Hunter e33 Operator's Manual page 30

For each question below, please provide answers
ACCIDENT DETAILS - ACTIVITIES AND OPERATIONS ON YOUR BOAT
OPERATOR/PASSENGER ACTIVITIES
Operator/passenger activities on your boat at time of accident
Activities were (select one):
Recreational
Commercial
BOAT OPERATIONS
Your boat operations at time of accident
Cruising (underway under power)
Changing direction
Changing speed
Sailing
ACCIDENT DETAILS - CONTRIBUTING FACTORS ON YOUR BOAT
CONTRIBUTING FACTORS
Indicate factors on your boat which may have contributed to this accident
Alcohol use
Drug use
Excessive speed
Improper anchoring
Improper loading
Overloading
Improper lookout
Other (describe):
ACCIDENT DETAILS - YOUR BOAT
MACHINERY/EQUIPMENT FAILURE
Failure of the following machinery/equipment on your boat contributed to this accident
Engine
Electrical system
Fuel system
Onboard navigation aids
ACCIDENT DETAILS - EVENTS ON YOUR BOAT
ACCIDENT EVENTS
Types of events occurring to/on your boat during accident
Collision with recreational boat
Collision with commercial boat
Collision with fixed object
Collision with submerged object
Collision with floating object
Capsizing
Grounding
Sinking
Other (describe):
U.S. Dept. of Homeland Security
Operator/passenger activities
Fishing
Hunting
White water activity
(select all that apply):
Drifting
At anchor
Being towed
Other (list):
Operator inattention
Operator inexperience
Language barrier
Navigation rules violation
Failure to vent
Dam/lock
Force of wake/wave
Sail/mast
Onboard lights
Seats
(e.g., GPS, Loran)
(e.g., tug, barge)
(e.g., dock, bridge)
(e.g., stump, cable)
(e.g., log, buoy)
U.S. Coast Guard CG-3865 (Rev 07-08)
IF APPLICABLE AND IF KNOWN
:
(select all that apply):
Tubing
Water Skiing
(e.g., rafting)
Racing
Rowing/paddling
Tied to dock/mooring
(select all that apply):
Hazardous waters
Heavy weather
Hull failure
Ignition of fuel or vapor
Starting in gear
Sharp turn
Steering Radio
Throttle Auxiliary equipment
Shift Sound equipment
Other (list):
(select all that apply):
Flooding/swamping
Fire/explosion - fuel
Fire/explosion - non-fuel
Carbon monoxide exposure
Mishap of skier, tuber,
wakeboarder, etc.
Person left boat voluntarily
Person ejected from boat
, otherwise leave blank.
Starting engine Other
Making repairs
Relaxing
Towing another vessel
Launching
Docking/undocking
Restricted vision
Missing/inadequate
aids to navigation
daymarker)
Inadequate on-board
navigation lights
People on gunwale, bow
or transom
(select all that apply):
Fire extinguisher
Ventilation
(e.g., horn, whistle)
Person fell overboard
Person fell on/within boat
Sudden medical condition
Person struck by boat
Person struck by
propeller or propulsion unit
Person electrocuted
(caused by collision or manuever)
(list):
(e.g., fog)
(e.g., buoy,
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