Lumiform / Templates / Float Plan Template

Float Plan Template

This float plan template can be used by boaters to summarize their boat trip and describe vital details that can help the Coast Guard save lives in case of an emergency. Boat companies (e.g. yacht charter, fishing boat rentals, canal boat hire, pontoon boat rentals, kayak rentals) can benefit in particular from this digital float plan template and enable their skippers to make their outings more efficient and their trips safer. This checklist by the Lumiform app was not meant to replace a boater's marine VHF radio and other communication equipment. You should still always have a charged VHF Radio and Cell Phone with you when out on the water. Always have a backup plan. This Lumiform checklist was designed to provide additional boating safety resources for mobile device users.

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Float Plan Template

Vessel Information

Instructions: Complete this plan before any boating activity, and share it with trusted people whom you can depend on to alert the Coast Guard and other rescue agencies should you not return or check-in as scheduled. You should notify (e.g. send a notification using this digital checklist or call them via phone) the people holding your float plan in case of changes or delays. If you return safely, notify the people who have your float plan.

Identification

Take a photo of your boat from the docking area

Vessel's Name

Hailing Port

Document/Registration Number

Hull Identification Number

Year, Make & Model

Length

Type

Draft

Hull Material

Hull and Trim Colors

Prominent Features

Propulsion

Input the 1) Type, 2) Engine, and 3) Fuel Capacity

Primary

Auxiliary

Communication

Email Address

Cell/Satellite

Radio Call Sign/Number

DSC MMSI No.

Type

Channel/Frequency Monitored

Navigation

Do you have a working compass?

Do you have charts?

Do you have a radar?

Do you have a clear map?

Do you have a working GPS/DGPS?

Do you have a depth sounder?

Other items available

Trip Details

You can attach an image (in .jpg or .png) of the map of your itinerary for visual reference

Attach image here

Departure

Departure Date and Time

Location/Waypoint

Have you checked-in?

If you chose 'Yes' for the question above, you may a) click on the paper clip icon and b) choose 'Add Action' to send a check-in notification email to the person/s you shared your float plan with. You may also opt to attach a selfie of you which recipients can access when they open the email notification.

Stopover Points

If there stopovers in your itinerary, click "Add Stopover Point"

Reason for stop

Arrival at Stopover Point

Departure from Stopover Point

Location/Waypoint

Arrival

Arrival Date and Time

Location/Waypoint

Have you checked-in?

Safety and Survival Equipment On Board

For a more thorough check of safety equipment, you can use the Boat Safety Equipment Checklist as appendage to this Float Plan. OPEN LINK below to access the checklist. https://public-library.Lumiform.io/products/boat-safety-equipment-checklist

Visual Distress Signals

Do you have an electric distress light (for night use)?

Do you have a flag (for day use)?

Do you have aerial flares (for day and night)?

Do you have handheld flares (for day and night)?

Do you have a signal mirror (for day use)?

Do you have smoke signal (for day use)?

Audible Distress Signals

Do you have bells?

A horn?

A whistle?

Emergency Position Indicating Radio Beacon (EPIRB)

Unique Identity Number (UIN)

Additional Equipment/Tools

Do you have an anchor?

Anchor's line length

Do you have charts/maps?

Do you have a dewatering device?

Do you have a compass?

Do you have paddles?

Do you have fire extinguishers?

No. of Fire Extinguishers Available

Do you have flashlights/searchlight?

Do you have raft/dinghy?

Do you have flashlights/searchlights?

Do you have sufficient food and water per person onboard the vessel?

How much food and water are available?

Persons Onboard

Operator

Full Name

Complete Address (e.g. House/Building No., Street, City, State, Zip Code)

Age

Gender

Home Phone Number

Mobile Phone Number

Radio Channel (HF):

Radio Channel (VHF):

Radio Channel (MF):

Personal Locator Beacon (PLB) UIN

Do you have your Personal Flotation Device (PFD)?

Did you have experience with this vessel?

Are you familiar with the boating area?

Did you bring a vehicle (e.g. tow vehicle or trailer) to the port?

Vehicle (Year, Make, Model, and Color)

Vehicle License No.

Vehicle's Parking Location

Passengers/Crew

Identify all on board. EPIRB and PLB registration required by Federal regulations.

Name

Address

Age

Gender

Emergency Contact Information

PFD

Passenger PLB UIN

Additional Note

Contact List

Contact Person's Name

E-Mail

Mobile Number

Home Number

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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.