. 70
5.3	Polling information ch. 70
5.4	Read data from AIS
5.5	Send data to AIS
5.6	Check AIS response to "virtual vessels"

"On air" performance test
6.1	Check reception performance
6.2	Confirm reception of own signal from other ship/VTS
6.3	Polling by VTS/shore installation

Electromagnetic interference from AIS observed to other installations?:

Radio Technician's Remarks:

The AIS has been tested according to IMO SN/Circ.227 and resolution MSC.74(69), annex 3

Radio Technician's Signature

Radio Technician’s Printed Name

Company

Place and Date