Council Regulation (EC) No 41/2006Show full title

ANNEX XV

PART I Port State control forms

PORT STATE CONTROL FORM — PSC 1

PART A: To be completed by the master of the vessel
Name of vessel		IMO Numbera			Radio Call Sign			Flag State
Inmarsat Number		Telefax Number			Telephone Number			E-mail address
Port of landing or transhipment					Estimated Time of Arrival
			Date:				Time (UTC):
Total catch on board					Catch to be landedb
Speciesc	Productd	ICES area of catch		Product weight (kg)	Speciesc	Productd		ICES area of catch	Product weight (kg)

PART B: For official use only — to be completed by the Flag State
The Flag State of the vessel must respond to the following questions by marking ‘Yes’ or ‘No’				Yes	No
a) The fishing vessel declared to have caught the fish had sufficient quota for the species declared
b) The quantities on board have been duly reported and taken into account for the calculation of any catch or effort limitations that may be applicable
c) The fishing vessel declared to have caught he fish had authorisation to fish in the area declared
d) the presence of the fishing vessel in the area of catch declared has been verified according to VMS data
Flag State confirmation I confirm that the above information is complete, true and correct to best of my knowledge and belief.
Name and title	Date	Signature	Official Stamp

PART C: For official use only — to be completed by the Port State
a Fishing vessels not assigned an IMO (International Maritime Organisation) number shall provide their external registration number.
b If necessary an additional form or forms shall be used.
c FAO 3-alpha Species Codes.
d Product presentations Appendix to Annex XV.
Name of Port State	Authorisation given	Date	Signature	Stamp
	Yes … No …

PORT STATE CONTROL FORM — PSC 2^a

PART A: To be completed by the master of the vessel
Name of vessel		IMO Numberb				Radio Call Sign				Flag State
Inmarsat Number		Telefax Number				Telephone Number				E-mail address
Port of landing or transhipment				Estimated Time of Arrival
				Date:					Time (UTC):
Catch information for donor vessels
Name of vessel			IMO Numberb				Radio Call Sign				Flag State
Total catch on board							Catch to be landedc
Speciesd	Producte		ICES area of catch		Product weight (kg)		Speciesd	Producte			ICES area of catch	Product weight (kg)

PART B: For official use only — to be completed by the Flag State
The Flag State of the vessel must respond to the following questions by marking ‘Yes’ or ‘No’				Yes	No
a) The fishing vessel declared to have caught the fish had sufficient quota for the species declared
b) The quantities on board have been duly reported and taken into account for the calculation of any catch or effort limitations that may be applicable
c) The fishing vessel declared to have caught he fish had authorisation to fish in the area declared
d) the presence of the fishing vessel in the area of catch declared has been verified according to VMS data
Flag State confirmation I confirm that the above information is complete, true and correct to best of my knowledge and belief.
Name and title	Date	Signature	Official Stamp

PART C: For official use only — to be completed by the Port State
a A separate form shall be completed for each donor vessel.
b Fishing vessels not assigned an IMO number shall provide their external registration number.
c If necessary an additional form or forms shall be used.
d FAO 3-alpha Species Codes.
e Product presentations as set out in Appendix to Annex XV.
Name of Port State	Authorisation given	Date	Signature	Stamp
	Yes … No …

PART II

REPORT ON PORT STATE CONTROL INSPECTION (PSC 3)^a

A. INSPECTION REFERENCE
Port State			Port of landing or transhipment
Vessel name	Flag State		IMO Numberb		Int. Radio call sign
Landing/transhipment started		Date		Time
Landing/transhipment ended		Date		Time

B. INSPECTION DETAILS
Name of donor vessel	IMO Numberb	Radio call sign	Flag State

B1. fish landed or transhipped
Speciesc	Productd	ICES Area of catch	Product weight in kg	Diff. (kg) between Product weight and PSC 1 or 2	Diff. ( %) between Product weight and PSC 1 or 2

B2. information about landings authorised without confirmation from the flag state
Name of storage, name of competent authorities, deadline for receiving confirmation.

B3. fish retained on board
Speciesc	Productd	ICES Area of catch	Product weight in kg	Diff. (kg) between Product weight and PSC 1or 2	Diff. ( %) between Product weight and PSC 1or 2

C. RESULTS OF INSPECTION
Inspection started		Date	Time
Inspection ended		Date	Time
Observations
Infringements Notede
Article	Cite NEAFC provision(s) violated and summarise pertinent facts
Inspectors name		Inspectors signature	Date and place

D. OBSERVATIONS BY THE MASTER
I, the undersigned, Master of the vessel…hereby confirm that a copy of this report has 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. DISTRIBUTION
a In case where a vessel has engaged in transhipment operations. A separate form shall be used for each donor vessel.
b Fishing vessels not assigned an IMO number shall provide their external registration number.
c FAO 3-alpha Species Codes.
d Product presentations as set out in Appendix to Annex XV.
e In case of infringements related to fish caught in the NEAFC Convention Area a reference should be made to the relevant article of the NEAFC Scheme of Control and Enforcement adopted on 17 November 2006.
Copy to flag State	Copy to NEAFC Secretary

Appendix 1 to Annex XV Products and packing

A. Product form codes

Code	Product form
A	Round — Frozen
B	Round — Frozen (Cooked)
C	Gutted Head on — Frozen
D	Gutted Head Off — Frozen
E	Gutted Head Off — Trimmed — Frozen
F	Skinless Fillets — Frozen
G	Skin on Fillets — Frozen
H	Salted Fish
I	Pickled Fish
J	Canned Products
K	Oil
L	Meal Produced from Round Fish
M	Meal Produced from Offal
N	Other (Specify)

B. Type of packing

Code	Type
CRT	Cartons
BOX	Boxes
BGS	Bags
BLC	Blocks