Float Plan for Trailered Boats

Skipper's Information:
Name of Vessel's Operator: _________________________________
Skippers experience level: _________________________________
Medical condition at launch: _________________________________
Skipper's medical problems:_________________________________
Telephone Number:________________________________________
Address:________________________________________________
Name of Vessel:
Registration Number:________________________________
Type:____________________________________________
Make:___________________________________________
Length (LOA): _______ ft. Width of Beam: _______ ft ______in
Draft of vessel:_______ Color of Hull(s): _________
Number of Hull(s):_____ Condition: ____________
Color of Sails:_______ Number of sails: _______
Color of Spinnaker:__________ Number of masts: ______
Sail Number: ______________ Bowsprit: [Y \N] _____ ft.
Identifiable markings: ________________________________
Deck color: ___________ Condition: ____________________
Rafts/Dinghies:
Number: _________ Size: ____ ft. ____ in. Color: ___________
Radio:
Type (VHF, UHF, handheld) ____ Frequencies Monitored ______
Cellular Phone Number ________________________________
Name(s) of
Crew on Board

Age

Phone

Address

Physical
Condition

Write additional crew names or information on back of float plan.

Engine Type:
Inboard
Outboard
Fuel Supply (in days) _______

Engine Horsepower: ________ hp

Survival equipment onboard (check and number of each)

Experience
Years.

Life Jackets:
Medical Kit:
Anchor:

________

# _______
#_______

Flares: day
__________
Flares: night
_________

Color
Color

Smoke signals:
________

EPIRB:

# ______

Loran:

GPS

Paddles:

# _____

Add additional safety

equipment here:
Food for _____ days

Water for _____ days

Trip Information: (include destination latitude and longitude if known)

Date of Departure: ____/____/____ Time of departure: _____
Departure from: ___________________________________
Destination: ______________________________________
Expected Arrival Time: _______ or no later than __________
Reason for trip:____________________________________
Trailer and Vehicle information:
Trailer Description: _________________________________
Vehicle Make: _____________ Vehicle color: ____________
Model: ___________ Model Year: _________
Vehicle and trailer location: ___________________________
Reporting Party's Information:
Name: __________________________________________
Address: ________________________________________
Telephone:_______________________________________
If vessel is overdue, how long have they been overdue? (approximate hours): ________