保全聲明
DECLARATION OF SECURITY
船舶保全等級: Security level(s) for the ship:
港口設施保全等級: Security level(s) for the portfacility:
船舶保全員或港口設施保全員在本欄之簽名表示該活動將由其所代表之方面根據經認可之相關計畫完成。 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
活動: Activity:
港口設施: The port facility
船舶: The ship
確保履行所有保全職責Ensuring the performance of all security duties
監視限制區域確保只有經認可人員才能進入 Monitoring restricted areas to ensure that only authorized personnel have access
對進入港口設施之控制 Controlling access to the port facility
對進入船舶之控制 Controlling access to the ship
監視港口設施,包括靠泊區域和船舶周圍水域 Monitoring of the port facility, including berthing areas and areas surrounding the ship
監視船舶,包括靠泊區域和船舶周圍水域 Monitoring of the ship, including berthing areas and areas surrounding the ship
貨物裝卸 Handling of cargo
船舶物料交付 Delivery of ships stores
非隨身行李裝卸 Handling unaccompanied baggage
控制人員及其物品上船 Controlling the embarkation of persons and their effects
確保船舶和港口之間之通信聯繫隨時可用 Ensuring that security communication is readily available between the ship and port facility
代表簽名 Signed for and on behalf of
港口設施: the port facility:
船舶: the ship:
簽名人姓名和職務Name and title of person who signed
姓名: Name:
職務: Title :
聯繫細節Contact Details (視情填寫) (to be completed as appropriate) (寫明電話號碼或無線電頻道或所用頻率) (indicate the telephone numbers or the radio channels or frequencies to be used)
港口設施方: for the port facility:
船舶方: for the ship:
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