Port State Control Pre-Inspection Checklist Template

Vessel Name Call Sign
IMO Number Flag State
Date Master's Name

1. Certificates & Documents

Item Checked Remarks
Valid statutory certificates (Safety, Registration, etc.)
Certificate of Class
ISM/ISPS/MLC certificates

2. Crew and Ship’s Management

Item Checked Remarks
Crew certificates and endorsement
Manning as per Safe Manning Document
Onboard management procedures

3. Safety Equipment

Item Checked Remarks
Life-saving appliances (lifeboats, rafts, jackets)
Fire detection & extinguishing systems
Emergency systems (lights, sound signals)

4. Pollution Prevention

Item Checked Remarks
Oily water separator & records
Garbage Management Plan & Garbage Record Book
Sewage system and discharge control

5. Operational Tests

Item Checked Remarks
Emergency generator
Steering gear test
Fire detection system

6. Additional Observations / Notes