Cornwall Council Maritime Department
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Incident Information
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Title
Incident Date
Incident Time
Incident Description
Location Description
Type of Incident
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Collision
Contact Berthing
Contact Navigation
Fire\Explosion
Grounding
Mooring Breakout
Observation
Personal Injury
Pollution
Sinking/Flooding
Speeding
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Vessel Information
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Vessel Types
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MMSI Number
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Name
Company
Position
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All information is true and complete to the best of my knowledge and I consent to Cornwall Council Maritime Department 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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