ANNEX VIIIU.K.

PART IU.K.Port State control forms

PORT STATE CONTROL FORM — PSC 1

PART A: To be completed by the master of the vessel
Name of vesselIMO NumberaRadio Call SignFlag State
Inmarsat NumberTelefax NumberTelephone NumberE-mail address
Port of landing or transhipmentEstimated Time of Arrival
Date:Time (UTC):
Total catch on boardCatch to be landedb
SpeciescProductdICES area of catchProduct weight (kg)SpeciescProductdICES area of catchProduct 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’YesNo
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 titleDateSignatureOfficial 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 StateAuthorisation givenDateSignatureStamp

Yes …

No …

PORT STATE CONTROL FORM — PSC 2a

PART A: To be completed by the master of the vessel
Name of vesselIMO NumberbRadio Call SignFlag State
Inmarsat NumberTelefax NumberTelephone NumberE-mail address
Port of landing or transhipmentEstimated Time of Arrival
Date:Time (UTC):
Catch information for donor vessels
Name of vesselIMO NumberbRadio Call SignFlag State
Total catch on boardCatch to be landedc
SpeciesdProducteICES area of catchProduct weight (kg)SpeciesdProducteICES area of catchProduct 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’YesNo
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 titleDateSignatureOfficial 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 StateAuthorisation givenDateSignatureStamp

Yes …

No …

PART IIU.K.

REPORT ON PORT STATE CONTROL INSPECTION (PSC 3)a

A. INSPECTION REFERENCE
Port StatePort of landing or transhipment
Vessel nameFlag StateIMO NumberbInt. Radio call sign
Landing/transhipment startedDateTime
Landing/transhipment endedDateTime
B. INSPECTION DETAILS
Name of donor vesselIMO NumberbRadio call signFlag State
B1. Fish landed or transhipped
SpeciescProductdICES Area of catchProduct weight in kgDiff. (kg) between Product weight and PSC 1 or 2Diff. ( %) 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
SpeciescProductdICES Area of catchProduct weight in kgDiff. (kg) between Product weight and PSC 1or 2Diff. ( %) between Product weight and PSC 1or 2
C. RESULTS OF INSPECTION
Inspection startedDateTime
Inspection endedDateTime
Observations
Infringements Notede
ArticleCite NEAFC provision(s) violated and summarise pertinent facts
Inspectors nameInspectors signatureDate 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 StateCopy to NEAFC Secretary

Appendix to Annex VIIIProducts and packing

A.

Product form codes

CodeProduct form
ARound — Frozen
BRound — Frozen (Cooked)
CGutted Head on — Frozen
DGutted Head Off — Frozen
EGutted Head Off — Trimmed — Frozen
FSkinless Fillets — Bone in — Frozen
GSkinless Fillets — Boneless — Frozen
HSkin on Fillets — Bone in — Frozen
ISkin on Fillets — Boneless — Frozen
JSalted Fish
KPickled Fish
LCanned Products
MOil
NMeal Produced from Round Fish
OMeal Produced from Offal
POther (Specify)

B.

Type of packing

CodeType
CRTCartons
BOXBoxes
BGSBags
BLCBlocks