Observer evaluation form

June 2009

OMB Control #0648-xxxx
Expires xx/xx/2012

Observer Evaluation
The SEFSC Miami Laboratory recently placed an observer aboard your vessel for observer coverage. In
an attempt to monitor the quality of observers we send on commercial vessels, we would appreciate it if
you would take the time to fill out this questionnaire. We wish to insure that the observers conduct
themselves professionally, are safe, and get along with the crew during a voyage. Please fill in the
information below and return to: Pelagic Observer Program, 75 Virginia Beach Drive, Miami, FL
33149. Your information is important to us in order to run a better observer program. If you are the owner
and were not present during the trip, please consult with your captain.

Observer name:____________________ Vessel assigned:____________________

Dates of trip: ____________________________

Please provide yes or no responses. You can provide more detailed comments about the
observer on the back if you wish.

1. Did the observer delay your departure time? ______
2. Was the observer’s conduct while aboard your vessel professional? ______
3. Was the observer easy to work with? ______
4. Did you notice any problems between the observer and the crew? ______
5. Did the observer get his work done in a timely manner as to not impact your normal operations significantly?

_______
6. Did you and the observer discuss vessel safety procedures? ______
7. Was the observer seen doing anything that seemed unsafe? ______
8. Did the observer seem to experience seasickness? ______
9. Did the observer help keep clean the galley area _______; bunk area ______;
Help with dishes ______?

Evaluation filled out by: Owner / Captain (circle one)

Additional comments on the questions please place on the back of form.

Additional comments:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
PAPERWORK REDUCTION ACT STATEMENT: The information provided on this form will be used by the
National Marine Fisheries Service (NMFS) to improve observer training under section 403(b) of the MagnusonStevens Act (16 U.S.C. 1801, et seq.), which will assist NMFS to collect information that is used in analyses that
support the conservation and management of living marine resources and that are required under the MagnusonStevens Fishery Conservation and Management Act (MSA), the Endangered Species Act (ESA), the Marine
Mammal Protection Act (MMPA), the National Environmental Policy Act (NEPA), the Regulatory Flexibility Act
(RFA), Executive Order 12866 (EO 12866), and other applicable law. The public reporting burden for this form is
estimated to average 15 minutes per response, including the time for completing, reviewing, and transmitting the
information on the form. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing the burden to: National Marine Fisheries Service, F/SF1, National
Observer Program, 1315 East West Highway, Silver Spring, MD 20910. Providing the requested information is
voluntary. All identifying data submitted will be handled as confidential material in accordance with NOAA
Administrative Order 216-100, Protection of Confidential Fishery Statistics. Other information collected on this
form may be subject to public release under various statutes. 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.