Library / NMDPRA FORM B OIL SPILLAGE (PDF)
NMDPRA FORM B OIL SPILLAGE (PDF)

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 FORM 002B: Spillage /Release Notification Report 
(to be submitted within 14 days of Spill Incident) 
 
 
7. Quantity Leaked 
(a) 
Estimated quantity of oil/contaminant leaked (in barrel)………………………………………………. 
(a) 
Detailed calculations: (attach additional sheets if necessary) 
..................................................................................................................................................... 
.......................................................................................................................………………….… 
 
8. Quantity of crude oil/contaminant recovered as at time of reporting: 
..................................................................................................................................………………….. 
 
9. Details of immediate pollution to inland waters, beaches, farmland etc.: 
 
 
10. Steps being taken to prevent further pollution:………………………………………………………… 
……………………………………………………………………………………………………………………. 
……………………………………………………………………………………………………………………. 
11.  Any casualties: 
(a) Yes [ ] 
(b) No [ ]             
12. If Yes, give details: 
...............................................................................................................................………………………. 
................................................................................................................................................................ 
 
 
13. Other remarks: 
.................................................... ............................................................................................................. 
............................ ........…………………………………………………………………………………………. 
 
Reporting Officer:………………………………………………………….. Signature:………………...….. 
 
Designation:…………………………………………………………………………………………………….. 
 
 
* 
Oil shall be deemed to mean both crude and refined petroleum product.