RBS Visitation Form AUDIT Division 12 11SR Rev 5.1 x
2 Pages
English
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RBS Visitation Form AUDIT Division 12 11SR Rev 5.1 x

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Downloading requires you to have access to the YouScribe library
Learn all about the services we offer
2 Pages
English

Description

DEALER/PARTNER AUDIT FORM U.S.C.G AUXILIARY Division _____ Flotilla ______ DIVISION FORM 11S-12 RBSA RBS VISITATION PROGRAM SECTION I – MEMBER INFORMATION MEMBER ID# | | | | | | MEMBER NAME SECTION II – VISITED BUSINESS INFORMATION VISIT DATE BUSINESS NAME MFR. ID CODE ADDRESS TIME (PREP/TRAVEL/SITE) / / CONTACT NAME SECTION III – FLOTILLAS ACTIVE IN PROGRAM VISITS SECTION IV – AUDIT RESULTS  BULLETIN BOARD(S) (#) WINDOW DISPLAY(S) (Y/N) READING AREA (Y/N) LITERATURE EASELS (#) LITERATURE SHELVES (#) MOST FREQUELTLY REQUESTED TITLES – ADDITIONAL TITLES OVERLEAF STK# TYPE DESCRIPTION O/H ORD STK# TYPE DESCRIPTION O/H ORD CALIF BKLT ABC's of the California Boating Law - English PAMP Alcohol and Boating CALIF BKLT ABC's of the California Boating Law - Spanish 3033 PAMP Beware of Boat Propellers (YIC) 3003-1 PAMP Boat Responsibly! Live Responsibly (YIC) 3-Fold CALIF BKLT California Safe Boating Hints - Fire Extinguishers 3003 PAMP Boatsibly (YIC) 7-Fold CALIF BKLT California Safes - PFDs PAMP Boat Smart from the Start w/ a Free Vessel Safety Check CALIF BKLT California Safe Boating Hints for Paddle Craft CALIF PAMP California Safe Boating Facts About the Silent Killer (CO) CALIF BKLT California Safes for Personal Watercraft 3005 PAMP Carbon Monoxide Poisoning (YIC) CALIF BKLT California Safe Boating Hints on Lakes and Rivers 4045 PAMP Cleaner Boating ...

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U.S.C.G AUXILIARYDEALER/PARTNER AUDIT FORMDivision _____Flotilla ______ DIVISION FORM 11S12RBSARBS VISITATION PROGRAM SECTION I – MEMBER INFORMATION MEMBER ID#| | | | | |MEMBER NAME SECTION II – VISITED BUSINESS INFORMATION VISIT DATEBUSINESS NAME MFR. ID CODEADDRESS TIME(PREP/TRAVEL/SITE)/ CONTACTNAME / SECTION III – FLOTILLAS ACTIVE IN PROGRAM VISITS SECTION IV – AUDIT RESULTS BULLETIN BOARD(S) (#)WINDOW DISPLAY(S) (Y/N)READING AREA (Y/N)LITERATURE EASELS (#)LITERATURE SHELVES (#) MOST FREQUELTLY REQUESTED TITLES – ADDITIONAL TITLES OVERLEAF STK# TYPEDESCRIPTION O/HORD STK#TYPE DESCRIPTIONO/H ORD CALIF BKLTABC's of the California Boating Law - EnglishPAMP Alcoholand Boating CALIF BKLTABC's of the California Boating Law - Spanish3033 PAMPBeware of Boat Propellers (YIC)  3003-1PAMP BoatResponsibly! Live Responsibly (YIC) 3-Fold CALIF BKLTCalifornia Safe Boating Hints - Fire Extinguishers3003 PAMPBoat Responsibly! Live Responsibly (YIC) 7-Fold CALIF BKLTCalifornia Safe Boating Hints - PFDsPAMP BoatSmart from the Start w/ a Free Vessel Safety Check CALIF BKLTCalifornia Safe Boating Hints for Paddle CraftCALIF PAMPCalifornia Safe Boating Facts About the Silent Killer (CO) CALIF BKLTCalifornia Safe Boating Hints for Personal Watercraft3005 PAMPCarbon Monoxide Poisoning (YIC) CALIF BKLTCalifornia Safe Boating Hints on Lakes and Rivers4045 PAMPCleaner Boating Environment (English) CALIF BKLTCalifornia Safety Hints for Windsurfing4045 PAMPCleaner Boating Environment (Spanish) CALIF BKLTCalifornia Towing Tips for Trailer Sailors4036 PAMPEnvironmental Guide for Personal Watercraft Operators 3009 BKLTGlobal Maritime Distress & Safety System (GMDSS)4015 PAMPFast Facts - Oil and Fuel Pollution(Good Mate) 3022 BKLTUS Aids to Navigation System4016 PAMPFast Facts - Sewage Pollution(Good Mate) CALIF CARDBoating Safety Card: Visual Distress Signals4018 PAMPFast Facts - Solid Waste and Debris(Good Mate) CALIF DCALBasic Safety Rules of the Road4019 PAMPFast Facts – Storm Water Runoff(Good Mate) CALIF DCALCarbon Monoxide Poisoning Dual Decal Set4017 PAMPFast Facts - Vessel Maintenance Pollution (Good Mate) 4064 DCALDischarge Of Oil Prohibited FWPCA (5" X 8") (English)4020 PAMPFast Facts - Vessel Operation Damage(Good Mate) 4064 DCALDischarge Of Oil Prohibited FWPCA (5" X 8") (Spanish)3006 PAMPFederal Requirements For Recreational Boats (YIC) 4068 DCALGarbage Dumping Restrictions (English)3030 PAMPFishing Tips (BR) 4068 DCALGarbage Dumping Restrictions (Spanish)4023 PAMPHelp Stop Aquatic Hitchhikers 4067 DCALMARPOL "Garbage Dumping Restrictions"(English) 3032PAMP Howto Choose the Right Life Jacket (YIC) 4067 DCALMARPOL "Garbage Dumping Restrictions"(Spanish) 3023PAMP Jointhe Coast Guard Auxiliary 3020 DCALVHF Emergency Radio Call Procedures3029 PAMPPaddle Safe, Have Fun  PADSFloat Plan3031 PAMPSafe Boating Tips for Anglers, Hunters & Campers FLOT PAMP12-04 Brochure3024 PAMPSaved By the Signal (Visual Distress) FLOT PAMP12-05 BrochurePAMP YourGuide to Towing (YIC) FLOT PAMP12-07 BrochureRACK RBSVPLiterature Display Rack, 1-up (Plastic) FLOT PAMP12-42 Brochure9018 RACKRBSVP Literature Display Rack, 5-up  REMARKS:
 FOLLOWUP DATEMEMBER SIGNATURE  Thisform has been designed by and is for the specific use of U.S. Coast Guard Auxiliary, District 11SR, Division 12Rev 5.1 August 1, 2009
ADDITIONAL TITLES STK# TYPEDESCRIPTION O/HORD STK#TYPE DESCRIPTIONO/H ORD 4059 BKMKHow Boaters Can Help Protect Coral Reefs4029 GUIDSea Partners Train the Trainers 3026b CARDWaterway Watch (AWW)4025 GUIDUSCG Aquatic Nuisance Program 4062 DCALOfficer Snook: Marine Animal Stickers4028 MANUThe Good Mate 4063 DCALReport Marine Pollution (3" X 6")F&G BKLTThe OSPR Guide to Clean, Green Boating 4079 DCALSea Partners Logo3039 PAMP5 Tons and No Brakes 3026a DCALWaterway Watch (AWW)4038 PAMPHelp Us Protect the Marine Environment (English) 3026a1 DCALWaterway Watch (AWW)4038 PAMPHelp Us Protect the Marine Environment (Spanish) 4078 DCALWe Care -Please Do Not Litter Overboard3035 PAMPLife Lines 3026e DVDAmerica's Waterway Watch Program (AWW) (English)CALIF PAMPMarine Security - How to Stop and Discourage Theft 3026e DVDAmerica's Waterway Watch Program (AWW) (Spanish)3037 PAMPNavigation Center Information Service 3026e2 DVDAmerica's Waterway Watch (AWW) Train the Trainer4043 PAMPNMFS Southeast Region Marine Mammal and Sea Turtle 4080 DVDSaving Inky (English)4041 PAMPNorthern Right Whale 4080 DVDSaving Inky (Spanish)4042 PAMPProtect Dolphins· Admire them From A Distance 3514 FLYRUSCG Academy Information Fold-OutCALIF PAMPQuiet Boating for Everyone 4044 FORMHow's the Water? Citizen Report Form (English)3008 PAMPRescue 21 Take the "Search" Out Of Search and Rescue 4044 FORMHow's the Water? Citizen Report Form (Spanish)SMA PAMPUsing Oil Absorbents 4035 GUIDEnvironmental Impact Of Recreational Boating3001 PAMPWaterfowl Hunting Tips (YIC) 4023a GUIDExploring Clean Water3026 PAMPWaterway Watch (AWW) English 4027 GUIDGood Mate Teaching3026 PAMPWaterway Watch (AWW) Spanish 4022a GUIDManaging Oily Waste and Garbage From Ships4072 WHELMARPOL Regulations Wheel (English) 4022 GUIDManaging Waste at Recreational Boat Facilities4072 WHELMARPOL Regulations Wheel (Spanish) 3025 GUIDPyrotechnic (VDS) Distances4029 GUIDSea Partners Train the Trainers Recreational Boating Safety Visitation Program – Dealer/Partner Literature Audit Form – How to Use This Audit Form, intended for use in California, is designed to assessdisplay our literature, and complete the ORD (“order”) column to the boating safety literature on hand (O/H) at a Recreational Boatingspecify your planned initial stocking order.Except for major marine Safety Program Partner, and serve as an “order” form (ORD) forchandleries, harbor offices or boatyards, planon a single, standard subsequent restocking. When dated, and compared to future auditdisplay rack that holds two large and 3 small brochures,and choose forms, it becomes a record of the rate of literature turnover at that site.literature appropriate to the venue.The Form is particularly useful for program visitors who do not normallyFor existing partners, count the number of each title on hand, and carry or inventory literature, or who are just “dropping” in on a partner.record the value under “O/H” (“on hand”). In the ORD column, add the The visit can be productive – assessing the current literature state –number that will bring the count to 10 pieces (20 for major venues, and the Form then becomes a “work order” for followup by the samehardtoreach partners, or where turnover is historically high). NOTE: or other Program Visitor.Maritime and sailing schools or academies might request larger quantities, and can be accommodated with a special order. Take note The Audit Form is also used to assess potential, new partners of any titles we don’t normally stock, by writing them in. (available reading areas, bulletin boards, existing literature displays, etc.) and to record the Program Visitor’s initial planned stocking order.SATISFYING THE ORDER: New partners should always be given a copy of the “Become a Partner 1. Literatureon Hand: if you have the necessary literature in your Now” document, edited for your flotilla, and a new ANSC7047 (CG possession during your visit, restock the partner’s display, put a 5093) Manufacturer ID Code System form completed and submitted to checkmark next to the ORD quantities, and write COMPLETED in the SOPV. the remarks. Forward a copy to the SOPV (IMPORTANT!) INSTRUCTIONS: 2. NoLiterature on Hand: Obtain the literature from any Materials Section 1: Provide your name; Member number is optional.Officer or from the SOPV, make up a “kit” for that partner, and re visit the partner to do the stocking. Finish and forward the form as Section 2: Complete in full. Contact name is only necessary fornewin #1. Your audit and followup visits count as two (2) visits. partners, and should be the same individual named on the ANSC7047 form. 3.Audit Only: If you wish the SOPV to assign the restocking and followup visit to another Program Visitor in your flotilla, simply Section 3: Take note of any other flotillas visiting the partner; check for send the original Audit Form to the SOPV, keeping a copy for contact information on relevant brochures, such as Vessel Safety yourself. Check, Join the Auxiliary, or public education flyers. Be sure to record each visit on an ANSC7046 Activity Report RBS Section 4: For new partners, survey the environment, and record the Visitation, one form for each calendar date (one or multiple visits that number of bulletin boards, literature racks, etc. that could be used to date), and prep and travel hours on ANSC7029 Member Activity Log. ”Officer Snook” Children’s coloring book series is not included on this form.