Details of Survey

Asset Name
Asset Number

Type of Survey

Place of Survey

Surveyed By

Survey Notes

Vessel Condition

General Condition
General Condition Photographs

Hull Bow

Push Bow Fenders

Hull Port

Hull Stern

Hull Starboard

Fenders

Propeller(s)

Rudder Blade

Deck

Deck Hatches

Wheelhouse / Helm

Main H-Bitt / Towing Hook

Mooring Bollards

Handrails

Engine / Engine Room

Engine Details

Engine

Engine Side

Engine Hours

Fuel Level
Deck Equipment

Anchor(s)

Quantity

Winches(s)

Quantity

Navigation Lights

Windscreen Wipers

Towing Rope(s)

Quantity

Mooring Rope(s)

Quantity

Spill Kit(s)

Quantity

Lifting Accessories

Lifting Equipment Details

Lifting Accessory
Quantity

Serial / ID Number(s)

Type

Detail (i.e. Length, width, S.W.L)

Is the Certificate present and correct?

Date of Next Examination
Safety Equipment

Life Ring / Perry Buoy(s)

Quantity

Light Details

Light
Expiry Date

Life Jackets

Life Jacket Details

Life Jacket
Quantity
Light Expiry Date

Life Raft(s)

Quantity

Life Raft Details

Life Raft

Serial Number

Person
Date of Next Inspection

Hydrostatic Release

Quantity

Hydrostatic Release Details

Hydrostatic Release

Serial Number

Date of Next Inspection

Coastal Flare Pack

Flare Information

Flare
Flare Type
Quantity
Expiry Date

Thermal Protective Aids

Quantity

Fire Extinguishers

Extinguisher Details

Fire Extinguishers
Quantity

Type

Size
Expiry Date

Fire Bucket(s)

Quantity

Safety Harness

Quantity

Lanyards

Quantity

First Aid Kit

Quantity

First Aid Kit Details

First Aid Kit

Type

Expiry Date

Oars

Quantity

Daylight Signals

SOLAS Signal Table

Quantity

ALMANAC

Quantity

Fog Horn

Quantity

Compass

Quantity

Torch

Quantity

Conclusion

Maintenance Recommendations

Comments / Remarks

Taska Marine Report Declaration

I declare that this report is a true reflection of the referenced vessels condition. The images were taken during the survey on the date referenced at the start of this report.

Signature
Select date
Client Representative Declaration

I declare this to be an accurate and true reflection of the condition of the referenced vessel at the time of the survey.

Name

Signature
Select date
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.