Ship Security Risk Assessment Form
Vessel Name
IMO Number
Date
Location
Assessment Conducted By
Threat Identification
Identified Threats
Vulnerable Areas/Assets
Security Measures in Place
Risk Assessment Matrix
Threat
Likelihood (Low/Med/High)
Impact (Low/Med/High)
Risk Level
Recommended Actions
Persons Consulted
Assessment Conclusion & Recommendations
Assessor Name & Signature
Date of Assessment