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Annex to Sea/Marine Accident Report Form

E-Mail: posteingang-bsu@bsh.de  Fax: +49 (0)40 3190 8340

Accident at work
Occupational injury while operating the ship
Location of incident deck area
bridge area
superstructure
hold area/tank area
engine control area
forecastle area
Leisure Craft
other/ashore (please state):

Type of work

Assistance after accident/salvage

Supervision of the assistance

External assistance

Results from assistance

Compliance with regulations for safety Yes No


at work

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