DATA ITEM DESCRIPTION
Form Approved
OMB No. 0704-0188
1. TITLE
REPORT, GROUNDING/DAMAGE/COLLISIONS
2. IDENTIFICATION NUMBER
UDI-A-26360
3. DESCRIPTION OF PURPOSE
3.1 This report shall be used to present the information concerning the grounding, damage, collision of a ship or boat.
Damage includes fire, structural failures and other major ship’s system failures. This report is required for ship or
boat damage, grounding, and collision which are both covered and not covered by insurance. The
grounding/damage/collision may be investigated by a board of inquiry.
4. APPROVAL DATE
(YYMMDD)
730322
5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)
SHIPS 0121
6a. DTIC APPLICABLE
6b. GIDEP APPLICABLE
7. APPLICATION/INTERRELATIONSHIP
8. APPROVAL LIMITATION
9a. APPLICABLE FORMS
9b. AMSC NUMBERS
10. PREPARATION INSTRUCTIONS
10.1 A detailed report is required for grounding, damage, collision, and injuries sustained by personnel on board the
ship as a result of the incident.
10.2 The grounding/collision report shall contain as a minimum: the date and time, flood state, latitude and longitude
of incident, sea state, weather conditions, ships and vessels in assistance, date time group of messages relative to
incident, and witnesses to the incident. Diver’s report, difficulties experienced in getting off shoal water, reasons
for grounding, and extenuating circumstances shall be provided as applicable.
10.3 The damage report shall contain as a minimum the date and time, location of incident, responding personnel and
equipment, date time group of messages relative to the incident and witnesses. Corrective measures, damage
control and personnel injured information shall be provided as applicable.
11. DISTRIBUTION STATEMENT
DD Form 1664 Previous editions are obsolete Page 1 of 1
