MARITIME AND PORT AUTHORITY OF SINGAPORE SHIPPING CIRCULAR NO. 3 OF 2014

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MARITIME AND PORT AUTHORITY OF SINGAPORE SHIPPING CIRCULAR NO. 3 OF 2014 MPA Shipping Division 460 Alexandra Road 21 st Storey PSA Building Singapore 119963 Fax: 63756231 http://www.mpa.gov.sg 21 January 2014 Applicable to: Owners, Masters of Singapore registered ships and ships in Singapore s Territorial Waters This circular is meant to assist Owners and Masters to fulfill their obligation under Section 107 Reporting of accidents, etc. to Director of the Merchant Shipping Act (Chapter 179). REPORTING OF ACCIDENTS, ETC TO DIRECTOR OF MARINE, MPA Introduction Section 107 of the Merchant Shipping Act (Chapter 179) states: (1) Where a ship 1 (a) has sustained or caused an accident occasioning loss of life or serious injury to a person; (b) has sustained an accident or received damage, or otherwise sustained a defect or deficiency in the ship or its equipment which has been discovered, and the accident, damage, defect or deficiency has affected, or is likely to affect the seaworthiness of the ship, or the efficiency or completeness of the life-saving appliances or other safety equipment of the ship; (c) has been in a position of great peril, either from the action of some other ship or from danger of wreck or collision; or (d) has been stranded or wrecked, the owner or the master of the ship shall, within 24 hours of the happening, report the happening to the Director (of Marine). 2 However, accidents occurring in a shipyard or involving shore-based workers should instead be reported to the Ministry of Manpower (www.mom.gov.sg/ireport/). 1 See Section 98 apply to all Singapore ships wherever they may be and to all ships in Singapore Pg 1 of 2

MPA REPORT OF A MARINE CASUALTY OR MARINE INCIDENT 3 The MPA "Report of a Marine Casualty or Marine Incident" (ANNEX) should be used to report any accident. For the purpose of this circular, the term accident includes marine casualty 2 and marine incident 3. Further Information 4 Any queries relating to this circular should be directed to MPA Ship Investigation Department (shipping@mpa.gov.sg). 5 This circular supersedes SC No. 4 of 2007 Reporting of Accident. TAN SUAN JOW DIRECTOR OF MARINE MARITIME AND PORT AUTHORITY OF SINGAPORE ANNEX MPA REPORT OF A MARINE CASUALTY OR MARINE INCIDENT 2 A marine casualty means an event, or a sequence of events, that has resulted in any of the following which has occurred directly in connection with the operations of a ship:.1 the death of, or serious injury to, a person;.2 the loss of a person from a ship;.3 the loss, presumed loss or abandonment of a ship;.4 material damage to a ship;.5 the stranding or disabling of a ship, or the involvement of a ship in a collision;.6 material damage to marine infrastructure external to a ship, that could seriously endanger the safety of the ship, another ship or an individual; or.7 severe damage to the environment, or the potential for severe damage to the environment, brought about by the damage of a ship or ships. However, a marine casualty does not include a deliberate act or omission, with the intention to cause harm to the safety of a ship, an individual or the environment. 3 A marine incident means an event, or sequence of events, other than a marine casualty, which has occurred directly in connection with the operations of a ship that endangered, or, if not corrected, would endanger the safety of the ship, its occupants or any other person or the environment. However, a marine incident does not include a deliberate act or omission, with the intention to cause harm to the safety of a ship, an individual or the environment. Pg 2 of 2

Maritime and Port Authority of Singapore REPORT OF A MARINE CASUALTY OR MARINE INCIDENT MERCHANT SHIPPING ACT (CHAPTER 179) Section 107 Report of accidents, etc., to Director SECTION I SHIP PARTICULARS 1. IMO No.: 2.Name of Ship: 3. Flag: 4. Type of Ship:.1 Liquefied Gas Tanker.2 Chemical Tanker.3 Oil Tanker.6 Bulk Dry / Oil Carrier.4 Other Liquid (non-flammable) Tanker.7 Self-discharging Bulk Dry Carrier.5. Bulk Dry (general, ore) Carrier.8 Other Bulk Dry (cement, woodchips, urea and other specialised) Carrier.9 General Cargo.10 Passenger / General Cargo.11 Container.12 Refrigerated Cargo.13 Ro-Ro Cargo.14 Passenger / Ro-Ro Cargo.15 Passenger.16 High-Speed Craft.17 Other Dry Cargo (livestock, barge, heavy cargo etc.) Carrier.18 Fish Catching.19 Fish Factory / Fish Carrier.20 Offshore Supply.21 Other Offshore.22 Research.23 Towing / Pushing Tug.24 Dredger.25 Other Activities.26 Non-propelled.27 Other Ships Structures 5. Type of Service: International Short International Near-Coastal Inland Waters Others:... 6. Were any voyage related restriction limits placed on the ship if Yes, elaborate: 7. Gross Tonnage: 8. LoA: 9. Classification Society: 10. Shipowner and Manager / Contact details (include e-mail): 11. DPA and Local Agent / Contact details (include e-mail): 12. Previous Name(s): 13. Previous Flag(s): 14. Previous Classification Societies: 15. Date of Contract / Keel Laid / Delivery: 16. Date of Major Conversion: 17. Deadweight: 18. Hull Material:.1 Steel.2 Light Alloy.3 Ferrocement.4 Wood.5 GRP.6 Composite Materials 19. Hull Construction:.1 Single Hull.2 Double Hull.3 Double Bottom.4 Double Sides.5. Mid Deck.6 Others: 20. Propulsion - Type:.1 Steam.2 Diesel.3 Others:... 21. Bunkers:.1 HFO.2 MFO.3 MDO.4 Others:... 22. Propellers - No.:.1 FPP....2 CPP....3 Others:... 23. Building Yard: 24. Hull No.: SECTION II VOYAGE PARTICULARS 25. From Location / Date-Time: 26. Draught (Fore and Aft) / Air Draught: 27. To Location / ETA: 28. Persons on board - Crew / Passengers / Others: 29. Cargo on board type / amount (specified those under IMDG Code):

SECTION III PRELIMINARY CASUALTY / INCIDENT DATA 30. Date-Time (local) / Time Zone: 31. Position: Lat-Long / Name of location: 32. Location:.1 At Berth.2 Anchorage.3 Port.4 Port Approach.5. Inland Waters.6 Canal.7 River.8 Archipelagos.9 Coastal Water.11 TSS (adopted by.10 Open Sea (<12nm from shore) IMO) 33. Pilot (indicate whether mandatory and date-time on board): 34. Tidal Stream - Dir / Rate: 35. Wind - Dir / Speed: 36. Visibility: 37. Sea State: 38. Initial Event:.1 Collision: striking or being struck by another ship (regardless of whether underway, anchored or moored): Other Ship(s): IMO No. / Name / Flag:....2 Stranding or Grounding: being aground or hitting / touching shore or sea bottom or underwater objects (wrecks etc).3 Contact: striking any fixed or floating object other than those included in.1 or.2.4 Fire or Explosion.5 Hull failure or failure of watertight doors, ports etc: not caused by.1 to.4.6 Machinery Damage: not caused by.1 to.5 and which necessiated towage.7 Damages to ship or equipment: not caused by.1 to.6.8 Capsizing or listing: not caused by.1 to.7.9 Missing: assumed lost.10 Involving LSA.11 Others: not covered by.1 to.10 39. Consequences to Ship: 40. Consequences to Humans: 41. Consequences to Environment:.1 Total Loss / Constructive Total Loss Date:....2 Ship rendered unfit to proceed: in a condition which does not correspond substantialy with statutory requirements, presenting a danger to the ship and the persons on board or an unreasonable threat of harm to the marine environment.3 Ship remains fit to proceed: in a condition which corresponds substantialy with statutory requirments, presenting neither a danger to the ship and the persons on board nor an unreasonable threat of harm to the marine environment 42..1 No. of dead or missing crew:.2 No. of dead or missing passengers:....3 No. of dead or missing persons:....4 No. of crew seriously.injured*:....5 No. of passengers seriously injured*:....6 No. of other persons seriously injured*:... *requires hospitalisation SECTION IV PROBABLE CAUSE(S).1 Oil: Type / Quantity spilled:.2 Dangerous Goods in package form: Class / Quantity overboard:.3 Ballast Water: Location of uptake / Quantity spilled: 43. SECTION V ACTIONS TO PREVENT SIMILAR OCCURRENCES Pg... of...

SECTION VI NARRATIVE 44. N DECLARATION SECTION VII PERSON MAKING THIS REPORT I declare that this Report (consists of.. pages), including the crew list, is true to the best of my knowledge and belief and I make it knowing that, if it is tendered in evidence, I may be liable to prosecution if I have wilfully stated in it anything which I know to be false or do not believe to be true. I further declare that all shipboard statutory certifications were in order prior to the casualty / incident (otherwise provide details of the non-compliance and actions taken).......... Title / Name / Contact details (include e-mail)... Signature / Date / Ship Stamp MPA USE ONLY CA / CCR / POL:... Date Received / SMS /......... Pg... of...

MPA REPORT OF A MARINE CASUALTY 4 OR MARINE INCIDENT 5 Instructions WHO TO USE THIS REPORT Merchant Shipping Act (Chapter 179) Section 98: apply to all Singapore ships wherever they may be and to all ships in Singapore WHEN TO USE THIS REPORT Merchant Shipping Act (Chapter 179) Section 107: Where a ship a) has sustained or caused an accident occasioning loss of life or serious injury to a person; b) has sustained an accident or received damage, or otherwise sustained a defect or deficiency in the ship or its equipment which has been discovered, and the accident, damage, defect or deficiency has affected, or is likely to affect the seaworthiness of the ship, or the efficiency or completeness of the life-saving appliances or other safety equipment of the ship; c) has been in a position of great peril, either from the action of some other ship or from danger of wreck or collision; or d) has been stranded or wrecked, the owner or the master of the ship shall, within 24 hours of the happening, report the happening to the Director (of Marine). WHERE TO SEND THIS REPORT (include crew list) Director of Marine Maritime and Port Authority of Singapore Shipping Division 460 Alexandra Road, #21 PSA Building Singapore 119963 Email: shipping@mpa.gov.sg COMPLETION OF THIS REPORT Complete all questions and ticked as many boxes as appropriate. If a question is not applicable, NA should be entered. If an answer is unknown or cannot be obtained, UNK should be entered, if NONE is the correct response, then enter accordingly 4 A marine casualty means an event, or a sequence of events, that has resulted in any of the following which has occurred directly in connection with the operations of a ship:.8 the death of, or serious injury to, a person;.9 the loss of a person from a ship;.10 the loss, presumed loss or abandonment of a ship;.11 material damage to a ship;.12 the stranding or disabling of a ship, or the involvement of a ship in a collision;.13 material damage to marine infrastructure external to a ship, that could seriously endanger the safety of the ship, another ship or an individual; or.14 severe damage to the environment, or the potential for severe damage to the environment, brought about by the damage of a ship or ships. However, a marine casualty does not include a deliberate act or omission, with the intention to cause harm to the safety of a ship, an individual or the environment. 5 A marine incident means an event, or sequence of events, other than a marine casualty, which has occurred directly in connection with the operations of a ship that endangered, or, if not corrected, would endanger the safety of the ship, its occupants or any other person or the environment. However, a marine incident does not include a deliberate act or omission, with the intention to cause harm to the safety of a ship, an individual or the environment.