2024 ABCs of California Boating

CALIFORNIA BOATING ACCIDENT REPORT CALIFORNIA STATE PARKS DIVISION OF BOATING AND WATERWAYS INFORMATION: OPERATOR #1 IS OWNER DIFFERENT THAN OPERATOR? YES NO OPERATOR NAME, ADDRESS, PHONE # OWNER NAME AND ADDRESS OPERATOR EXPERIENCE CALIFORNIA BOATING ACCIDENT REPORT CALIFORNIA STATE PARKS DIVISION OF BOATING AND WATERWAYS IS OWNER DIFFERENT THAN OPERATOR? YES NO OPERATOR NAME, ADDRESS, PHONE # OWNER NAME AND ADDRESS OPERATOR EXPERIENCE

TYPE OF BOAT

ACTIVITY

OVER 100 HOURS AGE MARINA/RAMP LAUNCHED FROM: INFORMATION: VESSEL #1 (YOUR VESSEL) THIS VESSEL ONLY # INJURED # DEAD ESTIMATED DAMAGE RENTED BOAT YES NO # OF PERSONS ON BOARD # OF PERSONS TOWED BOAT NUMBER (CF OR DOC #) MFR. HULL ID # BOAT NAME DEPTH (TRANS. TO KEEL) BEAM WIDTH LENGTH YES NO OVER 100 HOURS STATE COURSE INFORMAL NONE OTHER: AGE MARINA/RAMP LAUNCHED FROM: INFORMATION: VESSEL #1 (YOUR VESSEL) THIS VESSEL ONLY # INJURED # DEAD ESTIMATED DAMAGE RENTED BOAT YES NO # OF PERSONS ON BOARD # OF PERSONS TOWED BOAT NUMBER (CF OR DOC #) MFR. HULL ID # BOAT NAME DEPTH (TRANS. TO KEEL) BEAM WIDTH LENGTH BOAT MANUFACTURER BOAT MODEL YEAR BUILT SPEED AT TIME OF ACCIDENT # OF ENGINES HORSE POWER YES NO STATE COURSE INFORMAL NONE OTHER: BOAT MANUFACTURER BOAT MODEL YEAR BUILT SPEED AT TIME OF ACCIDENT # OF ENGINES HORSE POWER

SAILBOAT (sail only) CANOE/KAYAK IS OWNER DIFFERENT THAN OPERATOR? YES NO OPERATOR NAME, ADDRESS, PHONE # OPERATOR EXPERIENCE RAFT ROWBOAT AIRBOAT OTHER (specify) OUTBOARD STERNDRIVE (I/O) INBOARD POD DRIVE INBOARD POD DRIVE OTHER: TOTAL HORSEPOWER: HP NONE NONE OTHER: TOTAL HORSEPOWER: HP INFORMATION: OPERATOR #2 INFORMATION: OPERATOR #2 CANOE/KAYAK RAFT ROWBOAT AIRBOAT OTHER (specify) OUTBOARD STERNDRIVE (I/O) STEEL OTHER (specify)

TYPE OF BOAT

ACTIVITY

HOUSEBOAT PONTOON INFLATABLE SAILBOAT (aux. engine)

OTHER OPEN MOTORBOAT CABIN MOTORBOAT PERSONAL WATERCRAFT

COMMERCIAL

RECREATIONAL

SAILBOAT (sail only)

HOUSEBOAT PONTOON INFLATABLE SAILBOAT (aux. engine)

OTHER OPEN MOTORBOAT CABIN MOTORBOAT PERSONAL WATERCRAFT

COMMERCIAL

RECREATIONAL

ON BOARD

FIRE EXTINGUISHER ON BOARD

FIRE EXTINGUISHER

YES NO

YES NO

HULL MATERIAL

HULL MATERIAL

WOOD ALUMINUM FIBERGLASS PLASTIC RUBBER/VINYL/CANVAS WOOD ALUMINUM FIBERGLASS STEEL OTHER (specify) PLASTIC RUBBER/VINYL/CANVAS

# ONBOARD

TYPE OF FIRE EXTINGUISHER

# ONBOARD

TYPE OF FIRE EXTINGUISHER

FIRE EXTINGUISHER USED FIRE EXTINGUISHER USED

YES NO

YES NO

ENGINE TYPE (select one)

PROPULSION (select all that apply) PROPULSION (select all that apply)

ENGINE TYPE (select one)

SAIL MANUAL WATER JET AIR THRUST OTHER (describe)

PROPELLER

SAIL MANUAL WATER JET AIR THRUST OTHER (describe)

PROPELLER

LIFE JACKETS ON BOARD LIFE JACKETS ON BOARD

YES NO

YES NO

MPH

MPH

CALIFORNIA BOATER CARD CALIFORNIA BOATER CARD

OPERATION AT TIME OF ACCIDENT OPERATION AT TIME OF ACCIDENT

10 TO 100 HOURS 10 TO 100 HOURS

UNDER 10 HOURS UNDER 10 HOURS

CRUISING CHANGING DIRECTION CHANGING SPEED TOWING SKIER/TUBER TOWING SKIER – SKIER DOWN TOWING ANOTHER VESSEL BEING TOWED BY ANOTHER VESSEL DRIFTING AT ANCHOR TIED TO DOCK LAUNCHING DOCKING/LEAVING DOCK SAILING OTHER (specify) CHANGING SPEED TOWING SKIER/TUBER TOWING SKIER – SKIER DOWN TOWING ANOTHER VESSEL BEING TOWED BY ANOTHER VESSEL DRIFTING AT ANCHOR TIED TO DOCK LAUNCHING DOCKING/LEAVING DOCK SAILING OTHER (specify) CRUISING CHANGING DIRECTION

LIFE JACKETS ACCESSIBLE LIFE JACKETS ACCESSIBLE

YES NO

YES NO

OPERATOR EDUCATION OPERATOR EDUCATION

USCG AUXILARY US POWER SQUADRON

USCG AUXILARY US POWER SQUADRON

TYPE OF FUEL

LIFE JACKETS WORN

TYPE OF FUEL

LIFE JACKETS WORN

OTHER:

GAS DIESEL ELECTRIC

YES NO

OTHER:

GAS DIESEL ELECTRIC

YES NO

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