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trial report form for tourism and ngo activities in antarctic treaty area

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TRIAL REPORT FORM FOR TOURISM AND NGO ACTIVITIES IN<br />

ANTARCTIC TREATY AREA<br />

ADVANCE NOTIFICATION<br />

Tourist <strong>and</strong> non-Governmental Activities <strong>in</strong> the Antarctic<br />

This <strong>in</strong><strong><strong>for</strong>m</strong>ation is requested <strong>in</strong> compliance with Antarctic Treaty Recommendation XVIII-1 <strong>and</strong> Resolution XIX-3. Please submit to the appropriate national authority prior to the Expedition<br />

tak<strong>in</strong>g place.<br />

A. Tour/Expedition Organizer<br />

Company name:<br />

Company address:<br />

Contact person:<br />

National registration of Company:<br />

International phone:<br />

International fax:<br />

Total number of Expedition Staff 1 :<br />

B: Details of transport <strong>and</strong> equipment to be used <strong>for</strong> the Tour/Expedition<br />

(Complete these panels only once if all Tours/Expeditions planned do not vary <strong>in</strong> their use of tr ansport or equipment: where these vary, complete the panel <strong>for</strong> every Tour or Expedition)<br />

B.1 Vessel/aircraft used <strong>for</strong> transport to/from Antarctica<br />

Vessel/aircraft registered name:<br />

National registration:<br />

□Ship □Yacht □Aircraft (check)<br />

Intended use of vessel/aircraft:<br />

Vessel/aircraft type:<br />

Vessel/aircraft passenger carry<strong>in</strong>g capacity:<br />

Vessel ice rat<strong>in</strong>g (if applicable):<br />

Vessel/aircraft fuel capacity:<br />

Vessel/aircraft fuel type:<br />

Vessel/aircraft call sign:<br />

INMARSAT number/fax:<br />

Radio frequency:<br />

Capta<strong>in</strong>s’/comm<strong>and</strong>ers’ name(s): Total number of crew 2 :<br />

B.2 Equipment to be used with<strong>in</strong> Antarctica<br />

Number <strong>and</strong> types of aircraft to be used:<br />

Number Type Use<br />

Numbers <strong>and</strong> types of other vessels or vehicles (e.g.<br />

small boats, snowmobiles) to be used:<br />

Number Type Use


1 Staff: Expedition personnel, guides, lecturers, small boat drivers (exclude crew serv<strong>in</strong>g these functions).<br />

2 Crew: Vessel’s capta<strong>in</strong> <strong>and</strong> officers, helicopter pilots, crew <strong>and</strong> hotel/cater<strong>in</strong>g staff (exclude Staff, Passengers <strong>and</strong> Observers).


C: Cont<strong>in</strong>gency Plann<strong>in</strong>g<br />

Type <strong>and</strong> amount of <strong>in</strong>surance cover, <strong>in</strong>clud<strong>in</strong>g name of <strong>in</strong>surer(s):<br />

ADVANCE NOTIFICATION (cont<strong>in</strong>ued)<br />

Arrangements <strong>for</strong> self-sufficiency <strong>and</strong> cont<strong>in</strong>gency plans, <strong>in</strong>clud<strong>in</strong>g <strong>for</strong> medical evacuations <strong>and</strong> search <strong>and</strong> rescue<br />

<strong>in</strong> the event of an emergency:<br />

D: Expedition details (complete one of these panels <strong>for</strong> every separate cruise/expedition you are organiz<strong>in</strong>g)<br />

Planned port of embarkation:<br />

Planned date of embarkation:<br />

Planned port of disembarkation:<br />

Planned Cruise/Flight number or Voyage Name:<br />

Planned date of disembarkation:<br />

Estimated number of Passengers 1 to be carried:<br />

Activities to be undertaken <strong>and</strong> purpose:<br />

Intended it<strong>in</strong>erary – places to be visited, giv<strong>in</strong>g estimated dates:<br />

1 Passengers: Members of the Expedition that are not Staff or Crew, exclud<strong>in</strong>g Observers/National Representatives.<br />

Signature:____________________Tour/Expedition Organizer Date:_________________


POST-VISIT REPORT: PART 1 – Tour Record<br />

Instructions<br />

The Tour Record is completed <strong>for</strong> every tour or non-governmental expedition. This <strong>in</strong><strong><strong>for</strong>m</strong>ation is requested <strong>in</strong> compliance with Antarctic Treaty Recommendation XVII-1 <strong>and</strong> Resolution XIX-3(1995).<br />

A: Expedition details<br />

Company name:<br />

Expedition Leader(s) name:<br />

□Ship □Yacht □Aircraft (check)<br />

Port <strong>and</strong> date of embarkation:<br />

Cruise/Flight number:<br />

Vessel name/aircraft registration:<br />

Capta<strong>in</strong>’s/comm<strong>and</strong>er’s name:<br />

Port <strong>and</strong> date of disembarkation:<br />

Actual it<strong>in</strong>erary travelled – please provide description of route, giv<strong>in</strong>g dates<br />

Note: If you consider the Site Visit Record (SVR) provides an adequate description of the it<strong>in</strong>erary simply write<br />

“See SVR”:<br />

B: Observers<br />

Name: Name: Name:<br />

Affiliation: Affiliation: Affiliation:<br />

C: Record of Expedition numbers by nationality<br />

Nationality<br />

Number of<br />

Pax 1 Staff 2 Crew 3 Nationality<br />

Number of<br />

Pax 1 Staff 2 Crew 3 Nationality<br />

Number of<br />

Pax 1 Staff 2 Crew 3


1 Pax (Passengers): Members of the Expedition that are not Staff or Crew.<br />

2 Staff: Expedition personnel, guides, lecturers <strong>and</strong> small boat drivers.<br />

3. Crew: Vessel’s capta<strong>in</strong> <strong>and</strong> officers, aircraft pilots, crew <strong>and</strong> hotel/cater<strong>in</strong>g staff (exclud<strong>in</strong>g above).<br />

D: Report on Expedition by Expedition Leader (please be brief, but use additional sheets if necessary)<br />

1. Has a meteorological <strong>report</strong> been submitted to the World Meteorological Organization □Yes □No □Don’t Know<br />

2. List any unusual <strong>in</strong>cidents affect<strong>in</strong>g people or the environment:<br />

3. If there were any unusual <strong>in</strong>cidents, has or will an <strong>in</strong>cident <strong>report</strong> be prepared □Yes □No □Don’t Know<br />

4. To whom has or will the <strong>in</strong>cident <strong>report</strong> be provided<br />

5. Any other comments or observations (e.g. observations of disturbance to wildlife or the physical environment, changes from expedition<br />

Advance Notification, etc.):<br />

Signature:________________________________Expedition Leader or Vessel Capta<strong>in</strong> Date:__________________


POST-VISIT REPORT: PART 2 – Site Visit Record<br />

Instructions<br />

One l<strong>in</strong>e of the Site Visit Record should be completed per site wherever Expedition members disembark or journey beyond base or camp.<br />

Activities at site<br />

Tour Company or Name:____________________ Vessel Name:________________________ Cruise/Flight<br />

Number:____________<br />

Duration of visit<br />

Date(s) Site visited Site<br />

from time first Duration of<br />

e/camp<br />

visited Pax 1 Staff 2 Crew 3<br />

latitude/longitude passengers left<br />

vessel/aircraft/bas<br />

passenger<br />

<strong>activities</strong> at site<br />

Number of people mak<strong>in</strong>g site visit<br />

(List all codes that apply)<br />

1 Pax (Passengers): Members of the Expedition that are not Staff or Crew.<br />

2 Staff: Expedition personnel, guides, lecturers <strong>and</strong> boat drivers.


3. Crew: Vessel’s capta<strong>in</strong> <strong>and</strong> officers, aircraft pilots, crew <strong>and</strong> hotel/cater<strong>in</strong>g staff (exclud<strong>in</strong>g above).<br />

Activity codes<br />

Small boat l<strong>and</strong><strong>in</strong>g: BL Aircraft l<strong>and</strong><strong>in</strong>g: AL Helicopter l<strong>and</strong><strong>in</strong>g: HL Station Visit: SV<br />

Small boat cruis<strong>in</strong>g: ZC Aircraft flight: AF Helicopter flight: HF Camp<strong>in</strong>g: CP

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