3 Information required by SOLAS regulation XI-2/9.2.1
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Statutory Documents - IMO Publications and Documents - Circulars - Maritime Safety Committee - MSC.1/Circular.1305 - Revised Guidance to Masters, Companies and Duly Authorised Officers on the Requirements Relating to the Submission of Security-Related Information Prior to the Entry of a Ship into Port – (9 June 2009) - Annex - Revised Guidance to Masters, Companies and Duly Authorized Officers on the Requirements Relating to the Submission of Security-Related Information Prior to the Entry of a Ship into Port - Appendix - Standard Data Set of Security-Related Information - 3 Information required by SOLAS regulation XI-2/9.2.1

3 Information required by SOLAS regulation XI-2/9.2.1

  3.1 The ship is provided (SOLAS regulation 9.2.1.1) with a valid:

- International Ship Security Certificate Yes No
- Interim International Ship Security Certificate Yes No
  • 3.1.1 The certificate indicated in 3.1 has been issued by <enter name of the Contracting Government1, 2 or the Recognized Security Organization1, 2 > and which expires on <enter date of expiry1 >

  • 3.1.2 If the ship is not provided with a valid International Ship Security Certificate or a valid Interim International Ship Security Certificate, explain why?

    • 3.1.2.1 Does the ship have an approved ship security plan on board? Yes No

  3.2 Current security level (SOLAS regulation XI-2/9.2.1.2):

  • 3.2.1 Location of the ship at the time the report is made (paragraph B/4.39.2 of the ISPS Code)

  3.3 List the last ten calls, in chronological order with the most recent call first, at port facilities at which the ship conducted ship/port interface5 together with the security level at which the ship operated (SOLAS regulation XI-2/9.2.1.3):

  Date    
No. From6 To6 Port, Country, Port Facility and UNLOCODE3 Security level
  • 3.3.1 Did the ship, during the period specified 3.3, take any special or additional security measures, beyond those specified in the approved ship security plan? Yes No

  • 3.3.2 If the answer to 3.3.1 is YES, for each of such occasions please indicate the special or additional security measures which were taken by the ship (SOLAS regulation XI-2/9.2.1.4):

  Date    
No. From6 To6 Port, Country, Port Facility and UNLOCODE3 Special or additional security measures

  3.4 List the ship-to-ship activities7, in chronological order with the most recent ship-to-ship activity first, which have been carried out during the period specified in 3.3:

Not applicable

  Date    
No. From6 To6 Location or Latitude and Longitude Ship-to-ship activity
  • 3.4.1 Have the ship security procedures, specified in the approved ship security plan, been maintained during each of the ship-to-ship activities specified in 3.4 (SOLAS regulation XI-2/9.2.1.5)? Yes No

  • 3.4.2 If the answer to 3.4.1 is NO, identify the ship-to-ship activities for which the ship security procedures were not maintained and indicate, for each, the security measures which were applied in lieu:

      Date    
    No. From6 To6 Security measures applied Ship-to-ship activity

  3.5 Provide a general description of cargo aboard the ship (SOLAS regulation XI-2/9.2.1.6 and paragraph B/4.39.5 of the ISPS Code):

  • 3.5.1 Is the ship carrying any dangerous substances8 as cargo? Yes No

  • 3.5.2 If the answer to 3.5.1 is YES, provide details or attach a copy of the Dangerous Goods Manifest (IMO FAL Form 7)

  3.6 A copy of the ship's Crew List (IMO FAL Form 5) is attached

(SOLAS regulation XI-2/9.2.1.6 and paragraph B/4.39.4 of the ISPS Code)

  3.7 A copy of the ship's Passenger List (IMO FAL Form 6) is attached

(SOLAS regulation XI-2/9.2.1.6 and paragraph B/4.39.6 of the ISPS Code)


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