The Bristol Port Company
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Incident Information
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Title
Incident Date
Incident Time
Incident Description
Location Description
Type of Incident
Please select
3rd Party Property/Asset Damage
Cargo Damage (General)
Collision
Contact
Dangerous Occurrence
Environmental
Fire\Explosion
Grounding
Hazard Observation
Hull Failure
Machinery
Near Miss Event
Observation
Other onboard Incident
Personal Injury
Plant/ Asset Damage
Pollution
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Title
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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 Information
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Vessel Types
Add Primary Vessel
Add Secondary Vessel
Vessel Type
sub Type
sub 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
People
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Add your details
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 The Bristol Port Company 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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