Piracy Attack Report Vessel Particulars/Details:
Clasification Society 2024 - Version 9.40
Statutory Documents - IMO Publications and Documents - Circulars - Maritime Safety Committee - MSC.1/Circular.1339 – Piracy and Armed Robbery Against Ships in Waters off the Coast of Somalia – (14 September 2011)Best Management Practices for Protection against Somalia Based Piracy - Annex 2 - Annex D – Follow-up Report - Piracy Attack Report Vessel Particulars/Details:

Piracy Attack Report Vessel Particulars/Details:

General Details

01 Name of Ship:
02 IMO No:
03 Flag:
04 Call Sign:
05 Type of Ship:
06 Tonnages: GRT:
NRT: DWT:
07 Owner’s (Address & Contact Details):
08 Manager’s (Address & Contact Details):
09 Last Port/Next Port:
10 Cargo Details: (Type/Quantity)

Details of Incident

11 Date & Time of Incident:  
LT UTC
12 Position: Lat:
(N/S) Long: (E/W)
13 Nearest Land Mark/Location:
14 Port/Town/Anchorage Area:
15 Country/Nearest Country:
16 Status (Berth/Anchored/Steaming):
17 Own Ship’s Speed:
18 Ship’s Freeboard During Attack:
19 Weather During Attack (Rain/Fog/Mist/Clear/etc, Wind (Speed and Direction), Sea/Swell Height):
20 Types of Attack (Boarded/Attempted):
21 Consequences for Crew, Ship and Cargo: Any Crew Injured/Killed: Items/Cash Stolen:
22 Area of the Ship being Attacked:
23 Last Observed Movements of Pirates/Suspect Craft:
24 Type of vessel (Whaler, Dhow, Fishing Vessel, Merchant Vessel)
25 Description of vessel (Colour, Name, Distinguishing Features)
26 Course and Speed of vessel when sighted

Details of Raiding Party

27 Number of Pirates/Robbers:
28 Dress/Physical Appearance:
29 Language Spoken:
30 Weapons Used:
31 Distinctive Details:
32 Craft Used:
33 Method of Approach:
34 Duration of Attack:
35 Aggressive/Violent:

Further Details

36 Action Taken by Master and Crew and its effectiveness:
37 Was Incident Reported to the Coastal Authority? If so to whom?
38 Preferred Communications with Reporting Ship: Appropriate Coast Radio Station/HF/MF/VHF/INMARSAT IDS (Plus Ocean Region Code)/MMSI
39 Action Taken by the Authorities:
40 Number of Crew/Nationality:
41 Please Attach with this Report – A Brief Description/Full Report/Master – Crew Statement of the Attack/Photographs taken if any.
42 Details of Self Protection Measures.
Parent topic: Annex D – Follow-up Report
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