What can you use this form for?

With this form, you report a health and safety accident on board of a commercial sea going vessel (merchant shipping and fishing industry).

Please note: You must also report urgent incidents to the ILT immediately by telephone. You can call 0031 (0)88-489 00 00. This telephone number is available 24 hours a day.

Who can use the form?

Citizens and organisations (municipalities and companies).

What attachments do you need to add?

To support your report, you can add photos, reports, a captain's statement or an official report.

What happens to your report?

Applications are processed in order of receipt. After submitting your application, you receive a confirmation email with an ILT reference number. Please keep this number for your records and use it in all relevant correspondence with ILT.

You will automatically receive a message once your application is processed. You will either receive a decision or a request for further information.

General Information regarding the form

Please complete this form in English. Forms submitted in other languages wil not be processed.
You may save the report at any time (see the option in the top right of the screen) which allows you to reopen and complete the form at your convenience.

After completely filling in and sending in the form, you will receive an email which is your confirmation. Included in the email is a PDF copy of what you submitted. The registration number of your report is also mentioned.

Publication date

01-01-2024

Questions regarding the form?

In case you have questions regarding filling in this form, please contact the ILT via telephone +31 (0)88 489 0000 or use the form on the website. If you have a question about your report, please keep your registration number at hand.

Fields marked with * are mandatory.