PART A: To be completed by the master of the vessel | |||||||||
Name of vessel | IMO Numbera | Radio Call Sign | Flag State | ||||||
Inmarsat Number | Telefax Number | Telephone Number | E-mail address | ||||||
Port of landing or transhipment | Estimated Time of Arrival | ||||||||
Date: | Time (UTC): | ||||||||
Total catch on board | Catch to be landedb | ||||||||
Speciesc | Productd | ICES area of catch | Product weight (kg) | Speciesc | Productd | ICES area of catch | Product weight (kg) |
PART B: For official use only — to be completed by the Flag State | |||||
The Flag State of the vessel must respond to the following questions by marking ‘Yes’ or ‘No’ | Yes | No | |||
a) The fishing vessel declared to have caught the fish had sufficient quota for the species declared | |||||
b) The quantities on board have been duly reported and taken into account for the calculation of any catch or effort limitations that may be applicable | |||||
c) The fishing vessel declared to have caught he fish had authorisation to fish in the area declared | |||||
d) the presence of the fishing vessel in the area of catch declared has been verified according to VMS data | |||||
Flag State confirmation I confirm that the above information is complete, true and correct to best of my knowledge and belief. | |||||
Name and title | Date | Signature | Official Stamp |
PART C: For official use only — to be completed by the Port State | ||||
a Fishing vessels not assigned an IMO (International Maritime Organisation) number shall provide their external registration number. | ||||
b If necessary an additional form or forms shall be used. | ||||
c FAO 3-alpha Species Codes. | ||||
d Product presentations — Appendix to Annex | ||||
Name of Port State | Authorisation given | Date | Signature | Stamp |
Yes … No … |
PART A: To be completed by the master of the vessel | ||||||||||||
Name of vessel | IMO Numberb | Radio Call Sign | Flag State | |||||||||
Inmarsat Number | Telefax Number | Telephone Number | E-mail address | |||||||||
Port of landing or transhipment | Estimated Time of Arrival | |||||||||||
Date: | Time (UTC): | |||||||||||
Catch information for donor vessels | ||||||||||||
Name of vessel | IMO Numberb | Radio Call Sign | Flag State | |||||||||
Total catch on board | Catch to be landedc | |||||||||||
Speciesd | Producte | ICES area of catch | Product weight (kg) | Speciesd | Producte | ICES area of catch | Product weight (kg) |
PART B: For official use only — to be completed by the Flag State | |||||
The Flag State of the vessel must respond to the following questions by marking ‘Yes’ or ‘No’ | Yes | No | |||
a) The fishing vessel declared to have caught the fish had sufficient quota for the species declared | |||||
b) The quantities on board have been duly reported and taken into account for the calculation of any catch or effort limitations that may be applicable | |||||
c) The fishing vessel declared to have caught he fish had authorisation to fish in the area declared | |||||
d) the presence of the fishing vessel in the area of catch declared has been verified according to VMS data | |||||
Flag State confirmation I confirm that the above information is complete, true and correct to best of my knowledge and belief. | |||||
Name and title | Date | Signature | Official Stamp |
PART C: For official use only — to be completed by the Port State | ||||
a A separate form shall be completed for each donor vessel. | ||||
b Fishing vessels not assigned an IMO number shall provide their external registration number. | ||||
c If necessary an additional form or forms shall be used. | ||||
d FAO 3-alpha Species Codes. | ||||
e Product presentations as set out in Appendix to Annex | ||||
Name of Port State | Authorisation given | Date | Signature | Stamp |
Yes … No … |
A. INSPECTION REFERENCE | |||||
Port State | Port of landing or transhipment | ||||
Vessel name | Flag State | IMO Numberb | Int. Radio call sign | ||
Landing/transhipment started | Date | Time | |||
Landing/transhipment ended | Date | Time |
B. INSPECTION DETAILS | |||
Name of donor vessel | IMO Numberb | Radio call sign | Flag State |
B1. Fish landed or transhipped | |||||
Speciesc | Productd | ICES Area of catch | Product weight in kg | Diff. (kg) between Product weight and PSC 1 or 2 | Diff. ( %) between Product weight and PSC 1 or 2 |
B2. Information about landings authorised without confirmation from the flag state |
Name of storage, name of competent authorities, deadline for receiving confirmation. |
B3. Fish retained on board | |||||
Speciesc | Productd | ICES Area of catch | Product weight in kg | Diff. (kg) between Product weight and PSC 1or 2 | Diff. ( %) between Product weight and PSC 1or 2 |
C. RESULTS OF INSPECTION | |||
Inspection started | Date | Time | |
Inspection ended | Date | Time | |
Observations | |||
Infringements Notede | |||
Article | Cite NEAFC provision(s) violated and summarise pertinent facts | ||
Inspectors name | Inspectors signature | Date and place |
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: … |
E. DISTRIBUTION | |
a In case where a vessel has engaged in transhipment operations. A separate form shall be used for each donor vessel. | |
b Fishing vessels not assigned an IMO number shall provide their external registration number. | |
c FAO 3-alpha Species Codes. | |
d Product presentations as set out in the Appendix to this Annex. | |
e In case of infringements related to fish caught in the NEAFC Convention Area a reference should be made to the relevant article of the NEAFC Scheme of Control and Enforcement adopted on 17 November 2006. | |
Copy to flag State | Copy to NEAFC Secretary |
Code | Product form |
---|---|
A | Round — Frozen |
B | Round — Frozen (Cooked) |
C | Gutted Head on — Frozen |
D | Gutted Head Off — Frozen |
E | Gutted Head Off — Trimmed — Frozen |
F | Skinless Fillets — Bone in — Frozen |
G | Skinless Fillets — Boneless — Frozen |
H | Skin on Fillets — Bone in — Frozen |
I | Skin on Fillets — Boneless — Frozen |
J | Salted Fish |
K | Pickled Fish |
L | Canned Products |
M | Oil |
N | Meal Produced from Round Fish |
O | Meal Produced from Offal |
P | Other (Specify) |
Code | Type |
---|---|
CRT | Cartons |
BOX | Boxes |
BGS | Bags |
BLC | Blocks |