ANNEX IXSupplementary provisions
ANNEX IX INSPECTION REPORT FORM Text of image Report on Port State Control inspection (PSC 3) Please use black ink A. INSPECTION REFERENCE. Landing Yes No Transhipment Yes No Port State Port of landing or transhipment Vessel name Flag State IMO Number Int. Radio call sign Landing/transhipment started Date Time Landing/transhipment ended Date Time B. INSPECTION DETAILS Name of donor vessel ( 2 ) IMO Number ( 1 ) Radio call sign Flag State B1. CATCH RECORDED IN THE LOGBOOK Species ( 3 ) Area of catch Declared live weight kg Conversion factor used B2. FISH LANDED OR TRANSHIPPED * * In case where a vessel has engaged in transhipment operations a separate form shall be used for each donor vessel. Species ( 3 ) Product ( 4 ) Area of catch Product weight landed in kg Conversion 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 Text of image B3. INFORMATION ABOUT LANDINGS AUTHORISED WITHOUT CONFIRMATION FROM THE FLAG STATE Name of storage, name of competent authorities, deadline for receiving confirmation, ref. NEAFC art. 23.2 / NAFO art. 46.5 B4. FISH RETAINED ON BOARD Species ( 3 ) Product ( 4 ) 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 ½ C. RESULTS OF INSPECTION C1. GENERAL Inspection started Date Time Inspection ended Date Time Observation C2. GEAR INSPECTION IN PORT (For NAFO only) 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 NAFO Seal Details B. Otter Trawl details NAFO Seal number Is seal undamaged? Yes No Gear type 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 has 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: Text of image E. INFRINGEMENTS AND FOLLOW-UP E1. NAFO A Sea Inspection Infringements resulting from Inspections inside NAFO R.A. Inspection Party Date of insp. Division NAFO CEM infringement legal reference B Port Inspection Infringements 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: c) — Additional infringements found during the Port Inspection NAFO CEM infringement legal reference National Infringement legal reference E2. NEAFC INFRIGEMENT NOTED Article NEAFC provision(s) violated and summary of pertinent facts Observations: Inspectors Name Inspectors 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 necessary an additional form or forms shall be used ( 3 ) FAO Species Codes – NEAFC Annex V - NAFO Annex II ( 4 ) Product presentations – NEAFC Appendix 1 to Annex IV – NAFO Annex XX (C)