Bijlage 6 Regeling bescherming koopvaardij: ship master form for reporting the use of force and/or handcuffs to the public prosecution service

Regeling bescherming koopvaardij

For Public Prosecution Service use only Contact: Tel./fax/email: Date: Public Prosecution Service File No.: Instruction send form to the Dutch Public Prosecutor, PM c.c. Dutch Cost Guard, Human Environment Inspectorate(ccc@kustwacht.nl / MIK-NL@kustwacht.nl / wtbk@ilent.nl) Basic information Name of ship Call sign IMO number Time in GMT Ship’s position (lat/long) Course and speed during incident Brief description of the incident For Public Prosecution Service use only Contact: Tel./fax/email: Date: Public Prosecution Service File No.: Instruction send form to the Dutch Public Prosecutor, PM c.c. Dutch Cost Guard, Human Environment Inspectorate(ccc@kustwacht.nl / MIK-NL@kustwacht.nl / wtbk@ilent.nl) Basic information Name of the ship Call sign IMO number Type of ship Name and address of ship manager Name of ship master Contact details Name of private maritime security organisation Permit number of private maritime security organisation Date and place of maritime security team embarkation Route of ship Date and place of maritime security team disembarkation Composition of maritime security team Attach crew list details Surname, first name of team leader nationality passport number Contact details Surname, first name nationality passport number Surname, first name nationality passport number Surname, first name nationality passport number Surname, first name nationality passport number Surname, first name nationality passport number Surname, first name nationality passport number Description of the incident Date and time of the incident Incident location, ship location Accurate description of the facts, such as: • Method of approach and speed of the suspect vessel • First non-kinetic actions taken by own ship • Time RUF invoked and distance from the ship at that time • Time of transfer of responsibility to TL for use of force • RUF end time • In case of an attack: number of attackers, type of weapons (rifles/RPGs, etc.), type of ammunition, etc. Reason for invoking RUF