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DDD Incident Report Form Guide

This document is an initial notification form for maritime incidents, detailing essential information such as ship name, event date and time, position, course, speed, and cargo details. It includes sections for reporting defects, pollution, additional information, crew details, and actions taken. The form is issued by PT. SCORPA PRANEDYA and is retained for five years.

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Veri Yulianto
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10 views2 pages

DDD Incident Report Form Guide

This document is an initial notification form for maritime incidents, detailing essential information such as ship name, event date and time, position, course, speed, and cargo details. It includes sections for reporting defects, pollution, additional information, crew details, and actions taken. The form is issued by PT. SCORPA PRANEDYA and is retained for five years.

Uploaded by

Veri Yulianto
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

[SP-R001] PT.

SCORPA PRANEDYA Issued - Rev : 1/04/14 – 01

INITIAL NOTIFICATION

AA (Ship Name / Call Sign / Port of Registry)

BB (Date and Time of Event, UTC)


A 6-digit group giving day of
month (first two digit), hours and
If other then minutes (last fours digits)
D D H H M M UTC, please
state
CC (Position / Latitude / Longitude) DD (Bearing / Distance from Landmark)
N/S

d d m m d d d N. Miles

E/W Landmark:
or True bearing (first 3-digit) and distance in
d d d m m nautical miles from a clearly identified landmark.

A 4-digit group giving latitude in degree and


minutes suffix with N(north) or S(south) and a
5-digit group giving in degree and minutes
suffix with E(east) or W(west)
EE (Course) FF (Speed, Knot)
True course 3 -digit .
d d d
Kn Kn . 1/10
GG (Port of Departure) II(Destination and ETA)

MM (Radio Station and Frequency) NN (Date and Time of Next Report)

OO (Maximum present static draught in meters PP (Type and Quantity of Cargo Oil On Board)

QQ (Brief Detail Of Defects / Deficiencies/Damage) –


(Location of damage, degree of damage, flooding, oil spill, loss of function. Location of damage shall
be indicated referring to the name and number of hull drawings, or based on them)

RR (Brief Detail of Pollution, estimate of quantity lost)

Recorded: Occasional Retention : 5 years


[SP-R001] PT. SCORPA PRANEDYA Issued - Rev : 1/04/14 – 01

XX (Additional Information, any other information appropriate, brief details of incident and of other
ship involves either in incident, assistance or salvage)

Number of crew / personal detail of any injuries:

Need for outside assistance:

Action taken or to be taken for oil removal:

Rescue activity taken or to be taken:

Other:

Recorded: Occasional Retention : 5 years

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