Otago Regional Council
Identify the location of the incident by clicking on the map where it took place.
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E
Incident Information
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Title
Incident Date
Incident Time
Incident Description
Location Description
Type of Incident
Please select
Capsize
Collision
Contact Berthing
Contact Navigation (Allision)
Contact swimmer
Fire\Explosion
Foundering
Grounding
Man overboard
Mechanical Failure
mooring failure
Near Miss
Personal Injury
Pollution
Structural Failure
Swamping (Wash)
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Title
File Name
File Size
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Weather
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Wind Direction
Please select
N
NNE
NE
ENE
E
ESE
SE
SSE
S
SSW
SW
WSW
W
WNW
NW
NNW
Enter degrees
Wind Force
Please select
0: Calm (0–1 knot / 0–1 ms⁻¹)
1: Light air (1–3 knot / 1–2 ms⁻¹)
2: Light breeze (4–6 knot / 2–3 ms⁻¹)
3: Gentle breeze (7–10 knot / 4–5 ms⁻¹)
4: Moderate breeze (11–16 knot / 6–8 ms⁻¹)
5: Fresh breeze (17–21 knot / 9–11 ms⁻¹)
6: Strong breeze (22–27 knot / 11–14 ms⁻¹)
7: Near gale (28–33 knot / 14–17 ms⁻¹)
8: Gale (34–40 knot / 17–21 ms⁻¹)
9: Strong gale (41–47 knot / 21–24 ms⁻¹)
10: Storm (48–55 / 25–28 ms⁻¹)
11: Violent storm (56–63 knot / 29–32 ms⁻¹)
12: Hurricane (64+ knot / 33+ ms⁻¹)
Wind Direction (degrees°)
degrees°
Sea State
Please select
0: Calm glassy (0 m)
1: Calm rippled (0–0.1 m)
2: Smooth (0.1–0.5 m)
3: Slight (0.5–1.25 m)
4: Moderate (1.25–2.5 m)
5: Rough (2.5–4 m)
6: Very rough (4–6 m)
7: High (6–9 m)
8: Very high (9–14 m)
9: Phenomenal (14+ m)
Surge Conditions?
Yes
No
Visibility
Please select
Very Poor (< 0.5nm)
Poor (0.5 - 2nm)
Moderate (2 - 5nm)
Good (5 - 25nm)
Very Good (> 25nm)
Unknown
Conditions
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Vessel Type Information
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Vessel Type Types
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Add Secondary Vessel Type
Vessel Type Type
Sub Vessel Type
Sub Vessel Name
MMSI Number
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Cargo Damage
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Cargo Damaged
Customer/Company
Description Of Damage
Customer Aware of Damage
Choose an option
Yes
No
Customer contact name
Immediate Actions
Cordon
Isolate plant
Remove individual
Cease operation
Change operation
Review risk assessment
Other Mitigation
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Environment
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Description of Concern
Pollution Quantity
Pollution Type
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People
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Add person involved
Role
Name
Company
Position
Email
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All information is true and complete to the best of my knowledge and I consent to Otago Regional Council collecting this information for the purposes of managing risk at its facilities and I acknowledge that I have the right to access this information and to withdraw my consent at any time (please check box)
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