ANNEX 2
Annex IX to Implementing Regulation (EU) No 433/2012 is replaced by the following:
‘ANNEX IX
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INSPECTION REPORT FORM
Report on Port State Control inspection (PSC 3)
Inspection report number:
A. INSPECTION REFERENCE
Landing
Yes
No
Transhipment
Yes
No
Other reason for port entry
Port State
Port of landing or transhipment
Vessel name
Flag State
IMO Number (1)
International Radio call sign
Landing/transhipment started
Date
Time
Landing/transhipment ended
Date
Time
Vessel Type
Certificate of Registry ID
Port of Registry
VMS
Vessel master’s name
Vessel master’s nationality
Fishing master’s name
Fishing master’s nationality
Vessel’s owner/operator
Vessel’s beneficial owner (2)
Vessel’s agent
Last port of call:
Date:
B. INSPECTION DETAILS
Name of donor vessel (3)
IMO Number (1)
Radio call sign
Flag State
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B 1. Catch recorded in the logbook
Species (4)
Area of catch
Declared live weight kg
Conversion factor used
B 2. Fish landed or transhipped (3)
Spe-cies (4)
Type of process-ing (5)
Pro-duct (6)
Area of catch
Product weight landed in kg
Con-version factor
Equivalent live weight kg
Diff (kg) between live weight declared in the logbook and the live weight landed
Diff (%) between live weight declared in the logbook and the live weight landed
Diff (kg) between Product weight landed and PSC 1/2
Diff (%) between Product weight landed and PSC 1/2
RELEVANT TRANSHIPMENT AUTHORISATION:
B 3. Information about landings authorised without confirmation from the flag State ref: NEAFC art. 23.2/NAFO art. 45.6
Name of storage:
Name of competent authorities:
Deadline for receiving confirmation:
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B 4. Fish retained on board
Species (4)
Type of process-ing (5)
Pro-duct (6)
Area of catch
Product weight in kg
Conversion factor
Live weight kg
Diff. (kg) between product weight on board and PSC 1/2
Diff. (%) between product weight on board and PSC 1/2
C. RESULTS OF INSPECTION
C1. General
Inspection started
Date
Time
Inspection ended
Date
Time
Status in other RFMO areas where fishing or fishing-related activities have been undertaken, including any IUU vessel listing
RFMO
Vessel identifier
Flag State status
Vessel on authorised list
Vessel on IUU list
Observations
C2. Gear inspection in port (in accordance with Annex XVIII (e))
A. General data
Number of gear inspected
Date gear inspection
Has the vessel been cited?
Yes
No
If yes, complete the full ‘verification of inspection in port’ form.
If no, complete the form with the exception of the seal details
B. Otter Trawl details
Seal number
Is seal undamaged?
Yes
No
Gear type
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Attachments:
Grate Bar Spacing (mm):
Mesh type:
Average mesh sizes (mm):
Trawl part:
Wings:
Body:
Lengthening Piece:
Codend:
D. OBSERVATIONS BY THE MASTER
I, the undersigned, Master of the vessel hereby confirm that a copy of this report have been delivered to me on this date. My signature does not constitute acceptance of any part of the contents of this report, except my own observations, if any.
Signature: Date:
E. INFRINGEMENTS AND FOLLOW-UP
E1. NAFO
E1.A. Sea Inspection
Infringements resulting from Inspections inside NAFO R.A.
Inspection Party
Date of insp.
Division
NAFO CEM infringement legal reference
E1.B. Port Inspection results
(a) Confirmation of Infringements found at sea inspection
NAFO CEM infringement legal reference
National Infringement legal reference
(b) Infringements found at sea inspection and not possible to be confirmed during the Port Inspection.
Comments:
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(c) Additional infringements found during the Port Inspection
NAFO CEM infringement legal reference
National Infringement legal reference
E2. NEAFC infringement noted
Article
NEAFC provision(s) violated and summary of pertinent facts
Inspector’s observations:
Action taken:
Inspecting authority/agency
Inspector’s Name
Inspector’s signature
Date and place
F. DISTRIBUTION
Copy to flag State
Copy to NEAFC Secretary
Copy to NAFO Executive Secretary
(1) Fishing vessels not assigned an IMO number shall provide their external registration number.
(2) If known and if different from vessel’s owner.
(3) In cases where a vessel has engaged in transhipment operations, a separate form shall be used for each donor vessel.
(4) FAO Species Codes — NEAFC Annex V — NAFO Annex II.
(5) Type of processing — NEAFC Appendix 1c) to Annex IV.
(6) Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C).
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