Documents and Forms
For each question below, please provide answers IF APPLICABLE AND IF KNOWN, otherwise leave blank.
Hull Identification #
+,1
Depth from transom VWHUQ
to keel ERWWRPPRVWSRLQW: ft. in.
Beam width at widest point: ft.
Type of Hull Material VHOHFWRQH
Available Propulsion VHOHFWDOOWKDWDSSO\
Personal watercraft 3:&
HJ
Engine type and horsepower VHOHFWRQH
Fuel type VHOHFWDOOWKDWDSSO\
Organizations that have conducted a vessel safety check 96&on board your boat within the past year LQFOXGLQJFDUULDJHRIVDIHW\
HTXLSPHQWHJOLIHMDFNHWVDQFKRUDQGOLQHILUHH[WLQJXLVKHUV
US Coast Guard Auxiliary: VSC Decal? Yes No
US Power Squadrons: VSC Decal? Yes No
# Fire extinguishers on board:
Type of fire extinguishers HJ$%&:
# Fire extinguishers used:
Amount of fire extinguishers used:
ACCIDENT DETAILS – EXTERNAL CONDITIONS
Overall weather was VHOHFWRQH
Visibility was VHOHFWRQH
Over 0, up to 12 mph OLJKW
Over 12, up to 25 mph PRGHUDWH
Approximate air temperature:
Over 25, up to 55 mph VWURQJ
Overall water conditions VHOHFWRQH:
Approximate water temperature:
Over 6 in., up to 2 ft. waves FKRSS\
Over 2 ft., up to 6 ft. waves URXJK
Hazardous waters? HJUDSLGWLGDOIORZFXUUHQWV
CG-3865 (1/11) Page 2 of 6
2.13
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