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Division 9 FORMAT PRESCRIBED IN ANNEX IV.C OF THE CEM, AS REFERRED TO IN ARTICLE 10(1)(E), ARTICLE 27(3)(C) AND ARTICLE 39(16) OF REGULATION (EU) 2019/833

United Kingdom

Original text. Later amendments are not shown.

Report on port State control inspection (PSC-3)

(please use black ink)

A. INSPECTION REFERENCE. Inspection report number:
LandingYesNoTranshipmentYesNoOther reason for port entry
Port StatePort of landing or transhipment
Vessel nameFlag StateIMO Number 1 International Radio call sign
Landing/transhipment Start DateLanding/transhipment Start Time (UTC)
Landing/transhipment End DateLanding/transhipment End Time (UTC)
Vessel master’s name:Vessel master’s nationality:Vessel’s owner/operator:Certificate of Registry ID:
VMS:Port of registry:Fishing master's name:Fishing master's nationality:
Vessel’s beneficial owner 2:Vessel’s agent:Vessel Type:
Last port of call:Date:
B. INSPECTION DETAILS
Name of donor vessel 3 IMO Number 1 Radio call signFlag State
B1. CATCH RECORDED IN THE LOGBOOK
Species 4 Area of catchDeclared live weight kgConversion factor used

B2. FISH LANDED OR TRANSHIPPED*

* In case where a vessel has engaged in transhipment operations a separate form shall be used for each donor vessel.

Species4 Product5 Area of catchProduct weight landed in kgConversion factorEquivalent live weight kgDiff (kg) between live weight declared in the logbook and the live weight landedDiff (%) between live weight declared in the logbook and the live weight landedDiff (kg) between Product weight landed and PSC 1/2Diff (%) between Product weight landed and PSC 1/2
Relevant transhipment authorization:

B3. INFORMATION ABOUT LANDINGS AUTHORIzED WITHOUT CONFIRMATION FROM THE FLAG STATE

Ref. NEAFC art. 23.2/NAFO art. 43.7

Name of Storage:
Name of Competent Authorities:
Deadline for receiving Confirmation:
B4. FISH RETAINED ON BOARD
Species4 Product5 Area of catchProduct weight in kgConversion factorLive weight kgDiff. (kg) between product weight on board and PSC 1/2Diff. (%) between product weight on board and PSC 1/2
C. RESULTS OF INSPECTION
C1. GENERAL
Inspection Start Date: Inspection Start Time (UTC):
Inspection End Date: Inspection End Time (UTC):
Status in other RFMO areas where fishing activities have been undertaken, including any IUU vessel listing
RFMO Vessel identifier Flag State status Vessel on authorized vessel list Vessel on IUU vessel list
Observations:
C2. GEAR INSPECTION IN PORT
A. General data
Number of gear inspectedDate gear inspection
Has the vessel been cited?YesNo

If yes, complete the full ‘verification of inspection in port form.

If no, complete the form with the exception of the NAFO seal details

B. Otter Trawl details
NAFO Seal numberIs seal undamaged?YesNo
Gear type
Attachments
Grate Bar Spacing (mm).
Mesh type
Average mesh sizes (mm)
Trawl part
Wings
Body
Lengthening Piece
Codend
D. OBSERVATIONS BY THE MASTER:

I, … the undersigned, Master of the vessel … hereby confirm that a copy of this report have 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. INFRINGEMENTS AND FOLLOW-UP
E.1 NAFO
E.1 At-Sea Inspection
Infringements resulting from Inspections inside NAFO R.A.
Inspection PartyDate of inspectionDivisionNAFO CEM infringement legal reference
E.1 B Port Inspection Infringements results
(a) - Confirmation of Infringements found at-sea inspection
NAFO CEM infringement legal referenceNational Infringement legal reference
(b) - Infringements found at-sea inspection and not possible to be confirmed during the Port Inspection.
Comments :
(c) - Additional infringements found during the Port Inspection
NAFO CEM infringement legal referenceNational Infringement legal reference
E2. NEAFC INFRIGEMENT NOTED
ArticleNEAFC provision(s) violated and summary of pertinent facts
Inspector’s observations:
Action taken:
Inspecting authority/agency:
Inspectors Name Inspectors signature Date and place
F. DISTRIBUTION
Copy to flag StateCopy to NEAFC SecretaryCopy to NAFO Executive Secretary

1.

Fishing vessels not assigned an IMO number shall provide their external registration number.

2.

If known and if different from vessel’s owner.

3.

In case where a vessel has engaged in transhipment operations, a separate form shall be used for each donor vessel.

4.

FAO Species Codes —NEAFC Annex V — NAFO Annex I.C.

5.

Product presentations —NEAFC Appendix 1 to Annex IV — NAFO Annex II.K.