On-Board Mechanical Failure Incident Report
General Information
Date of Report
Name of Reporter
Position/Role
Vessel/Vehicle Name
Voyage/Operation Number
Failure Details
Date & Time of Incident
Location (on board/coordinates)
Equipment/Component Affected
Description of Failure
Suspected Cause
Immediate Actions Taken
Details of Actions
Personnel Involved
Current Status
Status of Equipment
Operational
Under Repair
Out of Service
Is Further Action Required?
Yes
No
If Yes, describe required action
Additional Notes / Comments