Float Plan Template

• Prepared by

• Name of your Trip

• Departure Date

  Date

• Return Date

  Date
• Departure Point
  Address

• Instructions: Complete this plan before any boating activity and share it with trusted people whom you can depend on to alert the Coast Guard, and other rescue agencies, should you not return or check-in as scheduled. You should notify (e.g. send a notification using this digital checklist or call them via phone) the people holding your float plan in case of changes or delays.
  
  If you return safely, notify the people who has your float plan.

Identification

• Take a photo of your boat from the docking area

  Media

• Vessel's Name

• Hailing Port

• Document/Registration Number

• Hull Identification Number

• Year, Make & Model

• Length

• Type

• Draft

• Hull Material

• Hull and Trim Colors

• Prominent Features

Propulsion

• Input the 1) Type, 2) Engine, and 3) Fuel Capacity

• Primary

• Auxiliary

Communication

• Email Address

• Cell/Satellite

• Radio Call Sign/Number

• DSC MMSI No.

Radio

• Type

• Channel/Frequency Monitored

Navigation

• Do you have a working compass?

  Yes

  No

  N/A

• Do you have charts?

  Yes

  No

  N/A

• Do you have a radar?

  Yes

  No

  N/A

• Do you have a clear map?

  Yes

  No

  N/A

• Do you have a working GPS/DGPS?

  Yes

  No

  N/A

• Do you have a depth sounder?

  Yes

  No

  N/A

• Other items available

• You can attach an image (in .jpg or .png) of the map of your itinerary for visual reference

• Attach image here

  Media

Departure

• Departure Date and Time

  Date

• Location/Waypoint

• Have you checked-in?

  Yes

  No

  N/A

• If you chose 'Yes' for the question above, you may a) click on the paper clip icon and b) choose 'Add Action' to send a check-in notification email to the person/s you shared your float plan with. You may also opt to attach a selfie of you which recipients can access when they open the email notification.

Stopover Points

• If there stopovers in your itinerary, click "Add Stopover Point"

Stopover Point

• Reason for stop

• Arrival at Stopover Point

  Date

• Departure from Stopover Point

  Date

• Location/Waypoint

Arrival

• Arrival Date and Time

  Date

• Location/Waypoint

• Have you checked-in?

  Yes

  No

  N/A

• If you chose 'Yes' for the question above, you may a) click on the paper clip icon and b) choose 'Add Action' to send a check-in notification email to the person/s you shared your float plan with. You may also opt to attach a selfie of you which recipients can access when they open the email notification.

• For a more thorough check of safety equipment, you can use the Boat Safety Equipment Checklist as appendage to this Float Plan. OPEN LINK below to access the checklist.
  https://public-library.safetyculture.io/products/boat-safety-equipment-checklist

Visual Distress Signals

• Do you have an electric distress light (for night use)?

  Yes

  No

  N/A

• Do you have a flag (for day use)?

  Yes

  No

  N/A

• Do you have aerial flares (for day and night)?

  Yes

  No

  N/A

• Do you have handheld flares (for day and night)?

  Yes

  No

  N/A

• Do you have a signal mirror (for day use)?

  Yes

  No

  N/A

• Do you have smoke signal (for day use)?

  Yes

  No

  N/A

Audible Distress Signals

• Do you have bells?

  Yes

  No

  N/A

• A horn?

  Yes

  No

  N/A

• A whistle?

  Yes

  No

  N/A

Emergency Position Indicating Radio Beacon (EPIRB)

• Unique Identity Number (UIN)

Additional Equipment/Tools

• Do you have an anchor?

  Yes

  No

  N/A

• Anchor's line length

• Do you have charts/maps?

  Yes

  No

  N/A

• Do you have a dewatering device?

  Yes

  No

  N/A

• Do you have a compass?

  Yes

  No

  N/A

• Do you have paddles?

  Yes

  No

  N/A

• Do you have fire extinguishers?

  Yes

  No

  N/A

• No. of Fire Extinguishers Available

• Do you have flashlights/searchlight?

  Yes

  No

  N/A

• Do you have raft/dinghy?

  Yes

  No

  N/A

• Do you have flashlights/searchlights?

  Yes

  No

  N/A

• Do you have sufficient food and water per person onboard the vessel?

  Yes

  No

  N/A

• How much food and water are available?

Operator

• Full Name

• Complete Address (e.g. House/Building No., Street, City, State, Zip Code)

• Age

• Gender

• Home Phone Number

• Mobile Phone Number

• Radio Channel (HF):

• Radio Channel (VHF):

• Radio Channel (MF):

• Personal Locator Beacon (PLB) UIN

• Do you have your Personal Flotation Device (PFD)?

  Yes

  No

  N/A

• Did you have experience with this vessel?

  Yes

  No

  N/A

• Are you familiar with the boating area?

  Yes

  No

  N/A

• Did you bring a vehicle (e.g. tow vehicle or trailer) to the port?

  Yes

  No

  N/A

• Vehicle (Year, Make, Model, and Color)

• Vehicle License No.

• Vehicle's Parking Location

Passengers/Crew

• Identify all on board. EPIRB and PLB registration required by Federal regulations.

Crew/Passenger

• Name

• Address

• Age

• Gender

• Emergency Contact Information

• PFD

• Passenger PLB UIN

• Additional Note

Contact Person

• Contact Person's Name

• E-Mail

• Mobile Number

• Home Number