Division MARINE CASUALTY OR INCIDENT NOTIFICATION DATA (Part of the European Marine Casualty Information Platform)

Member Sate responsible/contact person

Member Sate investigator

Member State role

Coastal state affected

Number of substantially interested States

Substantially interested States

Notification entity

Time of the notification

Date of the notification

Name of the ship

IMO number/distinctive letters

Ship flag

Type of marine casualty or incident

Type of ship

Date of the marine casualty or incident

Time of the marine casualty or incident

Position – Latitude

Position – Longitude

Location of the marine casualty or incident

Port of departure

Port of destination

Traffic separation scheme

Voyage segment

Ship operation

Place on board

Lives lost:

• Crew

• Passengers

• Other

Serious injuries:

• Crew

• Passengers

• Other

Pollution

Ship damage

Cargo damage

Other damage

Brief description of the marine casualty or incident

Brief description of the reasons not to undertake a safety investigation.