Q. C. Marine Surveyors

General Information:

Type of Survey:

Name of Vessel:

Year:

Make:

Model:

Hull ID#:

Official # (Reg./Lic.):

Home Port:

Hailing Port:

Owner?s Name:

Owner?s Address:

Survey Site:

Date of Survey:

Weather Conditions:

Designer:

Builder:

Hull Material:

Hull Type:

L.O.A.:

L.W.L.

Beam:

Draft:

Displacement:

Ballast:

Mast Height:

Sail Area:

DISPL/Length Ratio:

IMS Stability Index:

Tankage:

Fuel:

Water:

Grey Water:

Waste:

Hull & Structures Inspection Condition:

Hull Finish

Hull Bottom

Bottom Paint

Boot Top Up

Hull Sides

Boot Top Down

Percussion Tests

Moisture Tests

Propeller

Propeller shaft (s)

Shaft alignment

cutlass bearings

Struts

Rudder (s)

Rudderpost &

Bearings

Sacrificial

Anodes(s)

Trim Tabs

Hull-to-keel joint

Through-hull fittings

Transducer(s)

Ground Plates

Engine Intake

Sailboat Centerboard Trunk Pendant & Pivot Pin

Deck and Bridge/Cockpit Inspection:

Deck Finish

Surface Damage

Nonskid

Material Condition

Core

          Deck Hardware:

Cleats

Hinges

Pulpit

Anchor/Roller

Dimensions

Hatches

Type

Pulpits & Life Rails

Cockpit Drains

          Bridge/Cockpit:

Helm Station

Windscreen

Control Panel

Control Levers

Steering

Canvas & Covers

Spars and Rigging:

Manufacturer

Mast step

Straightness of mast

Spreaders

Anemometer

Halyard Exits

Wind Vane

Masthead Fly / Windex

Traveller

Boom Vang

Running Rigging:

Halyards

Wire-to-rope splice

Shackles

Sheets

Furling Gear

Rigging Eyes

Sails:

Sail Cloth

Reinforcements

Cringles

Battens

Sail Inventory

Cabin Interior Inspection:

General Condition

Cabin/Stateroom(s):

Storage

Lighting

Ventilation

Interior Finishes

Upholstery

          Galley:

Refrigeration/Icebox

Sink/Faucets

Cook Stove

          Head:

Vanity/Sink

Shower

Marine Toilet

Heating & Air Conditioning

            Bulkheads/Frames:

                   Tabbing/Attachment

                   Distortions

                   Signs of Leakage

            Bilge

          Stringers & Floors

          Backing Plates

          Hatches and Ports

Fresh Water & Sanitation System:

            Tank Capacity

          Location of Tanks

          Hoses & Valves

          Pumps

          Shower

          Taps and Sinks

          Head Type

          Holding Tank & Location

          Waste Diverter Y-Valve

          Macerator Pump

          Gray Water System

          Water Heater

Bilge Pumping, Seacocks, & Piping:

            Through-Hull Fitting

          Shut Off Valves

          Hoses & Clamps

          Bilge Pumps

          Emergency Pumps

          Wooden Plugs

Propulsion System:

            Main Engine(s):

          Type

          Fuel

          Manufacturer / Model

          Year

          Horsepower

          # of Cylinders

          Indicated Hours

          Throttle Controls

          Flame Arrestor

          Emergency Shut Off

          Oil Level

          Oil Condition (check visually and test metal filings)

            Transmission(s):

                    Maker

                    Drive Type

                    Gear Ratio

                    Linkage

                    Cooler (type)

                    Fluid

Cooling system:

          Type

          Hoses & Clamps

          Seacocks & Strainers

          Belts & Pulleys

Exhaust System:

          Type

          House & Clamps

Fuel System:

          Fuel Type

          Number of Tanks

          Manufacturing Label

          Fill Pipe Locations

          All Metallic Fittings

          Vent Location (flame protected, anti-siphon)

          Shut-off Valve

          Anti-siphon Valve

          Fuel Lines

          Fuel Pump to Carburetor Hose

          Type (gas)

          Return Lines

          Fuel Filter

          Fuel/Water Separator

          Fuel Manifold Valve

          Hose Connections Clamps

Fuel Tanks:

          Location

          Condition

          Mounting

          Material

          Shape

          Fuel Gauge

          Electrical Bonding System

          Ignition Protection

Engine Compartment:

          Stringer & Engine Beds

          Drip Pan

          Shaft Logs

          Labels & Notices

          Bilge Condition

          Power Ventilation (Blower)

          Natural Ventilation

          Fire Extinguishing System

          Pyrometer Checks

          Exhaust Manifold Ports

          Water Temp. Sender

          Pan Oil

          Oil Cooler

          Exhaust Manifold

          Exhaust Risers

          Exhaust Hoses,

          Crossovers, & Pipes

          Transmission Shaft Bearings

Electrical System:

          A.C. System:

                   Outlets (GFCI)

                   Proper Polarity

                   Junction Boxes

                   Isolating Transformer

                   Inverter

                   AC Wiring

          D.C. System:

Batteries:

                   Type and Number

                   Covered & Boxed

                   Wire Connections

                   Battery Selector

                   Switch

                   Interior & Running

                   Lights

                   DC Wiring

                   Distribution Panel(s)

                   Circuit Protection (take temp. readings)

                   Fused Electrical Bilge Pump

                   Battery Charger

Generator/ Alternator:

                   Model and Serial #

                   Voltage Rating

                   # of cylinders

                   Indicated Hours

                   Cooling System

                   Flame Arrestor

                   Muffler

                   Ventilation

                   Exhaust Piping

                   Accessibility

                   Fuel Supply

                   Fuel Filter

                   Lubrication System

                   Warning Labels

Navigation Equipment:

          VHF Radio

          Compass

          Depth Finder

          Knot Log

          GPS

          Wind Speed & Direction

          Loran-C Receiver

          Radar

Entertainment Equipment:

          Radio/Stereo

          Television

          CR/DVD Player

Ground Tackle:

          Anchor

          Shackles

          Chains

          Rode

          Dock Lines

          Fenders

Fire Fighting & Safety Equipment:

          Personal Floatation

          Devices (PFD)

          Throwable PFD

          Fire Extinguishers

          Visual Signal Devices

          Audible Signal Device

          Back-Fire Flame Arrestor

          Ventilation

          Power Exhaust

          Blowers (Gas)

          Navigation Lights