Page 162 - claims information pack ebook_e

Section A

Example Claim Form
PART 2 Section A
Costs of clean up and preventive measures

Additional information required for cleaning costs, port charges. Please provide
large items of equipment expenditure daily logs of each voyage conducted and any
relevant charter agreements, contracts of
The lists below are not exhaustive.
affreightment or call-up contracts.
Aircraft hire:
Treatment of waste:
Aircraft type, manufacturer, call sign, period
of charter, charter costs (including hourly Origin point of waste collected (e.g. beach
name or chart reference), destination or
flying rate and the method by which the rate delivery point of waste collected, method of
is calculated), detail and amount of work transportation, type and volume or weight
conducted (e.g. dispersant application, aerial
of waste transported per trip from waste
observation, personnel or equipment transport collection point to destination, labour costs
etc.), number of flights conducted, dates, times (hours worked, rates of pay), equipment used
and area(s) of operation, weather conditions,
and hire rates (e.g. trucks, excavators, skips, 17
volumes of dispersant sprayed (if applicable), etc.), temporary storage costs (if applicable),
crew details and passenger details (including treatment type and costs, residual value of
their role and responsibility in the response
waste after treatment, method of calculation
and reason for flying), cargo manifests (if
of costs.
applicable), equipment used (e.g. for spraying
or observation), reports of observation (e.g. The establishment of a wildlife
treatment centre:
as submitted to the incident command
A detailed rationale for establishing
centre), fuel consumed, crew accommodation
and food costs, landing and other airfield treatment centre, and triage arrangements,
location of wildlife treatment centre, details
charges. Please provide the logs of each
of area where oiled wildlife were collected
flight conducted and any relevant charter
agreements or call-up contracts. (using maps, charts, photographs or video,
summary of events), methodologies used to
Vessel hire:
clean oiled wildlife, dates of work conducted,
Vessel name, registration number, number of oiled animals treated, number of
specification (construction, length, power, oiled animals successfully released back
storage capacity, crew), detail of the work into the wild, labour costs (hours worked,
undertaken (e.g. oil recovery, dispersant rates of pay), travel, accommodation and
application, waste transport, etc.) equipment living costs of personnel, equipment and
used (e.g. spray arms, skimmers, etc.) fuel and material costs at wildlife centre (type of
lubes, etc. consumed, charter period, charter/ equipment used, rate of hire or cost of
freight cost, hire rate (and the method by purchase, quantity used and period of use,
which the rate is calculated), area and dates of e.g. sanitary equipment, holding pens,
operation (please refer to nautical charts and vehicles, etc.), centre running costs (heating,
provide extract), weather conditions, amounts electricity, water, communications, etc.),
of consumables used (e.g. dispersant, cost of consumable materials (e.g. personal
sorbents, etc.), additional personnel and protective equipment, animal feed, etc.),
passenger details (including their role and residual value of equipment and construction
responsibility in the response and reason for materials etc. at termination of operation,
being on board), type and amount of waste or contributions received from general public
other cargo transported, demobilisation and (including costs of campaign to raise funds,