Engine Failure Questionnaire

ENVIRONMENT

Date:

Time:

General area: English Channel North Sea Irish Sea South Brittany Other

Wind Force 1-3 4-6 6+

Sea State (World Meteorological Organisation code) 1-2 3-4 5+

CREW

Skipper: professional/qualified leisure amateur

Was 'ticketed Engineer on board'?: yes no

If yes was it an RYA/MCA

VESSEL

TYPE:

LOA:

Propulsion Engines

Number fitted:

Make:

Model Number:

Power (bhp/kw):

Max rpm:

Are all components from original equipment manufacturer: Yes No

If no: what is non standard?

Last Routine Service by Owner Yard Appointed agent Other

Was Servicing Practice: Normal Special

Hours run

Since Leaving Port

Since last routine servicing/maintenance/oil change:

Since New:

Fuel

Type: Diesel MDO Gasoline

Source of last fuelling:

Days/months since last fuelling:

Lubricating Oil

Brand:

Grade:

Failure

Describe briefly:

Any Warnings (eg lamps, hooters, smells or abnormal noise):

Primary Cause Fuel Component external Flooding Rope round prop Controls EMS

Secondary cause:

Damage:

Was engine repairable: Yes No

If YES (at sea/on return):

Was failure Broadcast (mayday, panpan, coastguard, other):

Did emergency services attend? (RNLI,Helicopter,Inshore Rescue,EC Country):

Follow-Up

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