SABOT Standardized Auxiliary Boat Operations Training Ninth District - Eastern Region COMO. Lew Wargo, Sr. DSO-OP/CQEC 12 April 2014 ANSC 7003

SABOT Vessel Facility Inspection and Offer For Use Form ANSC 7003

OFFER FOR USE FORM Instructors: Pass out blank ANSC-7003 forms for the students to follow along on.

OFFER FOR USE FORM In the top right corner check as appropriate what this form is for: – Initial (new) Report – Re-inspection (re-offer) – Change

SECTION I OWNER DATA (completed by owner) Owner’s (and co-owner’s) member ID number and name Check type of ownership: (Sole, Aux, Unit, Gov’t, Multiple, Corporate) Registration or Documentation Number (No spaces in the registration number.) Hull Identification Number

SECTION II FACILITY DATA (completed by owner) Facility’s Name:. Facility Number: Six digit radio call sign (Leave blank if unassigned) Vessel Location: Where vessel is moored or kept if trailered. Zip Code: Of location above Latitude and Longitude: Of location above

SECTION II FACILITY DATA (completed by owner) MANUFACTURE: Enter name vessel’s manufacture MODEL: Enter manufacture’s model for vessel Year: Enter year of manufacture. Type of Vessel: Enter vessel type from list of vessel codes on page 5 of ANSC 7003 form Length: Enter overall vessel length in feet and inches Beam: Enter vessel’s beam in feet and inches

SECTION II FACILITY DATA (completed by owner) Draft: Enter the draft of the vessel in feet and inches No. of Bunks: Enter the sleeping capacity Water Capacity: Enter the water tank capacity. If not equipped, enter “N/A” Type of Power: Enter the type of power, use code from page 5 of ANSC 7003 instructions No. of Engines: Enter the number of main propulsion engines

SECTION II FACILITY DATA (completed by owner) HP Each Engine: Enter the HP for each engine Type of Fuel: Enter the type of fuel, GAS for gasoline or DISL for diesel Fuel Capacity: Enter total fuel capacity in US gallons. Previous Boat No: Only replacing a facility. Cell Phone: Enter the 10 digit cell phone number if normally carried onboard. DSC No: If equipped, enter your DSC number.

SECTION II FACILITY DATA (completed by owner) Check appropriate box for: (NIGHT OPS), (IS BOAT TRAILERABLE), (INSTALLED RANGE), (INSTALLED SPACE HEATER) Engine Manufacture: Enter engine manufacture from list of codes on page 5 of the ANSC 7003 Model Number: Enter each engine’s model number Year: Enter each engine’s year of manufacture Serial Number: Enter each engine’s serial number

SECTION II FACILITY DATA (completed by owner) K. W. Capacity: Enter generator capacity if installed. Check the applicable FACILITY AVAILABILITY box Fuel Consumption: Enter the fuel consumption per hour and the speed in knots for economical, cruising, and maximum speeds. (Normally the economical will have the lowest and maximum the highest)

SECTION II FACILITY DATA (completed by owner ) (NOTE:) Any gasoline engine running at full power will burn approximately 10% of its horsepower as gallons per hour (GPH). This is a “Rule of Thumb” that is not exact, but, fairly close. Check box if installed Compass, RDF, etc.

SECTION II FACILITY DATA (completed by owner) Other Special Equip: List all other equipment carried onboard. Attach a separate sheet if necessary. (Ex: EPIRB, strobe lights, rafts, camera, CB radio, lines, fenders, etc.) (Be sure to include all items from inspection list on back side of ANSC 7003 “Offer-For- Use-Form” ). Also, enter here or in the bottom margin the Facilities Limitations. (See the next slides)

SECTION II FACILITY DATA (completed by owner) Facility Limitations; Maximum seas (in feet) in which the facility can operate Safely and Effectively! The following guidelines are published in the Ninth District Instruction: M (series) Appendix 5, Annex “J”

CG d9 AUXILIARY LIMITATIONS AUX-FACOFF SHORE SEAS WINDTOWING PWC <1 NM <3’ <25k NONE 14’ – 19’ <3 NM <2’ <20k<2 gr. tons 20’ – 25’ <5NM <3’ <20k<5 gr. tons 26’ – 40’ <5NM <4’ <25k<5 gr. tons 40’ – 65’ <10NM <6’ <25k<10 gr. tons 65’ + <30NM <8’ <30K<25 gr. tons CG owned/ AUX RB-HS <10NM <4’ <25K <10 gr. tons

SECTION II FACILITY DATA (completed by owner) Value-Hull: Enter fair market value of hull Value-Machinery: Enter fair market value of engines Value-Electronics: Enter fair market value of electronics onboard. Value-Other Equip: Enter fair market value of all other equipment onboard. Total Value of Vessel: This should be sum of above

SECTION III OWNERS STATEMENT (completed by owner) Owner checks box that vessel is offered for use as stipulated. Owner should check the appropriate box certifying that all statements are true and correct. Enter owner’s unit ID number Owner signs and dates form If trailered, owner initials as agreement that the towing vehicle and trailer are in compliance with all state motor vehicle laws and the trailer is large enough to carry the load.

SECTION IV USCGAUX’s VE STATEMENT TO BE COMPLETED BY VESSEL EXAMINER

SECTION V CG ACCEPTANCE (completed by DIRAUX OR OTO ) Completed by DIRAUX or OTO

SECTION VI REQUIREMENTS FOR AN AUXILIARY FACILITY (completed by USCGAUX VE) Where quantities are required (PFDs) enter the number onboard. Also, it would be a good idea to provide the quantity of such items as: – Boat hooks – Fenders – Fire Extinguishers – Line

SECTION VII OPERATION BY A NON-OWNER (completed by owner) List all (if any) other member may operate the facility as the coxswain. If additional space is required an additional sheet may be used. If no other coxswain, check box provided. If owner is not on board, each coxswain must be specified. Owner Must Initial Lower Left