Name of ship:
 

Name of shipping company and /or manager:

Type of ship:
 

Flag:

Gross tonnage:

IMO Number:

Date and time of incident:

Area*:

*In addition to latitude and longitude, the report should include: a general

description of the sea area, the country or countries nearest to the location of

the incident and an indication of whether the attack occurred in national or

international waters.

Details of incident†:

†Include details of the raiding party (their number and appearance, suspected language, nationality and other distinctive details such as whether they were wearing uniforms). Describe the number and type of boats used to approach the ship, the duration of the attack, the area of the ship attacked, the level of violence and the type of any weapons used.

Consequences for crew, ship and cargo:

Action taken by master and crew:

Was incident reported to the coastal authority? If so to whom?

Action taken by the authorities?