ANNEX IISupplementary provisions
ANNEX II MARINE CASUALTY OR INCIDENT NOTIFICATION DATA (Part of the European Marine Casualty Information Platform) Note: Underlined numbers mean that data should be provided for each ship if more than one ship is involved in the marine casualty or incident. 01. Member Sate responsible/contact person 02. Member Sate investigator 03. Member State role 04. Coastal state affected 05. Number of substantially interested States 06. Substantially interested States 07. Notification entity 08. Time of the notification 09. Date of the notification 10 . Name of the ship 11 . IMO number/distinctive letters 12 . Ship flag 13. Type of marine casualty or incident 14 . Type of ship 15. Date of the marine casualty or incident 16. Time of the marine casualty or incident 17. Position – Latitude 18. Position – Longitude 19. Location of the marine casualty or incident 20 . Port of departure 21 . Port of destination 22 . Traffic separation scheme 23 . Voyage segment 24 . Ship operation 25 . Place on board 26 . Lives lost: — Crew — Passengers — Other 27 . Serious injuries: — Crew — Passengers — Other 28 . Pollution 29 . Ship damage 30 . Cargo damage 31. Other damage 32 . Brief description of the marine casualty or incident 33. Brief description of the reasons not to undertake a safety investigation.