Local Control Test Record

Annual Verification of Local & Independent System Operation (IACS UR E26 §4.4.2 / SOLAS II-1 Reg 31)

Doc ID: TAG-OT-LOG-05
Compliance: E26 §4.4.2 / SOLAS II-1/31
Rev: 1.0

1. VESSEL & TEST DETAILS

Vessel Name:		IMO Number:
Test Date:		Test Type:	Annual Commissioning Post-Incident Special Survey
Conducted by:		Witnessed by:
Master notified:	Yes No Time:	Vessel status:	At anchor In port At sea

2. SYSTEM TEST RESULTS

Test each Category III system individually. Confirm local panel operates the physical equipment without any CBS or IAS interaction. Mark N/A only if the system is not fitted on this vessel — provide reason in observations.

System	Local Control Location	Test Method	Result	Observations / Defects
Main Propulsion			Pass Fail N/A
Steering Gear			Pass Fail N/A
Power Management / Generators			Pass Fail N/A
Fire Detection & Suppression			Pass Fail N/A
Bilge & Ballast			Pass Fail N/A
Watertight Doors / Integrity			Pass Fail N/A
			Pass Fail N/A

3. DEFECTS RAISED

List any local control failures identified during this test. Each defect must be raised in the planned maintenance system and closed before the annual survey.

Defect #	System Affected	Description	PMS Work Order #	Closed	Date Closed
1
2
3

4. OVERALL TEST RESULT

ALL SYSTEMS PASSED — local control verified independent of CBS/IAS

PASSED WITH DEFECTS — defects raised in PMS, close-out required before survey

FAILED — one or more critical systems unable to operate locally; immediate rectification required

CONDUCTING OFFICER (ETO / CHIEF ENGINEER)

Name:

Date:

WITNESSING OFFICER / CLASS SURVEYOR

Name:

Date:

Retention requirement: This record must be retained for a minimum of 12 months and presented to Class surveyors at annual and special surveys on request. File in the SMS Cyber Annex. A copy should be stored separately from the main maintenance records for rapid retrieval. Reference: IACS UR E26 §4.4.2 / SOLAS II-1 Regulation 31.