marking and labelling and potential on-board locations; - recycling approach;

Storage

Processing Ozone-depleting substances Removal Processing Polychlorinated biphenyls (PBCs) Removal Processing Anti-fouling compounds and systems Removal Processing Cadmium and cadmium compounds Removal Processing 36 Polish Register of Shipping Hexavalent chromium and hexavalent removal chromium compounds process Lead and lead compounds Removal Processing Mercury and mercury compounds Removal Processing Polybrominated biphenyl (PBBs) Removal Processing Polybrominated diphenyl ethers removal (PBDEs) process Polychlorinated naphthalenes (more Removal than 3 chlorine atoms) Processing Radioactive substances Removal Processing Certain shortchain chlorinated paraffins Removal (alkanes, c10 – c13, chloro) Processing Hazardous liquids, residues and Removal sediments Processing Paints and coatings that are highly Removal flammable and/or lead to toxic release Processing Other hazardous materials not listed Removal above and that are not a part of the ship structure (specify Processing …………………………………..) Facility equipment and other information Area of facility (m2) Area of pavement (m2) Description of ship recycling facility (layout, waterdepth, accessibility, etc.) Heavy lifting machines E.g. Jib crane: 60 tons Mobile crane: 35 tons ×× 1, 27 tons × 1 Hydraulic backhoe: sh400, zx330, sk220, zx200 with shear, magnet Polish Register of Shipping 37 Hydraulic shear: 600 tons x 1 Weight bridge: 50 tons Boat E.g. Gross tonnage 5 tons, power: 240 PS Shear E.g. Capacity: 600 tons O2 supply E.g. Liquid O2 supply system: 10 m3 Gas supply E.g. LPG cylinders Compressed air Fire extinguisher E.g. Portable fire extinguisher Waste oil treatment E.g. Oil water separation tank Tank capacity abt. 20 tons Wastes storage E.g. Container for asbestos: 2 Incinerator E.g. None Electric power supply E.g. Substation Location Division and classification of the E.g. Urbanization control area location Peripheral environment E.g. Factories: former quarry, two marinas in the vicinity Housing: private houses at the entrance and 200 m from entrance Facility certificate and licence (if applicable specify: certifying authority; date of expiry; number of certificate; etc.) (List here any applicable certificates, for example relevant to waste treatment, waste transportation, o other, such as certificates relevant to management systems of environmental performance, and/o occupational health and safety) Worker’s certificate / licences Certificate/licence Name 1) manager of asbestos handling Mr yxxxx******** 1 person 2) manger of PCB handling Mr yxxxx******** 1 person 3) designated chemicals handling None 4) asbestos handling class Mr. ********** ********* Mr. ********** ********* 3 persons 38 Polish Register of Shipping 5) gas cutting Mr. ********** ********* Mr. ********** ********* 3 persons 6) welding Mr. ********** ********* 1 person 7) zinc handling Mr. ********** ********* 1 person 8) lifting Mr. ********** ********* Mr. ********** ********* 3 persons 9) heavy lift machines Mr. ********** ********* Mr. ********** ********* 2 persons 10) seafarer Mr. ********** ********* 1 person 11) diver None 12) removal of hazardous materials Mr. ********** ********* (Material A) (Material B) Mr. ********** ********* Subcontractor information (supply all pertinent information relevant to the services of the subcontractor to the ship recycling facility) Subcontractor name Registered address Representative and communication address Field of services Licence for services Number of employees Tel. No. Fax no. E-mail URL address 4.5 Authorisation Process for Ship Recycling Facilities 4.5.1 One or more Competent Authorities in each country being a Party of the Hong Kong Convention or Member State of UE is responsible for authorising Ship Recycling Facilities within its jurisdiction. The Competent Authority(ies) may entrust the authorization of Ship Recycling Facilities to organizations recognized by it. It is the Competent Authority’s responsibility to ensure that the organization has appropriate qualifications and expertise. The extent to which authority is delegated to the organization recognized by the Competent Authority(ies) therefore varies according to each country’s decision but In every case, the Competent Authority retains full responsibility for the authorization. Polish Register of Shipping 39 4.5.2 The Competent Authority(ies) shall identify a single contact point to act as central communicating partner between the Competent Authority(ies), Administrations and Ship Recycling Facilities. 4.5.3 The Ship Recycling Facility shall submit to a Competent Authority(ies) a formal application for authorization to conduct ship recycling accompanied by a completed Ship Recycling Facility Plan. 4.5.4 The onus is on the Ship Recycling Facility to assess the effects of its operations and to demonstrate how ship recycling operations shall be managed so as to meet the requirements of the Hong Kong Convention, Regulation EC No. 1257/2013 and of relevant national and/or regional legislation. 4.5.5 The Competent Authority(ies) may ask for additional documentation and/or certification required under applicable international or national legislation and/or return the application if it is not complete. The Ship Recycling Facility may draw upon or attach other sources of information in its application, and indeed is encouraged to make use of existing information where appropriate. 4.5.6 SRFP is used as the main document in issuing the DASR. Apart the Competent Authority(ies) should check: – that the Ship Recycling Facility has a management system, the appropriate procedures and techniques, aimed at protecting human health and the environment without posing any unacceptable risks, – that the SRFP includes the policy, plans, systems and other factors, among others: .1 policy ensuring workers’ safety and the protection of human health and the environment, .2 system for ensuring implementation of the Hong Kong Convention requirements, the achievement of the goals set out in the policy and the continuous improvement of the procedures and standards, identification of roles and responsibilities for employers and workers, .3 programme for providing appropriate information and training of workers for the safe and environmentally sound operation, an emergency preparedness and response plan; .4 system for monitoring the performance of ship recycling; .5 record-keeping system showing how Ship Recycling is being performed; .6 system for reporting discharges, emissions, incidents and accidents causing damage, or with the potential of causing damage, to workers’ safety, human health and the environment; .7 system for reporting occupational diseases, accidents, injuries and other adverse effects on workers’ safety and human health; – that the Ship Recycling Facility has established, implemented and maintained procedures for environmentally sound management of Hazardous Materials and wastes; – that the Ship Recycling Facility has procedures in place to ensure that all Hazardous Materials are, to the maximum extent possible prior to cutting, identified, labelled, packaged and removed by properly trained and equipped workers, then stored and transported to waste management facilities by licensed vehicles; – that the Ship Recycling Facility has established procedures to send all Hazardous Materials and wastes to authorized waste management and disposal sites before issuing a DASR; – that these disposal sites are consistent with national regulations – that the Ship Recycling Facility has established procedures for managing all wastes generated by recycling activity, which should be kept separate from recyclable materials and equipment and labelled and stored under conditions that do not pose a risk to workers, human health or the environment. 40 Polish Register of Shipping Moreover, the Competent Authority(ies) may require an environmental impact study assessing whether the location is appropriate and suitable for ship recycling activities, and whether or not SRF has adverse effects on flora, fauna, hydrogeology, surface and ground water, soil structure, historical, social or economical values or air quality. 4.5.7 The application shall be assessed and verified by the Competent Authority(ies) within reasonable time frame, if possible within three months. The assessment should include a site inspection. If the application is rejected, the reason for the rejection should be clear. 4.5.8 The main purpose of the site inspection is to check the consistency of the documentation with the actual arrangements and operations at the Ship Recycling Facility. The first site inspection is announced in advance to the Ship Recycling Facility, in order to ensure that it will be possible to meet all relevant persons and to provide any necessary information by SRF. Safety issues and sufficient precautions taken are considered throughout the site inspection, including with respect to personal protection. 4.5.9 In particular, the following factors are verified during site inspection: .1 availability of the SRFP to all personnel at the Ship Recycling Facility; .2 knowledge of the SRFP, as appropriate, among management, Competent persons and workers according to their designated tasks, roles and responsibilities, (incl. first-aid personnel and fire fighters) .3 implementation of the objectives of the SRFP, as demonstrated by implementation of operational procedures in: ship preparation/deconstruction/hot work processes; monitoring of safe-for-entry and safe-for-hot-work conditions; management of Hazardous Materials and wastes (protective measures and removal, transport, storage and disposal); and emergency preparedness). Site inspection identifies procedures and routines for the following: .1 developing and using the Ship Recycling Plan; .2 accepting ships, taking into account relevant requirements and the required certificates; .3 reporting and following up incidents; .4 conducting operations in a safe and environmentally sound manner, in accordance with the regulations of the Convention. The supplement to the DASR may be used as guidance in planning site inspections. 4.5.10 Authority(ies) may suspend, amend or withdraw the DASR. 4.5.11 The Competent Authority(ies) shall issue a DASR to the Ship Recycling Facility if the document verification process and site inspection prove satisfactory. The DASR shall not be issued until all required documentation has been received and the site inspection has been successfully completed. The DASR shall be available at the Ship Recycling Facility at all times. 4.5.12 The Competent Authority(ies) may amend the DASR as appropriate. The amendment procedure may be initiated by the Competent Authority(ies) or the Ship Recycling Facility. The Competent Authority(ies) may require a site inspection and the SRF should provide the Competent Authority(ies) with appropriate documentation and updates to the SRFP. Polish Register of Shipping 41 4.5.13 The reasons to amend DASR include, but are not limited to, the following: .1 the Ship Recycling Facility applies for the DASR amendment in order to widen the scope of authorization; for example, after having invested in the Facility and added new capabilities which should be reflected in the DASR; .2 the DASR amendment is triggered by compelling needs on the part of Competent Authority(ies); for example, when new domestic regulations are put into effect; .3 the DASR amendment is triggered by investigations conducted by the Competent Authority(ies) following accidents; .4 the DASR amendment is triggered by a deviation of practice at the Ship Recycling Facility from the SRFP, which thereby affect the contents of the DASR; .5 the DASR amendment is triggered by a change in the hazardous materials which the Ship Recycling Facility can remove, store and process. 4.5.14 The Competent Authority(ies) may suspend the DASR, or require corrective action by the Ship Recycling Facility, if it has information demonstrating that the Ship Recycling Facility no longer satisfies the terms and conditions of the DASR. The Competent Authority(ies) may suspend the DASR temporarily or indefinitely, depending on the Ship Recycling Facility's subsequent level of compliance. 4.5.15 The Competent Authority(ies) may withdraw the DASR if the Competent Authority(ies) has information demonstrating that the Ship Recycling Facility no longer satisfies the terms and conditions of the DASR. The Competent Authority(ies) should generally reserve withdrawal for cases when the Ship Recycling Facility has seriously or repeatedly failed to comply and when suspending the DASR does not present an adequate remedy. 4.5.16 The Competent Authority(ies) may reinstate the Ship Recycling Facility's authorization only after the Ship Recycling Facility has submitted a new application to the Competent Authority(ies) demonstrating that the Ship Recycling Facility is in full compliance with the Convention's requirements and related Guidelines. Any action or modification at the Ship Recycling Facility that may affect the conditions on which the authorization was granted shall prompt a new inspection. If such an inspection reveals that the conditions for authorization are no longer in place, the DASR shall be withdrawn. 4.5.17 The Competent Authority(ies) may renew the DASR upon written request by the Ship Recycling Facility. The SRF should support any such request with revised documents. The Competent Authority(ies) may, at its discretion, conduct a site inspection before it renews the DASR. 4.5.18 The DASR shall be issued for a period determined by the Party not exceeding five years. If a Ship Recycling Facility changes ownership, the new owner shall – within a reasonable time frame, if possible not exceeding 30 days – notify the Competent Authority(ies) so that it can amend the DASR accordingly. The new owner shall confirm in writing that it will fully comply with all requirements, including the SRFP, and the Convention. The new owner shall also provide any supporting documentation requested by the Competent Authority(ies). If operations at the Ship Recycling Facility are changed in such a way as to affect the conditions on which authorization was granted, the Competent Authority(ies) may amend, suspend or withdraw the DASR and inform the new owner accordingly. 42 Polish Register of Shipping 4.6 Example format of ship recycling facility authorisation in SRFP: AUTHORIZATION OF SHIP RECYCLING FACILITy Document of Authorization to Conduct Ship Recycling (DASR) in accordance with the requirements of the Hong Kong International Convention for the Safe and Environmentally Sound Recycling of Ships, 2009 issued under the provision of the Hong Kong International Convention for the Safe and Environmentally Sound Recycling of Ships, 2009 (hereinafter referred to as “the Convention”) under the authority of the government of: …………………………………………………………………………………………………... (full designation of the country) by……………………………………………………………………………………………….. (full designation of the competent authority under the Convention) Name of ship recycling facility Registered address Facility address Representative and communication address Number of employees Tel. Fax E-mail URL address Working language This is to verify that the ship recycling facility has implemented management systems, procedures and techniques in accordance with Chapters 3 and 4 of the Annex to the Convention. This authorization is valid until ……………………. and is subject to the limitations identified in the attached Supplement. This authorization is subject to amendment, suspension, withdrawal, or periodic renewal in accordance with Regulation 16 of the Annex to the Convention. Issued at ............................................................................................................................................................. (place of issue of the authorization) (dd/mm/yyyy) ............................................ ...................................................................................................................... Date of Issue (signature of duly authorized official issuing the authorization) ........................................................................................................................................................................................ (typed name and title of duly authorized official issuing the authorization) (seal or stamp of the authority, as appropriate) SUPPLEMENT TO: Polish Register of Shipping 43 Document of Authorization to Undertake Ship Recycling (DASR) in accordance with the Hong Kong International Convention for the Safe and Environmentally Sound Recycling of Ships, 2009 Notes: 1 This record shall be permanently attached to the DASR. The DASR shall be available at the ship recycling facility at all times. 2 All procedures, plans and other documents produced by the ship recycling facility and required under the terms to which the DASR has been issued shall be available in the working language of the ship recycling facility and in either English, French or Spanish. 3 The authorization is subject to the limitations defined by this supplement. 1 GENERAL TERMS 1.1 Requirements of the Convention The ship recycling facility meets the requirements that it be designed, constructed, and operated in a safe and environmentally sound manner in accordance with the Convention, including meeting the relevant requirements of: – Regulation 16 – Authorization of Ship Recycling Facilities – Regulation 17 – General Requirements – Regulation 18 – Ship Recycling Facility Plan – Regulation 19 – Prevention of Adverse Effects to Human Health and the Environment – Regulation 20 – Safe and Environmentally Sound Management of Hazardous Materials – Regulation 21 – Emergency Preparedness and Response – Regulation 22 – Worker Safety and Training – Regulation 23 – Reporting on Incidents, Accidents, Occupational Diseases and Chronic Effects – Regulation 24 – Initial Notification and Reporting Requirements – Regulation 25 – Reporting on Completion These requirements are imposed on the ship recycling facility by way of ................................................................................................................................................................................................ (identify the permit, licence, authorization, legal standards, or other mechanism that applies) SRFP identification/verification number: ................................................................ 1.2 Acceptance of Ships For ships to which the Convention applies and ships treated similarly pursuant to article 3.4 of the Convention, the ship recycling facility can only accept a ship for recycling in accordance with Regulation 17 of the Annex to the Convention. 1.3 Safe-for-hot Work and Safe-for-entry Conditions The ship recycling facility is capable of establishing, maintaining and monitoring safe-for-hot work and safe-for-entry conditions throughout the ship recycling process. 1.4 Management of hazardous materials The ship recycling facility is designed, constructed, operated, and required to ensure that all hazardous materials’ management shall be safe and environmentally sound in compliance with the Convention and with all relevant local or national regulations/requirements. 1.5 Map and location of ship recycling operations A map of the boundary of the ship recycling facility and the location of ship recycling operations within it, is attached. 2 CAPABILITY OF SHIP RECYCLING FACILITY 44 Polish Register of Shipping 2.1 Size of Ships The ship recycling facility is authorized to accept a ship for recycling subject to the following size limitations: Maximum size Other limitation Length Breadth Lightweight 2.2 Safe and environmentally sound management of hazardous materials The ship recycling facility is authorized to accept a ship for recycling that contains Hazardous materials as specified in the following table subject to the conditions noted below: Management of Hazardous Materials Authorization/ Hazardous material4 Removal Process1 Limitations YES/NO2 YES/NO YES/NO3 Asbestos Ozone-depleting substances Polychlorinated biphenyls (PCB) Perfluorooctane sulfonic acid (PFOS) Anti-fouling compounds and systems Cadmium and cadmium compounds Hexavalent chromium and hexavalent chromium compounds Lead and lead compounds Mercury and mercury compounds Polybrominated biphenyls (PBBs) Polybrominated diphenyl ethers (PBDEs) Polychlorinated naphthalenes (more than 3 chlorine atoms) Radioactive substances Certain shortchain chlorinated paraffins (Alkanes, C10 – C13) Hazardous liquids, residues and sediments Paints and coatings that are highly flammable and/or toxic release Other hazardous materials not listed above and that are not a part of the ship structure: (specify) …………………………….. Notes: Polish Register of Shipping 45 *1 Process means the processing of hazardous materials in the ship recycling facility, such as: a. incineration of hazardous materials; b. reclamation of hazardous materials; and c. treatment of oily residues. *2 If YES, indicate in the Ship Recycling Facility Plan the responsible personnel authorized to perform the removal, with the certificate number or other relevant information. *3 If NO, describe in the Ship Recycling Plan where the hazardous materials are to be processed/disposed. *4 These hazardous materials are specified in appendices 1 and 2 and Regulation 20 of the Convention. 46 Polish Register of Shipping 4.7 Reporting upon completion 4.7.1 Ship Recycling Completion Report SHIP RECYCLING COMPLETION REPORT Summary of Information on Ship and Ship Recycling Facility Ship Information Name of ship Distinctive number or letters Port of registry Gross tonnage Imo number Name and address of shipowner IMO-registered owner identification number IMO company identification number Telephone number E-mail address Ship Recycling Facility information Name of ship recycling facility Distinctive recycling company identity no. Full address of ship recycling facility Primary contact person Telephone number E-mail address Name, address and contact information of ownership company Working language(s) Completed tasks on ship recycling Date of ship arrival at Ship Recycling Facility Date of commencement of ship recycling Date of completion of ship recycling Date of completion of sale/disposal of all components …………………..…………… ……………..……………………………………………..……………………………… Date: (Signature of Ship Recycling Facility owner/operator) Polish Register of Shipping 47 ANNEX 1 Items to be listed in the Inventory of Hazardous Materials Table A Inventory No. Material Part Threshold value I II III A-1 Asbestos X 0.1% A-2 Polychlorinated biphenyls (PCBs) X 50 mg/kg CFCs X Halons X Other fully halogenated CFCs X Carbon tetrachloride X Ozone depleting no threshold A-3 1,1,1-trichloroethane (Methyl chloroform) X Substances value Hydrochlorofluorocarbons X Hydrobromofluorocarbons X Methyl bromide X Bromochloromethane X Anti-fouling systems containing organotin compounds as a 2,500 mg total A-4 X biocide tin/kg Table B Inventory No. Material Part Threshold Value I II III B-1 Cadmium and cadmium compounds X 100 mg/kg B-2 Hexavalent chromium and hexavalent chromium compounds X 1,000 mg/kg B-3 Lead and lead compounds X 1,000 mg/kg B-4 Mercury and mercury compounds X 1,000 mg/kg B-5 Polybrominated biphenyl (PBBs) X 50 mg/kg B-6 Polybrominated diphenyl ethers (PBDEs) X 1,000 mg/kg B-7 Polychlorinated naphthalenes (more than 3 chlorine atoms) X 50mg/kg no threshold B-8 Radioactive substances X value Certain shortchain chlorinated paraffins (alkanes, c10-c13, B-9 X 1% chloro) Table C Inventory No. Properties Goods C-1 Kerosene X C-2 White spirit X C-3 Lubricating oil X Liquid Oiliness C-4 Hydraulic oil X C-5 Anti-seize compounds X C-6 Fuel additive X 48 Polish Register of Shipping Inventory No. Properties Goods C-7 Engine coolant additives X C-8 Antifreeze fluids X Boiler and feed water treatment and test C-9 X re-agents C-10 De-ioniser regenerating chemicals X C-11 Evaporator dosing and descaling acids X C-12 Paint stabilizers/rust stabilizers X C-13 Solvents/thinners X C-14 Paints X C-15 Chemical refrigerants X C-16 Battery electrolyte X C-17 Alcohol, methylated spirits X C-18 Acetylene X C-19 Explosives/ Propane X C-20 Inflammables Butane X C-21 Oxygen X C-22 CO2 X C-23 Gas Perfluorocarbons (PFCs) X C-24 Methane X Green house C-25 Hydrofluorocarbon (HFCs) X Gases X C-27 Nitrous oxide (N2O) X C-28 Sulfur hexafluoride (SF6) X C-29 Bunkers: fuel oil X C-30 Grease X C-31 Waste oil (sludge) X Oiliness Bilge and/or waste water generated by the C-32 after-treatment systems fitted on X Liquid machineries C-33 Oily liquid cargo tank residues X C-34 Ballast water X C-35 Raw sewage X C-36 Treated sewage X C-37 Non-oily liquid cargo residues X Explosibility/ C-38 Gas Fuel gas X Inflammability C-39 Dry cargo residues X C-40 Medical waste/infectious waste X C-41 Incinerator ash13 X C-42 Garbage X Solid C-43 Fuel tank residues X C-44 Oily solid cargo tank residues X C-45 Oily or chemical contaminated rags X C-46 Batteries (incl. lead acid batteries) X Polish Register of Shipping 49 Inventory No. Properties Goods C-47 Pesticides/insecticide sprays X C-48 Extinguishers X Chemical cleaner (incl. electrical equipment C-49 X cleaner, carbon remover) C-50 Detergent/bleacher (could be a liquid) X C-51 Miscellaneous medicines X Fire fighting clothing and personal C-52 X protective Equipment C-53 Dry tank residues X C-54 Cargo residues X Spare parts which contain materials listed C-55 X in Table A or Table B 50 Polish Register of Shipping ANNEX 2 Standard Format of the Inventory of Hazardous Materials Part I – HAZARDOUS MATERIALS CONTAINED IN THE SHIP’S STRUCTURE AND EQUIPMENT I-1 Paints and coating systems containing prohibited or restricted hazardous materials Application Name Approximate No. Location Materials

Remarks

of paint quantity 1 2 I-2 Equipment and machinery containing prohibited or restricted hazardous materials Name Parts where Approximate No. of machinery Location Materials or equipment used quantity 1 2 I-3 Structure and hull containing prohibited or restricted hazardous materials Name Parts where Approximate No of machinery Location Materials used quantity or equipment 1 2 PART II – OPERATIONALLY GENERATED WASTE Approximate No. Location Name of equipment and machinery quantity 1 2 PART III – STORES III-1 Stores No. Location Name of item Unit Figure Approximate quantity 1 2 III-2 Liquids sealed in ship’s machinery and equipment Type Name of machinery or Approximate No. Location of liquids equipment quantity 1 2 Polish Register of Shipping 51 III-3 Gases sealed in ship’s machinery and equipment Name of No. Type machinery or Location Approximate of gases quantity equipment 1 2 III-4 Regular consumable goods potentially containing Hazardous Materials No. Location Name of item Quantity 1 2 52 Polish Register of Shipping ANNEX 3 Standard format of the Application for inclusion in the European List of Ship Recycling Facilities (for non-EU countries) Identification of the ship recycling facility Name of ship recycling facility Distinctive Recycling Company identification No. Full address of ship recycling facility Primary contact person Phone number Email address Name, address and contact information of ownership company Working language

Additional information

Method(s) of recycling (1) Type(s) of ships that can be recycled Procedure for approval of the ship recycling plan (2) Number of employees at the time of application Maximum ship recycling output achieved on a given year in the past 10 years (in LDT) (3) Description of the ship recycling facility (layout, water depth, accessibility, etc) 1 Including the environmental monitoring programme aimed at preventing possible negative impacts to the environment during ship recycling, such as I. releases of Hazardous Materials to ground and sediments; II. releases of Hazardous Materials to water; III. emissions of Hazardous Materials to air; and IV noise/vibrations. 2 The procedure of approval can be either tacit or explicit (acc. to Art.7(3) and 15(2) of the EU SRR). 3 The figure should be documented (official confirmations of that year recycling completion. As per Article 32 of the EU SRR, the figure is calculated as ‘the sum of the weight of ships expressed in LDT that have been recycled in a given year in that facility. The maximum annual ship recycling output is determined by selecting the highest value occurring in the preceding 10-year period for each ship recycling facility, or, in the case of a newly authorised ship recycling facility, the highest annual value achieved at that facility’. Heavy equipment Heavy – lifting machines e.g. Jib crane: 60 tonnes e.g. Mobile crane: 35 tonnes × 1, 27 tonnes × 1 e.g. Hydraulic backhoe: SH400, ZX330, SK220, ZX200 with Shear, Magnet e.g. Hydraulic shear: 600 tonnes × 1 e.g. Weight bridge: 50 tonnes Polish Register of Shipping 53 Boat e.g. Gross tonnage: 5 tonnes, Power 240 HP Shear e.g. Capacity: 600 tonnes Other equipment O2 supply e.g. Liquid O2 supply system: 10m3 Gas supply e.g. LPG bottles Compressed air Fire extinguishers e.g. Portable fire extinguisher capacity Waste oil treatment e.g. Oil water separation tank Tank capacity: abt. 20 tonnes Wastes storage e.g. Container for asbestos: 2 Incinerator(s) e.g. none Electric power supply e.g. substation Location of the facility 1) Division and classification of the location e.g. urbanisation control area Area of the facility (in sqm) Area of pavement Peripheral environment e.g. factories: former quarry, two marinas in the vicinity, vulnerable environmental zones e.g. Housing: private houses at the entrance and 200m from entrance 1) Acc to Art. 15(2) of the UE SRR, a map of boundary of the SRF shall be attached to the application. Workers’ certificates / licences 2) Certificate / licence Number of personnel / qualifications 3) 1) Manager of asbestos handling 2) Manager of PCB handling 3) Designated chemicals handling 4) Asbestos handling class 5) Gas cutting 6) Welding 7) Zinc handling 8) Lifting 9) Heavy lift machines 54 Polish Register of Shipping 10) Seafarer 11) Diver 12) Removal of Hazardous Materials (Material A) (Material B) (Material C) (Material D) (Material E) (Material F) (Material G) (Material H) (Material I) (Material J) (Material K) 2 Please note that it is only necessary to fill in corresponding lines in the table with regard to those hazardous materials the ship recycling facility is authorised to remove. 3 Please note that the ship recycling company must at all times be in a position to provide evidence of the competence of each member of personnel authorised to carry out the removal of hazardous materials to the European Commission or agents acting on its behalf. PART III: Identification of the permit, license and authorisation granted by the competent authority/-ties to conduct ship recycling As per Article 15(2)(a) of Regulation (EU) No 1257/2013 of the European Parliament and of the Council of 20 November 2013 on ship recycling, the ship recycling company shall provide a copy of document(s) issued by its competent authorities to conduct the ship recycling and, where relevant, the permit, licence or authorisation granted by the competent authorities to all its contractors and sub- contractors directly involved in the process of ship recycling. Permit, license or authorisation document(s) attached to the application file 1): Name Country of Issuing Issued on Valid until Beneficiary of document issuance Competent (date) (date or entity Authority indefinite) 1) Name of the ship recycling company and / or its contractor /sub-contractor concerned by the document. PART IV: Capability and limitations of the ship recycling facility The ship recycling facility is authorised to accept a ship for recycling subject to the following size limitations: Polish Register of Shipping 55 Maximum capacity of ship to be recycled Other limitation DWT GT LDT Length Breadth Width Depth The ship recycling facility is authorised to accept a ship for recycling that contains hazardous materials as specified in the following table subject to the conditions noted below: Management of hazardous materials Descriptions of the management steps For the management of each item, the national As per Article 15(2)(f)(ii) of SRR, please: and/or international requirements should be 1) indicate which management process will be identified for reference. Any limitations imposed applied, under the authorisation granted by the competent 2) indicate the location where the activity authority/-ies of the country where the facility is takes place (either within the facility or at a located should be mentioned. The hazardous downstream waste management facility – in materials may be present in parts of the ship or the latter case, information should also be equipment (e.g. in paint or as plastic additives) or provided, including the facility name and in chemical mixtures (e.g. cooling fluids). contact information) 3) provide evidence that the applied process will be carried out without endangering human health and in an environmentally sound manner. 1) Asbestos Removal Storage Waste treatment 2) Ozone-depleting substances Removal Storage Waste treatment Heavy metals: Removal 3) Tinorganic anti-fouling compounds and system Storage 4) Cadmium and Cadmium Compounds Waste treatment 5) Haxavalent Chromium and Hexavalent Chromium Compounds 6) Lead and Lead Compounds 7) Mercury and Mercury Compounds Flame retardants: Removal 8) Polybrominated Diphenyl Ethers (PBDEs) Storage 9) Hexabromocyklododekan (HBCDD) Waste treatment 10) Polybrominated Biphenyl (PBBs) 11) Radioactive substances Removal Storage 56 Polish Register of Shipping Waste treatment Other Persistent Organic Pollutants (POPs): Removal 12) Polychlorinated biphenyls (PCB)