Spent nuclear fuel maritime transportation (SNFMT) accident may cause radiation hazards to personnel, vessels, and the ocean environment. Current risk assessment methods of SNFMT lack full consideration and quantifi-cation of the risk indicators. In this work, an integrated probabilistic risk assessment (IPRA) methodology incorporating multiple risk factors-based accident probability model and public dose-based radiological conse-quence model quantitatively is proposed for SNFMT. First, from the sociotechnical-environmental risk perspective, the SMCETC (Ship, Management, Crew, Environment, Tank, Channel) comprehensive risk indicators are identified for ET-FT modeling. Second, considering the effects of continuous emissions, water depth, tidal cycle, and radioactive decay, a shallow water equations-based hydrodynamic model is established to simulate the radionuclide concentration in coastal water. Third, the ET-FT model-based accident frequency and the radio-nuclide concentration-based population radiation consequence are integrated, and subsequently the public radioactive risks are obtained. Finally, a case study is presented to demonstrate the feasibility and value of the proposed method. The time-related public radioactive risks were quantified and 28 highly safety importance risk factors were found and ranked. The proposed IPRA methodology integrates deterministic and probabilistic modeling perspectives, and provides a comprehensive risk assessment tool for SNFMT.