Title Page
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Conducted on
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Prepared by
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Location
Engines
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Oil Levels Good
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Engine Free of Leaks - Oil & Fuel
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Steering rams free of leaks
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Bilge (Automatic & Manual) - Functioning Properly
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Powerhead & Midsection - Free of Damages
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Lower Unit(s) - Propeller & Skeg Free of Damages
General Conditions
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Overall Hull Condition - Free of Damages
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Hatches - Free of Damages
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Doors - Free of Damage/Secure in Open and Closed Position
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Windows Free of Damage
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Deck - Free of Damage
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Fuel Tank - Free of Damage/No Leaks
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Mooring Lines - Good Condition
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Plugs
Electronics/Controls
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Controls - Free of Damage/Function Properly
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Wiring - Free of Damage
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Battery - In Covered Box & Secured Cannot Shift
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Electronics - Functioning Properly
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Lights (Navigation & Spot) - Working Properly
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VHF Radio - Functioning Properly
Safety
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Registration Up-to-date & Onboard
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1x B-1 Fire Extinguisher (2x if 26’ or longer)
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USCG Approved First Aid Kit
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Horn or Other Sound Producing Device (Air Horn/Whistle)
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Distress Signal (Handheld or Aerial Flare)
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Life Ring with 90’ of Rope
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Decks Clean & Free of Trip Hazards & Trash
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Ropes/Mooring Lines Picked up from Walkways
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Blunt Boat Hook
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Type III PFD for Every Passenger
Work Done
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List start/stop time and trip description
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Engine Hours (Start of Shift)
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Engine Hours (End of Shift)
Safety Concerns
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Safety Concerns
Operator
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Were you the only operator during the hitch? If no list other operators below.
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Operator