MARPOL Oil Spill Incident Report
Date of Report
Date of Incident
Time of Incident
Location of Incident (Latitude/Longitude/Area)
Name of Ship
IMO Number
Flag State
Type of Oil Spilled
Estimated Quantity Spilled (tonnes/litres)
Source of Spill (e.g. tank, pipe, equipment)
Brief Description of Incident
Actions Taken
Authorities Notified
Additional Comments