Declaration of Security (DOS)
Engels
Declaration of Security (DOS)
Name of Ship:Port of Registry:
IMO Number:
Name of Port Facility: / European Bulk Services (E.B.S) B.V
St. Laurenshaven terminal - Montrealweg 50 *
St. Europoort terminal – Elbeweg 117 *
* doorhalen wat niet van toepassing is.
This Declaration of Security is valid from ……………….. until ………………, for the following activities ……………………….…………………………..
(list the activities with relevant details)
Under the following security levels
Security level(s) for the ship:Security level(s) for the port facility:
The port facility and ship agree to the following security measures and responsibilities to ensure compliance with the requirements of Part A of the International Code for the Security of Ships and of Port Facilities.
The affixing of the initials of the SSO or PFSO under these columns indicates that the activity will be done, in accordance with relevant approved plan, by:Activity / The port facility: / The ship:
Ensuring the performance of all security duties / PFSO
Monitoring restricted areas to ensure that only authorized personnel have access / PFSO
Controlling access to the port facility / PFSO
Controlling access to the ship
Monitoring of the port facility, including berthing areas and areas surrounding the ship / PFSO
Monitoring of the ship, including berthing areas and areas surrounding the ship / PFSO
Handling of cargo
Delivery of ship’s stores / PFSO
Handling unaccompanied baggage / PFSO
Controlling the embarkation of persons and their effects
Ensuring that security communication is readily available between the ship and port facility / PFSO
The signatories to this agreement certify that security measures and arrangements for both the port facility and the ship during the specified activities meet the provisions of chapter XI-2 and Part A of Code 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 the……………………………………
Signed for and on behalf ofThe port facility: / The ship:
(Signature of Port Facility Security Officer) / (Signature of Master or Ship Security Officer)
Name and title of person who signed
Name: Mr. S. Boutestein / Name:
Title: PFSO / Title:
Contact Details
(to be completed as appropriate)
(indicate the telephone numbers or the radio channels or frequencies to be used)
For the port facility: / For the ship:
Port facility:
· General telephone: +31 (0)181-243551 / Master:
· Telephone:
· Mobile phone:
Port Facility Security Officer (24 hours)
· Office phone: +31 (0)181-258 185
· Mobile phone: +31 (0)6-53 87 83 15
Plv. Port Facility Security Officer (24h):
· Office phone: +31 (0)181-258 131
· Mobile phone: +31 (0)6-51 21 93 34
Ass. Port Facility Security Officer (24h):
· Telephone: +31 (0)181-243 511
Telephone: +31 (0)181-243 562
· Mobile phone: +31 (0)6-22 22 15 46 / Ship Security Officer (24h)
· Telephone:
· Mobile phone
Security guard (24 hours):
· Office phone: +31 (0)181-243 500
· Mobile phone +31 (0)6-51 21 93 43 / Company Security Officer (24h)
· Office phone: +31 (0)
· Mobile phone: +31 (0)6
Company
· Office phone: +31 (0)
· Mobile phone: +31 (0)6
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F77.2 – 27/06/11