船舶事故报告中英文格式accident report format

Marine Accident Report M/V: Date: Port: To:___________________M.S.A Of the P.R.C I, the master of M/V__________ which arrived this port at about(time)_______________ hereby report that my vessel was involved in a marine accident that occurred at about(time)______________in (position)_________________, and now submit to you this report attached with necessary papers and documents of ____ set(s). Please make an investigation and verification. Yours Sincerely, __________________(Master’s signature) (ship’s stamp) Date: Particulars of Ship Ship’s name Nationality Port of Registry Ship’s owner/operator Address Tel Ship’s agent/charterer Address Tel Port of departure Port of Destination Kind of cargo /quantity L.O.A Molded breadth Modeled depth Hull material GT NT DWT/allocation Age of ship Kind of ship Summer draft F: A: Draft while the accident occurring F: A: Draft when arriving at this port F: A: Min. stroke Min. turning radius Max. speed Type of main engine Power Number of cargo holds Radar Type Max. range Blind area Bearing error Distance error Type of GPS Type/error of Gyrocompass Type/error of magnetic compass Officers on duty Name No. of Certificate Range Grade Rank Duty Officer Duty Engineer Details of Navigation and Collision Avoidance (collision) The other ship Ship’s name Port of registry Nationality Kind of ship Hull material Ship’s owner Port of departure Port of Destination First sighting Time Distance Bearing of other ship Course of other ship Speed of other ship Speed of own ship Position of Own ship Course of own ship Position of captain Method of observation Communication method between two vessels Lights/shapes of own ships Lights/shapes of other ship Radar observation Observer Time of first sighting Range Distance Bearing of first sighting Situation of both ships when sighting Action to prevent collision Own ship Other ship Time/distance to make avoidance First action to be taken Time/type of making sound signal Action to prevent collision afterward Own ship Other ship Time Action Time Action Time/course/speed of changing Other actions and time VHF equipped or not Auto bell recorder equipped of not Auto course recorder equipped or not VDR equipped or not Time of collision Place of collision Part of collision Own ship Other ship True course of own ship when colliding Collision angle of both ships Actions taken by both ships after collision Own ship Other ship Salvage measures and actions Detailed Process of the Accident Sketch of the Accident Wind direction Wind force Wave direction/force Current direction Current Speed Tide Visibility Weather Temperature Note: ship’s name, time, position and track required to be marked