Fire/Explosion Incident Report (Marine)
Vessel Information
Vessel Name
IMO Number
Flag
Type of Ship
Owner/Operator
Incident Details
Date of Incident
Time of Incident
Location (Latitude / Longitude)
Port or Sea Area
Weather Conditions
Incident Description
Provide a detailed description of the incident
Cause(s) of Fire/Explosion
Suspected Cause(s)
Actions Taken
Immediate Actions Taken
Firefighting / Emergency Response
Consequences
Injuries / Casualties
Damage to Vessel / Equipment
Pollution
Reporting Officer
Name
Rank/Position
Date
Signature