Flag State Safety Inspection Report
General Information
Vessel Name
IMO Number
Flag State
Type of Vessel
Inspection Date
Location of Inspection
Inspector's Name
Master's Name
Certificates
Certificate
Number
Date of Issue
Date of Expiry
Issued By
Safety Equipment Check
Item
Condition
Remarks
Deficiencies Noted
Deficiency
Requirement
Action Taken/Required
Additional Remarks
Inspector's Signature
Date
Master's Signature
Date