Ballast Water Management Checklist

1. General Data:

Inspector:
Port of Inspection:
Date of Inspection:
Ship Name:
IMO Number:
Flag of vessel:
Call Sign:

2. Visual Inspection:

Question: Yes No
2.1 Is the vessel de-ballasting at the time of inspection?

3. Checklist for examination of IBWM Certificate:

Question: Yes No N/A

3.1 Does the vessel have a IBWM Certificate?
3.2 Name of Ship:
3.3 Port of Registry:
3.4 Gross tonnage:
3.5 IMO number:
3.6 Date of construction:
3.7 Ballast water capacity (in cubic meters)
3.8 Date and place of issue:
3.9 Date and place of endorsement for annual, intermediate and renewal
survey:
3.10 Is the Certificate issued by proper authority or an organization duly
authorized by the Administration?
3.11 If the Certificate has expired, has it been extended?

4. Checklist for Detailed Inspection of BW Record Book (BRO):

Question: Yes No N/A

4.1 Is a BRO on board?
4.2 Is an entry made in BRO describing the circumstances of and the
reason for the accidental discharge of ballast water?
4.3 Is the BRO kept readily available for inspections at all reasonable
times and, in the case of an unmanned ship under tow, on the
towing ship?
4.4 In each operation concerning ballast water fully recorded without
delay in BRO?
4.5 In each entry signed by the officer in charge of the operation
concerned and is each completed page signed by the master?

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4.6 Are the entries in BRO in a working language of the ship? If that Yes No N/A
language is not English, French or Spanish, do the entries contain a
translation into one of those languages?

4.7 Are the master and officer on duty aware that Officers duly
authorized by Party may inspect BRO, and may make a copy of any
entry, and require the master to certify that the copy is a true copy?
4.8 Are the master and officer on duty aware that any copy so certified
shall be admissible in any judicial proceeding as evidence of the facts
stated in the entry?
4.9 Copy sufficient pages of the BRO on board?

5. Checklist for inspection of BWM Plan:

Question: Yes No N/A

5.1 Does the ship have on board and implement a BWM Plan?
5.2 Is the BWM Plan approved by the Administration?
5.3 Is the BWM Plan specific to the ship?
5.4 Detail safety procedures for the ship and the crew associated with
ballast water management?
5.5 Provide a detailed description of the actions to be taken to
implement the ballast water management requirements and
supplemental ballast water management practices?
5.6 Detail the procedures for the disposal of sediments: at sea, and
ashore.
5.7 Include the procedures for coordinating shipboard ballast water
management that involves discharge to the sea with the authorities
of the state into whose waters such discharge will take place.
5.8 Designate the officer on board in charge of ensuring that the plan is
properly implemented.
5.9 Be written in the working language of the ship. If the language used
is not English, French or Spanish, a translation into one of these
languages shall be included.

6. Checklist for inspection of Ship’s Log-book:

Question: Yes No N/A

6.1 Last port, date of departure, draught forward and aft.
6.2 Current port, date of arrival, draught forward and aft.
6.3 Ship’s position at or near the time the incident (if applicable) was
reported.
6.4 Spot check if positions mentioned in the log-book agree with
positions noted in the BRO.