| Name of Vessel | |
|---|---|
| IMO Number | |
| Name of Master | |
| Flag State | |
| Date of Inspection | |
| Port |
| Item | Status | Remarks |
|---|---|---|
| Certificates valid and available | ||
| ISM Documentation | ||
| Ship’s crew certificates and qualifications | ||
| Fire safety and equipment | ||
| Lifesaving equipment | ||
| Pollution prevention equipment | ||
| Navigational safety and equipment | ||
| Structural and watertight integrity | ||
| Working and living conditions | ||
| Machinery and engine room | ||
| Logbooks and records | ||
| Security measures | ||
| Previous inspection deficiencies addressed |
| Name | |
|---|---|
| Signature | |
| Date |