Vessel safety check

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Vessel owner information

• Owner/company name

• Contact person

• Phone number

• Email

• Boat name

Vessel class

• Registration present

  Yes

  No

  N/A

• Registration number

• Length of boat

  <16 ft

  16-26 ft

  26-40 ft

  40-65 ft

• Day and night visual distress signals present

  Yes

  No

  N/A

• Sound producing device present?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Smoke signals? (N/A if flares present)

  Yes

  No

  N/A

• Flares?

  Yes

  No

  N/A

• Hand held or shells?

  hand held

  shells

• Are they expired?

  Yes

  No

  N/A

• Marine VHF radio present?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Kill switch

  Yes

  No

  N/A

• Non-skid boarding areas?

  Yes

  No

  N/A

• Good condition?

  Yes

  No

  N/A

• Hand rails in good working order?

  Yes

  No

  N/A

• Proper number of bumpers?

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Proper number of dock lines?

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Horn work?

  Yes

  No

  N/A

• Life jackets in good working order

  Yes

  No

  N/A

• Enough to cover capacity plate

  Yes

  No

  N/A

• Number of lifejackets

• Life jackets readily accessible

  Yes

  No

  N/A

• Suitable first aid kit in board?

  Yes

  No

  N/A

• Throwable PFD present

  Yes

  No

  N/A

• Does boat have the following

  inboard engine

  closed compartment with fuel

  permanent fuel tank

  stove/lantern

  none

• Ventilation system working?

  Yes

  No

  N/A

• Bake fire flame arresters present?

  Yes

  No

  N/A

• Fire extinguisher present

  Yes

  No

  N/A

• Is fire extinguisher type B1?

  Yes

  No

  N/A

• Nav lights in good working order?

  Yes

  No

  N/A

• One all around white light or stern and bow white lights and two Nav lights or bi color light?

  Yes

  No

  N/A

• Day and night visual distress signals present

  Yes

  No

  N/A

• Sound producing device present?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Smoke signals? (N/A if flares present)

  Yes

  No

  N/A

• Flares?

  Yes

  No

  N/A

• Hand held or shells?

  hand held

  shells

• Are they expired?

  Yes

  No

  N/A

• Kill switch

  Yes

  No

  N/A

• Proper number of bumpers?

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Proper number of dock lines?

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Hand rails in good working order?

  Yes

  No

  N/A

• Non-skid boarding areas?

  Yes

  No

  N/A

• Good condition?

  Yes

  No

  N/A

• Marine VHF radio present?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Horn work?

  Yes

  No

  N/A

• Life jackets in good working order

  Yes

  No

  N/A

• Enough to cover capacity plate

  Yes

  No

  N/A

• Number of lifejackets

• Life jackets readily accessible

  Yes

  No

  N/A

• Suitable first aid kit in board?

  Yes

  No

  N/A

• Throwable PFD present

  Yes

  No

  N/A

• Does boat have the following

  inboard engine

  closed compartment with fuel

  permanent fuel tank

  stove/lantern

  none

• Ventilation system working?

  Yes

  No

  N/A

• Fire extinguisher present

  Yes

  No

  N/A

• Are there two B1 or one B2?

  Yes

  No

  N/A

• Nav lights in good working order?

  Yes

  No

  N/A

• One all around white light or stern and bow white lights and two Nav lights or bi color light?

  Yes

  No

  N/A

• Day and night visual distress signals present

  Yes

  No

  N/A

• Sound producing device present?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Smoke signals? (N/A if flares present)

  Yes

  No

  N/A

• Flares?

  Yes

  No

  N/A

• Hand held or shells?

  hand held

  shells

• Are they expired?

  Yes

  No

  N/A

• Horn work?

  Yes

  No

  N/A

• Proper number of bumpers?

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Non-skid boarding areas?

  Yes

  No

  N/A

• Good condition?

  Yes

  No

  N/A

• Proper number of dock lines?

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Life jackets in good working order

  Yes

  No

  N/A

• Enough to cover capacity plate

  Yes

  No

  N/A

• Number of lifejackets

• Life jackets readily accessible

  Yes

  No

  N/A

• Hand rails in good working order?

  Yes

  No

  N/A

• Marine VHF radio present?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Throwable PFD present

  Yes

  No

  N/A

• Suitable first aid kit in board?

  Yes

  No

  N/A

• Does boat have the following

  inboard engine

  closed compartment with fuel

  permanent fuel tank

  stove/lantern

  none

• Ventilation system working?

  Yes

  No

  N/A

• Bake fire flame arresters present?

  Yes

  No

  N/A

• Fire extinguisher present

  Yes

  No

  N/A

• Are there three B1 or one B1 and B2

  Yes

  No

  N/A

• Nav lights in good working order?

  Yes

  No

  N/A

• One all around white light or stern and bow white lights and two Nav lights or bi color light?

  Yes

  No

  N/A

• Day and night visual distress signals present

  Yes

  No

  N/A

• Sound producing device present?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Smoke signals? (N/A if flares present)

  Yes

  No

  N/A

• Flares?

  Yes

  No

  N/A

• Hand held or shells?

  hand held

  shells

• Are they expired?

  Yes

  No

  N/A

• Kill switch

  Yes

  No

  N/A

• Hand rails in good working order?

  Yes

  No

  N/A

• Non-skid boarding areas?

  Yes

  No

  N/A

• Good condition?

  Yes

  No

  N/A

• Proper number of bumpers?

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Proper number of dock lines?

  Yes

  No

  N/A

• Are they in good condition?

  Yes

  No

  N/A

• Suitable first aid kit in board?

  Yes

  No

  N/A

• Marine VHF radio present?

  Yes

  No

  N/A

• Does it work?

  Yes

  No

  N/A

• Horn working

  Yes

  No

  N/A

• Nav lights in good working order?

  Yes

  No

  N/A

• One all around white light or stern and bow white lights and two Nav lights or bi color light?

  Yes

  No

  N/A

• Life jackets in good working order

  Yes

  No

  N/A

• Enough to cover capacity plate

  Yes

  No

  N/A

• Number of lifejackets

• Life jackets readily accessible

  Yes

  No

  N/A

• Does boat have the following

  inboard engine

  closed compartment with fuel

  permanent fuel tank

  stove/lantern

  none

• Ventilation system working?

  Yes

  No

  N/A

• Bake fire flame arresters present?

  Yes

  No

  N/A

• Fire extinguisher present

  Yes

  No

  N/A

• Is fire extinguisher type B1?

  Yes

  No

  N/A

Certification

• This vessel meets the above safety requirements and additional safety requirements above and beyond the scope of the coast guard exam

• This vessels meets the required coast guard exam criteria but fails to meet the additional safety recommendations outlined above

• This vessel failed to meet the coast guard safety inspection criteria and requires additional personal safety devices to be compliant. It is recommended that the inspected vessel is not used until compliant

• I certify the above vessel as meeting the minimum coast guard safety requirements at the time of the inspection

  Sign

• Select date

  Date