Form 10—Preliminary actForm 10—Preliminary act

## Form 10—Preliminary act (paragraph 25(2)(a)) (Title) PRELIMINARY ACT (Collision between 2 or more ships) Preliminary act of plaintiff/defendant1 1. Date of collision: 2. Time of collision: 3. Place of collision: 4. Names of ships that came into collision: 5. In relationship to ship of the party filing this preliminary act: (a) name of ship: (b) port of registry: (c) the name of master at time of collision: (d) name and address of person in command at the time of the collision and in the period immediately before the collision: (e) name and address of persons on the bridge at the time of the collision and in the period immediately before the collision. (f) name and address of persons keeping a lookout at the time of the collision and in the period immediately before the collision: (g) course, or, if the ship was stationary, heading (specify which) at the time when the other ship was first seen or immediately before any measures were taken with reference to its presence (whichever was the earlier): (h) speed at the time when when the other ship was first seen or immediately before any measures were taken with reference to its presence (whichever was the earlier): (j) alterations made to course after the earlier of the times referred to in paragraph (g) and before the time of the collision, and when made: (k) alterations made to speed after the earlier of the times referred to in paragraph (h) and before the time of the collision, and when made: (m) other measures taken to avoid the collision, and when taken: (n) sounds or other signals given, and when given: (o) lights carried: 6. In relation to each other ship involved in the collision2: (a) name of ship: (b) its distance and bearing at the time when its echo was first observed by radar by a person on the ship of the party filing the preliminary act: (c) its distance, bearing and approximate heading when first seen by a person on the ship of the party filing the preliminary act: (d) the lights it was showing when first seen by a person on the ship of the party filing the preliminary act: (e) the lights it was showing after that time but before the collision: (f) the alterations made to its course after it was first seen by a person on the ship of the party filing the preliminary act, and when they were made: (g) the alterations made to its speed after it was first seen by a person on the ship of the party filing the preliminary act, and when they were made: (h) the other measures that it took to avoid the collision, and when they were taken: (j) the sounds or other signals that it gave, and when they were given: 7. The state of the weather at the time of the collision and in the period immediately before the collision: 8. The extent of visibility at the time of the collision and in the period immediately before the collision: 9. The state, direction and force of the tidal or other current at the time of the collision and in the period immediately before the collision: 10. The direction and force of the wind at the time of the collision and in the period immediately before the collision: 11. The parts of each ship which first came into contact: 12. The approximate angle between the ships at the moment of contact: 1. complete all questions fully; if any are not applicable, say so, or as appropriate 2. for each other ship involved in the collision, repeat this question as question 6A, 6B, etc.