NSW MARINE POLLUTION ACT
(1) Each
report shall contain in general:
(a) identity of the ship;
(b) the time and date of the occurrence of the incident;
(c) the geographic position of the ship when the incident occurred;
(d) the wind and sea conditions prevailing at the time of the incident; and
(e) relevant details respecting the condition of the ship.
(2) Each
report shall contain, in particular:
(a) a clear indication or description of the harmful substances involved, including, if possible, the correct technical names of such substances (trade names should not be used in place of the correct technical names);
(b) a statement or estimate of the quantities; concentrations and likely conditions of harmful substances discharged or likely to be discharged into the sea; and
(c) where relevant, a description of the packaging and identifying marks; and
(d) if possible, the names of the consignor, consignee or manufacturer.
(3) Each report shall clearly indicate whether the harmful substance discharged, or likely to be discharged is oil, a noxious liquid substance, a noxious solid substance or a noxious gaseous substance and whether such substance was or is carried in bulk or contained in packaged form, freight containers, portable tanks, or road and rail tank wagons.
(4) Each report shall be supplemented as necessary by any other relevant information requested by a recipient of the report or which the person sending the report deems appropriate.
A1 Ship: name, size, type, call sign/ship station identity and flag A2 Name, address and contact details of owner and agent of ship/place onland/purpose-built pipeline/apparatus A3 Position of discharge and position of place on land/purpose-builtpipeline/apparatus B Date and time of event Note. Express as Universal Co-ordinated Time C Position: latitude and longitude, or D Position: true bearing and distance Note. Give C or D E True course F Speed in knots L Route information: intended track M Radio communications: means of communication N Time of next report Note. Express as Universal Co-ordinated Time P 1 Type of oil or the correct technical name of the noxious liquid substanceson board 2 UN numbers 3 Pollution category (A, B, C or D) for each noxious liquid substance 4 Names of manufacturers of substances or consignee or consignor 5 Estimate of the quantity of each substance Note. Include item P in the case of probable discharge
Q 1 Structural condition of ship, as relevant 2 Ability to transfer cargo/ballast/fuel R 1 Type of oil or the correct technical name of the noxious liquid substancedischarged into the sea 2 UN numbers 3 Pollution category (A, B, C or D) for each noxious liquid substance 4 Names of manufacturers of substances or consignee or consignor 5 Estimate of the quantity of each substance 6 Whether discharged substances floated or sank 7 Whether discharge is continuing 8 Cause of discharge 9 Estimate of the trajectory of the discharge, giving weather conditions, ifknown _ 10 Estimate of the sea surface area covered by the discharge Note. Include item R in the case of actual discharge S Weather conditions (i.e. brief details of weather and sea conditionsprevailing) X 1 Action being taken with regard to the discharge and the movement of theship 2 Assistance or salvage efforts which have been requested or which have beenprovided by others Note. The master of an assisting or salvaging ship should also report theparticulars of action undertaken or planned Form 2 Notice of alteration or damage to ship (Clause 22) (Marine Pollution Act 1987, sections 37 and 42)
To: Waterways Authority 1 Name of ship: 2 Official number (if any): 3 Home port/port of registry: 4 Call sign:5 Name of owner(s) or agent: 6 Address of principal place of business of owner(s) or agent: 7 (a) Date of issue and reference number of International Oil PollutionPrevention Certificate (in the case of a ship constructed in accordance withAnnex I of the Convention): (b) Date of issue and reference number of International Pollution PreventionCertificate for the Carriage of Noxious Liquid Substances in Bulk (in the caseof a ship constructed in accordance with Annex II of the Convention): 8 Description of nature and extent of alteration or damage to the ship(including date(s) on which damage occurred and date(s) on which repairs oralterations, as the case may be, were commenced and completed): 9 Name and address of person or corporation effecting alteration or repairs: 10 Reason(s) for, or cause(s) of, alteration or repairs: 11 Particulars of changes in the construction of the ship: 12 (a) Additional information (if any) affecting the compliance of the shipwith the provisions of Annex I of the Convention (in the case of a shipconstructed in accordance with Annex I): (b) Additional information (if any) affecting the compliance of the ship withthe provisions of Annex II of the Convention (in the case of a shipconstructed in accordance with Annex II): Signature of master or owner: Date: