1 Ship's identity, including name and IMO number
4 Name of inspector and inspecting body
5 Year last coated, either delivery date or latest
repair
6 Coating name/type, manufacturer and product
identification used
8 Surface area, designation and size
9 Coating condition (GOOD, FAIR or POOR)
10 Pitting corrosion – Yes/No
11 Blistering – Yes/No, blisters perforated
– Yes/No
12 Amount of breakdown (in m2 or %
of areas under consideration)
13 Sounding pipe condition
14 Vent pipe and purge pipe condition
16 Bellmouth condition and erosion underneath
17 Conditions of coatings of Permanent Means of
Access (PMA)
18 Other comments (for example structural damage,
mechanical damage, location and extent)