Dbw Form Bar 1 PDF Details

In the realm of recreational boating in California, the responsibility to maintain safety and report any mishap falls significantly on the vessel operator. Following the guidelines set forth by Section 656 of the Harbors and Navigation Code, the DBW BAR 1 form serves as a crucial document, detailing the procedure for reporting boating accidents. Required in circumstances that involve personal injuries needing more treatment than first aid, deaths, disappearances, substantial property damage exceeding $500, or the total loss of a vessel, this form mandates timely submission to the California Department of Boating and Waterways. Deadlines are stringent, with a 48-hour window for reporting deaths, disappearances, or serious injuries, and a 10-day period for all other reportable incidents. The form extends beyond mere documentation, providing insights on weather and water conditions, accident specifics including types of collisions, and potential contributing factors such as operator inattention or equipment failure. Additionally, it incorporates information regarding the involved vessels, operator experience, and safety gear in use at the time of the accident. Non-compliance with this reporting requirement is not taken lightly, carrying misdemeanor charges that could lead to fines up to $1000, imprisonment, or both. This document not only facilitates legal and administrative processes but also plays an integral role in boating safety research, contributing to the ongoing efforts to prevent future accidents, with a copy of the report also being forwarded to the United States Coast Guard.

QuestionAnswer
Form NameDbw Form Bar 1
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesBAR california boating accident report form

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CALIFORNIA BOATING ACCIDENT REPORT

CALIFORNIA DEPARTMENT OF BOATING AND WATERWAYS

The operator of every recreational vessel is required by Section 656 of the Harbors and Navigation Code to file a written report whenever a boating accident occurs which results in death, disappearance, injury that requires medical attention beyond first aid, total property damage in excess of $500, or complete loss of a vessel. Reports must be submitted within 48 hours in case of death occurring within 24 hours of an accident, disappearance, or injury beyond first aid. All other reports must be submitted within 10 days of the accident. Reports are to be submitted to the California Department of Boating and Waterways at 2000 Evergreen Street, Suite 100, Sacramento, California 95815-3888, (916) 263-8189. Failure to submit this report as required is a misdemeanor and is punishable by a fine not to exceed $1000 or imprisonment not to exceed 6 months or both.

DATE OF ACCIDENT (M/D/Y)

 

TIME OF ACCIDENT

COUNTY

BODY OF WATER

 

LOCATION ON WATER

 

 

 

 

 

AM

 

 

 

 

 

 

 

 

 

PM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

# INJURED

# DEAD

TOTAL $$

LAW ENFORCEMENT ON ACCIDENT SCENE?

AGENCY NAME

YES NO

WEATHER (CHECK ALL THAT APPLY):

CLEAR

RAIN

CLOUDY SNOW

FOG

HAZY

WATER CONDITIONS

CALM (waves less than 6") CHOPPY (waves 6"-2') ROUGH (waves 2'-6') VERY ROUGH (waves >6')

WIND CONDITIONS

NONE

LIGHT (0-6 mph) MODERATE (7-14 mph) STRONG (15-25 mph) STORM (over 25 mph)

TEMPERATURE

 

 

WATER

AIR

 

VISIBILITY

STRONG CURRENT

 

GOOD

 

 

FAIR

YES

NO

 

 

POOR

 

 

 

 

 

TYPE OF ACCIDENT (CHECK ALL THAT APPLY):

CAPSIZING

COLLISION WITH VESSEL

COLLISION WITH FIXED OBJECT COLLISION WITH FLOATING OBJECT FALL OVERBOARD

FALL IN BOAT

OTHER

FIRE / EXPLOSION (fuel)

FIRE / EXPLOSION (other than fuel)

FLOODING / SWAMPING

SINKING

STRUCK BY BOAT / PROPELLER SKIER MISHAP

CAUSE OF ACCIDENT (CHECK ALL THAT APPLY):

IMPROPER LOOKOUT / INATTENTION OPERATOR INEXPERIENCE

EXCESSIVE SPEED

MACHINERY FAILURE

EQUIPMENT FAILURE

IMPROPER LOADING

OVERLOADING

HAZARDOUS WEATHER / WATER

RESTRICTED VISION

IGNITION OF SPILLED FUEL / VAPOR

IMPROPER ANCHORING

ALCOHOL USE

FAILURE TO VENT

OTHER

D E S C R I B E W H AT H A P P E N E D A N D W H AT YO U C O U L D H AV E D O N E TO P R E V E N T T H I S AC C I D E N T

( E x p l a i n t h e c a u s e o f d e a t h o r i n j u r y, m e d i c a l t r e a t m e n t , e t c . U s e s k e t ch i f h e l p f u l . I f n e e d e d , c o n t i nu e d e s c r i p t i o n o n a dd i t i o n a l p a p e r. )

V I C T I M O R W I T N E S S I N F O R M AT I O N

VICTIM / WITNESS

VICTIM / WITNESS

RIDING IN

AGE

INJURY DESCRIPTION

CAUSE OF DEATH

COULD

LIFE JACKET

NAME & ADDRESS

STATUS

VESSEL #

VICTIM SWIM?

WORN?

 

 

 

 

 

 

 

 

 

 

 

 

INJURED

 

 

 

DROWNING

YES

YES

 

 

 

 

 

 

 

DEAD

 

 

 

TRAUMA

NO

NO

 

 

 

 

 

 

 

WITNESS ONLY

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

INJURED

 

 

 

DROWNING

YES

YES

 

 

 

 

 

 

 

DEAD

 

 

 

TRAUMA

NO

NO

 

WITNESS ONLY

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INJURED

 

 

 

DROWNING

YES

YES

 

 

 

 

 

 

 

DEAD

 

 

 

TRAUMA

NO

NO

 

 

 

 

 

 

 

WITNESS ONLY

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

INJURED

 

 

 

DROWNING

YES

YES

 

DEAD

 

 

 

TRAUMA

 

 

 

 

NO

NO

 

WITNESS ONLY

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DBW FORM BAR-1 (1/00)

THIS CONFIDENTIAL REPORT IS USED IN RESEARCH FOR THE PREVENTION OF ACCIDENTS AND A COPY IS FORWARDED TO THE UNITED STATES COAST GUARD

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This form will need some specific details; in order to guarantee correctness, you need to take into account the recommendations further down:

1. The Dbw Form Bar 1 involves particular information to be inserted. Be sure the following blanks are completed:

Part no. 1 in filling in Dbw Form Bar 1

2. Once your current task is complete, take the next step – fill out all of these fields - D E S C R I B E W H AT H A P P E N, VICTIM WITNESS NAME ADDRESS, VICTIM WITNESS, STATUS, RIDING IN VESSEL, AGE, INJURY DESCRIPTION, CAUSE OF DEATH, COULD, LIFE JACKET, VICTIM SWIM, WORN, V I C T I M O R W I T N E S S I N, INJURED, and DEAD WITNESS ONLY with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Stage number 2 in completing Dbw Form Bar 1

People generally make some errors when filling in CAUSE OF DEATH in this part. Make sure you reread what you type in right here.

3. This subsequent part is typically pretty easy, INJURED, DEAD WITNESS ONLY, INJURED, DEAD WITNESS ONLY, INJURED, DEAD WITNESS ONLY, DROWNING, TRAUMA OTHER, DROWNING, TRAUMA OTHER, DROWNING, TRAUMA OTHER, YES, YES, and YES - all these blanks will need to be completed here.

DROWNING, YES, and YES of Dbw Form Bar 1

4. This next section requires some additional information. Ensure you complete all the necessary fields - I N F O R M AT I O N O P E R ATO, OPERATOR NAME AND ADDRESS, IS OWNER DIFFERENT THAN OPERATOR, YES, OPERATOR EXPERIENCE, OPERATOR EDUCATION, OWNER NAME AND ADDRESS, I N F O R M AT I O N V E S S E L, UNDER HOURS, TO HOURS, OVER HOURS, AMERICAN RED CROSS USCG AUXILIARY, YO U R V E S S E L, INJURED, and DEAD - to proceed further in your process!

Stage no. 4 in filling in Dbw Form Bar 1

5. And finally, this last portion is what you'll want to wrap up prior to closing the document. The blanks here are the following: SAILBOAT sail only, CANOE KAYAK, RAFT, ROWBOAT, OTHER specify, OTHER specify, PADDLE OARS, OTHER specify, TOWING ANOTHER VESSEL, SAILING, BEING TOWED BY ANOTHER VESSEL, OTHER specify, SPEED, MPH, and OPERATOR NAME AND ADDRESS.

Dbw Form Bar 1 conclusion process detailed (stage 5)

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