Vessel Pre-Departure Checklist Form
Use this form to record vessel details, verify safety and operational readiness, and confirm pre-departure checks before leaving port.
Vessel & Departure Information
Vessel Name
*
Vessel Type / Class
*
Please Select
Sailboat
Motorboat
Fishing Vessel
Passenger Vessel
Cargo Vessel
Tugboat
Other
Departure Port or Marina
*
Destination Port
*
Planned Departure Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Planned Departure Time
*
Hour Minutes
AM
PM
AM/PM Option
Pre-Departure Readiness Checklist
Engine status
*
Ready
Not ready
Fuel level
*
Full
Above 75%
50% to 75%
Below 50%
Not ready
Battery power
*
Ready
Not ready
Navigation systems
*
Ready
Not ready
Communication systems
*
Ready
Not ready
Bilge and pump status
*
Ready
Not ready
Anchor, lines, and fenders
*
Anchor ready
Lines ready
Fenders ready
Not ready
Lights and signals
*
Navigation lights
Anchor light
Day shapes
Sound signals
Not ready
Safety equipment and required documentation
*
Life jackets
Fire extinguishers
First aid kit
Emergency flares
Registration documents
Operating certificates
Not ready
If any item is not ready, describe the issue
Crew, Weather & Final Confirmation
Number of crew and passengers on board
*
Name of person completing this form
*
First Name
Middle Name
Last Name
Role of person completing this form
*
Please Select
Captain
First Officer
Deckhand
Engineer
Other
Weather, sea conditions, hazards, or special notes
Final departure readiness confirmed
*
Ready for departure
Not ready for departure
Final comments or additional remarks
Submit Checklist
Should be Empty: