GENERAL Make of Vessel :
no. :
Name on Vessel :
License no. :
Model year : Date of mfg. :
Documentation no. : State Registration no. :
HIN/MIC :
SPECIFICATIONS L.O.A. :
Beam :
Draught :
Ballast :
Displacement :
Hull type :
INSPECTION SITE
GENERAL AREAS Topsides : Transom : Bottom :
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Keel/hull t :
Hull to deck t :
Cockpit :
Decks :
Superstructure :
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Mast compression :
Flying Bridge :
Sundeck :
Bulkheads/frames/stringers :
Engine beds :
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SEA CONNECTIONS 1. 2. 3. 4. 5. 6. 7. 9. 10. 11. 12. 13.
BILGE PUMPS A. B. C. D.
HIGH WATER BILGE ALARM +.
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RUNNING GEAR Steering Upper :
Steering lower :
Rudder Port :
Rudder Stb. :
Propeller Port :
Propeller Stb. :
Shafting / struts / bearings Port :
Shafting struts / bearings Stb.
Stuffing box Port :
Stuffing box Stb. :
Trim tabs Port :
Trim tabs Stb. :
Bow thruster :
Stern thruster :
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PROPULLSION Engine upper :
Engine lower :
Engine mounts Port :
Engine mounts Stb. :
Cooling system Port :
Cooling system Stb. :
Exhaust system Port :
Exhaust system Stb.
Ventilation Port :
Ventilation Stb.
Engine mfg. :
Engine size :
Engine type :
Horsepower :
Engine serial No. :
Port :
Starboard :
Engine hours :
Port :
Starboard :
Gear mfg. :
Port :
Starboard :
Gear mod. No. :
Port :
Starboard :
Gear Ser. No. :
Port :
Starboard :
Gear ratio :
Port :
Starboard :
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FUEL SYSTEM Fuel lines(s) :
Fuel filters :
Tanks :
Ground :
Ventilation :
Anti-siphon :
Shut-off valves /manifold :
Fuel overflow :
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GENERATOR
Serial No. :
Model No. :
Output :
Hours :
OTHER FUELS Propane/kerosene/alcohol etc.
Fuel tank :
Fuel lines :
Ventilation :
NAVIGATION EQUIPMENT Nav lights :
Radar :
Chart plotter :
GPS :
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Radar reflector :
Day anchor signal :
Com :
Depth sounder :
Sound signal :
Knot log :
Marine radios :
Autopilot :
Wipers :
Spotlight :
Wind inst. :
GROUND TACKLE Windlass :
Anchors :
Rode :
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AC ELECTRICAL SYSTEM Volt/amps : # of inlets : AC :
Ignition Protection :
Polarity : AC/DC Bond : Neutral/ground : Conductors :
G.F.C.I. :
Other Outlets :
Inverter :
Battery charger :
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DC ELECTRICAL SYSTEM Voltage : Ignition Protection : DC :
Conductors : Alternator : Battery switches :
Batteries :
CORROSION PROTECTION Anodes :
Bonding : Current impressor : Transformer : Galvanic isolator : 11 of 17
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LIGHTNING PROTECTION
INTERIOR Headliner :
Sole s :
erwork :
Upholstery :
Lighting :
Air conditioning :
Heating system :
Vacuum system :
Entertainment :
Watermaker :
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GALLEY Refrigeration : Potable water :
Water heater :
Stove :
Other :
SANITATION Heads :
Tankage
Discharge :
Shower :
SAFETY EQUIPMENT Fixed fire fighting systems : Fire extinguishers :
Gasoline detector : 13 of 17
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CO detector : Propane detector : Smoke detector : Re-boarding ladder : Emergency tiller : MOB pole : Liferaft : Flares : PFD’s : Re-boarding ladder :
ADDITIONAL EQUIPMENT
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SPARS / RIGGING Sails :
Mast(s) :
Boom(s) :
Headsail pole :
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Winches :
Traveler/tracks :
Headsail furler :
Blocks/Clutches :
Running rigging :
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Standing rigging :
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