
Boating Accident Report
Appendix D
D-3
For each question below, please provide answers IF APPLICABLE AND IF KNOWN, otherwise leave blank.
ACCIDENT DETAILS
–
ACTIVITIES AND OPERATIONS ON
YOUR
BOAT
OPERATOR/PASSENGER ACTIVITIES
Operator/passenger activities on
your
boat at time of accident:
Activities were
VHOHFWRQH
Operator/Passenger activities
VHOHFWDOOWKDWDSSO\
Recreational
Fishing
Tubing
Starting engine
Commercial
Hunting
Water Skiing
Making repairs
White water activity
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Relaxing
Other
OLVW
BOAT OPERATIONS
Your
boat operations at time of accident
VHOHFWDOOWKDWDSSO\
Cruising
XQGHUZD\XQGHUSRZHU
Drifting
Racing
Towing another vessel
Changing direction
At anchor
Rowing/paddling
Launching
Changing speed
Being towed
Docking/undocking
Tied to dock/mooring
Sailing
Other
OLVW
:
ACCIDENT DETAILS
–
CONTRIBUTING FACTORS ON
YOUR
BOAT
CONTRIBUTING FACTORS
Indicate factors on
your
boat which may have contributed to this accident
VHOHFWDOOWKDWDSSO\
Alcohol use
Improper lookout
Dam/lock
Starting in gear
Drug use
Operator inattention
Force of wake/wave
Sharp turn
Excessive speed
Operator inexperience
Hazardous waters
Restricted vision
HJIRJ
Improper anchoring
Language barrier
Heavy weather
Mission/inadequate aids to
navigation
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Improper loading
Navigation rules violation
Ignition of fuel or
vapor
Inadequate on-board navigation
lights
Overloading
Failure to vent
Hull failure
People on gunwale, bow or transom
Other
GHVFULEH
:
ACCIDENT DETAILS
–
YOUR
BOAT
MACHINERY/EQUIPMENT FAILURE
Failure of the following machinery/equipment on
your
boat contributed to this accident
VHOHFWDOOWKDWDSSO\
Engine
Onboard lights
Shift
Sound equipment
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Electrical system
Seats
Radio
Auxiliary equipment
Fuel system
Steering
Fire extinguisher
Other (
OLVW
):
Sail/mast
Throttle
Ventilation
Onboard navigation aids
HJ*36
ACCIDENT DETAILS
–
EVENTS ON
YOUR
BOAT
ACCIDENT EVENTS
Types of events occurring to/on
your
boat during accident
VHOHFWDOOWKDWDSSO\
Collision with recreational boat
Flooding/swamping
Person fell overboard
Collision with commercial boat
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Fire/explosion
±
fuel
Person fell on/within boat
Collision with fixed object
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Fire/explosion
±
non-fuel
Sudden medical condition
Collision with submerged object
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FDEOH
Carbon monoxide exposure
Person struck by boat
Collision with floating object
HJORJEXR\
Mishap of skier, tuber, wake
boarder, etc.
Person struck by propeller or propulsion
unit
Capsizing
Person left boat voluntarily
Person electrocuted
Grounding
Person ejected from boat
FDXVHGE\FROOLVLRQRUPDQHXYHU
Sinking
Other
GHVFULEH
:
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Summary of Contents for C49
Page 1: ...2022 STANDARDS OPTIONS 2022 OWNERS MANUAL ...
Page 4: ...This page intentionally left blank ...
Page 8: ...Safety Information ii 43 LS Operator Notes ...
Page 13: ...Safety Labels 3 43 LS 10 19 18 17 11 37 7 12 12 27 28 2 2 22 12 15 14 13 6 23 4 5 ...
Page 28: ...Section 1 Propulsion Systems 1 4 43 LS Operator Notes ...
Page 42: ...Section 3 Fuel Systems 3 8 43 LS Operator Notes ...
Page 66: ...Section 5 Plumbing Systems 5 12 43 LS Operator Notes ...
Page 78: ...Section 7 Exterior Equipment 7 10 43 LS Operator Notes ...
Page 98: ...Section 10 Operation 10 10 43 LS ...
Page 106: ...Section 11 Routine Maintenance 11 8 43 LS Operator Notes ...
Page 112: ...Section 12 Seasonal Maintenance 12 6 43 LS Operator Notes ...
Page 118: ...Appendix A Glossary of Terms A 6 Operator Notes ...
Page 120: ...Appendix B Maintenance Guides B 2 Operator Notes ...
Page 122: ...Appendix C Maintenance Schedule C 2 Date Hours Dealer Service Repairs ...
Page 123: ...Maintenance Schedule Appendix C C 3 Date Hours Dealer Service Repairs ...
Page 124: ...Appendix C Maintenance Schedule C 4 Date Hours Dealer Service Repairs ...
Page 131: ...Float Plan Appendix E E 1 Float Plan ...
Page 132: ...Appendix E Float Plan E 2 ...
Page 134: ...Appendix E Float Plan E 4 Operator Notes ...
Page 138: ...Appendix F Troubleshooting Guide F 4 Operator Notes ...
Page 139: ...Schematics Appendix G G 1 Schematics ...
Page 140: ...Appendix G Schematics G 2 ...
Page 141: ...Schematics Appendix G G 3 ...
Page 142: ...Appendix G Schematics G 4 ...
Page 143: ...Schematics Appendix G G 5 ...
Page 144: ...Appendix G Schematics G 6 ...
Page 145: ...Schematics Appendix G G 7 ...
Page 146: ...Appendix G Schematics G 8 ...
Page 147: ...Schematics Appendix G G 9 ...
Page 148: ...Appendix G Schematics G 10 ...
Page 149: ...Schematics Appendix G G 11 ...
Page 150: ...Appendix G Schematics G 12 ...
Page 151: ...Operator Notes ...
Page 152: ...725 E 40th Street Holland MI 49423 616 392 7163 tiarayachts com ...