Form Cg 3022 PDF Details

The CG-3022 form, a crucial document used by the United States Coast Guard, serves as a comprehensive Boat Inspection Report under the jurisdiction of the Department of Homeland Security. This form is meticulously designed to detail various aspects of a boat's condition, maintenance records, and compliance with relevant standards, thereby ensuring maritime safety and operational readiness. It captures a wide range of inspection criteria, including but not limited to, the up-to-dateness of boat records as per the COMDTINST M9000.6 (series), the execution and currentness of the DEMP (Drydocking and Emergency Procedures) and PMS (Planned Maintenance System), as well as the submission of quarterly PMS reports. Additionally, the form assesses the condition of the boat's hull, propulsion and alignment systems, cooling systems, water-tight boundaries, and life-saving equipment, alongside inspections carried out when the boat is hauled out of water, including checks on rudder bushing clearance, propeller shaft runout, and strut and hull cutless bearing clearances. The form also opens a space for recording any discrepancies or damages, thereby serving as a vital tool for ensuring vessels meet the Coast Guard's stringent standards for safety and operational efficiency.

QuestionAnswer
Form NameForm Cg 3022
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCG_3022 cg 3022 records form

Form Preview Example

U.S. DEPARTMENT OF

 

DATE

HOMELAND SECURITY

BOAT INSPECTION REPORT

 

U. S. COAST GUARD

 

 

 

CG-3022 (Rev. 06-04)

 

 

 

 

 

REPORTING UNIT

DECK (TYPE & SIGNATURE)

GRADE/RATE

INTERMEDIATE COMMAND

ENGINEER (TYPE & SIGNATURE)

GRADE/RATE

BOAT NUMBER

TYPE OF BOAT

HIN

OPTIONAL (TYPE & SIGNATURE)

GRADE/RATE

RECORDS INSPECTION

YES NO N/A

IS BOAT RECORD UP TO DATE AND IAW COMDTINST M9000.6 (SERIES) CHAPTER 90?

IS DEMP UP TO DATE AND PERFORMED IAW APPLICABLE PMS?

IF N/A, IS PERFORMANCE TEST COMPLETED? IAW M9000.6(SERIES)

IS PMS UP TO DATE AND IAW APPLICABLE PMS MANUAL?

IS QUARTERLY PMS REPORT SUBMITTED IAW M9000.6 (SERIES) CH 081?

IS SPARE PARTS/ALLOWANCE PROGRAM ACTIVE?

LAST BOTTOM PAINT DATE?TYPE OF PAINT USED?WAS LAST BOTTOM PAINTING : PARTIAL HULL? FULL HULL?

LAST DRY DOCK AVAILABILITY DATE & LOCATION

WATERBORNE INSPECTION (Get Underway and Operate Boat)

 

 

ENGINES

 

PORT (OR CENTER)

 

STARBOARD

 

REDUCTION GEARS

PORT (OR CENTER)

 

 

 

STARBOARD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAKE

 

 

 

 

 

 

MAKE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MODEL

 

 

 

 

 

 

MODEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERIAL NUMBER

 

 

 

 

 

 

SERIAL NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE INSTALLED/

 

 

 

 

 

 

DATE INSTALLED/

 

 

 

 

 

 

 

 

 

OVERHAULED

 

 

 

 

 

 

OVERHAULED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENGINE

 

 

 

 

 

 

GEAR

 

 

 

 

 

 

 

 

 

HOURS

 

 

 

 

 

 

HOURS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

SATISFACTORY

 

 

 

 

 

C

SATISFACTORY

 

 

 

 

 

 

 

O

 

 

 

 

 

O

 

 

 

 

 

 

 

N

 

 

 

 

 

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

NEED

 

 

 

 

 

D

NEED

 

 

 

 

 

 

 

I

 

 

 

 

 

 

I

 

 

 

 

 

 

 

 

REPAIR

 

 

 

 

 

REPAIR

 

 

 

 

 

 

 

T

 

 

 

 

 

 

T

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

 

NEED

 

 

 

 

 

I

NEED

 

 

 

 

 

 

 

O

 

 

 

 

 

 

O

 

 

 

 

 

 

 

 

OVERHAUL

 

 

 

 

 

OVERHAUL

 

 

 

 

 

 

 

N

 

 

 

 

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPULSION SHAFT ALIGNMENT (With coupling bolts loosened, measure face to face shaft coupling clearances) Maximum total misalignment .005"

 

 

 

 

 

 

 

Port Engine

 

Starboard Engine

 

 

Did either clearance exceed max allowable listed above?

 

 

 

Difference Top/Bottom

 

 

 

 

 

 

Port Engine

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Difference Port/Starboard

 

 

 

 

 

Starboard Engine

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES NO

N/A

IS/ARE SHAFT(S) IN ALIGNMENT IAW APPLICABLE MLC STANDARD SPECIFICATION OR MANUFACTURERS RECOMMENDATION?

IS COOLING SYSTEM MAINTAINED IAW COMDTINST M9000.6 (SERIES) CHAPTER 233?

ARE ALL FLEX HOSES MAINTAINED IAW COMDTINST M9000.6 (SERIES) CHAPTER 505?

ARE WATER TIGHT BOUNDARIES TESTED & INSPECTED IAW NSTM 9880?

ARE HOISTING PADS TESTED AND INSPECTED IAW COMDTINST M9000.6 (SERIES) CHAPTER 583?

ARE LIFE RING LIGHTS & LIFE RINGS INSPECTED IAW COMDTINST M10470.10 (SERIES)?

IS BOAT OUTFIT INSPECTED AND MAINTAINED IAW APPLICABLE TYPE MANUAL OR DISTRICT INSTRUCTION?

IS INSIDE OF HULL INSPECTED IAW COMDTINST M9000.6 (SERIES)CHAPTER 079?

DO CONTROLS OPERATE IAW APPLICABLE PMS OR MANUFACTURERS INSTRUCTIONS?

ARE INSTRUMENTS RED LINED AND OPERATING IAW M9000 (SERIES) CHAPTER 233?

DATE OF LAST LIFERAFT INSPECTION PERFORMED IAW M10470.10 (SERIES)?

DATE OF LAST FUEL TANK CLEANING & INSPECTION PERFORMED IAW NSTM 541?

DATE OF LAST COMPASS DEVIATION PERFORMED IAW NSTM 420?

 

 

INSPECTION WHILE HAULED OUT OF WATER

 

 

Check and Record Rudder Bushing Clearance (Maximum allowable clearance 1" and 2" rudder stock .050", 2.5" stock .055", and 3" stock .060")

PORT (OR CENTER) CLEARANCE

 

SATISFACTORY

UNSATISFACTORY

STARBOARD CLEARANCE

 

SATISFACTORY

UNSATISFACTORY

 

 

 

 

 

 

Remove Propeller, Check and Record Propeller Shaft Runout at Machined taper surface (Maximum allowable runout for the 47' MLB .005", 49' BUSL .008", all other

 

 

 

 

boats .004".)

PORT (OR CENTER) SHAFT

 

SATISFACTORY

UNSATISFACTORY

STARBOARD SHAFT

 

SATISFACTORY

UNSATISFACTORY

 

 

 

 

 

 

PREVIOUS EDITION IS OBSOLETE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BOAT NUMBER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAT

UNSAT

 

 

 

 

 

 

 

 

 

PORT/CENTER

STARBOARD

INSPECT OUTSIDE OF ENTIRE HULL (LIST ALL DAMAGES & DISCREPANCIES BELOW).

 

 

 

 

 

 

PROPELLER WEIGHT EXCLUDING OUTBOARD & I/O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSPECT PROPELLER(S) (LIST ALL DAMAGE & DISCREPANCIES BELOW).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAMAGE & DISCREPANCIES: (ADDITIONAL COMMENTS ON REVERSE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check and Record Strut and Hull Cutless Bearing Clearances:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maximum Allowable Clearances

--

 

1" Shaft diameter

 

 

-

.070"

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 - 1/2" Shaft diameter -

.081"

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 - 3/4" Shaft diameter

-

.086"

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2" Shaft diameter

 

 

-

.091"

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 - 1/2" Shaft diameter

-

.100"

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PORT (OR CENTER)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STARBOARD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

T

 

 

 

 

TOP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOP

 

 

 

BOTTOM

 

 

TOTAL VERTICAL

U

 

 

 

 

 

 

 

 

TOP

 

BOTTOM

 

 

 

TOTAL VERTICAL

 

 

 

 

 

 

 

 

 

 

 

+

 

=

 

T

 

 

 

 

 

 

 

 

+

=

 

 

 

 

 

 

LOOKING

 

 

CLEARANCE

 

CLEARANCE

 

 

CLEARANCE

B

 

 

 

LOOKING

 

 

CLEARANCE

CLEARANCE

 

CLEARANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PORT

 

FWD

 

STBD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PORT

 

FWD

STBD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STBD

 

 

 

PORT

 

 

TOTAL HORIZONTAL

 

 

 

 

 

 

 

 

STBD

 

PORT

 

 

TOTAL HORIZONTAL

 

 

 

 

 

 

 

 

+

 

=

 

R

 

 

 

 

 

 

 

 

+

=

 

 

 

 

 

 

 

CLEARANCE

 

CLEARANCE

 

 

CLEARANCE

I

 

 

 

 

 

 

 

 

CLEARANCE

CLEARANCE

 

 

CLEARANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BOTTOM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G

 

 

 

BOTTOM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOES EITHER CLEARANCE EXCEED MAXIMUM

 

 

Y

 

 

N

 

 

 

 

 

 

 

 

DOES EITHER CLEARANCE EXCEED MAXIMUM

 

 

Y

 

 

N

 

 

 

 

 

 

 

ALLOWABLE LISTED ABOVE?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALLOWABLE LISTED ABOVE?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PORT (OR CENTER)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STARBOARD

 

 

 

 

 

 

 

 

 

 

 

TOP

LOOKING

TOP BOTTOM

CLEARANCE + CLEARANCE =

TOTAL VERTICAL

CLEARANCE

H U L L

B

TOP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOP

 

BOTTOM

TOTAL VERTICAL

LOOKING

 

 

CLEARANCE

+ CLEARANCE =

CLEARANCE

 

 

 

 

 

 

 

PORT FWD STBD

STBD PORT

CLEARANCE + CLEARANCE =

BOTTOM

DOES EITHER CLEARANCE EXCEED MAXIMUM ALLOWABLE LISTED ABOVE?

TOTAL HORIZONTAL

CLEARANCE

Y

 

N

E A R I N G S

PORT

FWD

STBD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STBD

 

PORT

TOTAL HORIZONTAL

 

 

 

 

CLEARANCE

+ CLEARANCE =

 

CLEARANCE

 

 

 

BOTTOM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOES EITHER CLEARANCE EXCEED MAXIMUM

 

Y

 

 

N

 

 

 

 

 

 

 

 

 

 

ALLOWABLE LISTED ABOVE?

 

 

 

LIST BOATALTS PENDING:

LIST BOATALTS COMPLETED SINCE LAST REPORT:

LIST PENDING CSMPS:

INSPECTION TEAM COMMENTS: (ADDITIONAL COMMENTS ON REVERSE)

(Signature)

COMMANDING OFFICER/OFFICER IN CHARGE COMMENTS: (COMMENTS REQUIRED ON ALL UNSATISFACTORY ITEMS) (ADDITIONAL COMMENTS ON REVERSE)

(Signature)

INTERMEDIATE COMMANDER

CONCUR

DO NOT CONCUR

(Signature)

How to Edit Form Cg 3022 Online for Free

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Pay close attention when completing this document. Make sure that every blank is completed accurately.

1. The Form Cg 3022 requires particular information to be entered. Make certain the subsequent blanks are completed:

Filling out section 1 of Form Cg 3022

2. Once your current task is complete, take the next step – fill out all of these fields - SERIAL NUMBER, DATE INSTALLED, OVERHAULED, ENGINE HOURS, SERIAL NUMBER, DATE INSTALLED, OVERHAULED, GEAR HOURS, NEED REPAIR, SATISFACTORY, C O N D I T I O N PROPULSION SHAFT, C O N D I T I O N, NEED, OVERHAUL, and SATISFACTORY with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

SATISFACTORY, DATE INSTALLED, and OVERHAUL in Form Cg 3022

3. The next stage is normally hassle-free - fill out all the form fields in IS BOAT OUTFIT INSPECTED AND, DO CONTROLS OPERATE IAW APPLICABLE, ARE INSTRUMENTS RED LINED AND, DATE OF LAST LIFERAFT INSPECTION, DATE OF LAST FUEL TANK CLEANING, DATE OF LAST COMPASS DEVIATION, Check and Record Rudder Bushing, PORT OR CENTER CLEARANCE, STARBOARD CLEARANCE, SATISFACTORY, SATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, INSPECTION WHILE HAULED OUT OF, and Remove Propeller Check and Record to conclude this segment.

The way to fill out Form Cg 3022 stage 3

4. You're ready to start working on this fourth part! In this case you'll get all of these INSPECT OUTSIDE OF ENTIRE HULL, PROPELLER WEIGHT EXCLUDING, SAT UNSAT, PORTCENTER STARBOARD, BOAT NUMBER, INSPECT PROPELLERS LIST ALL DAMAGE, DAMAGE DISCREPANCIES ADDITIONAL, Check and Record Strut and Hull, Maximum Allowable Clearances, Shaft diameter Shaft diameter, PORT OR CENTER, TOP, PORT, PORT, and LOOKING blanks to fill out.

Shaft diameter    Shaft diameter, Maximum Allowable Clearances, and Check and Record Strut and Hull in Form Cg 3022

Be really mindful when completing Shaft diameter Shaft diameter and Maximum Allowable Clearances, as this is the part where a lot of people make mistakes.

5. As you approach the end of your document, you'll notice a couple more things to do. Mainly, BOTTOM, DOES EITHER CLEARANCE EXCEED, B E A R I N G S, BOTTOM, DOES EITHER CLEARANCE EXCEED, LIST BOATALTS PENDING, LIST BOATALTS COMPLETED SINCE LAST, LIST PENDING CSMPS, INSPECTION TEAM COMMENTS, COMMANDING OFFICEROFFICER IN, Signature, and Signature must be filled in.

Tips on how to fill in Form Cg 3022 part 5

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