Appendix 2 - Report of the Imposition of a Control and Compliance Measure in Accordance with Interim Guidance on Control and Compliance Measures to Enhance Maritime Security (Resolution MSC.159(78))
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Statutory Documents - IMO Publications and Documents - Resolutions - Maritime Safety Committee - Resolution MSC.159(78) - Interim Guidance on Control and Compliance Measures to Enhance Maritime Security - (adopted on 21 May 2004) - Annex - Interim Guidance on Control and Compliance Measures to Enhance Maritime Security - Appendix 2 - Report of the Imposition of a Control and Compliance Measure in Accordance with Interim Guidance on Control and Compliance Measures to Enhance Maritime Security (Resolution MSC.159(78))

Appendix 2 - Report of the Imposition of a Control and Compliance Measure in Accordance with Interim Guidance on Control and Compliance Measures to Enhance Maritime Security (Resolution MSC.159(78))

(Reporting authority) Copy to: Master
(Address)   Duly Authorized Officer administrative office
(Telephone & Fax) If control measures, other than lesser administrative measures are taken, additional copies of this report shall be provided to:
    Administration
    Recognized security organization
    IMO
    Port State of ship next port call (if denied entry or expelled)
1. Name of reporting authority: __________ 2. Date of inspection: __________________________
3. Place of inspection: __________________  
4. Name of ship: _______________________ 5. Flag of ship: ________________________________
6. Type of ship: _______________________ 7. Call sign: __________________________________
8. IMO Number: ______________________ 9. Gross tonnage: ______________________________
10. Year build: ________________________  
11. Recognized security organization: _________________________________________________________
12. Registered owner (from Continuous Synopsis Record (CSR)): ___________________________________
13. Registered bareboat charterer, if applicable (from CSR): ________________________________________
14. Company (from CSR): __________________________________________________________________
15. ISSC issuing Authority: _____________ 16. Dates of issue/expiry: ________________________
17. Ship security level: _________________  
18. Reason(s) for non-compliance: ____________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
19. Action taken by Duly Authorized Officer:
_________________________________________________________________________________________
_________________________________________________________________________________________
20. Specific control measures taken (marks as follow: “x” actions taken, “-” no actions taken)
None    
Lesser administrative measures    
More detailed inspection    
Ship departure delayed    
Restricted Ship Operation      
  Cargo operation modified or stopped    
  Ship directed to other location in port    
Ship detained    
Ship denied entry into port    
Ship expelled from port    
21. Corrective action taken by ship or Company:________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Issuing office: _________________________ Duly Authorized Officer
Name: ___________________________      
Telephone/Fax: ________________________ Signature: _______________________________
Parent topic: Annex - Interim Guidance on Control and Compliance Measures to Enhance Maritime Security
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