ISPS Code Security Threat Assessment Form
Vessel Name
IMO Number
Date
Port/Location
Master/SSO Name
Rank/Title
Time
Assessment Reference No.
Threat Description / Source of Threat
Type of Security Threat (Tick as applicable)
Threat
Piracy/Armed Robbery
Bomb Threat
Stowaways
Smuggling
Suspicious Surveillance
Weapons/Explosives
Unauthorised Access/Intrusion
Other (specify)
Details of Security Threat Assessment
Mitigation Measures/Actions Taken
Security Level Set
Level 1
Level 2
Level 3
Reported To
Signature (SSO/Master)
Date