PVTRANS SHIPS MANAGEMENT SYSTEM

(PSMM-COM-02B)

OFFICE INTERNAL AUDIT REPORT

Department Date of Audit Audit Number:

Auditor Audit Standard Managing Office

PSMM ISM Code ISPS / SSP
MLC Other (tick as applicable)

Audit Summary:

Auditor to attach supporting documents e.g. Checklists, evidence of compliance, etc)

Attendees:

Non Conformities Raised (list attached PSMM-COM-01 Audit finding report by reference number):

Observations Raised (list attached PSMM-COM-01 Audit finding report by reference number):

Noteworthy Efforts

Comments of Auditee:

The attached NCR’s and observations are all noted and their content, basic cause and
corrective/preventative action agreed with.

Signed__________________________________________ Head of Department / Auditee

(Signature confirms acceptance of findings raised and that results of the audits have been brought to the attention of all personnel having
responsibility in the area involved)

Signed :_________________________________________ Auditor

Distribution: Original + NCR’s to Safety & Legal Manager
Copy to Head of Department / BOD