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?
3.3 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)