Hunter e33 Operator's Manual page 29

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For each question below, please provide answers
YOUR BOAT
BOAT IDENTIFICATION
Your boat name:
Model name:
Registration #:
Hull Identification # (HIN):
SIZE ESTIMATES
Length:
ft.
Depth from transom (stern) to
HULL MATERIAL
Type of hull material
(select
Fiberglass
Aluminum
BOAT TYPE
Boat type
(select
one):
Cabin motorboat
Open motorboat
Auxiliary sail
Pontoon boat
ENGINE
# engines:
Manufacturer:
SAFETY MEASURES
Organizations that have conducted a vessel safety check (VSC) on board your boat within the past year
safety equipment, e.g., lifejackets, anchor and line, fire extinguishers):
US Coast Guard Auxiliary: VSC Decal?
US Power Squadrons:
# Life jackets on board:
ACCIDENT DETAILS - EXTERNAL CONDITIONS
WEATHER
Overall weather was
(select
Clear
Raining
Cloudy
Snowing
Foggy
Hazy
Other
(describe):
WATER
Overall water conditions
Up to 6 in. waves (calm)
Over 6 in., up to 2 ft. waves (choppy)
Over 2 ft., up to 6 ft waves (rough)
Over 6 ft. waves (very rough)
U.S. Dept. of Homeland Security
keel (bottommost point):
one):
Wood
Rubber/vinyl/canvas
Steel
Plastic
Inflatable
Canoe
Houseboat
Rowboat
Sail (only)
Air boat
Kayak
Other (describe):
Engine type and horsepower
Outboard
Sterndrive (I/O)
Total horsepower:
Yes
VSC Decal?
Yes
# Fire extinguishers on board:
# Fire extinguishers used:
one):
It was
(select
one):
Day
Night
Approximate air temperature:
(select
one):
U.S. Coast Guard CG-3865 (Rev 07-08)
IF APPLICABLE AND IF KNOWN
Manufacturer:
Model year:
Documentation #:
ft.
Personal watercraft (PWC)
(e.g., Wave Runner™,
Jet Ski™, Sea-Doo™)
(select
one):
Inboard
hp
Federal Agency
State Agency
No
Other Agency
No
Visibility was
(select
one):
Good
Fair
Poor
Other water conditions:
Approximate water temperature:
Strong current?
Hazardous
waters?(e.g., rapid tidal flow, currents)
Congested waters?
, otherwise leave blank.
Rented:
Beam width at widest point:
in.
Other (describe):
Available propulsion
Propeller
Sail
Manual
Water jet
Fuel type
(select all that
None
Gasoline
Diesel
(including carriage of
(Name):
(Name):
(Name):
Type of fire extinguishers
Amount of fire extinguisher used:
Wind was
(select
one):
0 mph (none)
Over 0, up to 12 mph (light)
Over 12, up to 25 mph (moderate )
Over 25, up to 55 mph (strong)
Over 55 mph (stormy)
o
F
o
F
Yes
No
ft.
(select all that
apply):
Air thrust
Other (describe):
apply):
Electric
(e.g.,
ABC):
Yes
No
Yes
No
Yes
No
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