Port State Control Inspection Checklist Form
Complete this form to record all required details and findings from a port state control inspection of a vessel.
Vessel Name and IMO Number
*
Inspection Date and Port
*
Key Compliance Checkpoints (select all that apply)
*
Safety Equipment
Pollution Prevention
Crew Certification
Navigation Equipment
Fire Protection
Other
Deficiencies Found (if any)
Was the vessel detained?
*
Yes
No
Corrective Actions Required or Taken
Inspector Name
*
Inspector Remarks
Submit Inspection
Should be Empty: