Port State Control Inspection Checklist

Complete each section as applicable.
1. Vessel Details
Vessel Name Flag
IMO No. Type
Call Sign Gross Tonnage
2. Certificates
No. Certificate Valid Remarks
1 Safety Construction Certificate
2 Safety Equipment Certificate
3 Safety Radio Certificate
4 Load Line Certificate
5 Safety Management Certificate (ISM)
6 IOPP Certificate
7 MLC Certificate
3. Crew & Documentation
No. Item Compliant Remarks
1 Crew List Available
2 Seafarers Certificates
3 Medical Certificates
4 Rest Hours Record
4. Safety & Pollution Prevention
No. Item Compliant Remarks
1 Fire-fighting Equipment
2 Life-saving Equipment
3 Oil Record Book
4 Garbage Record Book
5 Sewage Treatment Plant
5. Additional Observations
Observation
6. Inspector Details
Name Date
Signature