Printable Float Plan

Captain's Information:

Name of Vessel Operator: _________________________________
Captain's experience level:  _________________________________
Medical condition at launch: _________________________________
Captain's medical problems:_________________________________
Telephone Number:________________________________________
Address:________________________________________________

Name of Vessel:

Registration Number:________________________________
Type:____________________________________________
Make:___________________________________________
Length (LOA): _______ ft.  Width of Beam: _______ ft ______in
Draft of vessel:_______ Color of Hull(s): _________
Number of Hull(s):_____ Condition: ____________
Identifiable markings: ________________________________
Deck color: ___________ Condition: ____________________

Rafts/Dinghies:

Number: _________ Size: ____ ft. ____ in. Color: ___________

Radio:

Type (VHF, UHF, handheld) ____ Frequencies Monitored ______
Cellular Phone Number ________________________________

Name(s) of Crew on Board	Age	Phone	Address	Physical Condition	Experience Years.

Write additional crew names or information on back of float plan.

Engine Type: Inboard Outboard    Engine Horsepower: ________ hp
Fuel Supply (in days) _______

Survival equipment onboard (check and number of each)

Life Jackets: # ________	Flares: day Color __________	EPIRB: # ______
Medical Kit: # _______	Flares: night  Color _________	Loran: GPS
Anchor: #_______	Smoke signals: ________	Paddles: # _____
Add additional safety equipment here:

Food for _____ days                 Water for _____ days

Trip Information: (with GPS coordinates, if known)

Date of Departure: ____/____/____ Time of departure: _____
Departure from: ___________________________________
Destination: ______________________________________
Expected Arrival Time: _______ or no later than: __________
Reason for trip:____________________________________

Trailer and Vehicle information:

Trailer Description: _________________________________
Vehicle Make: _____________ Vehicle color: ____________
Model: ___________ Model Year: _________
Vehicle and trailer location: ___________________________

Reporting Party's Information:

Name: __________________________________________
Address: ________________________________________
Telephone:_______________________________________

If vessel is overdue, how long have they been overdue? (approximate hours): ________