Council Regulation (EC) No 43/2009Show full title

ANNEX IX

PART I Port State control forms

PORT STATE CONTROL FORM — PSC 1

PART A: To be completed by the Master of the Vessel. Please use black ink
Name of Vessel:		IMO Numbera			Radio Call Sign			Flag State:
Email Address:		Telephone Number:			Fax Number:			Inmarsat Number:
Port of Landing or Transhipment:					Estimated Time of Arrival:
			Date:				Time UTC:
Total catch on board – all areas					Catch to be landedb
Speciesc	Productd	Area of catch			Conversion factor			Product weight (kg)	Product weight (kg)
		NEAFC CA (ICES subareas and divisions)	NAFO RA	Other areas

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 in the box ‘Yes’ or ‘No’				NEAFC CA		NAFO RA
				Yes	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 the 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 the 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 number shall provide their external registration number
b If necessary an additional form or forms shall be used
c FAO Species Codes — NEAFC Annex V — NAFO Annex II
d Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C)
Name of Port State:	Authorisation:	Date:	Signature:	Official Stamp:
	Yes: … No: …

PORT STATE CONTROL FORM — PSC 2

PART A: To be completed by the Master of the Vessel. A separate form shall be completed for each donor vessel. Please use black ink
a Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C)
Name of Vessel:		IMO Numberb				Radio Call Sign:					Flag State:
Email Address:		Telephone Number:				Fax Number:					Inmarsat Number:
Port of Landing or Transhipment:				Estimated Time of Arrival:
				Date						Time UTC:
Catch Information for Donor Vesselsa
Name of Vessel:			IMO Numberb				Sign					Flag State
Total catch on board — all areas									Catch to be landedc
Speciesd	Producta		Area of catch						Conversion factor		Product weight (kg)		Product weight (kg)
			NEAFC CA (ICES subareas and divisions)		NAFO RA (Sub Division)		Other areas

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 in the ‘Yes’ or ‘No’				NEAFC CA		NAFO RA
				Yes	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 the 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 the 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 Species Codes — NEAFC Annex V — NAFO Annex II
e Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C)
Name of Port State:	Authorisation:	Date:	Signature:	Official Stamp:
	Yes:… No:…

PART II

REPORT ON PORT STATE CONTROL INSPECTION (PSC 3)¹

Report on port state control inspection (PSC 3)

Please use black ink

A. INSPECTION REFERENCE.
Landing		Yes	No	Transhipment		Yes	No
Port State				Port of landing or transhipment
Vessel name	Flag State			IMO Number		Int. Radio call sign
Landing/transhipment started			Date			Time
Landing/transhipment ended			Date			Time

B. INSPECTION DETAILS
Name of donor vesselb	IMO Numberc	Radio call sign	Flag State

B 1. catch recorded in the logbook
Speciesd	Area of catch	Declared live weight kg	Conversion factor used

B 2. fish landed or transhippeda
Speciesd	Producte	Area of catch	Product weight landed in kg	Conversion factor	Equivalent live weight kg	Diff (kg) between live weight declared in the logbook and the live weight landed	Diff ( %) between live weight declared in the logbook and the live weight landed	Diff (kg) between Product weight landed and PSC 1/2	Diff ( %) between Product weight landed and PSC 1/2

B 3. information about landings authorised without confirmation from the flag state
Name of storage, name of competent authorities, deadline for receiving confirmation, ref. NEAFC art. 23.2/NAFO art. 45.6

B 4. fish retained on board
Speciesd	Producte	Area of catch	Product weight in kg	Conversion factor	Live weight kg	Diff. (kg) between product weight on board and PSC 1/2		Diff. ( %) between product weight on board and PSC 1/2

C. RESULTS OF INSPECTION
C1. GENERAL
Inspection started													Date						Time
Inspection ended													Date						Time
Observations

C2. GEAR INSPECTION IN PORT (For NEAFO only)
A. General data
Number of gear inspected												Date gear inspection
Has the vessel been cited?						Yes			No						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 number														Is seal undamaged?					Yes				No
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 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. INFRINGEMENTS AND FOLLOW-UP
E1. NAFO
A Sea Inspection
Infringements resulting from Inspections inside NAFO R.A.
Inspection Party					Date of insp.								Division				NAFO CEM infringement legal reference
B Port Inspection Infringements results
(a) — Confirmation of Infringements found at sea inspection
NAFO CEM infringement legal reference													National 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 reference													National Infringement legal reference
E2. NEAFC INFRIGEMENT NOTED
Article		NEAFC provision(s) violated and summary of pertinent facts
Observations :
Inspectors Name				Inspectors signature												Date and place

F. 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 If necessary an additional form or forms shall be used.
d FAO Species Codes — NEAFC Annex V — NAFO Annex II.
e Product presentations — NEAFC Appendix 1 to Annex IV — NAFO Annex XX (C).
Copy to flag State									Copy to NEAFC Secretary									Copy to NAFO Executive Secretary

Appendix to Annex IX 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 — Bone in — Frozen
G	Skinless Fillets — Boneless — Frozen
H	Skin on Fillets — Bone in — Frozen
I	Skin on Fillets — Boneless — Frozen
J	Salted Fish
K	Pickled Fish
L	Canned Products
M	Oil
N	Meal Produced from Round Fish
O	Meal Produced from Offal
P	Other (Specify)

B.

Type of packing

Code	Type
CRT	Cartons
BOX	Boxes
BGS	Bags
BLC	Blocks