Yes or no If yes, what action has been Was an oil pollution 26. implemented /planned? emergency plan activated? If yes, how effective is/was the spill response? Yes or no Was an environmental If yes, what actions have 27. monitoring program been implemented and/or initiated? planned? Did the incident result in Yes or no the or injury of any (If yes provide details of fauna? species in the table below) Injured Species 1 Species 2 Species 3 Species name 28. (common or scientific name) Number of individuals Killed: Killed: Killed: killed or injured Injured: Injured: Injured: NB: If more species were injured or killed, please copy/paste this section (Item E4) and add extra data Completion date Action Responsible party Actual or intended Actions taken to avoid or mitigate any adverse 29. environmental impacts of the incident. NB: If more actions, please add extra rows as required Completion date Action Responsible party Actual or intended Corrective actions taken, or proposed, to stop, 30. control or remedy the incident. NB: If more actions, please add extra rows as required Completion date Action Responsible Actual or intended Actions taken, or proposed, to prevent a 31. similar incident occurring in the future. NB: If more actions, please add extra rows as required
26. Was an oil pollution emergency plan activated? Yes or no If yes, what action has been implemented /planned? If yes, how effective is/was the spill response? 27. Was an environmental monitoring program initiated? Yes or no If yes, what actions have been implemented and/or planned? 28. Did the incident result in the or injury of any fauna? Yes or no (If yes provide details of species in the table below) Injured Species 1 Species 2 Species 3 Species name (common or scientific name) Number of individuals killed or injured Killed: Injured: Killed: Injured: Killed: Injured: NB: If more species were injured or killed, please copy/paste this section (Item E4) and add extra data 29. Actions taken to avoid or mitigate any adverse environmental impacts of the incident. Action Responsible party Completion date Actual or intended NB: If more actions, please add extra rows as required 30. Corrective actions taken, or proposed, to stop, control or remedy the incident. Action Responsible party Completion date Actual or intended NB: If more actions, please add extra rows as required 31. Actions taken, or proposed, to prevent a similar incident occurring in the future. Action Responsible Completion date Actual or intended NB: If more actions, please add extra rows as required
N-03000-FM0831-Report-of-an-Accident-Dangerous-Occurrence-or-Environmental-Incident-Rev-8-Jan-2015-MS-Word-2010.docx