1.3 Particulars of voyage
Port at which voyage commenced and port at which it was to have ended, with dates
Details of cargo
Last port and date of departure
Draughts (forward, aft and midships) and any list
Port bound for at time of occurrence
Any incident during the voyage that may have a material bearing on the incident, or unusual occurrence, whether or not it appears to be relevant to the incident
Plan view of ship's layout including cargo spaces, slop tanks, bunker/fuel lube oil tanks (diagrams from IOPP Certificate)
Details of cargo, bunkers, fresh water and ballast and consumption
1.4 Particulars of personnel involved in incident
Full name
Age
Details of injury
Description of accident
Person supervising activity
First aid or other action on board
Capacity on board Certificate of Competency/Licence:
grade;
date of issue;
issuing country/authority;
other Certificates of Competency held
Time spent on vessel concerned
Experience on similar vessels
Experience on other types of vessels
Experience in current capacity
Experience in other ranks
Number of hours spent on duty on that day and the previous days
Number of hours sleep in the 96 hours prior to the incident
Any other factors, on board or personal, that may have affected sleep
Whether smoker, and if so, quantity
Normal alcohol habit
Alcohol consumption immediately prior to incident or in the previous 24 hours
Whether under prescribed medication
Any ingested non-prescribed drugs
Records of drug and alcohol tests
