USCG CG-2692 2013 free printable template

The information contained on forms CG 2692 CG-2692A and CG-2692B may be disclosed under the Freedom of Information Act FOIA via a written FOIA request. Date FOR COAST GUARD USE ONLY MISLE Incident Investigation Activity Data Entry NONE PRELIMINARY DATA COLLECTION Serious Marine Incident Yes No Major Marine Casualty INVESTIGATOR Name REPORTING OFFICE INFORMAL DATE APPROVED BY Name INSTRUCTIONS FOR COMPLETION OF FORM CG-2692 AND FORM CG-2692A BARGE ADDENDUM WHEN TO USE THIS FORM 1. Privacy Act...

How to fill out cg-2692 - us coast

How to fill out USCG CG-2692

1. Obtain a copy of the USCG CG-2692 form from the official USCG website or local office.
2. Fill in the name and address of the vessel owner in the designated fields.
3. Provide the vessel's documentation number, if applicable.
4. Describe the incident or issue that prompted the form submission.
5. Include date and time of the incident.
6. Specify the location of the incident, including coordinates if possible.
7. Describe any injuries or damages that occurred.
8. Sign and date the form at the bottom.

Who needs USCG CG-2692?

1. Individuals or organizations involved in incidents with U.S. Coast Guard regulated vessels.
2. Vessel owners reporting accidents, injuries, or property damage.
3. Shipping companies and maritime operators for regulatory compliance.
4. Legal representatives of parties involved in maritime incidents.

• What is a CG-2692 Form?
• Who needs the CG-2692 Form?
• Is the CG-2692 Form accompanied by any other forms?
• • When is the CG-2692 report form due? 
  • How do I fill out the CG-2692 report form?
  • Where do I send the CG-2692 form?

What is a CG-2692 Form?

A CG-2692 Form is a US Department of Homeland Security form, otherwise called the Report of Marine Casualty, Commercial Diving Casualty or OCS-Related Casualty. It is used to record and report casualties and accidents as described in the Code of Federal Regulations for vessels, commercial diving operations, and Outer Continental Shelf (OCS) facilities.  

Who needs the CG-2692 Form?

The submitted CG-2692 report is used by the US Coast Guard to collect all the details to detect causes of reportable marine casualties and define and take preventative measures. The casualties that might take place include injury, death, property damage, environmental damage and dangerous conditions.

Is the CG-2692 Form accompanied by any other forms?

Generally, there is no need to accompany the Report of Marine Casualty by any other documents. However, if more than one barge caused or sustained damage in the accident, fill out and attach Form CG-2692A to the primary report.

When is the CG-2692 report form due? 

The Report of Marine Casualty, Commercial Diving Casualty or OCS-Related Casualty must be filled out and submitted within 5 days after the casualty occurred.

How do I fill out the CG-2692 report form?

The content of the 3-page form is straightforward and there are a list of comprehensive instructions on how to properly fill out the document that should be checked before completing the report.

Where do I send the CG-2692 form?

The completed Report of Marine Casualty should be delivered to the Coast Guard Sector, Marine Safety Unit, or other relevant facility situated closest to the place of incident. The proper facility can be checked up at the US Coast Guard website: https://www.uscg.mil/top/units/

People Also Ask about

What is considered a serious marine incident?

A very serious marine casualty means a marine casualty involving the total loss of the ship or a death or severe damage to the environment.

What is the definition of serious marine incident?

§ 4.03-2 Serious marine incident. (b) A discharge of oil of 10,000 gallons or more into the navigable waters of the United States, as defined in 33 U.S.C. 1321, whether or not resulting from a marine casualty.

What is considered a marine casualty?

(b) The term “marine casualty or accident” applies to events caused by or involving a vessel and includes, but is not limited to, the following: (1) Any fall overboard, injury, or loss of life of any person. (xii) Any incident involving significant harm to the environment.

How many days do you have to submit the USCG Form 2692?

The owner, agent, master, operator, or person in charge shall within five days, file a written report of any marine casualty required to be reported under 46 CFR 4.05-1. This written report must be delivered to a Coast Guard Sector Office or Marine Inspection Office.

What is the difference between a marine casualty and a marine incident?

A marine incident means an event, or sequence of events, which occurred directly in connection with the operation of a ship, that do not meet the criteria to be classified as a marine casualty but that endangered or, if not corrected would endanger, the safety of the ship, its occupants or any other person or the

What is USCG Form 2692?

The written report must be provided on Form CG-2692 (Report of Marine Accident, Injury or Death) supplemented as necessary by appended Forms CG-2692A (Barge Addendum) and CG-2692B (Report of Required Chemical Drug and Alcohol Testing Following a Serious Marine Incident).

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What is USCG CG-2692?

USCG CG-2692 is a form used by the United States Coast Guard for reporting marine incidents and accidents, specifically for documenting a Notice of Casualty.

Who is required to file USCG CG-2692?

Individuals or vessel operators involved in a marine casualty or incident are required to file USCG CG-2692, including owners and operators of commercial and recreational vessels.

How to fill out USCG CG-2692?

To fill out USCG CG-2692, complete the form with details of the incident, including the vessel information, description of the casualty, and any injuries or damages. Ensure accurate and complete information is provided.

What is the purpose of USCG CG-2692?

The purpose of USCG CG-2692 is to report accidents involving vessels to ensure safety regulations are followed, facilitate investigations, and help improve maritime safety.

What information must be reported on USCG CG-2692?

Information that must be reported on USCG CG-2692 includes the vessel's name and number, date and time of the incident, location, nature of the casualty, injuries or fatalities, and any environmental impacts.