Statutory Documents - IMO Publications and Documents - Resolutions - Assembly - IMO Resolution A.1052(27) – Procedures for Port State Control, 2011 – (Adopted on 30 November 2011) - Annex – Procedures for Port State Control, 2011 - Appendix 15 – Report of Action Taken to the Notifying Authority
Appendix 15 – Report of Action Taken to the Notifying Authority
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In accordance with the provision of paragraph 3.7.3 of
IMO Port State Control Procedures (resolution A.1052(27)) |
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| (by Telefax and/or Mail) | |||
| 1 To: (Name) ............................................................................................................... | |||
| (Position) ............................................................................................................ | |||
| (Authority) .......................................................................................................... | |||
| Telephone ........................................ | Telefax .............................................. | ||
| Date: ................................................ | |||
| 2 From: (Name) .............................................................................................................. | |||
| (Position) ............................................................................................................ | |||
| (Authority) .......................................................................................................... | |||
| Telephone ........................................ | Telefax .............................................. | ||
| 3 Name of ship ................................................................................................................. | |||
| 4 Call sign ....................................................... | 5 IMO Number .......................... | ||
| 6 Port of inspection ........................................................................................................... | |||
| 7 Date of inspection .......................................................................................................... | |||
| 8 Action taken | |||
| a) Deficiencies | b) Action taken | ||
| ……………………………………………….. | ………………………………………… | ||
| ……………………………………………….. | ……………………………………………….. | ||
| ……………………………………………….. | ……………………………………………….. | ||
| ……………………………………………….. | ……………………………………………….. | ||
| ……………………………………………….. | ……………………………………………….. | ||
| ……………………………………………….. | ……………………………………………….. | ||
| ……………………………………………….. | ……………………………………………….. | ||
| ……………………………………………….. | ……………………………………………….. | ||
| ……………………………………………….. | ……………………………………………….. | ||
| ……………………………………………….. | ……………………………………………….. | ||
| 9 Next port ...................................................... | (Date) ................................................ | ||
| 10 Supporting documentation | No Yes | (See attached) | |
| Signature ........................................... | |||
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