Coast Guard.
www.uscgboating.org


VESSEL

IDENTIFICATION: TELECOMMUNICATIONS:


Name & Home Port ___________________________________
Radio

Call

Sign

______________________________________

Doc. / Registration No._________________________________
DSC MMSI Number __________________________________

Year & Make ________________________________________
Radio-1:

Type
___________ Ch /
Freq. Monitored
____________

Length ______

Type ______

Draft ____
(Inch/CM)
Hull Mat._____
Radio-2:

Type
___________ Ch /
Freq. Monitored
____________

Hull Color(s)_________________________________________
Cell

Phone

__________________

Prominent Feature(s)__________________________________
Pager __________________

___________________________________________________
NAVIGATION:
(Check all on board)

PROPULSION:

Maps
Charts
Compass
GPS / DGPS

Primary -
Type
____________ No. Eng __ Fuel Capacity _____

Radar
Loran C
Sounder
___________

Auxiliary -
Type
____________ No. Eng __ Fuel Capacity _____


SAFETY & SURVIVAL

VISUAL DISTRESS SIGNALS:
AUDIBLE DISTRESS SIGNALS: OTHER GEAR / SUPPLIES:


Day Only
type

Horn / Whistle
Lifeboat / Life Raft
Flashlight / Searchlight

Night Only
type

Bell

Dinghy / Skiff

Signal Mirror

Day & Night
type

____________________
Food / Water
Drogue / Sea Anchor

PFDs:
(Do not count Type IV devices)
GROUND
TACKLE:

EPIRB
Class___
________

_______________________


___ Quantity on board

Anchor - line length _____
ft
.

Foul Weather Gear
_______________________


PERSONS ON BOARD

OPERATOR:

Age M/F Notes
(Special medical condition, Cant swim, etc.)

Name
________________________________________________ ___ ___ _________________________________________

Address ______________________________________________
Experience: w/Boat
w/Area


City _________________________ State ____ Zip code _______
Home Phone __________________

Vehicle
(Year, Make & Model)
__________________________________
Vehicle License No. ______________________

Where will trailer be parked?______________________________
Trailer License No. ______________________

PASSENGERS:
Name & Home Phone
Age M/F Notes
(Special medical condition, Cant swim, etc.)


1.

___________________________________________________ ___ ___ __________________________________________

2.

___________________________________________________ ___ ___ __________________________________________



3.

___________________________________________________ ___ ___ __________________________________________

4.

___________________________________________________ ___ ___ __________________________________________

5.

___________________________________________________ ___ ___ __________________________________________

Attach Supplemental Passenger List if additional passengers on board.


ITINERARY


DATE
TIME
LOCATION
MODE OF TRAVEL
REASON FOR STOP
CHECKIN TIME

Depart






Arrive



Depart





Arrive



Depart





Arrive



Depart






Arrive




Depart






Arrive



Depart







Arrive






Attach Supplemental Itinerary if additional space required.

Contact 1

_________________________________________________________________
Phone Number

__________________________

Contact 2
_________________________________________________________________
Phone Number

__________________________


If you have a genuine concern for the safety or welfare of any persons on board this vessel, who have not returned or checked-in within a reasonable amount of time, then follow
the step-by-step instructions on the Boating Emergency Guide included with this plan, or on the World Wide Web at:
h t t p : / / w w w . u s c g a u x . o r g / ~ f l o a t p l a n / B o a t i n g E m e r g e n c y G u i d e . h t m
M E 2 ( b ) R e v ( 1 . 2 9 . 0 5 )

Copyright © 2003-2005 Float Plan Central. All rights reserved.
PWR
Row
Fiber
Steel
Gas IO
Gas OB
none
Paddle
VHF-FM
none

BOATING EMERGENCY GUIDE
You will need the following items before you begin: 1) The Float Plan, if one was given to you; 2) Pen or Pencil; 3) Clean sheet of paper or writing
tablet; and 4) Telephone Directory.
Step 1
Is there a genuine concern for the safety or welfare of any
persons on board the vessel, who have not returned or
checked-in within a reasonable amount of time?
If YES, continue with
Step 2
. If NO, then
Stop
. No further
action is required at this time.
Step 2
Were you given a prepared Float Plan by anyone onboard the
vessel?
If YES, continue with
Step 3
. If NO, then go to
Step 5
.
Step 3
On the Float Plan, locate the two contact lines, below the
"Itinerary" at the bottom of the Float Plan. Call the telephone
number of Contact-1.
IF:
THEN:
A person
answered the
phone
Take notes during your conversation.
1. Let the person know that you are
responding to a late return or check-
in by the individuals designated on
the Float Plan.
2. Determine if the person you are
talking to, or anyone else at that
location, has recently had contact
with anyone on the vessel, and when
and where that contact occurred.
3. Are you still concerned about the
safety or welfare of any persons on
board the vessel?
IF:
THEN:
Yes Continue
with
Step 4
.
No
Stop
. No further action is
necessary at this time.

Otherwise Continue
with
Step 4
.
Step 4
Call the telephone number for Contact-2.
IF:
THEN:
A person
answered the
phone
Take notes during your conversation.
1. Let the person know that you are
responding to a late return or check-
in by the individuals designated on
the Float Plan.
2. Determine if the person you are
talking to, or anyone else at that
location, has recently had contact
with anyone on the vessel, and when
and where that contact occurred.
3. Are you still concerned about the
safety or welfare of any persons on
board?
IF:
THEN:
Yes Continue
with
Step 6
.
No
Stop
. No further action is
necessary at this time.

Otherwise Continue
with
Step 6
.
ME2(b) Rev(1.29.05)
Step 5
Take a moment to jot down the facts you know about each
item in the checklist below:
Do not speculate! Speculation of a fact may mislead
search and rescue personnel and add to the overall
search and rescue time, adversely affecting the outcome.
Period of time the vessel has been overdue.
Purpose of the trip or voyage.
Description of vessel (color, size, shape, etc.)
Vessels departure point and destination.
Places the vessel planned to stop during transit.
Navigation equipment on board (such as GPS,
Compass, Maps, Charts, LORAN C, etc.)
Survival equipment on board (life jackets, EPIRB,
flares, etc.)
Number of people on board the vessel, as well as
personal habits e.g. dependability, reliability, etc.
Was the vessel already moored, or did a vehicle tow it
to the location?
License plate number and description of the vehicle of
the towing and/or crew transport vehicle.
Communications equipment on board including radio
frequencies monitored, cellular telephone numbers of
people aboard.
Additional points of contact in the area.

Were there any pending commitments (work,
appointments, etc.)?

Continue with
Step 6
.
Step 6
1. Contact your local Law Enforcement agency.
2. Let the dispatcher know that you are responding to a late
return or check-in by the persons on board.
a. The dispatcher will guide you from there. The
dispatcher will provide you with the necessary
contact or agency connection (if one was not given
on the Float Plan) to get a Search And Rescue (SAR)
mission started. This is usually handled this way
because it puts you closest to the agency conducting
the rescue mission, eliminating an unnecessary
middleman.
b. The dispatcher will let you know if they would like a
follow-up call from you on the outcome.
3.
The dispatcher will instruct you from there.

Continue with
Step 7
.

Step 7
Be patient... you've done everything you can possibly do for
now. Stay off of the phone, so emergency personnel can
contact you with additional information and/or questions
concerning the Search And Rescue (SAR) effort.
End of Guide








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