Vessel Compliance Assessment Form
Use this form to assess a vessel’s compliance status, document findings, and record corrective actions.
Vessel Identification
Vessel Name
*
Vessel Type / Class
*
Cargo
Tanker
Container
Passenger
Bulk Carrier
Fishing
Tug
Barge
Research
Pleasure Craft
Other
Official Registration / Reference Code
Flag State / Country
*
Please Select
Albania
Australia
Bahamas
Bermuda
Canada
China
Cyprus
Denmark
France
Germany
Greece
Italy
Japan
Liberia
Marshall Islands
Netherlands
Norway
Panama
Singapore
Spain
United Kingdom
United States
Other
Home Port
*
Operator and Assessment Details
Operator/Company Name
*
Contact Person Name
*
Contact Email
*
example@example.com
Assessment Date
*
 -
Month
 -
Day
Year
Date
Assessment Location / Port
*
Assessor Name or Department
*
Compliance Assessment
Compliance Assessment Matrix
*
Rows
Compliant
Partially Compliant
Non-Compliant
Not Applicable
Safety Equipment
1
2
3
4
Navigation Equipment
5
6
7
8
Fire Protection
9
10
11
12
Pollution Prevention
13
14
15
16
Crew Certifications
17
18
19
20
Maintenance Records
21
22
23
24
Documentation Status
25
26
27
28
Overall Compliance
29
30
31
32
Safety Equipment Status
*
Please Select
Compliant
Partially Compliant
Non-Compliant
Not Applicable
Navigation Equipment Status
*
Please Select
Compliant
Partially Compliant
Non-Compliant
Not Applicable
Fire Protection Status
*
Please Select
Compliant
Partially Compliant
Non-Compliant
Not Applicable
Pollution Prevention Status
*
Please Select
Compliant
Partially Compliant
Non-Compliant
Not Applicable
Crew Certifications Status
*
Please Select
Compliant
Partially Compliant
Non-Compliant
Not Applicable
Maintenance Records Status
*
Please Select
Compliant
Partially Compliant
Non-Compliant
Not Applicable
Overall Compliance Status
*
Please Select
Compliant
Partially Compliant
Non-Compliant
Not Applicable
Required Documentation Review
Vessel Registration Present and Valid?
*
Yes
No
Safety Certificates Present and Valid?
*
Yes
No
Insurance Certificate Present and Valid?
*
Yes
No
Inspection Records Present and Valid?
*
Yes
No
Pollution Control Records Present and Valid?
*
Yes
No
Crew Competency Records Present and Valid?
*
Yes
No
Missing Documents or Expiration Notes
Inspection Findings and Corrective Actions
Inspection Findings / Observations
*
Priority / Risk Level
*
Low
Medium
High
Critical
Corrective Action Plan
*
Responsible Party / Team
*
Target Completion Date
*
 -
Month
 -
Day
Year
Date
Final Assessment Outcome
Overall Assessment Result
*
Approved
Approved with Conditions
Needs Reinspection
Not Approved
Final Remarks
Follow-up Requirements
Reinspection
Additional Documentation
Corrective Action Verification
Management Review
Other
Submit Assessment
Should be Empty: