Name of ATON:

Location of ATON:

Position of ATON (Lat. & Long.)

1. Is the ATON lighted?

Yes
No

2. What is the condition of the buoy or cage?

Shrinked
Damaged

3. What is the condition of the mooring?

Off Station
Adrift
Missing

4. Is the light...

Extinguished?
Dim?
Burning at day?

5. Does the ATON have a sound signal?

Yes
No

6. Is the sound signal...

Operating?
Inoperative?
Weak?

7. What is the state of the day marker?

Obliterated/Faded
Improper characteristic

8. Is the ATON displaying misleading signals?

Yes
No

9. Is the ATON a hazard to navigation?

Yes
No

10. Does the ATON have an especially critical function?

Yes
No

11. Are other Aids to Navigation available?

Yes
No


12. Additional Comments: