Name of Vessel:
Port and Country of Inspection:
Date of Inspection (dd/mm/yy)
Date of last Inspection (dd/mm/yy)
Time of Inspection	Start:
Type of Inspection:	First
NAME OF INSPECTOR:
INSPECTION REPORTS: This inspection form is to be signed by the Inspector and the Master of the vessel. The original shall remain on-board kept by the Master as one of the vessels official documents.
PART A: - GENERAL
1.Official No.	2. IMO No
5a. Gross Tonnage	5b. Net Tonnage
8. Vessel Type	9. Total Power (Kw)
8. Recognised Organisation:
9. Recognised Security Organisation:
10. Classification Society (+class notation):
11. ETA/Next Port:
12. NAME OF LOCAL PORT AGENT
Agents Name
13. NAME AND ADDRESS OF MANAGER & DPA (ISM) & CSO (ISPS)
Company Name
Address 1
Address 2
Address 3
DPA Name
CSO Name
14. Name of Maritime Resident Agent

PART B: - SHIPS OFFICIAL DOCUMENTS (all dates to be recorded dd/mm/yy)
Statutory certificates and exemptions
International Tonnage Certificate
International Load Line Certificate
Cargo Ship Safety Construction Certificate
Cargo Ship Safety Equipment Certificate
Cargo Ship Safety Radio Certificate
Certificate of Fitness for the Carriage of Dangerous Chemicals in Bulk
Certificate of Fitness for the Carriage of Liquefied Gases in Bulk
Document of authorization for the carriage of grain (if applicable)
Document of compliance with special requirements for ship carrying dangerous goods
Exemption Certificate (from Reg.       )
International Oil Pollution Prevention Cert.
IOPP Supplement
International Air Pollution Prevention Cert.
IAPP Supplement
International Sewage Pollution Prevention Cert.
International Pollution Prevention Certificate for the Carriage of Noxious Liquid Substance in Bulk (NLS Certificate)
Garbage Pollution Prevention Cert. / Certificate of Compliance
Anti-Fouling System Certificate / Statement of Compliance
Copy of Document of Compliance
Safety Management Certificate
International Ship Security Certificate
Copy of last special survey and outstanding requirements
Other Certificates
Certificate of Class
Civil Liability Certificate (for Tankers)
Classification Society Survey Status Report
Conditions of Class – Outstanding / Recommendations
Others (List)
Certificates issues by Flag
Certificate of Registry
Minimum Safe Manning Certificate
Ship Radio Station Licence (No.       )
Continuous Synopsis Record
Crew’s Articles of Agreement if applicable
Control Inspection Reports (last 3 or those in last 12 months, whichever is the greater number)
Remarks:
Remarks:
Remarks:
Remarks:

PART C: - Plans and Manuals
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
PART D: - Records
Records
1
2
3
4
5
6
7
8
9
10
11
PART E:
Publications and Charts
1
2
3
4
5
6
7
8
9
10
11
12
13
27
28
29
30

PART F:
Bridge Logbooks
1
2
3
4
5
6
7
Remarks:
PART G: Aids to Navigation and Communications
Vessel Equipped for GMDSS
Type of Maintenance
Duplicated System
VHF MF/HF INMARSAT SES
Installed or Onboard = I Operational = 0
1
2
3
4
5
6
7
8
9
10.
11.
12.
13.
14.
15
16
17.
18.
Remarks:

Part H: Certificates of Officers and Crew (attach copy of Crew List)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Minimum Safe Manning
16
17
Safety & Security Training
18
19
Remarks:

Part I: Life-saving appliances and arrangements
1
2
3
4
5
Personal LSA
6
7
8
9
10
11
12
13
1
2
3
4
5
6
7
8
9
10

Part J: (Cont) Fire Fighting Equipment
11
Emergency equipment
12
13
14
Part K: General conditions
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

Part L: ENGINEERING, MACHINERY SPACES & EQUIPMENT

Ref.	Records to be sighted	Yes / No Obs / N/A	Notes
1	Maintenance records of main and auxiliary machinery
2	Engine room log book in use & signed by the Chief Engineer
3	Machinery failure alarms and safety trips tested
4	Unmanned Machinery Space alarm system test
5	Machinery space closings and fan dampers test
6	Emergency steering gear test
7	Remote pump and fan stops, remote closing valves test
8	Technical file and Record book of diesel engine parameters as required by NO, Tech Code paras 2.3.6 & 6.2.33 for each Engine (Marpol annex VI- Air pollution)
9	Record of Bunker delivery notes and associated samples(These may be incomplete depending upon whether the formal receipts are available from the suppliers)
	Procedures to be sighted
10	Bunkering procedures
11	Pollution prevention procedures in the control room
12	Chief Engineer’s emergency procedures & standing orders in the control room
13	Oily Water Separator operating procedures, in the vicinity of the OWS (see…………..
14	Emergency steering changeover procedures, in the steering flat.
15	Company instruction & procedures with regard to engine room management and safe engine watch keeping.
	To Witness Operation wherever possible
16	Steering systems including change over and test of emergency steering gear.
17	Emergency generator starting and excitation.
18	ER closing mechanisms and fan dampers. Test sample.
19	Fire & general alarm test.
20	Remote pump and fan stops, remote closing valves. Test sample.
21	UMS alarm system. All positions.

Part L: ENGINEERING, MACHINERY SPACES & EQUIPMENT

Ref.	To be Verified	Yes / No Obs / N/A	Notation
22	Main and auxiliary machinery in good working order and well maintained.
23	Control and alarm functions in good order, including alarm in Engineer’s accommodation.
24	Fuel & Lubricating/hydraulic oil systems free from leaks and temporary repairs
25	Cooling systems free of water leaks and temporary repairs.
26	Compressed air piping system free of leaks and temporary repairs.
27	Tank tops and bilges clean and free of oil.
28	Steam lines and other high pressure pipes clean and free from leakage.
29	Bilge pumps
30	OWS – Oily Water Separator – pipe work.
31	OWS – Verify that 3 way / dumping valve is operational
32	Switchboards and electrical equipment enclosed and provided with insulated floor mat. Satisfactory condition and proper securing of electrical cable and equipment.
33	Housekeeping & cleanliness of engine room, workshop and stores to a good standard.
34	Engine Room lighting complete and maintained for safe access / operation.
35	Engine room lighting power source in good condition & tested periodically.
36	Fire doors, emergency exits and watertight doors in good condition, clearly marked operational and clear of obstructions.
37	Escape routes clearly marked from all levels in the Engine room.
38	Main & auxiliary steering control systems operational; / reserve oil tank charged.
39	Accessibility of steering gear compartment and suitable arrangements to ensure working access to steering gear machinery / control under safe conditions.
40	Communications: Steering compartment & navigation bridge. Navigation bridge and machinery space. Other position from which engine is controlled.
41	Steering compass / rudder angle indicator visible at the emergency steering position.
42	Machinery space fire fighting & safety equipment in good order.
43	Welding and burning equipment in good condition / operating procedures displayed.
44	Emergency generator prepared, fuel tank fully charged and starting instructions clearly displayed.
	Every item marked ‘NO’ is to be entered in the Summary of Deficiencies in this Report, Page No. 12

Part M: General Remarks
If a passenger vessel, fill ANNEX PART A.

IMPORTANT NOTICE NEITHER THE INSPECTION NOR THE REPORT CONSTITUTES A CERTIFICATION, WARRANTY OR OTHER REPRESENTATION AS TO THE SEAWORTHINESS OF THE VESSEL DESIBED HEREIN NOr DO THEY RELIEVE ANY PERSON OR ORGANIZATION FROM THEIR RESPONSIBILITIES AND OBLIGATIONS TO ENSURE THAT THE VESSEL IS MAINTAINED IN A SEAWORTHY CONDITION.
INSPECTOR PRINT name :
Sign:
notice to masters: Masters are required to review all entries in this report before signing it. It is recommended that they discuss with inspector any findings which may not agree with actual condition prevailing on board at the time of inspection.

ADDITIONAL NOTES/COMMENTS TO BE ADDED ON SEPARATE SHEETS. THERE ARE (       ) NUMBER OF ADDITIONAL SHEETS TO THIS REPORT.

Signature of inspector
Name (print)
Date:
INSPECTOR ID NO.

Deficiencies List No. :	Port of inspection:
Name of vessel:
Official Nbr:	IMO or CaribShip Nbr:

ANNEX PART A: PASSENGER VESSELS		NOTES
1	IS THERE A DECISION SUPPORT SYSTEM FOR EMERGENCY MANAGEMENT ON THE NAVIGATIONAL BRIDGE AVAILABLE FOR THE MASTER (SOLAS CH.III/24-4)?
2	A DISTRESS ALARM PANEL AT THE CONING POSITION WITH INITIAL DISTRESS ALERT BUTTONS ON IT IS INSTALLED (SOLAS CH.IV/6.5-4)?
3	THE PUBLIC ADDRESS SYSTEM IS OPERATIONAL & AUDIBLE ON ALL OPEN DECKS ABOVE AMBIENT NOISE (SOLAS CH.III/6.5)?
4	THE GENERAL EMERGENCY ALARM SYSTEM IS OPERATIONAL (SOLAS CH.III/6.4)?
5	A PLAN FOR COOPERATION OF SEARCH AND RESCUE SERVICES IN THE TRADING AREA IN EVENT OF EMERGENCY APPROVED BY THE ADMINISTRATION IS ON BOARD (CHAPTER V 15[c])?
6	A ON SCENE RADIOCOMMUNICATIONS FOR SEARCH AND RESCUE PURPOSES USING THE AERONAUTICAL FREQUENCIES 121.5 MHz AND 123.1 MHz IS INSTALLED AND OPERATIONAL (SOLAS CH.IV/7.5)?
7	THERE IS A PORTABLE RADIOTELEPHONE APPARATUS FOR EACH MEMBER OF THE FIRE PATROL (SOLAS CH.II-2/40 FOR NEW PASSENGER SHIPS > 36 PASSENGERS)?
8	THERE ARE AT LEAST TWO EPIRBS ON BOARD (SOLAS CH.III/6.2.3)?
9	THERE ARE AT LEAST TWO RADIO TRANSPONDERS ON BOARD (SOLAS CH.III/6.2.2)?
10	THERE IS A CENTRAL CONTROL STATION FOR REMOTE CONTROL AND MONITORED FIRE DOORS, FIRE DETECTION ALARMS, SHUTTING DOWN FANS, REACTIVATION OF FANS, SUPPLY FROM AND EMERGENCY SOURCE OF POWER (SOLAS CH.II-2/40)?
11	SUPPLEMENTARY EMERGENCY LIGHTING IS INSTALLED AND OPERATION (SOLAS CH.II-1/42.1)?
12	A HELICOPTER LANDING AND PICKUP AREAS HAS BEEN FITTED (SOLAS CH.III/24.3)?
13	IS THE CLOSING OF WATERTIGHT DOORS DURING NAVIGATION LOGGED (SOLAS CH.II-1/15.6.5)?
14	IS THERE AN EMERGENCY MUSTER RECORD (SOLAS CH.III/24.2.3)?
15	IS THERE A DEDICATED RADIO OFFICER (SOLAS CH.IV/16.2)?
16	AUTOMATIC SPRINKLERS FOR ACCOMMODATION AND SERVICE SPACES, STAIRWAY ENCLOSURES AND CORRIDORS ARE INSTALLED (SOLAS CH.II-2/41-1.3.4: 41-2.5 & 36-1.2)?
17	IS THERE A SMOKE DETECTION AND ALARM SYSTEM FOR ACCOMMODATION AND SERVICE SPACES, STAIRWAY ENCLOSURES AND CORRIDORS (SOLAS CH.II-2/36)?
18	IS THERE A WATER FOG APPLICATOR FOR EACH PAIR OF BREATHING APPARATUS (SOLAS CH.II-2/17.3.2)?
19	IS THERE PORTABLE FOAM APPLICATORS (SOLAS CH.II-2/17.3.2)?
20	ARE THERE ENOUGH FIREMAN’S OUTFITS ON THE VESSEL (SOLAS CH.II-2/17.3.1)?
21	ARE THE ESCAPE ROUTES ON RO-RO PASSENGER SHIPS MARKED AND IN COMPLIANCE (SOLAS CH.II-2/28.1)?
22	IS EACH LIFERAFT FITTED WITH A BOARDING RAMP AND SELF RIGHTING OR REVERSIBLE (SOLAS CH.III/24-1.2.3 & .2.4)?
23	NUMBER OF FAST RESCUE BOATS ON BOARD (SOLAS CH.III/24-1.3)?
24	ARE THERE ENOUGH CREW TRAINED FOR THE FAST RESCUE BOATS (SOLAS CH.III/24-1.3)?
25	ARE THERE SUFFICIENT NUMBER OF LIFEJACKETS STOWED IN THE VICINITY OF THE ASSEMBLY STATION (SOLAS CH.III/24-1.5)?
26	DO THE DISCHARGE VALVES FOR SCUPPER HAVE POSITIVE MEANS OF CLOSING THAT IS OPERABLE FROM A POSITION ABOVE THE BULKHEAD DECK (SOLAS CH.II-2/31.2.1.2)?
27	IS THE OPERATION OF THESE VALVES RECORDED IN THE LOGBOOK?
REMARKS
SIGNATURE OF INSPECTOR	SIGNATURE OF MASTER
NAME & ID NBR (PRINT)	NAME (PRINT)
DATE	DATE

ANNEX PART B: TANKER VESSELS		NOTES
1	CONDITIONS OF CARGO PUMP ROOM (SOLAS CH.II-2/63)
2	CONDITIONS OF THE FIXED DECK FOAM SYSTEM (SOLAS CH.II-2/61)
3	CONDITIONS OF THE INERT GAS SYSTEM (SOLAS CH.II-2/62)
4	ARE THE INSTRUCTION MANUALS FOR THE INERT GAS SYSTEM ON BOARD (SOLAS CH.II-2/62.21)?
5	IS CARGO TANK VENTING AND PURGING AND/OR GAS-FREEING (ALL TANKERS CONSTRUCTED AFTER 01JAN94, SOLAS CH.II/59)?
6	IS THERE MEANS TO GAIN SAFE ACCESS TO THE BOW (ALL TANKERS SHALL BE FITTED BY THE FIRST SCHEDULED DRY-DOCKING AFTER 1 JULY 1998 BUT NOT LATER THAN 1 JULY 2001, SOLAS CH.II-2/3-3.2)?
7	IS THERE AN EMERGENCY TOWING ARRANGEMENT FITTED (FITTED AT BOTH ENDS OF EVERY TANKER OF NOT LESS THAN 20,000 TONNES OF DEADWEIGHT CH.II-1/3-4)?
8	IS THE INSTRUMENT FOR THE MEASURING OF OXYGEN AND FLAMMABLE VAPOUR CONCENTRATIONS ON DOUBLE AND DOUBLE BOTTOMS ON BOARD (NEW OIL TANKERS 01OCT94, SOLAS CH.11-2/59.4)?
9	IS THE PORTABLE INSTRUMENT FOR MEASURING FLAMMABLE VAPOUR CONCENTRATIONS, SPARES AND MEANS OF CALIBRATION ON BOARD (ALL TANKERS SOLAS CH.II-1/59.5)?
10	ARE THERE DEDICATED SEAWATER BALLAST TANKS TO HAVE AN EFFICIENT CORROSION PREVENTION SYSTEM (NEW OIL TANKERS AND BULK CARRIERS 01JULY98, SOLAS CH.II-1/3-2)?
11	IS THERE ANY PERMANENT ACCESS FROM A PIPE TUNNEL TO THE MAIN PUMP ROOM. IS IT FITTED WITH A WATERTIGHT DOOR (NEW TANKERS 01JULY98, SOLAS CH.II-2/56.9)?
12	IS THERE A SECONDARY MEANS OF FULL FLOW RELEASE OF VAPOUR FROM CARGO TANKS, OR ALTERNATIVELY PRESSURE SENSORS WITH MONITORING (NEW TANKERS 01JULY98, SOLAS CH.II-2/59.1.2.3)?
13	IS THERE A CRUDE OIL WASHING SYSTEM INSTALLED (NEW CRUDE OIL TANKER OF 20,000 TONS DEAD WEIGHT AND ABOVE, MARPOL ANNEX I/13)?
14	IS THERE AN OPERATIONS AND EQUIPMENT MANUAL FOR CRUDE OIL WASHING (MARPOL ANNEX I/13B)?
15	IF THE VESSEL IS A CHEMICAL TANKER, IS THE IBC CODE ONBOARD (SOLAS CH.VII, PART B)?
16	IF THE VESSEL IS A GAS CARRIER, IS THE IGC CODE ON BOARD (SOLAS CH.VII, PART C)?
17	IF THE VESSEL IS A CHEMICAL TANKER OR GAS CARRIER CARRYING CARGOES EMITTING TOXIC VAPOURS OR GASES, AND DOES NOT CARRY TOTALLY ENCLOSED LIFEBOATS, DOES IT HAVE LIFEBOATS WITH A SELF-ENCLOSED AIR SUPPORT SYSTEM AND ARE THE BOATS FIRE-PROTECTED (SOLAS CH.III/31.1.6, 31.1.7)?
18	PROCEDURE AND ARRANGEMENTS MANUAL (P&A) for ships carrying NLS cargo (MARPOL ANNEX II)
REMARKS:
SIGNATURE OF INSPECTOR	SIGNATURE OF MASTER
NAME & ID NBR (PRINT)	NAME (PRINT)
DATE	DATE

ANNEX PART C: OFFSHORE DRILLING UNITS AND FLOATING PRODUCTION STORAGE OFFLOADING FACILITY (APPLICABLE 1989 MODU CODE AS AMENDED IN 1991)		NOTES
1	GENERAL SAFETY CONDITION OF TOWING ARRANGEMENT (REG. 14.4)
2	IS THERE A RECORD OF WEEKLY AND MONTHLY INSPECTIONS OF LIFE SAVING EQUIPMENT (REG. 10.8.6/7)?
3	AUTOMATIC FIRE DETECTION AND ALARM SYSTEM IN ALL ACCOMMODATION AND SERVICE AREAS TESTED AND IN ORDER (REG.9.7)
4	FIXED AUTOMATIC GAS DETECTION AND ALARM SYSTEM FOR ALL ENCLOSED AREAS OF THE UNIT WHERE FLAMMABLE GAS MAY BE DETECTED. TESTED AND IN ORDER (REG. 9.8.1)
5	TWO (2) PORTABLE GAS MONITORING DEVICES FOR MEASURING OF CONCENTRATION OF FLAMMABLE GAS, TESTED AND IN ORDER (REG. 9.8.2)
6	AT LEAST TWO (2) DRY POWDER EXTINGUISHERS (MINIMUM 45 KG – 100 LB) AND CO2 EXTINGUISHERS (MINIMUM 18 KG – 40 LB) ARE PROVIDED NEAR THE ACCESS TO THE HELICOPTER DECK (REG. 9.11.2.1/3)
7	AT LEAST TWO (2) FIRE HOSES WITH DUAL PURPOSE NOZZLES ARE PROVIDED ON HELICOPTER DECK (REG. 9.11.2.4)
8	IS THE NON-SKID SURFACE AND SAFETY NET ON HELICOPTER DECK IN GOOD CONDITION (REG. 13.2.4/3.3)?
9	IS THERE A WIND DIRECTION INDICATOR ON HELICOPTER DECK, AND IS IT IN ORDER (REG. 13.4.1)?
10	ARE THE YELLOW AND BLUE LIGHTS ON HELICOPTER DECK OPERATIONAL (REG. 13.4.3)?
11	IS THERE A RECORD OF EXAMINATION AND CERTIFICATION OF LIFTING DEVICES ON BOARD (REG. 12.1.5/1.6)?
12	GENERAL SAFETY CONDITION OF THE SUPPORTING STRUCTURE AND LIMIT SWITCHES
13	IS THERE A LOADING RATING CHARTS OR LOAD INDICATORS FOR ALL LIFTING DEVICES ARE AVAILABLE TO THE OPERATOR AT ALL TIMES
14	ARE THE CRANE OPERATION AND MAINTENANCE MANUALS AVAILABLE (REG. 12.1.10)?
15	CRANE OPERATIONS, IF CONDUCTED DURING INSPECTION, ARE CARRIED OUT SAFELY AFTER COORDINATING DICSCUSSIONS OF ALL PERSONS INVOLVED?
16	IS COMMUNICATION WITH CRANE OPERATORS MAINTAINED THROUGHOUT OPERATION?
17	IS THERE ADDITIONAL RADIO EQUIPMENT ROOM FITTED AS FAR AS IS PRACTICABLE FROM THE RADIO EQUIPMENT AND FITTED IN COMPLIANCE WITH SECTION 11.5.1 (REG. 11.5.2)? INDICATE IF AN EXEMPTION WAS GRANTED IN THE REMARKS SECTION/
18	AT LEAST VHF RADIOTELEPHONE APPARATUS AND TWO RADAR TRANSPONDERS ARE AVAILABLE ON THE MODU (REG. 10.7.1)
19	DO ALL LIFEBOATS HAVE A VHF RADIOTELEPHONE APPARATUS AND A RADAR TRANSPONDER (REG. 10.7.1)?
20	HAS THE RADIO BEEN SURVEYED AT ANNUAL INTERVALS (REG. 11.10.3)?
21	IS THERE RADIOCOMMUNICATION EQUIPMENT REQUIRED FOR FLIGHT SAFETY AS DETERMINED BY THE COASTAL STATE ON BOARD (REG. 11.6)?
22	IS THERE CLEAR LABELLING OF HAZARDOUS AREAS AS PRACTICAL (ZONES 0, 1 AND 2) (REG. 6.1)?
23	AT LEAST TWO WIDELY SEPARATED FIXED METAL LADDERS OR STAIRWAYS PROVIDED FROM THE DECK TO THE SURFACE OF THE WATER (REG. 10.3.7)
REMARKS:
SIGNATURE OF INSPECTOR	SIGNATURE OF MASTER
NAME & ID NBR (PRINT)	NAME (PRINT)
DATE	DATE