Internal ISPS audit form 1202(2)

• Document No.

• Internal ISPS audit for m.v.

• Conducted on

  Date

• Prepared by

• Location
  Address

General information

• During the opening meeting with the Master and SSO on board, it was explained that that the internal ISPS audit will be held against the requirements of the ISPS code, flag requirements and company's requirements.

1.0 First impression:

• 1.1 Access control, is ID checked, visitors log checked & restricted areas controlled?

  Yes

  No

  N/A

• 1.2 Appearance of gangway watch ( neat working clothes / appropriate ppe / professional attitude)?

  Yes

  No

  N/A

• 1.3 Are access control procedures clearly implemented and is the personnel in charge of access control familiar with his duties?

  Yes

  No

  N/A

2.0 External ISPS audit:

• Date of last external ISPS audit?

  Date

• 2.1 Have all ncn's & OBS from the last external audit been reported in GLSM?

  Yes

  No

  N/A

• 2.2 Has corrective & preventive actions for the last ncn's & OBS been entered in GLSM?

  Yes

  No

  N/A

3.0 Internal ISPS audit:

• Date of the last internal ISPS audit?

  Date

• 3.1 Have all ncn's & OBS from the last internal audit been reported in GLSM?

  Yes

  No

  N/A

• 3.2 Has corrective & preventive actions for the ncn's & OBS been entered in GLSM?

  Yes

  No

  N/A

4.0 Certificates:

• Expiry date of the ICCS?

  Date

• 4.1 Is the copy Declaration of company security officer available on board?

  Yes

  No

  N/A

• 4.2 Is the SSO trained & certified & familiar with his duties?

  Yes

  No

  N/A

• 4.3 Is the continuous synopsis record complete?

  Yes

  No

  N/A

5.0 Documents:

• 5.1 Is an approved SSP available & updated acc. last amendments?

  Yes

  No

  N/A

• 5.2 Is the SSP & related records protected from unauthorized access or disclosure?

  Yes

  No

  N/A

6.0 ISPS:

• 6.1 Is the security level set correctly as required by flag & port authorities & all personnel aware of the current level?

  Yes

  No

  N/A

• 6.2 Is all security equipment maintained as required by the SSP?

  Yes

  No

  N/A

• 6.3 Are training & drills carried out as per ISPS code & SSP?

  Yes

  No

  N/A

• 6.4 Is the AIS working properly?

  Yes

  No

  N/A

• 6.5 Is the SSAS operational and records for tests & maintenance available?

  Yes

  No

  N/A

• 6.6 Can CSO be identified by SSO / crew & are contact details available?

  Yes

  No

  N/A

• 6.7 Is the SSP been reviewed by the SSO and reported in GLSM?

  Yes

  No

  N/A

• 6.8 Is the security system found implemented on board, acc. the SSP?

  Yes

  No

  N/A

• What was the topic of the last security drill?

7.0 NCN's and/or OBS of previous internal audit:

8.0 Newly raised NCN's and/or OBS:

• The internal ISPS audit followed a sampling process & it is possible that non conformities may exist even in areas that have been covered by the audit.
  
  All non conformities & observations reported must be entered in the GLSM Quality & Safety Management module by the Master, within 24 hrs after the audit has been completed.
  
  Furthermore, the Master in cooperation with responsible officer of the department has to take timely corrective action on all non conformities & observations and add this in the GLSM.

Completion of audit.

• The internal ISPS audit has been completed. The audit participants can be found as per attached crew list.

• Date of completion of ISPS audit?

  Date

• Name & signature master:

  Sign

• Name & signature auditor:

  Sign