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| Name of ship
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| Official number or nationality
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| Port of registry
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| Gross tonnage
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| Length overall
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| , ...
| Iron, steel or wood...
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| Year of build
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| Speed
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| Number of crew
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| Number of passengers
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| Nature of employment
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| Name of master and number of his certificate
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| ( )
| Name of pi lot (if any) and by whom licensed
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| Name of rank of officer in Charge at time of
casualty
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| Original port of departure and date of sailing
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| Port last sailed from and date of sailing
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| Port of destination
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| Name and address of owners
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| , , , ,
| Name of place and of country or sea, latitude and longitude, true bearing and distance of point of land or 1ight
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| ( )
| Date and hour, stating whether UTC or local time
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| State of tide
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| State of weather and atmosphere
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| Direction and force of wind
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| ()
| State of sea and swell
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| Number of lives lost (crew)
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| Number of lives lost (passengers)
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| Numbers of lives saved and by what means
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| , ( )
| If salvage services rendered, by whom and whether paid for at salvage or ordinary rates
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| Account of casualty, with remark as cause
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| Extent of damage to ship and cargo
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| Extent of damage to cargo
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| ?
| What was the vessel's draught of water forward and
aft?
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| , , , ,
| Title, number, date and publishers of the charts in use at the time of the casualty and No. of last large and small correction
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| . ?
| Number of compasses. Were they in good order?
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| - ?
| Could any part of the cargo affect the compass?
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| ?
| Were the life-saving appliances on board in accordance with the statutory requirements?
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| ...
| Number of watertight compartments...
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| ?
| Have they been used in this case?
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| Were the fire appliances on board in accordance with the statutory requirements?
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| ?
| Was the vessel wel1 found in al1 respects?
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| , ?
| If coal was carried as boiler fuel how was the bunker ventilated?
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| () : , , ?
| Cargo and (or) ballast: what kind and quantity of cargo and/or ballast was carried? Were was it carried? Had vessel a deck load?
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| - , ?
| If of timber, was it in accordance with the statutory requirements?
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| ?
| Was she overladen?
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| ?
| Was the cargo properly stowed?
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| - , ?
| If vessel had a grain cargo, was it stowed in accordance with the statutory requirements?
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| - , , ,
| If coal cargo, were all holds completely full, if not state capacity of empty space left in each hold
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| State of weather at time of shipment
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| ?
| What navigational and communication aids were carried and which were in use prior to the casualty?
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| ,
| State radar range scale in use prior to the casualty
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| :
| In case of stranding there are:
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| : , ?
| What and at what time were marks, beacons, or buoys the last visible? State whether UTC or local time
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| Were these marks observed directly or by radar?
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| Give visual bearing or radar ranges and bearings
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| ? , .
| Were bearings obtained from any beacon or direction finding station? If so, state bearing obtained
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| How long before stranding were the bearings obtained?
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| ? ?
| Were soundings taken? How long before stranding?
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| ?
| What was the depth at first and last sounding?
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| ?
| Course steering when casualty happened
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| Speed at time of stranding
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| Direction of ship's head after stranding
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| - ?
| Was the casualty due to an uncharted obstruction?
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| :
| In the case of collision they are:
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| Course of own vessel when other was first
observed
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| Speed of own vessel when other was first observed
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| , ? , ?
| What was bearing of other vessel when first seen? Bearing and range of other vessel when first observed by radar?
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| Colour and light or lights of other vessel first seen, how long before the collision
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| , , - ?
| Course of other vessel when first observed. State, how obtained: visually or by radar plot
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| Direction of own vessel's head at time of collision
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| Direction of other vessel's head at time of collision
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| Were the engines of own vessel slowed or stopped?
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| Own speed when collision took place?
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| Were lights properly fitted and shown and fog signals made in accordance with regulations?
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| Did the other vessel give her name and stand by after collision in accordance with the statutory requirements?
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| Cross the course
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| , :
| Particulars required for founderings:
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| Had the main engines broken down or become inoperative before foundering?
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| Had the stearing gear broken down or become inoperative before foundering?
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| - ?
| Had any of ship's pumps broken down or become inoperative before foundering?
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| Date and hour of springing leak or of vessel shipping heavy seas
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| Course steered prior to vessel foundering
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| Circumstances of the voyage immediately preceding the foundering
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| Details of measures taken to prevent the foundering.
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| ()
| Heavy List to starboard (port)
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| The leakage appeared in the engine-room
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| Dent, indentation, set-in. To indent, to dent
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| Thrown on the shoal (rocks)
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| To run ashore
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| Sweep aground
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| ( N...)
| We are taking water into engine-room (hold No...)
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| Under keel clearance; water under the keel
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| Deep drawing, Deep draft
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| ( )
| Trim by the head (by the stern)
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| To stem (stop) a leak (dash)
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| Scuttling (flooding, foundering)
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| Sol id flooding (partial)
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| Swells tend to force ship farther up the beach
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| There is large hole on port side causing flooding in two compartments
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| Take soundings
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| Ship holed in starboard side three feet above waterline
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| What was the depth at last sounding?
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| What was speed and course at time of stranding?
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| Captain tried to beach the ship
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| Touch the ground
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| . ().
| Heel, list. Heavy list
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| Heel (list) to port (starboard)
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| Lighterage. Lighter
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| Shallow depth
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| Shoal. Shallow water. Shallow
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| Midship section
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| We cannot clear the bank, shoal (rocks)
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| Least water
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| Direction of Vessel's head after stranding
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| To strike on a rock
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| Afloat
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| Unable to free myself. Tow/towage required
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| To drain (wipe), to pump out
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| Removal of cargo and bunker
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| Compartment. Bulkhead
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| Ebb (falling tide).Tide (rising tide), flood
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| To pump out. To discharge
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| Damage through grounding (stranding)
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| Hull damage
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| The crippled vessel sent a distress cal1
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| ?
| Is the vessel lively?
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| Submerged hull
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| Grounding, stranding
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| Was set in over the entire length
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| Sustained slight (major) damage
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| Be holed. Leakage
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| Be bilged
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| The grounding (stranding) of a ship off shore
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| ( ) ,
| Beaching takes place where the ship is run aground to preserve her from a worse fate
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| Beaching
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| . . 1
| Hole. Holed. The hole is in hold No 1
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| (). ()
| Sag (sagging). Hog (hogging)
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| Hand lead sounding
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| Take hand lead soundings
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| Fracture. Crack
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| Leaking area. Leakage (leak)
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| Rudder jammed
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| Go aground. To get aground
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| To run aground. To go stranded. To get stranded
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| Stranded. Aground. Grounded
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| Heavy list to starboard (port)
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| To refloat. Refloating. Afloat
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| Heave off the vessel. To refloat
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| The vessel ran into rock (against a rock)
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| The ship is intentionally run ashore
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| Ship in distress
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| The vessel ran ashore. The vessel was beached
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| Vessel's bottom plating was set in
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| Need immediate help (assistance)
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| The crew managed to refloat the vessel
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| Imminent danger of sinking
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| ( , )
| We cannot clear of shoal (rock, stones)
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| Wind is making havoc of the vessel
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| The fore holds are filling with water
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| Asbestos aluminized suit. Protective clothing
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| Roaring fires
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| Explosion and fire on board. Fire is gaining rapidly
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| The fire broke out
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| To ignite. Break out
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| To burn. Burning
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| High expansion foam generator
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| The access to source of fire. To batten down
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| Breathing apparatus, self-contained breathing apparatus
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| To cash fire
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| To burn up. To ignite. Keep battened down
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| The crew did not manage to extinguish fire
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| Inflammable
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| The ship is on fire, the vessel caught fire
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| We cannot extinguish fire
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| Fire-extinguishers
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| ()
| The fire is gaining rapidly
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| Foam high expansion
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| 1
| Hold No 1 is on fire
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| Holds enveloped in flames. Exclusion of air
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| The fire spread over to forecastle
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| Fire brigade
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| ()
| Fire cock (pump)
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| (, )
| Fire hose (Nozzle, Hydrant)
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| Fire main pipeline
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| ()
| Spontaneous combustion
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| The vessel caught fire as a result of spontaneous combustion of cargo
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| ...has completely burnt down. To burn away
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| Ship still afire. Ship is on fire. The vessel is burning
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| Carbon dioxide extinction station
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| Flash-point temperature
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| Smouldering fire. Smoulder, smouldering
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| () ,
| To extinguish, to put out fire. fire fighting
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| To extinguish fire by own means
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| I am on fire. Ship is on fire
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| (CO2)
| Carbon Dioxide (CO2)
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| Carbon Dioxide fire extinguisher
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| Centrifugal pump. Pump went out of commission
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| A sharp wind fans the fire
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