Clasification Society Rulefinder 2020 - Version 9.33 - Fix
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 14 – Report of Deficiencies Not Fully Rectified or Only Provisionally Repaired

Appendix 14 – Report of Deficiencies Not Fully Rectified or Only Provisionally Repaired

 
In accordance with the provision of paragraph 3.7.3 of IMO Port State Control Procedures (resolution A.1052(27))
(Copy to maritime Authority of next port of call, flag Administration, or other certifying authority as appropriate)
1 From (Country/region) .............................. 2 Port ............................................................
3 To (Country/region) .................................. 4 Port ............................................................
5 Name of ship ............................................ 6 Date departed ............................................
7 Estimated place and time of arrival ........................................................................................................................................................
8 IMO number ............................................. 9 Flag of ship and POR ................................
10 Type of ship .............................................. 11 Call sign .....................................................
12 Gross tonnage .......................................... 13 Year of build ..............................................
14 Issuing authority of relevant certificate(s) ..............................................................................................................................................
15 Nature of deficiencies to be rectified 16 Suggested action (including action at next port of call)
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17 .Action taken
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Reporting Authority ...................................... Office .......................................................
Name ....................................................... Telefax ....................................................
(duly authorized PSCO of reporting authority)          
Signature ...................................................... Date ........................................................

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