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INSPECTION REPORT (referred to in Article 17) The inspection report must contain at least the following items. I. General 1. Competent authority that wrote the report 2. Date and place of inspection 3. Name of the ship inspected 4. Flag 5. Type of ship (as indicated in the Safety Management Certificate) 6. IMO identification number 7. Call sign 8. Tonnage (gt) 9. Deadweight tonnage (where relevant) 10. Year of construction as determined on the basis of the date indicated in the ship’s safety certificates 11. The classification society or classification societies as well as any other organisation, where relevant, which has/have issued to this ship the classification certificates, if any 12. The recognised organisation or recognised organisations and/or any other party which has/have issued to this ship certificates in accordance with the applicable Conventions on behalf of the flag State 13. Name and address of the ship’s company or the operator 14. Name and address of the charterer responsible for the selection of the ship and type of charter in the case of ships carrying liquid or solid cargoes in bulk 15. Final date of writing the inspection report

16. Indication that detailed information on an inspection or a detention may be subject to publication. II. Information relating to inspection 1. Certificates issued in application of the relevant Conventions, authority or organisation that issued the certificate(s) in question, including the date of issue and expiry 2. Parts or elements of the ship that were inspected (in the case of more detailed or expanded inspection) 3. Port and date of the last intermediate or annual or renewal survey and the name of the organisation which carried out the survey 4. Type of inspection (inspection, more detailed inspection, expanded inspection) 5. Nature of the deficiencies 6. Measures taken. III. Additional information in the event of detention 1. Date of detention order 2. Date of lifting the detention order 3. Nature of the deficiencies warranting the detention order (references to Conventions, if relevant) 4. Indication, where relevant, of whether the recognised organisation or any other private body that carried out the survey has a responsibility in relation to the deficiencies which, alone or in combination, led to detention 5. Measures taken.