Bijlage 4 Regeling bescherming koopvaardij: sHIP Master Report Form

Regeling bescherming koopvaardij

For use by the Human Environment and Transport Inspectorate only Contact: Tel./fax/email: Date: ILT reference: INSTRUCTION FOR SHIP MASTER Attach: – embarkation form and attachments – relevant parts of crew list and ship’s logbook Notes Send form and attachments within 48 hours after disembarkment of private maritime security team to: wtbk@ilent.nl GENERAL INFORMATION ABOUT THE SHIP AND VOYAGE Details Notes Name of ship IMO number Call sign Dates of transport Load PMSC embarkation point PMSC disembarkation point IRTC route East-West or West-East Date/Time of arrival in HRA Date/Time of departure from HRA INFORMATION ABOUT THE WEAPONS Details Notes Date and time of weapon disembarkation Place or location of weapons disembarkation Floating armoury? Yes/No If yes, name of ship Floating armoury company TEAM LEADER RISK ANALYSIS Nature of the risk Notes INFORMATION ON THE PROTECTIVE MEASURES TAKEN See the WtBK and Merchant Shipping Protection Regulation Details Notes Measure 1 Measure 2 INFORMATION ON WEAPON STORAGE See Merchant Shipping Protection Regulation Details Notes Location of weapons locker Weapons checks Removal and return of weapons INFORMATION ON TRAINING See Merchant Shipping Protection Regulation Details Notes Drill 1 Drill 2 Drill 3 INFORMATION ON COMMUNICATION WITHIN THE TEAM and operational activities of the security team, see Merchant Shipping Protection Regulation Details Notes Instructions to team leader Advice from team leader Positions of security guards Start and end of watch shift For each security guard INFORMATION ON SUSPICIOUS CIRCUMSTANCES 1 Details Notes Location Time Description RUF invoked yes/no If yes, fill in ‘Report to Public Prosecution Service’ form INFORMATION ON SUSPICIOUS CIRCUMSTANCES 2 Details Notes Location Time Description RUF invoked yes/no If yes, fill in ‘Report to Public Prosecution Service’ form I have completed this form correctly to the best of my knowledge. Name and signature of master Town/City Date Treedt in werking o