Rudder Feedback Sensor Inspection Form
Complete this form to document the inspection and assessment of the vessel's rudder feedback sensor.
Inspector Name
*
First Name
Last Name
Inspector Email Address
*
example@example.com
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Vessel Name or ID
*
Rudder Feedback Sensor Serial Number
*
General Condition of Sensor
*
Excellent
Good
Fair
Poor
Not Inspected
Electrical and Mechanical Checks
*
Rows
Pass
Fail
Not Applicable
Wiring Connections
1
2
3
Sensor Mounting
4
5
6
Corrosion Check
7
8
9
Physical Damage
10
11
12
Functional Test Result
*
Operational
Intermittent
Non-Operational
Not Tested
Sensor Output Signal Quality
*
1
2
3
4
5
Photographic Evidence (if any issues found)
Upload a File
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Additional Comments or Observations
Inspector's Final Assessment
*
Pass
Fail
Requires Maintenance
Submit Inspection
Should be Empty: