ISPS Code Facility Security Assessment Form
Facility Information
Name of Facility
Location
Owner/Operator
Type of Facility
IMO Number
Date of Assessment
Assessment Team
Name(s) and Position(s)
Threat and Vulnerability Assessment
Potential Threats Identified
Identified Vulnerabilities
Existing Security Measures
Area / System
Description of Existing Measures
Effectiveness
Recommendations
Recommended Improvements/Actions
General Remarks
Assessment Approval
Assessor Name
Signature
Date