Safety checklist

Vessel Safety Checklist
Vessel name:
USCG/State registration #:
Decal Verification

Fire Extinguishers

Complete the above sticker as it appears on the vessel. Be sure the fol-

Present: † Yes

lowing fields are checked:

Serviceable?

1.
2.
3.
4.

Documented
Location
Expiration year
Expiration month

Is the decal valid?

o Yes

Life Rafts

† Inflatables † Buoyant apparatus † None
Total Capacity:

o No

† No How many?

† Yes

† No

Location(s):

† N/A

Flares
Location(s):

Total # people on board:

Handheld: how many:

Exp. date:

Service sticker expiration date*:

Parachute: how many:

Exp. date:

Hydrostatic release expiration **:

Smoke: how many:

Ex.p date:

Meteor: how many:

Ex.p date:

Life rafts able to float free? † Yes

Life raft equipment? † SOLAS A

† No

† SOLAS B † Coastal

Immersion Suites

Type IV Throwable PDF’s

On board? † Yes † No † N/A One for each person? † Yes † No

† Ring † Cushion † Lifesling

Location:

Easily accessible?

† Yes

PFD for each person: † Yes † No Location:

Number:

Location(s):

† No

EPIRBS
Present? † Yes

† No † N/A

In float-free location? † Yes † No Registered to this vessel? † Yes † No Signal tested? † Yes † No

Decal’s alphanumeric code matches EPIRB code? † Yes
Battery exp. date*:

† No Location(s):
Hydrostatic release exp. date*:

NOAA registration sticker:

Exp. date:

Additional Checks
First aide materials present? † Yes

† No Location:

Who besides you is CPR Certified? (Name & position):
Working radios: how many?

Type:

Watertight doors/hatches working properly?

† Yes

† No

Is there an anchor present?

† Yes

† No

Did you see the bilge pumps?

† Yes

† No

Is there a Station Bill posted?

† Yes

† No

Hatches/passageways unobstructed?

† Yes

† No

Was a wheel watch arranged?

† Yes

† No

Did you hear the general/high water alarms?

† Yes

† No

Charts & compass present?

† Yes

† No

Is there adequate means of escape?

† Yes

† No

Were you given emergency directions?

† Yes

† No

What were the emergency instructions?
Observer signature:
Print:
* Expires the last day of the month displayed.
**Hydrostatic releases are valid for two years from installation date.
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Date:
OMB Control No. 0648-0593 exp. 09/30/2012

Notes

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