[Section 11 (4) and 11 (5)]
Form of a Declaration of Security between a Ship and a Port Facility
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 and PFSO
done, in accordance with relevant approval 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.
This form of Declaration of Security is for use between a ship and a port facility. If the Declaration of Security is to cover two ships, this model should be appropriately modified.
Handling unaccompanied baggage.
Controlling the embarkation of persons and their effects.
Ensuring that security communication is readily available between the ship and the 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 Ship Security Officer) (Signature of Port Facility 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 Security Officer Ship Security Officer
Company
Port Facility Operator Company Security Officer