Declaration of Security
Between a Vessel and a Marine Facility (Canada)
International Ship and Port Facility (ISPS) Code
Marine Transportation Security Regulations
Name of ship: / Region:
Port of registry: / Lock number:
IMO Number: / Certificate:
____ This Declaration of Security is issued under Section 315.7 of the Marine Transportation
Regulations; the DOS shall remain in effect until the vessel exits the St. Lawrence
Seaway at the St. Lambert Lock or the WellandCanal at Port Colborne. OR
____ This Declaration of Security is valid from ______, 20____ to
______, 20____ for the following activities:
List activities and relevant details below:
Under the following security levels:
Security Level for the Vessel:
Security Level(s) for the Marine Facility:
The Marine Facility and the Vessel agree to the following security measures and responsibilities to ensure compliance with the requirements of Part A of the International Ship and Port Facility (ISPS) Code and the Marine Transportation Security Regulations:
The affixing of the initials of the Vessel Security Officer (Ship Security Officer) or the Marine Facility Security Officer (Facility Security Officer or delegate) under these columns will be done in accordance with the relevant approved plan by:
Activity / Marine Facility / Vessel
Ensuring the performance of all security duties
Monitoring restricted areas to ensure that only authorized personnel have access
Controlling access to the marine facility / N/A
Controlling access to the vessel / N/A
Monitoring the marine facility, including berthing areas and areas surrounding the ship / N/A
Monitoring the ship, including berthing areas and areas surrounding the ship / N/A

Form 7.1 (1)Page 1 of 2

Declaration of Security Cont’d

Activity / Marine Facility / Vessel
Handling of cargo
Delivery of ship’s stores / N/A
Handling unaccompanied baggage / N/A
Controlling the embarkation of persons and their effects / N/A
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 marine facility and the vessel during the specified activities meet the provisions of Chapter XI-2 and Part A of the Code and the Marine Transportation Security Regulations 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 ______, 20____.
Signed for and on behalf of:
The Marine Facility: / The Vessel:
(Signature of Marine Facility Security Officer or delegate) / (Signature of Master or Vessel Security Officer)
Name and title of persons who signed above:
Name: / Name:
Title: / Title:
Contact Details:
(To be completed as appropriate. Indicate the telephone numbers with area code or the radio channels or frequencies to be used.)
For the Marine Facility: / For the Vessel:
Marine Facility / Master
Marine Facility Security Officer or delegate / Vessel Security Officer
Company
Company Security Officer

Form 7.1 (1)Page 1 of 2