船舶事故报告中英文格式accident report formatMarine 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 acc...
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
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