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Accident Report: Vessel: - Date

An accident report form documents an accident that occurred on a vessel. It records the date, location, and equipment involved in the accident. It describes the nature of the accident, any injuries or damage, the suspected cause, immediate actions taken in response, and preventative measures to avoid future accidents. The report is signed by the Master and Chief Engineer.

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roberto.stepic
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41 views4 pages

Accident Report: Vessel: - Date

An accident report form documents an accident that occurred on a vessel. It records the date, location, and equipment involved in the accident. It describes the nature of the accident, any injuries or damage, the suspected cause, immediate actions taken in response, and preventative measures to avoid future accidents. The report is signed by the Master and Chief Engineer.

Uploaded by

roberto.stepic
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Accident Report

Vessel: _________________________
Date of Accident

Place of Accident

Locations of Accident

Equipment involved

Nature of Accident

Form 60, 09/04/16

Date: _______________

First Information Report and breakages/injuries if any

Cause and description Accident

Form 60, 09/04/16

Immediate actions taken :

Delay to vessel

Insurance claims

Preventive measures to avoid occurrence:

Form 60, 09/04/16

Requirements to avoid recurrence

Remarks

Master

Form 60, 09/04/16

Chief Engineer

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