Witness Statement - Nsw Maritime Authority printable pdf download

WITNESS STATEMENT

For further information and assistance telephone 13 12 56 (8.30 am to 4.30 pm) - 7 days a week.

Please forward completed form to: Marine Investigations Unit, NSW Maritime, Locked Bag 5100, Camperdown,

NSW 1450 or fax to (02) 9563 8699.

DETAILS OF WITNESS

Surname ........................................................................Given Names .................................................................

Occupation ...........................................................................................................................................................

Residential Address ............................................................................................................................................

Suburb ............................................................................State ..........................................P/code.......................

Telephone:

Private ...........................................Business ....................................Mobile .........................................................

Fax .................................................E-mail ............................................................................................................

WITNESS STATEMENT COMPLETION INSTRUCTIONS

PLEASE READ THE FOLLOWING NOTES CAREFULLY BEFORE COMMENCING YOUR

STATEMENT

Provide lead up information of events that occurred prior to the actual incident. For example:

Where you boarded the vessel and with whom.

Include a description of the weather, visibility and sea (water) conditions.

Provide as much detail as possible about the actual incident including – distance from objects,

time and speed estimates.

Write only about what YOU saw and heard.

Conversation should be in the first person.

For example:

I said, “.......”