Ship Flag State Inspection Checklist
Complete this checklist to document the results of a Flag State inspection for maritime vessels.
Vessel Name
*
IMO Number
*
Flag State
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Inspector Position/Title
*
Inspection Checklist
*
Rows
Compliant
Non-Compliant
Not Applicable
Ship Certificates Valid and On Board
1
2
3
Crew Certificates and Manning Compliance
4
5
6
Life-saving Appliances (LSA) Condition
7
8
9
Fire-fighting Equipment (FFE) Condition
10
11
12
Pollution Prevention Equipment
13
14
15
Structural Condition of Hull and Deck
16
17
18
Navigation Equipment Operational
19
20
21
Radio and Communication Equipment
22
23
24
Emergency Procedures and Drills
25
26
27
Accommodation and Sanitary Facilities
28
29
30
List any deficiencies or remarks
Overall Inspection Rating
*
1
2
3
4
5
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: