[General physical and mental health; record any injuries or immediate medical needs] 4. Actions Taken by Crew
[List any found, such as passports or national IDs. Note if documents were confiscated for safekeeping] Stowaway
Relevant Port Authorities / Flag State / Shipowner / P&I Club From: Master of [Vessel Name] Date of Report: [DD/MM/YYYY] 1. Vessel Information Vessel Name/IMO Number: [e.g., MV Blue Horizon / 1234567] Flag State: [e.g., Panama] Current Position: [Latitude/Longitude at time of discovery] Last Port of Call: [Name and Departure Date/Time] Next Port of Call: [Name and ETA] 2. Incident Details Date/Time of Discovery: [Time and Date stowaway was found] [General physical and mental health; record any injuries
[Where the stowaway claims to have boarded] [General physical and mental health