Vessel Collision Investigation Report
1. Basic Information
Date of Incident
Time of Incident
Location
Coordinates
2. Vessels Involved
Vessel 1 Name
Vessel 1 Type
Vessel 1 IMO Number
Vessel 1 Master
Vessel 2 Name
Vessel 2 Type
Vessel 2 IMO Number
Vessel 2 Master
3. Weather & Navigational Conditions
Weather Conditions
Visibility
Sea State
Other Conditions
4. Sequence of Events
Narrative Description
Incident Sketch (description or upload reference)
5. Damages & Consequences
Damage to Vessel 1
Damage to Vessel 2
Injuries and Fatalities
Pollution/Environmental Impact
6. Immediate Actions Taken
7. Preliminary Analysis/Cause
8. Witness Statements
9. Attachments / Evidence
List of Attachments
10. Investigator Information
Investigator Name
Title/Position
Date Completed
Signature