Australian Government - Australian Maritime Safety Authority

AMSA forms

APPLICATION FOR ACCREDITATION IN A CATEGORY OF SURVEYING – AMSA 741
Marine Safety (Domestic Commercial Vessel) National Law Act
Marine Safety (Domestic Commercial Vessel) National Law Regulation
 

When to use this form

Use this form to apply for AMSA accreditation in marine surveying:

  • for initial application; or
  • to add other category(s) to an existing AMSA marine surveyor accreditation

General criteria for the issuance of marine surveyor accreditation

Before submitting the application for initial or additional accreditation, the applicant must ensure that they can demonstrate that they meet the criteria in section 25 of the National Law Regulation. If you are unsure, please contact the Accreditation team at dcvsurvey@amsa.gov.au to discuss further.

How to complete the form

Online

Type directly into the boxes and on completion, select “download pdf”. The system will generate a prefilled form with a unique AMSA Transaction Reference Number (TRN) beginning with 160741xxxxxxxx located at the top right-hand corner of the form and on the Fee Advice located on the last page. The TRN number will link your application and payment. If you make an error re-complete the form, and a new TRN number will be generated. The form must be completed online because the fee is calculated based on the number of categories. If you are having trouble filling the form, please email dcvsurvey@amsa.gov.au for the attention of the Accreditation Team.

Print & sign

Please ensure that you sign strictly within the box provided using a black pen. If your signature is too large to fit in the box, you may submit a separate sheet of paper with your signature. The signature box can be enlarged by clicking and dragging the bottom right-hand corner of the box before printing. Please print all pages including Fee Advice.

What do you need to provide

You will need to provide these supporting documents:

  • Current curriculum vitae
  • Certified copies of qualifications relevant to the category(s) applied for
  • Evidence of continued professional development (CPD) relating to vessel building, design, engineering, or vessel survey
  • Current professional association membership relevant to vessel building, design, engineering, or vessel survey
  • Evidence that vessel surveys will be conducted either:
    • under an accredited ISO 9001:2008 compliant Quality Management System; or
    • an equivalent management system; or
    • in accordance with Part 1 of the - Marine Surveyors Accreditation Guidance Manual (e.g., by Letter of Undertaking)
  • Current professional indemnity insurance policy certificate of entry for at least AUD$1,000,000; or
    • Quote for the insurance; or
    • If the policy is issued outside of Australia, a letter from the insurance broker for the policy confirming the policy
  • Certified copies of identity document (see section E of this form for specific requirements)
  • Current photo (see section F of this for photo requirements)
  • Details of two (2) referees who are your peers in marine surveying and related industries
  • Relevant fee

The fee payable is an assessment fee determined by the number of categories applied for.

Note: These fees are indexed annually on the 1 July

1 to 5 categories: 0
6 to 10 categories: 0
11 to 16 categories: 0

Cost for categories selected:

If a decision is made to refuse your application, your fee will not be refunded.

Lodging your application

You must submit all supporting documents at the same time you lodge this AMSA741 form. An application with missing documents will not progress and will be returned to the applicant.

Lodge by email to: dcvsurvey@amsa.gov.au
Acceptable formats of documents are pdf and jpeg.

A. Applicant details
Title (Mr, Mrs, etc.)
Surname
Middle names(s)
Given name(s)
Date of birth (dd/mm/yyyy)
Place of birth (town, state, country)
Nationality

Residential address
Unit
Number
Street
Town/suburb
State
Postcode
Country

Postal address ( Tick if same as residential address)
Unit
Number
PO Box
Street
Town/suburb
State
Postcode
Country

Private Phone
Private Mobile
Primary email for correspondence with AMSA
B. Employment details
Employer / Company trading name
ACN (if applicable)
ABN (if applicable)
Position held in the company

Address
Unit
Number
Street
Town/suburb
State
Postcode
Country

Phone
Website
General Email
C. Categories, length, and materials of marine surveyor accreditation

Note: to apply for either categories (e), (f) or (m), you must hold a current unrestricted electrical licence under a law of a State or Territory

Please indicate the categories of accreditation in which you are applying for:

(a) Initial survey – plan approval

Materials
(b) Initial survey – stability approval
(c) Initial survey – loadline - assignment
(d) Initial survey – electrical – extra low voltage
(e) Initial survey – electrical – low voltage
(f) Initial survey – electrical – high voltage
(g) Initial survey – construction or alteration – hull, deck, and superstructure

Materials
(h) Initial survey – construction or alteration – machinery
(i) Initial survey – construction or alteration – loadline conditions and marking
(j) Initial survey – construction or alteration – equipment
(k) Initial survey – construction or alteration – commissioning

(l) Periodic survey

Materials
(m) Periodic survey – electrical
(n) Periodic survey – loadline
(o) Survey of safety equipment
(p) Survey of communications equipment

D. Professional referees
First referee

Title (Mr, Mrs, etc.)
Surname
Middle names(s)
Given name(s)
Relationship
Length of relationship
Place of employment and position
Position in the company
Residential address
Unit
Number
Street
Town/suburb
State
Postcode
Country
Postal address ( Tick if same as residential address)
Unit
Number
PO Box
Street
Town/suburb
State
Postcode
Country
Business phone
Preferred contact mobile
Preferred contact email

Second referee

Title (Mr, Mrs, etc.)
Surname
Middle names(s)
Given name(s)
Relationship
Length of relationship
Place of employment and position
Position in the company
Residential address
Unit
Number
Street
Town/suburb
State
Postcode
Postal address ( Tick if same as residential address)
Unit
Number
PO Box
Street
Town/suburb
State
Postcode
Business phone
Preferred contact mobile
Preferred contact email

E. Satisfaction of eligibility requirements
Checklist  (Please tick)

The following must be included with your application. Incomplete applications will not be accepted and will be returned.

    • under an ISO 9001:2008 accredited Quality Management System for marine surveying, or
    • equivalent management system; or
    • in accordance with Part 1 of the Marine Surveyors Accreditation Guidance Manual (e.g. by letter of undertaking)
    • quote for the insurance; or
    • if the policy is issued outside of Australia, a letter from the insurance broker for the policy confirming the policy
  • Tick relevant membership level:
    Other
  • Name of professional organisation
    Issue date (dd/mm/yyyy)
    Expiry date (dd/mm/yyyy)

  • Some examples of evidence of current professional membership may be but not limited to:

    • AIMS stamp showing membership level and expiry date
    • RINA letter confirming class of membership and expiry date
    • IIMS membership card
    • IMarEST membership card
    • Tax Invoice alone is not acceptable, you must obtain a written statement from the association

  • Some examples may include but not limited to:

    • Statement of continued professional development (CPD) from your professional association
      or
    • Copies of certificates relating to:
      • additional qualifications you may have attained
      • short courses/safety training
      • technical meetings/conferences/workshops
      • mentoring
      • writing publications (e.g., subscriptions to magazines)
      • webinars relevant to marine surveying
      • survey work outside of national law; or
      • surveys completed prior to the MARS system
    • certified copy of a document issued to you by an Australian government department or agency that provides proof of your identity (e.g., birth certificate, immigration papers, drivers licence, passport, etc.)
      or
    • certified copy of your foreign passport
F. Photograph guidelines

  • face centred from the neck up
  • white background
  • dimensions of 45mm x 35mm (not including a border)

Attach photo as below or if scanning, it must be in high resolution of 300-600dpi.

G. Applicant's declaration and consent
  1. Have you ever held accreditation (however described) as a marine surveyor which has been suspended or revoked?
  2. Have you ever had membership of a professional association related to vessel building, vessel design, vessel engineering or vessel survey revoked, suspended or involuntary cancelled?
  3. Do you consent to Australian Maritime Safety Authority publishing your telephone number, email address and geographical areas in which you will conduct surveys in addition to your name and accredited categories on the Schedule of Accredited Marine Surveyors, which is available at www.amsa.gov.au?
I declare that:
  • To the best of my knowledge the information provided by me in this application (and any attachments I have included with this application) is true and correct.
  • I understand and acknowledge that the Australian Maritime Safety Authority, as the National Regulator, may ask that I provide any information or document that the National Regulator reasonably considers necessary for consideration of this application.
  • I understand and acknowledge that the Australian Maritime Safety Authority, as the National Regulator, may ask another person to provide any information, document or agreement that the National Regulator reasonably considers necessary for consideration of this application.
  • I consent to the Australian Maritime Safety Authority, as the National Regulator, making all reasonable enquiries in order to verify that the information provided by me in this application (and any attachments that I have included with this application) is true and correct.
  • I understand and acknowledge that a person is guilty of an offence under section 137.1 of the Criminal Code Act 1995 if the person gives false or misleading information, or omits anything without which the information is misleading, to a Commonwealth entity, to a person who is exercising powers or performing functions under a law of the Commonwealth, or in compliance or purported compliance with a law of the Commonwealth.
  • I understand that failure to comply with a condition imposed on a category of accreditation (including the statutory conditions) for which I have applied may be grounds on which AMSA may vary, suspend or revoke the accreditation, issue an infringement notice or commence prosecution action.
Signature

You will need to PRINT the form, then sign inside the box. Please use a BLACK pen and ensure your signature fits inside the signature box.

Name
Date (dd/mm/yyyy)
H. Lodge and Pay

Payment

In order for your application to progress, you must make the required payment in full

Methods of payment

Please indicate below which method of payment was used and the paid date
Date of payment (dd/mm/yyyy)

Which TRN number was used to reference the payment?

If the TRN number is the same as indicated on the top right hand corner of the AMSA741 application form submitted, then leave blank, otherwise indicate the number below.

Where to lodge

Email to:dcvsurvey@amsa.gov.au

Privacy Statement
The collection of information requested in this form is required or authorised by Schedule 1 of the Marine Safety (Domestic Commercial Vessel) National Law Act 2012 (the Act). It will be used for purposes related to the Act and may be provided to Commonwealth or State/Territory government agencies for the purposes of marine safety. Failure to provide the information may result in the transaction not being processed. To contact us, or for more information on how to access or correct your personal information, how to make a privacy complaint, or how your information may be used or disclosed for purposes beyond those described in this statement, visit www.amsa.gov.au/privacy.

Australian Maritime Safety Authority

ABN: 65 377 938 320

Fee advice
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Transaction Reference Number (TRN) Description Amount
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GST $ ${AdviceGST}
Total AUD GST $ ${AdviceTotalcost}

This fee advice is valid until ${AdvicePaymentExpiry} and is applicable only for the application associated with this fee advice. The assessment of your application will only commence once we have received your payment and all supporting documents. This is a non-refundable application fee and covers all the services required to process your request, however it does not guarantee that your application will be successful.

Payment details

Methods of payment

Payment via internet Payment via phone Payment via post office
AMSA: https://payments.amsa.gov.au can accept VISA or Mastercard payments only.

BPAY: Contact your bank or financial institution to make this payment from your cheque and savings transaction accounts. More information at bpay.com.au.

PostBillpay: www.postbillpay.com.au can accept VISA, Mastercard or PayPal payments only.

 13 18 16 (POSTbillpay) can accept VISA or Mastercard payments only.

BPAY via your financial institution can accept cheque and savings payments only.

 Payment can be made at any Australian Post Office within Australia by cheque, cash, EFTPOS, VISA or Mastercard.

The post office will issue you a receipt.
AMSA form: 741
Version: 2 04/24