Bijlage 3 Regeling bescherming koopvaardij: team Leader Embarkation Form

Regeling bescherming koopvaardij

Instruction – Please send the completed form after embarking security guards and armament to the Dutch Coast Guard and the Human Environment and Transport Inspectorate (ccc@kustwacht.nl / MIK-NL@kustwacht.nl / wtbk@ilent.nl) – attach completed form to final voyage report GENERAL INFORMATION ABOUT THE SHIP Details Notes Name of ship IMO number Call sign Dates of transport Load PMSC embarkation point PMSC disembarkation point Proposed IRTC route East-West or West-East Expected Date/Time of arrival in HRA Expected Date/Time of departure from HRA Ship condition: Loaded/In ballast At anchor/Moored in port Summer deadweight: ......... tonnes Planned boat speed through HRA ......... knots Lowest freeboard with load: (lowest deck) ......... metres Freeboard at summer draught: ......... metres INFORMATION ABOUT THE TEAM MEMBERS Team member Details Notes Name Date of birth Address Nationality Passport number INFORMATION ABOUT THE WEAPONS Details Notes Date and time of weapon embarkation Place or location Floating armoury? Yes/No If yes, name of ship Floating armoury company Date and time of weapon disembarkation Place or location of weapon disembarkation Floating armoury? Yes/No If yes, name of ship Floating armoury company INFORMATION ABOUT THE WEAPONS Weapons Details Notes Brand and type of weapons Serial numbers Attach photo of weapon serial numbers Hand cuffs available? Y/N Amount of hand cuffs available INFORMATION ABOUT THE AMMUNITION Ammunition Details Notes Ammunition type (Calibre, FMJ/soft-point) Number of bullets TEAM LEADER RISK ANALYSIS Nature of the risk Notes PREPARATORY MEASURES BY TEAM LEADER Notes Members of security team briefed on procedure manual and rules of engagement Security team members have signed a declaration confirming their awareness of the contents of the procedure manual and the rules of engagement Weapons and equipment of security team members checked Drill completed with security team, covering the use of weapons in particular Name of securi