GENERAL

Make of Vessel : Register no. :

Name on Vessel : License no. :

Model year : Documentation no. :

Date of mfg. : State Registration no. :

HIN/MIC :

SPECIFICATIONS
L.O.A. : Beam :

Draught : Ballast :

Displacement : Hull type :

INSPECTION SITE

GENERAL AREAS
Topsides :

Transom :

Bottom :

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Keel/hull joint :

Hull to deck joint :

Cockpit :

Decks :

Superstructure :

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Mast compression :

Flying Bridge :

Sundeck :

Bulkheads/frames/stringers :

Engine beds :

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SEA CONNECTIONS

1.

2.

3.

4.

5.

6.

7.

9.

10.

11.

12.

13.

BILGE PUMPS
A.

B.

C.

D.

HIGH WATER BILGE ALARM

+.

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RUNNING GEAR
Steering Upper : Steering lower :

Rudder Port : Rudder Stb. :

Propeller Port : Propeller Stb. :

Shafting / struts / bearings Port : Shafting struts / bearings Stb.

Stuffing box Port : Stuffing box Stb. :

Trim tabs Port : Trim tabs Stb. :

Bow thruster : Stern thruster :

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PROPULLSION
Engine panel upper : Engine panel lower :

Engine mounts Port : Engine mounts Stb. :

Cooling system Port : Cooling system Stb. :

Exhaust system Port : Exhaust system Stb.

Ventilation Port : Ventilation Stb.

Engine mfg. : Engine size :

Engine type : Horsepower :

Engine serial No. : Port : Starboard :

Engine hours : Port : Starboard :

Gear mfg. : Port : Starboard :

Gear mod. No. : Port : Starboard :

Gear Ser. No. : Port : Starboard :

Gear ratio : Port : Starboard :

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FUEL SYSTEM
Fuel lines(s) :

Fuel filters :

Tanks :

Ground :

Ventilation :

Anti-siphon :

Shut-off valves /manifold :

Fuel overflow :

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GENERATOR

Serial No. : Model No. :

Output : Hours :

OTHER FUELS
Propane/kerosene/alcohol etc.

Fuel tank :

Fuel lines :

Ventilation :

NAVIGATION EQUIPMENT
Nav lights :

Radar :

Chart plotter :

GPS :

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Radar reflector :

Day anchor signal :

Compass :

Depth sounder :

Sound signal :

Knot log :

Marine radios :

Autopilot :

Wipers :

Spotlight :

Wind inst. :

GROUND TACKLE
Windlass :

Anchors :

Rode :

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AC ELECTRICAL SYSTEM
Volt/amps :

# of inlets :

AC panel :

Ignition Protection :

Polarity :

AC/DC Bond :

Neutral/ground :

Conductors :

G.F.C.I. :

Other Outlets :

Inverter :

Battery charger :

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DC ELECTRICAL SYSTEM
Voltage :

Ignition Protection :

DC panel :

Conductors :

Alternator :

Battery switches :

Batteries :

CORROSION PROTECTION
Anodes :

Bonding :

Current impressor :

Transformer :

Galvanic isolator :

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LIGHTNING PROTECTION

INTERIOR
Headliner :

Sole panels :

Joinerwork :

Upholstery :

Lighting :

Air conditioning :

Heating system :

Vacuum system :

Entertainment :

Watermaker :

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GALLEY
Refrigeration :

Potable water :

Water heater :

Stove :

Other :

SANITATION
Heads :

Tankage

Discharge :

Shower :

SAFETY EQUIPMENT
Fixed fire fighting systems :

Fire extinguishers :

Gasoline detector :

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CO detector :

Propane detector :

Smoke detector :

Re-boarding ladder :

Emergency tiller :

MOB pole :

Liferaft :

Flares :

PFDs :

Re-boarding ladder :

ADDITIONAL EQUIPMENT

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SPARS / RIGGING
Sails :

Mast(s) :

Boom(s) :

Headsail pole :

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Winches :

Traveler/tracks :

Headsail furler :

Blocks/Clutches :

Running rigging :

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Standing rigging :

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