Part A. IDENTIFICATION OF INSPECTED VESSEL
United Kingdom
| A.1.1. IMO number …… A.1.2. International Radio Call Sign … A.1.3. Vessel Name … A.2. External Registration Number … A.3. Vessel Type. … A.4. Position of Inspection determined by the inspection vessel DATE … TIME … UTC Latitude … Longitude … A.5. Equipment used to determine the position … | A.6. Flag state … A.7. Master’s Name and Address. … … … A.8. Vessel Activity … A.9. Position of Inspection determined by the inspected vessel DATE … TIME … UTC Latitude. … Longitude … A.10. Equipment used to determine the position … |
| Observations by the inspectors, if any: … … … … … … initials : … | |