Appendix to part B
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - International Codes - ISPS Code - International Code for the Security of Ships and of Port Facilities - Annex - International Code for the Security of Ships and of Port Facilities - Part B - Guidance regarding the provisions of chapter XI-2 of the Annex to the International Convention for the Safety of Life at Sea, 1974 as amended and part A of this Code - Appendix to part B

Appendix to part B

Parent topic: Part B - Guidance regarding the provisions of chapter XI-2 of the Annex to the International Convention for the Safety of Life at Sea, 1974 as amended and part A of this Code

Appendix 1

Table 1. Form of a Declaration of Security between a ship and a port facility

Form of a Declaration of Security between a ship and a port facilityfootnote
  DECLARATION OF SECURITY
               
        Name of ship:    
        Port of registry:    
        IMO Number:    
        Name of port facility:    
               
  This Declaration of Security is valid from .................................... until ...........................................,, for the following activities:
......................................................................................................
(list the activities with relevant details)  
               
  under the following security levels      
    Security level(s) for the ship:    
    Security level(s) for the port facility:    
               
  The port facility and ship agree to the following security measures and responsibilities to ensure compliance with the requirements of Part A of the International Code for the Security of Ships and of Port Facilities.  
               
          The affixing of the initials of the SSO or PFSO under these columns indicates that the activity will be done, in accordance with the relevant plan, by  
           
        Activity The port facility: The ship:  
        Ensuring the performance of all security duties      
        Monitoring restricted areas to ensure that only authorised personnel have access      
        Controlling access to the port facility      
        Controlling access to the ship      
        Monitoring of the port facility, including berthing areas and areas surrounding the ship      
        Monitoring of the ship, including berthing areas and areas surrounding the ship      
        Handling of cargo      
        Delivery of ship's stores      
        Handling unaccompanied baggage      
        Controlling the embarkation of persons and their effects      
        Ensuring that security communication is readily available between the ship and port facility      
               
        The signatories to this agreement certify that security measures and arrangements for both the port facility and the ship during the specified activities meet the provisions of chapter XI-2 and Part A of Code that will be implemented in accordance with the provisions already stipulated in their approved plan or the specific arrangements agreed to and set out in the attached annex.  
         
               
        Dated at .............................................................on the ...........................................................................  
               
        Signed for and on behalf of  
        the port facility: the ship:  
         
         
        (Signature of Port Facility Security Officer) (Signature of master or ship security officer)  
        Name and title of person who signed  
        Name: Name:  
        Title: Title:  
               
        Contact Details  
        (to be completed as appropriate)  
        (indicate the telephone numbers or the radio channels or frequencies to be used)  
        for the port facility: for the ship:  
        Port Facility Master  
        Port Facility Security Officer Ship security officer  
          Company  
          Company security officer  
               

Appendix 2

Table 1. Form of a Statement of Compliance of a Port Facility

Form of a Statement of Compliance of a Port Facility
STATEMENT OF COMPLIANCE OF A PORT FACILITY
         
  (Official seal)   (State)  
  Statement Number..........................................................................................................      
               
Issued under the provisions of Part B of the
INTERNATIONAL CODE FOR THE SECURITY OF SHIPS AND OF PORT
FACILITIES (ISPS CODE)
               
  The Government of  
___________________________________________________________________
        (name of the State)    
               
  Name of the port facility : ...................................................................................................................  
  Address of the port facility: ...............................................................................................................  
     
  THIS IS TO CERTIFY that the compliance of this port facility with the provisions of chapter XI-2 and part A of the International Code for the Security of Ships and of Port Facilities (ISPS Code) has been verified and that this port facility operates in accordance with the approved port facility security plan. This plan has been approved for the following < specify the types of operations, types of ship or activities or other relevant information >(delete as appropriate):  
               
  Passenger ship      
  Passenger high–speed craft      
  Cargo high–speed craft      
  Bulk carrier      
  Oil tanker      
  Chemical tanker      
  Gas carrier      
  Mobile offshore drilling units      
  Cargo ships other than those referred to above      
               
  This Statement of Compliance is valid until ................................................................, subject to verifications (as indicated overleaf)  
               
  Issued at................................................................................................................................ ....................................................................................................................  
  (place of issue of the statement)  
  Date of issue.............................................................. .................................................................................  
          (Signature of the duly authorized officialissuing the document)  
               
        (Seal or stamp of issuing authority, as appropriate)    

Table 2. Endorsement For Verifications

ENDORSEMENT FOR VERIFICATIONS
   
  The Government of <insert name of the State> has established that the validity of this Statement of Compliance is subject to <insert relevant details of the verifications (e.g. mandatory annual or unscheduled)>
   
  THIS IS TO CERTIFY that, during a verification carried out in accordance with paragraph B/16.62.4 of the ISPS Code, the port facility was found to comply with the relevant provisions of chapter XI-2 of the Convention and Part A of the ISPS Code.
                 
  1st VERIFICATION      
            Signed: ...............................................................................  
            (Signature of authorized official)  
            Place: ................................................................................  
            Date: ..............................................................................  
         
  2nd VERIFICATION      
            Signed: ...............................................................................  
            (Signature of authorized official)  
            Place: ................................................................................  
            Date: ..............................................................................  
               
  3rd VERIFICATION      
            Signed: ...............................................................................  
            (Signature of authorized official)  
            Place: ................................................................................  
            Date: ..............................................................................  
               
  4th VERIFICATION      
            Signed: ...............................................................................  
            (Signature of authorized official)  
            Place: ................................................................................  
            Date: ..............................................................................  
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