ISPS Internal audit report Form no. 1202

• Document No.

• Internal ISPS audit on board m.v. :

• Conducted on

  Date

• Prepared by

• Location
  Address

GENERAL INFORMATION :

• During the opening meeting with the master & SSO on board, it was explained that the internal audit will be held against the requirements of the ISPS Code, Flag requirements & Company requirements.

FIRST IMPRESSION :

• Is the access control as required ( ID check / visitors log / restricted areas controlled ) :

  Yes

  No

  N/A

• Is the appearance of gangway watch as required (appropriate ppe / professional attitude) :

  Yes

  No

  N/A

CERTIFICATES & DOCUMENTS :

• International Ship Security Certificate is valid until :

  Date

• Is the Continuous Synopsis Record complete :

  Yes

  No

  N/A

• Is a copy of the company's Safety & Environmental policy available :

  Yes

  No

  N/A

• Is the ships library, documentation & manuals valid, complete & available as applicable as required by flag :

  Yes

  No

  N/A

• Is the SSP available & approved :

  Yes

  No

  N/A

• Is the SSP updated to the latest amendments :

  Yes

  No

  N/A

• Is the SSP & related docs protected from unauthorized access or disclosure :

  Yes

  No

  N/A

SYSTEM MANAGEMENT :

EXTERNAL ISPS AUDIT :

• Date of last EXTERNAL ISPS audit :

  Date

• Is the report of the last EXTERNAL ISPS audit available :

  Yes

  No

  N/A

• Have all EXTERNAL ncn's/obs been entered in GLSM & all corrective + preventive actions been done :

  Yes

  No

  N/A

INTERNAL ISPS AUDIT :

• Date of the last INTERNAL ISPS audit :

  Date

• Is the report of the last INTERNAL ISPS audit available :

  Yes

  No

  N/A

• Have all INTERNAL ncn's/obs been entered in GLSM & all corrective + preventive actions been done :

  Yes

  No

  N/A

RESOURCES & PERSONNEL :

• Is the SSO trained & certified in accordance with STCW requirements :

  Yes

  No

  N/A

• Is the SSO familiar with his or her duties :

  Yes

  No

  N/A

• Is the SSP reviewed by the SSO & reported in the GLSM system :

  Yes

  No

  N/A

ISPS :

• Are the access control procedures clearly implemented & personnel in charge familiar with their duties :

  Yes

  No

  N/A

• Are relevant officers aware to which parts of the SSP limited access may be allowed :

  Yes

  No

  N/A

• Is the security level correctly set as required by flag state & port authorities & all personnel are aware of the current level :

  Yes

  No

  N/A

• Is all security equipment being maintained :

  Yes

  No

  N/A

• Are drill carried out as required :

  Yes

  No

  N/A

• Is the AIS working properly :

  Yes

  No

  N/A

• Is the SSAS operational & records for tests & maintenance available :

  Yes

  No

  N/A

• Are contact details for the CSO available :

  Yes

  No

  N/A

• Further remarks :

COMPLETION OF AUDIT :

• The internal ISPS audit followed a sampling process and it can not be excluded that non conformities may exist even in areas that have been covered by the audit.
  
  All newly raised non conformities and observations have to be reported in Safety Management System of GLSM by the Master within 24 hrs after the audit have been completed.
  
  With reference to the above- mentioned, the Master in close cooperation with the responsible officer have to take timely corrective action(s) on all raised ncn's & obs.
  
  The internal ISPS audit is confidential & have to be placed in the SSP.

• Date of completion :

  Date

• Name & signature Auditor :

  Sign

• Name & signature Master :

  Sign