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SAMPLE TRIP PLAN

Operator's Name: ____________________________

Address:  _________________________________________________
_________________________________________________________

Telephone number(s): ____________ or _____________

Vessel's name and license number: _________________________

Sail __ Power __ Type and Size: __________________________

Colour: Hull: ________ Deck: ________ Cabin: ________

Type of Engine: ____________________

Other Distinguishing Features: ______________________________

Radio channel(s) monitored: HF _____ VHF _____ MF _____

Safety Equipment onboard: _________________________________

Dinghy or small boat (include colour): __________________________

Flares (include number and type): ___________________________

PFDs or Lifejackets (include number): ___________________________

Other: _______________________________________________

Local Search and Rescue telephone number: ____________

Date of departure: ___________ Time of departure: __________

Leaving from: _____________________ Heading to: ___________________

Proposed Route: __________________________________________________

Estimated time/date of return ______________

Stop-over point _________ Number of persons on board _______________

     
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