Marine debris report form

NOAA Pacific Islands Regional Office, Observer Program

Marine Debris Encounter Report
This information is being used to help determine the economic cost of marine debris impacts to fisheries.
Trip Number:_____________
Position of Encounter with Debris (includes vessel, gear and animals)
Latitude: ___º___' N / S

Longitude:___°___' E / W

Date:_____________

Time:______________

(positions to nearest whole minute)

Incident Type:

□
□
□

□

Gear Interaction
Vessel Interaction

□

Entangled Species Caught
(e.g. entangled swordfish)

Noteworthy Sightings (e.g., large collection of small debris
items, large debris objects, etc.)
Other (includes recovered ingested debris items): ________
________________________________________________

Debris Type:

□
□
□
□
□

Net
Rope
Monofilament line
Metal (describe): ________________________

□
□
□
□

Cloth
Plastic sheeting
Floats
FAD (Fish Aggregating Device)

Other (describe): _________________________________________________________

Biota Type (on or living in net) – List species names if known:

□
□
□

Fish ___________________________________________________________________
Crustaceans ____________________________________________________________
Encrusting organisms _____________________________________________________

Description of incident type and debris object/material: (describe the type of incident in more detail, diameter
or width, length, colors and biota living on the debris)

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Weight: (est.) _____lbs

Photos: Y / N

Debris brought on board? Y / N

Length of downtime: __________hrs
Description of downtime and cost (describe what was done during downtime (e.g. propeller disentangled by divers)
and details of cost):
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
DISPOSAL OF NET: Net recycling bin located at Pier 38, Honolulu Harbor

version 11.2012
OMB Control No. 0648-0593
Exp.11/30/2015

NOAA Pacific Islands Regional Office, Observer Program

Marine Debris Encounter Report
This information is being used to help determine the economic cost of marine debris impacts to fisheries.
Trip Number:_____________
Position of Encounter with Debris (includes vessel, gear and animals)
Latitude: ___º___' N / S

Longitude:___°___' E / W

Date:_____________

Time:______________

(positions to nearest whole minute)

Incident Type:

□
□
□

□

Gear Interaction
Vessel Interaction

□

Entangled Species Caught
(e.g. entangled swordfish)

Noteworthy Sightings (e.g., large collection of small debris
items, large debris objects, etc.)
Other (includes recovered ingested debris items): ________
________________________________________________

Debris Type:

□
□
□
□
□

Net
Rope
Monofilament line
Metal (describe): ________________________

□
□
□
□

Cloth
Plastic sheeting
Floats
FAD (Fish Aggregating Device)

Other (describe): _________________________________________________________

Biota Type (on or living in net) – List species names if known:

□
□
□

Fish ___________________________________________________________________
Crustaceans ____________________________________________________________
Encrusting organisms _____________________________________________________

Description of incident type and debris object/material: (describe the type of incident in more detail, diameter
or width, length, colors and biota living on the debris)

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Weight: (est.) _____lbs

Photos: Y / N

Debris brought on board? Y / N

Length of downtime: __________hrs
Description of downtime and cost (describe what was done during downtime (e.g. propeller disentangled by divers)
and details of cost):
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
DISPOSAL OF NET: Net recycling bin located at Pier 38, Honolulu Harbor

version 11.2012
OMB Control No. 0648-0593
Exp.11/30/2015