Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

PART A-FORM 006 NEAR MISS REPORT

COMPANY INTEGRATED MANAGEMENT SYSTEM – CIMS

VESSEL: “ NORTHERN OCEAN” DATE OF REPORT: 05 FEB 2014


(A separate report must be completed for each identified near miss)
DATE/ TIME AND LOCATION OF NEAR MISS: 05 FEB 2014 / WORKSHOP
VESSEL'S LOCATION AT TIME OF NEAR AT SEA
MISS:
WEATHER CONDITIONS AT TIME OF NEAR MISS: 3
Give full details below using as much space as needed to give a complete description of the near miss, i.e., where, when, how it
happened and who was involved, what was the cause in your opinion and what action has been taken
DESCRIPTION OF NEAR MISS

During inspection of workshop, found that oiler collected and stored oily rags into plastic container.

RESULTS OF SHIPBOARD INVESTIGATION INTO CAUSE

Oily rags removed from the plastic container and stored in the metal covered container.

DETAILS OF ANY CORRECTIVE & PREVENTIVE ACTION TAKEN SO FAR

Engine staff instructed, warning posted

Name of person who identified Near Miss: C/E Fabian Sarghie

Witness Report(s) attached: NO


No:
Number these reports if more than one near miss reported on the same day

Version: 01.00
PRODUCT SHIPPING & TRADING S.A. 1 of 1| Page
Archive:

You might also like