Siège Social De L Association Souffleurs D Ecume : Clinique Vétérinaire La Fontaine, 1

PROVED OR SUPPOSED COLLISION - Sheet 1/2 -

Collisions between vessels and whales are one of the main causes of death for fin and sperm whales in the Mediterranean. Since 1999, collaboration between the Pelagos Sanctuary and shipowners has been aiming to develop solutions to reduce risk.

Your input is valuable: if your vessel collides with a whale or if you witness an accident please call (+33)4 94 69 44 93 – (+33)6 08 77 24 28 or return this form to:

ACCIDENT / Certainty / Definite collision
Probable collision / Specify:
Date / Exact date
Estimated date / Specify date:
Hour / Exact hour
Estimated hour / Specify hour:
Location / Location of accident
Location of animal carcass / Coordinates or description:
ANIMAL / Species / Fin whale
Sperm whale / Other species
Unidentified / Specify:
Consequences of collision / Survived
Died / was already dead
I do not know / Specify:
VESSEL / Vessel / Name:
Type:
Lenght: / Speed:
Last port of call:
Next port of call:
Damage / Yes
No / Specify:
WATCHFULNESS / To avoid collision / Watchfulness had been strengthened
Speed was reduced
Vessel had been deviated / Emergency operation was carried out
Other action (specify)
No action could be taken / Specify:
REPCET / REPCET had reported the presence of cetacean
REPCET had not report the presence of cetacean
Other (specify: system off, no watchfulness …)
No such system available on board / Specify:

PERSON COMPLETING FORM (for possible additional information):

Name:
Company:
E-mail:
Phone:

AVOIDED COLLISION- Sheet 2/2 -

Your input is valuable: if your vessel collides with a whale or if you witness an accident please to return this form to:

EVENT / Date / Exact date
Estimated date / Specify date:
Hour / Exact hour
Estimated hour / Specify hour:
Location / Location of accident
Location of animal carcass / Coordinates or description:
Operation / Emergency response permitted avoidance
No operation could be carried out but vessel did not collide with the whale
ANIMAL / Species / Fin whale
Sperm whale
Other species
Unidentified / Specify:
Behaviour / had reacted to vessel transit
had reacted to vessel transit
I do not know / Specify:
ON BOARD / Vessel / Name:
Type:
Lenght: / Speed:
Last port of call:
Next port of call:
To avoid collision / Watchfulness had been strengthened
Speed was reduced
Vessel had been deviated / Emergency operation was carried out
Other action (specify)
No action could be taken / Specify:
REPCET / REPCET had reported the presence of cetacean
REPCET had not reported the presence of cetacean
Other (specify: system off, no watchfulness, …)
No such system available on board / Specify:

PERSON COMPLETING FORM (for possible additional information):

Name: /
Company:
E-mail:
Phone: