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水上交通事故調查處理文書英文格式目 錄Contents1. 水上交通事故報告書Marine Accident Report2. 水上交通事故調查詢問筆錄Marine Accident Investigation and Inquiry Record3. 水上交通事故現場勘查記錄Marine Accident on Site Survey Record 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 signature) ( Ships stamp) Date:Particulars of ShipShips name NationalityPort of registryShips owner/operatorAddress Tel.Ships agent/chartererAddressTel.Port of departurePort of destinationKind of cargo/quantityL.O.AMolded breadthMolded depthHull materialGTNTDWT/allocationAge of shipKind of shipSummer draftF: A:Draft while the accident occurringF: A:Draft when arriving at this portF: A:Min. strokeMin. turning radiusMax. speedType of main enginePowerNumber of cargo holdsRadar typeMax. rangeBlind areaBearing errorDistance errorType of GPSType/error of gyrocompassType/error of magnetic compassOfficers on dutyNameNo. of CertificateRangeGradeRankDuty officerDuty engineerDetails of navigation and collision avoidance (Collision)The other shipShips namePort of registryNationalityKind of shipHull materialShips ownerPort of departurePort of destinationFirst sightingTimeDistanceBearing of other shipCourse of other shipSpeed of other shipSpeed of own shipPosition of own shipCourse of own shipPosition of captainMethod of observationCommunication method between two vesselsLights/shapes of own shipLights/shapes of other shipRadar observingObserverTime of first sightingRangeDistanceBearing of first sightingSituation of both ships when sightingAction to prevent collisionOwn shipOther shipTime/distance to make avoidance/First action to be takenTime/type of making sound signalAction to prevent collision afterwardOwn shipOther shipTimeActionTimeActionTime/course/speed of changingOther actions and timeVHF equipped or notAuto bell recorder equipped or notAuto course recorder equipped or notVDR equipped or notTime of collisionPlace of collisionPart of collisionOwn shipOther shipTrue course of own ship when collidingCollision angle of both shipsActions taken by both ships after collisionOwn shipOther shipSalvage measures and actionsDetailed Process of the AccidentSketch of the AccidentWind directionWind forceWave direction/forceCurrent directionCurrent speedTideVisibilityWeatherTemperatureNote: ships name, time, position and track required to be markedLoss and DamageLoss and damage of own shipPersonDied:Missing:Injured:ShipCargoOther damageSketch of damaged part of own ship:Loss and damage of other shipMarine Accident Investigation and Inquiry RecordThe Case:Time: Place:Person Inquired: Nationality: Sex: Age: Company/Ship/Rank:Address: Phone No.: Postcode:Inquirer: Recorder:The record has been read by the person inquired and is exactly correct.Signature of Inquirer: Signature of Person Inquired: Page : , Total Pages:Marine Accident Investigation and Inquiry RecordThe record has been read by the person inquired and is exactly correct.Signature of Inquirer: Signature of Person Inquired: Page : , Total Pages:Marine Accident on Site Survey RecordThe caseTime of accidentPlace of accidentVessel/facility surveyedOwnerPlace of su
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