Ballast Water Management Inspection Form

Vessel Details

Ship Name

IMO Number

Flag

Type of Ship

Gross Tonnage

Port of Registry

Inspection Details

Name of Inspector

Date of Inspection

Location of Inspection

Ballast Water Management Plan

Is Ballast Water Management Plan (BWMP) available onboard?

Approved by (Authority/Organization):

Date of Approval:

Ballast Water Discharge Records

Date	Tank/Location	Volume (m³)	Method (Exchange/Treatment)	Position/Coordinates	Remarks

Ballast Water Management System

Type of System Installed (if any):

Manufacturer:

Capacity:

Is the system operational?

Additional Comments / Observations

Inspector's Signature

Name

Date

Signature