Capsize Drill Evaluation Form
Use this form to evaluate a capsize drill, document conditions and participant performance, and record safety observations and follow-up actions.
Drill Details
Drill Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location / Site
*
Vessel / Boat Type
Please Select
Sailboat
Motorboat
Paddlecraft
Fishing Vessel
Commercial Vessel
Other
Drill Scenario Description
*
Weather / Water Conditions
*
Please Select
Calm
Light chop
Moderate chop
Rough conditions
Other
Evaluator Name / Title
*
Participant and Team Information
Team or Crew Name
*
Number of Participants
*
Participant Roles Observed
*
Prior Drill Experience
*
None
Limited
Some
Extensive
Equipment and Preparedness
Equipment Checklist
*
Required Drill Gear Confirmed
Life jackets
Rescue line
Whistle / communication device
Throwable aid
Recovery equipment
First-aid kit
Other
Additional Equipment Used
Evaluation and Scoring
Capsize response time
*
Slow
1
2
3
4
5
6
7
8
9
Fast
10
1 is Slow, 10 is Fast
Communication
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Teamwork
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Safety awareness
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Recovery technique
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Adherence to procedure
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Overall drill outcome
*
Excellent
Satisfactory
Needs Improvement
Unsatisfactory
Step-by-step drill actions
Total score
Safety Observations and Corrective Actions
Safety incidents or near-misses observed
Was the drill completed safely?
*
Yes
No
Partially
Corrective actions and improvement recommendations
Follow-up or training date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Evaluation
Should be Empty: