Sea Turtle Entanglement Report Form (fillable)

SEA TURTLE ENTANGLEMENT REPORT FORM
OMB Control No. 0648-0496; Exp Date: xx/xx/xxxx

Shaded area for NOAA Fisheries Service (NMFS) use only
NMFS #:_______________ EVENT CONFIRMATION:
Confirmed

Probable

FIELD #: ______________________________

Not confirmed Reasoning: ________________________________________________

INITIAL OBSERVATION: Observer name: ________________________________________________ Phone: __________________________________
Observer address / affiliation: ____________________________________________________________________________________________________
Observation date: _________________________ (mm / dd / yyyy) Time: _________________________
am
pm
Alive
Fresh dead
Moderately decomposed
Severely decomposed
Dried carcass
Skeleton
Unknown
Turtle condition:
EXAMINATION / RESPONSE: Responder name: ___________________________________________ Phone: _________________________________
Responder address / affiliation: ___________________________________________________________________________________________________
am
pm
Response date: _________________________ (mm / dd / yyyy) Time responder arrived on scene: _________________________
Turtle condition:
Alive
Fresh dead
Moderately decomposed
Severely decomposed
Dried carcass
Skeleton
Unknown
PHOTO DOCUMENTATION: Photos / video taken:
Yes
No If Yes, disposition:
Initial observer
STDN member
NMFS
Documentation of:
Turtle in gear
Injuries / entanglement site
Buoy colors, numbers and any other identifiable feature(s)
LOCATION: State: __________ County: ______________________ Nearest port / town: ___________________________________________________
Locality details: _____________________________________________________________________________________ Stranded ashore:
Latitude: _________________________________________ N
Longitude: _______________________________________ W

Yes

No

TURTLE DATA: Species or description: ___________________________________________________________________________________________
Straight carapace length:** ____________________
Curved carapace length:** ____________________

cm
cm

in
in

actual
actual

est.
est.

Sex:
Male
Female
Not examined
CBD
Does tail extend beyond carapace?
Yes
No
If Yes, how far? ____________
cm
in
actual
Sex determined by:
Necropsy
Tail length (adults only)

est.
Weight: ____________________
kg
lb
actual
est.
N/A
Anchored
Free-swimming
Unknown
Was turtle:
Describe behavior in gear: ______________________________________________________________________________________________________
**Carapace length is measured from nuchal notch to posterior tip (see diagram on back)

GEAR TYPE: Indicate the primary (in contact with turtle) entangling gear with a “P” and secondary gear with an “S”. Fill out all applicable details.
____ Vertical Line with Surface Buoy
Yes
No If Yes, anchored by:
Pot(s)
Net
Unknown
Other: ________________________________
Gear anchored / weighted:
Length of line between turtle and surface buoy: ____________________
cm
in
actual
est.
____ Line Only (no buoy)
Monofilament
Multifilament (e.g. nylon or poly rope)
Unknown
Type:
Yes
No If Yes, where attached to turtle:
Not attached
Mouth
Ingested (past mouth)
Soft tissue (not mouth)
Hook(s) present:
Yes
No If Yes, anchored by:
Pot(s)
Net
Unknown
Other: ________________________________
Gear anchored / weighted:
____ Net
Monofilament
Multifilament (e.g. nylon)
Unknown
Type:
Estimated stretched mesh size: ____________________
cm
in Net ID number(s): ____________________
____ Fish Trap (pound net / weir)
Free-swimming in trap
Entangled in leader
Entangled in trap
Other (describe in Additional Remarks)
Location:
____ Other Describe: _________________________________________________________________________________________________________
GEAR DETAILS:
Number of pots: _______________
Number of buoys: ______________

Pot ID Number(s): ____________________

Buoy ID number(s): Buoy 1: _______________________ Buoy 2: ___________________________ Buoy 3: ___________________________
Buoy color(s): Buoy 1: ___________________________ Buoy 2: ___________________________ Buoy 3: ____________________________
Line color(s): Line 1: _______________________________ Line 2: _______________________________ Line 3: _______________________________
Biofouling present on gear:
Yes- all
Gear retrieved:

Yes
No If Yes, % of visible gear covered by biofouling: __________ % (describe type of biofouling in Additional Remarks)
Yes- partially
No
If Yes, disposition:
Initial observer
STDN member
State agency
NMFS Gear Team

DISENTANGLEMENT OUTCOME: (Check one)
Disentangled and released
Partially disentangled and released
Release behavior:________________________________________
Collected for treatment at: _______________________________
CARCASS / SAMPLE DISPOSITION: (Check all that apply)
Left at site
Necropsied
Towed ashore
Scientific collection
Buried off beach
Educational collection
Buried on beach
Biopsied

Entangled / no action taken
Entangled / not relocated
Lost during disentanglement
Died during disentanglement

Relocated to: _________________________
Euthanized
Other: _______________________________

Other: ______________________________
Unknown

TAG / MARK DATA: Checked for flipper tags:
Yes
No Scanned for PIT tags:
Yes
No
Tag / mark type
Number
Location on animal
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________

Applied

Present

ENTANGLEMENT / WOUND DESCRIPTION: Use table below to describe the entanglement configuration and any wounds associated with the entanglement site.
Body area
involved

Wound description at entanglement site (mark all that apply)

Description

(Specific location, # wraps, partial or complete circumference, tight vs. loose, etc.)

Indentation

Abrasion

Laceration

Swelling

Bleeding

None

Head / neck

Front
flippers
Carapace /
plastron
Rear
flippers
ENTANGLEMENT / WOUND DIAGRAM: Below, please provide a diagram of entangling gear, new or healed wounds, abnormalities and / or tag locations.

Nuchal notch
Nuchal notch

Posterior
marginal tip
Posterior tip
EVENT SUMMARY AND ADDITIONAL REMARKS:
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DISCLAIMER
These data should not be used out of context or without verification. This should be strictly enforced when reporting signs of human interaction.
The collection of information on sea turtle entanglement is necessary to ensure sea turtles are being conserved and protected, as mandated by the Endangered Species Act of 1973, as amended. Your voluntary
collection and submission of this information will help achieve this objective. The public reporting burden for this collection of information is estimated to average one hour per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Notwithstanding any other provision of the law, no
person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that
collection of information displays a currently valid OMB Control Number. Personal identifiers and any commercial information will be kept confidential to the extent permitted under the Freedom of Information Act
(FOIA) (5 U.S.C. 552), the Department of Commerce FOIA regulations (15 CFR Part 4, Subpart A), the Trade Secrets Act (18 U.S.C. 1905), and NOAA Administrative Order 216-100. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to (NMFS, Northeast Region Protected Resources Division, 55 Great Republic Drive,
Gloucester, MA 01930).