Port State Control Inspection Report
General Information
Ship Name
IMO Number
Flag State
Port of Inspection
Date of Inspection
Inspector Name
Ship Details
Type of Ship
Gross Tonnage
Year Built
Inspection Items
Item
Status
Remarks
Certificates & Documents
Safety Equipment
Fire Fighting Equipment
Pollution Prevention
Living & Working Conditions
Navigation
Radio
Deficiencies Noted
No.
Description
Action Taken/Required
1
2
3
Additional Comments
Inspector Signature
Date