Analysis of the permitting processes associated with exploration of Federal OCS leases. Final report. Volume II. Appendices Page: 185 of 282
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EXHIBIT 13
DEPARTMENT OF orr Approved
TRANSPORTAT ARD REPORT OF VESSEL CASUALTY OR ACCIDENT OMB No. O4-R3 03
U. S. COAST GU REPORTS CONTROL STUBOL
CG-2692 (Rev. 12-70) MYI-41 7
INSTRUCTIONS
1. An original and two copies of this form shall be submitted, 3. This form should be completed in full; blocks which do not
without delay, to the Officer in Charge, Marine Inspection, in apply to a particular case should be indicated as "NA".
whose district the casualty occurred, or in whose district the Where answers are unknown or none, they should be indi-
vessel first arrived after such casualty. cated as such. All copies should be signed.
2. If the person making the report is a licensed officer on a ves- NOTE: (1) Report all deaths and injuries,which incapacitate
gel required to be manned by such officer, he must make the in excess of 72 hours, on CG-924E whether or not
report in writing and in person to the proper Marine Inspector. there was a vessel casualty.
If because of distance it may be Inconvenient for such an offi- (2) Attach separate Form CG-924E to this report for
cer to submit the report in person, he may submit the required each person kiled or injured and incapacitated in
number of copies by mail. However, to avoid delay in investi- excess of 72 hours as a result of the vessel
gations, it is desired that reports be submitted in person. casualty reported herein.
fO: DA TSUBMI TTED
. Office in Charge, Marine Inspection, Port of
I PARTICULARS OF VESSEL
I. NAME OF VESSEL 2. OFFICIAL MEMBER 3. HOME PORT 4. NATIONALITY
5. TYPE OF VESSEL(Prt.pease.,tkr.,etc) 6. PROPULSION(Siemn.deeeetc) 7 GROSS TONNAGE S. REGISTERED LENGTH OR ..O.A
9. HULL MATERIALS - . YEAR BUILT 11 RAW O EQUIPMENT
TRANSMf T RFFIVF YO CE CM (Key)
12. ( RAOAR EOUtOPEC (b)IF YES. RADAR OPERATING AT TIME OF CASUALTY
.1 YES NO r7 YES 0 NO
13.(4) CERTIFICATE OF INSPECTION ISSUED AT PORT OF (4) OATE CERTIFICATE OF INSPECTION ISSUED
14 (a) NAME OF MASTER OR PERSON IN CHARGE (ZNdicate wfhich) (b; DATE OF BIRTH (c) LICENSED BY COAST GUANO
YES G' NO
15(*; NAME OF PILOT(If or. board at time at accident) (b) PILOT SERVING UNDER AUTHORITY OF LICENSE ISSUED BY
U3CG 0 STATE FOREIGN
IF. (4) NAME OF OwNER(S).OPERATOR S) DR AGENT(Indicate fidch) (b) ADDRESS OF OWNER(S3 . OPERATOR(S) . OR AGENT
It PARTICULARS OF CASUALTY
I) (q) DATE OF CASUALTY (b) TIME OF CASUALN(Locat or (c) ZONE DE3CRIPTION (OTIME OF DAY
aon) 0 DAY Q 71wGHT 0 OraIIONT
lI. LOCATION OF CASUALTY (Latitude aid ltanitude; dstaca nd TRUE1 bearing Iuem charted abject; dock: anchorage; ec.)
IC BODY OF WATER (Ieographicainame) 20. RULES OF THE ROAD APPLICABL.O INLAND GREAT LAKES LJ wT!ERi RIVERS
C_ INTERNATIONAL C OTNER (Specify)
21. (*)00 CASUALTY OCCUR WHILE UNDERWAY. O YES NO
(b)IF YES. LAST PORT OF DEPARTURE (c)IF YES. WHERE BOUND WHEN CASUALTY OCCURRED
22.(4 WEATHER CONDITIONS WHEN CASUALTY OCCURRED:
t CLEAR Q PARTLY CLOUDY 0 OVERCAST C FOG C RAIN O SNOW O OTHER (5Eecify)
(b)VISIBILIT"(;fl1ee.yde..ht..etc.) (c) WINO DIRECTION (m FORCE IN KNOTS (a) GUSTY (f) AIR TEWERATURE
_I_ _ _ YCTES NO
23.(a)SEA CONDITIONS WHEN (b)SEA WATER TtG (cJNEI GNT OF SEA (4)OIRECTION OF SEA (e)HEIGHT OF SWELL (0 01RECTION OF-4ELL
CASUALTY OCCURRED (I7 aveiiab.)
24.(JNATURE OF CARGO (Specify) (b) AMOUNT OF ORY CARGO (c) AMOUNT OF SULK LIQUID (d)AMOUNT OF DECK LOAD
(Land tona) (L,=d tons) (Ling tone)
2!.(a)ORAFT FORWARD (b)DRAFT AFT
26.()TYPES OF LIFESAVING EQUIPMENT USED. IF ANY (b)NO.LIVES SAVED WITH LIFE. (c)LIFESAVING EQUIPMENT SATI3-
SAVING EQUIPMENT FACTORY
Y YES C NO al no, 02wain in
Atom 34)
PRVOSEIINMYB SD(vr(Over)
PREVIOUS EDITION MAY HE USED
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Analysis of the permitting processes associated with exploration of Federal OCS leases. Final report. Volume II. Appendices, report, November 1, 1980; United States. (https://digital.library.unt.edu/ark:/67531/metadc1184664/m1/185/: accessed July 16, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.