Safety checklist with PRA statement

March, 2013

OMB Control #0648-0593. Expires 11/30/2015

SEFSC Pelagic Observer Program
Vessel Safety Checklist
Trip Number:

USCG CFVS Decal Number:

Vessel Name:

Date of Issuance/Expiration:

Vessel Number:

Is Decal Current:

*Circle one of the above.

*Include Observer, captain, and crew.

YES

Epirb Cat 1Present:

NO

*Visually inspect, only captain or crew are to handle epirb or housing.

Location:
Battery Expiration:
Expires on date displayed. .

Hydrostatic Relase Expiration:
Expires on date displayed.

NOAA Registration Expiration:
Expires on date displayed. See middle diagram on right.

Life Raft Manufacturer:
Capacity:
Location:
YES

NO

Hydrostatic Relase Expiration:
Expires on date displayed.

Service Date:
Expires on date displayed.

Is release properly set up?

NO

*Is it marked correctly for pelagic fishing? Mark the sticker below to
resemble the one on the vessel.

Persons on Board for trip:

SOLAS A Rated:

YES

YES

NO

See diagram to the right.

Number of Type I PFD's:
Include POP issued PFD.

Number of Throwable PFD's:
*24 inch ring bouy or Lifesling. 1 with 60 ft of line for vessels 26-65 ft in length.
3 devices for vessels >65ft, with at least one of them with 90 ft of line.

Number of Immersion Suits:
Include POP issued Immersion Suit. Only above 32' 00 N Latitude.

**Turn Over**

Total Number of Fire Extinguishers: #
Location 1:
Charged:

**CHECK EXPIRATION

Number of Parachute flares: ( 3)

YES

NO

Number of Hand Flares: (6)
Number of Smoke Flares: (3)

Expiration:

Location 2:
Charged:

Flares:

Location:

YES

NO

YES

NO

Expiration:

First Aid Kit Location:

Location 3:
Charged:

CPR/First Aid Trained Capt/Crew (name):

Expiration:

** After completing this form, complete a thorough vessel check to your personal standards.
Record any concerns below. If any concerns will delay the observed trip, contact the POP office
immediately.
NOTES:

PAPERWORK REDUCTION ACT STATEMENT: Information collected through the observer program will be used to: (1) monitor catch and bycatch in commercial and
recreational fisheries; (2) understand the population status and trends of fish stocks and protected species, as well as the interactions between them; (3) determine the
quantity and distribution of net benefits derived from living marine resources; (4) predict the biological, ecological, and economic impacts of existing management action
and proposed management options; and (5) ensure that the observer programs can safely and efficiently collect the information required for the previous four uses. In
particular, the observer program provides information that is used in analyses that support the conservation and management of living marine resources and that are required
under the Magnuson-Stevens 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. Most of the information
collected by observers is obtained through “direct observation by an employee or agent of the sponsoring agency or through non-standardized oral communication in
connection with such direct observations". Under the Paperwork Reduction Act (PRA) regulations at 5 C.F.R. 1320.3((h)(3), facts or opinions obtained through such
observations and communications are not considered to be "information" subject to the PRA. The public reporting burden for responding to the questions that observers ask
and that are subject to the PRA is estimated to average 50 minutes per trip, including the time for hearing and understanding the questions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for reducing this burden, to: National Marine Fisheries Service, F/SF1, 1315 East West Highway, Silver Spring, MD
20910. Providing the requested information is mandatory under regulations at 50 C.F.R. 600.746 for the safety questions and at 50 C.F.R. Part 622.8, 50 CFR 229.7, and 50
CFR 222.401 for the other questions. All information collected by observers will be kept confidential as required under Section 402(b) of the MSA (18 U.S.C. 1881a(b))
and regulations at 50 C.F.R. Part 600, Subpart E. 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. This is an approved information collection under OMB Control No. 0648-0593 through 11/30/2015.

Observer Signature:

Date:

Captain/Owner Signature:

Date:

NOAA Southeast Fisheries Science Center Pelagic Observer Program * Phone: 800-858-0624 Fax: 305-361-4282