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Conditional logic

Yes
No
Yes
No

Environmental conditions at time of accident/incident (tick all that apply)

Good
Fair
Poor
Rain
Sun strike
Fog
Dark
Smoke
Calm
Rippled
Smooth
Slight
Moderate
Rough
Very rough
e.g. South-west
Enter speed in knots.

Personal details

Skipper/crew/vessel details (at time of accident/incident)

Accident/incident details (main vessel)

Yes
No
Capsize
Explosion
Mooring line failure
Extreme vessel movement
Collision
Person overboard
Flooded
Propeller entangled
Dragged anchor
Grounding
Propulsion failure
Electrical power failure
Hit submerged object
Lifting/cargo gear failure
Steering gear failure
Equipment failure
Structural failure
Fire
Oil spill
Chemicals or harmful substance spill

Accident/incident details (other vessels)

Yes
No
Yes
No