Fire or Explosion Maritime Incident Report
Vessel Information
Vessel Name
IMO Number
Flag
Type of Vessel
Incident Details
Date of Incident
Time of Incident
Location (Latitude / Longitude or Port/Area)
Nature of Incident
Fire
Explosion
Fire & Explosion
Brief Description of Incident
Casualties and Damages
Injuries
Fatalities
Damage to Vessel/Property
Actions Taken
Immediate Actions Taken
External Authorities Notified
Reporting Officer
Name
Rank/Position
Date
Signature