Stowaway Incident Declaration

Vessel/Installation Information

Rig Name Operator/Owner Date of Incident Location (Coordinates/Field)

Stowaway Details

Number of Stowaways Nationality(if known) Description/Identifying Features

Discovery Information

Date & Time Found Location Found Onboard By Whom Discovery Circumstances

Actions Taken

Immediate Actions Taken Authorities Informed Time and Date Authorities Notified Measures Taken with Stowaway(s)

Other Information

Remarks Person Completing Report Date