FEDERAL REPUBLIC OF NIGERIA REPUBLIQUE DUE NIGERIA

FEDERAL MINISTRY OF HEALTH MINISTERE DELA SANTE

DIRECTORATE OF PUBLIC HEALTH SERVICES SANITAIRE DES PORTS
PORT HEALTH SERVICES

SHIP SANITATION CONTROL EXEMPTION CERTIFICATE/SHIP SANITATION CONTROL CERTIFICATE

ISSUED IN ACCORDANCE WITH ARTICLE 39 OF THE INTERNATIONAL HEALTH REGULATION (2005) - NOT BE TAKEN AWAY BY PORT AUTHORITIES

THIS CERTIFICATE RECORDS THE INSPECTION AND 1 (EXEMPTION FROM CONTROL OR 2) CONTROL MEASURES APPLIED
NIGERIA 23-11-2023
Port of Issue:.................................................. Date:.................................
OSE ANITA 4
Name of ship:................................................. Flag:.................................. Registration/IMO No:................. NRT.....................

At the time of the Inspection the holds were unloading/loadin with:.............................. Tons of..................Cargo

SHIP SANITATION CONTROL EXEMPTION CERTIFICATE SHIP SANITATION CONTROL EXEMPTION CERTIFICATE
AREAS (SYSTEM AND EVIDENCE SAMPLE DOCUMENTS
SERVICES INSPECTED) Control measures Re-inspection Comments regarding
FOUND RESULTS RECEIVED Applied date conditions found
Gallery
Pantry
....
Stores
...
Hold(s) Cargo
F ....
Quarters
Crew O ION D ..
Office
C E T E
A S
T PT
Passengers
Deck
E N S IE
Potable
ID FE RIT EM
EV T IN LA ED X
Sewage
Ballast Tank
.E
Solid and medical Waste
O N U C T ....
Standing water N E G E
....
Engine room
D RE ET .
Medical Facilities
Other area specified
RO IR D .. ..
Note area not applicable
by marking N/A
no evidence found. Ship/Vessel is exempted from control measures control measures indicated were applied on the date below
 Areas/Facilities/Syste Evidence Found Sample results Documents received Control measures Re-inspection Comments regarding
ms Inspected Applied date conditions found
Food NONE NONE
Sore NONE NONE
...
Preparation
...
NONE? NONE?
...
Service NONE NONE
...
Water NONE NONE
...
Source NONE NONE
... N
Storage NONE NONE
ED IO
Distribution NONE NONE
T A T
Waster NONE NONE P IG
Holding NONE NONE
EM M
Treatment NONE NONE
E X FU
Disposal NONE NONE
...
Swimming pools/spas NONE NONE
... M
Equipment NONE NONE
... RO
Operation NONE NONE
... F
Medical facilities
...
...
EQUIPPED NONE
Equipment and NONE NONE
Medical devices
Medicine NONE NONE
Other Areas inspected NONE NONE
Indicate when the listed are not applicable by making N/A
April, 23rd 2023
Expiry date:..............................................................................(3) Seal, name and signature of inspecting officer
(1) a. Evidence of infection or contamination, including vectors in all states of growth; animal reservoirs for vector, rodents
or other species that carry
b. Information concerning any human cases (to be included in the Maritime declaration of health)
(2) Results from samples taken on board. Analysis to be provided to ship’s master by most expedient means and, if re-
inspection is required, to the next appropriate port of call coinciding with re-inspection date specified in this certificate.
(3) a. Sanitation Control Exemption Certificates and Sanitation Control Certificates are valid for a maximum of six months,
but the validity period may be extended by one month if inspection cannot be carried out at the port and there is no
evidence of infection or contamination
 SEAFARERS MEDICAL SERVICES
BAYELSA STATE - NIGERIA

Certificate Of Inspection
THIS IS TO CERTIFY THAT WE HAVE INSPECTED THE MEDICAL CHEST OF
OSE ANITA 4 AND ARE SATISFIED WITH
NAME OF VESSEL
THE STANDARD WE FOUND IS IN ACCORDANCE WITH THE GUIDELINES
ESTABLISHED BY THE “WORLD HEALTH ORGANIZATION” (WHO)
AND PROMULGATED IN THE PUBLICATION OF THE “INTERNATIONAL MEDICAL
GUIDE FOR SHIPS”, SECOND EDITION, COLUMN OF TABLE 10, 13 & 14,
APPLICABLE TO OCEAN GOING VESSELS WITH A CREW OF 10 - 40 PERSONS

Date: 23RD NOVEMBER, 2023 VALID FOR 12 MONTHS INSPECTOR

 FEDERAL MINISTRY OF HEALTH
PORT HEALTH SERVICES
ZONAL HEADQUARTERS
DELTA ZONE
BAYELSA STATE
CERTIFICATE OF FUMIGATION
This is to certify that OSE ANITA 4

was fumigated on the 23RD NOVEMBER, 2023

Type of Chemical used DD FORCE (DECL)

This fumigation is in accordance with International Health Regulation, Nigeria

Quarantine Acts and Companies HSE Policy
SIX
The Certificate expires after............................ Months from the date of issue (above)