WATER VESSEL SAFETY PROGRAM

PRE-OPERATION FLOAT PLAN

RESPONSIBLE PERSON:

 

DATE:

 

PERSONS ON BOARD:

NAME

PHONE NUMBER

OTHER INFORMATION

1.

 

 

2.

 

 

3.

 

 

4.

 

 

5.

 

 

6.

 

 

7.

 

 

BOAT INFORMATION

NAME

STYLE

LENGTH

COLOR

TRAILER LIC. #:

LA ID#

 

 

 

 

 

 

ENGINE TYPE

NO. ENGINES

FUEL CAPACITY

OTHER

 

 

 

 

SURVIVAL EQUIPMENT (Check as appropriate)

 

PFDS

 

Flares

 

Food

 

Other

 

Flashlight

 

Water

 

Paddles

 

Maps

RADIO FREQUENCY (MARINE): 

16

TOW VEHICLE

MAKE

MODEL

COLOR

LICENSE NUMBER

 

 

 

 

PARKING LOCATION:

 

DESTINATION:

 

TRAVEL DATES / TIMES:

 

RETURN TO LAUNCH BY:

                                                            (am / pm)

CONTACT PERSON:

 

IF NOT CALLED BY:

                                                            (am / pm)

CALL (Circle one or more):

COAST GUARD                     LOCAL SHERIFF        REFUGE MANAGER

REFUGE MANAGER:

TERRY DELANE

PHONE NUMBER(s):

(337) 762-3816