Get Maritime Incident Report

Filling out the Maritime Incident Report is an essential step in documenting marine occurrences. This guide will provide a clear and structured approach to completing the form online, ensuring that you have all necessary information ready for submission.

Follow the steps to effectively complete the Maritime Incident Report

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the pilot information section. Fill in your name, home address, email address, office phone, home phone, cell phone, and your affiliation. Ensure that all information is accurate and complete.
3. Next, provide the vessel information. Enter the vessel's name, type, flag, port agent's name, and contact number. Detail the running gear, engine type, drafts, and overall dimensions, ensuring you clarify loaded conditions.
4. In the occurrence section, record the date, time, and location of boarding the vessel, as well as the time and location when you assumed the command. Clearly describe the nature of the occurrence, such as collision or grounding, and the specific location of the event.
5. Detail the passage segment and include any relevant weather conditions, wind velocities, visibility, tide information, and current at the time of the occurrence. Be thorough with these environmental factors.
6. If applicable, provide information about any collisions, including the name and description of the other vessel involved. Additionally, document any damages to both your vessel and other property.
7. Document personal injuries that occurred during the incident, noting the locations of individuals and the extent of their injuries.
8. If there was any discharge into the water, identify the substance and note down witnesses, their addresses, and contact information.
9. Complete your account of the occurrence, using auxiliary sheets if additional space is necessary. This section allows for sketches and deeper elaboration on causes.
10. Record notifications made to the Coast Guard and NJ Commission, including the name of the notifications, dates, and methods used.
11. Provide details about alcohol and drug testing if applicable, including dates and locations where the tests were performed.
12. Include information regarding any tracking devices in use at the time of the occurrence, ensuring clarity on whether tracking capability was activated and preserved.
13. Make sure to certify the report by signing and dating at the bottom. Double-check all entered information for accuracy.
14. Finally, save the changes made to the document. You can choose to download, print, or share the completed Maritime Incident Report for submission.

Ensure your report is accurately filled out — complete the Maritime Incident Report online today.