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. These questions
are not to be asked of any captain or crew. Data should be collected by observation only. This form is not PRA-approved.

Trip Number:_____________
Position of encounter with debris (includes vessel, gear, and animals) or noteworthy sighting:
Latitude: _____º_____' N / S
Date:____________________
Incident Type:

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Longitude: _____°_____' E / W (positions to nearest whole minute)
Time:______________

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Gear Interaction
Vessel Interaction
Entangled Species Caught

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Noteworthy or Unusual Debris Sightings (e.g., large collection of
debris items, large debris objects, unusual debris)

Other (includes recovered ingested debris items): ______________
_______________________________________________________

(e.g. swordfish entangled in debris)

Debris Type:

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Net
Rope
Monofilament line
Lumber/building material (must be manmade)
Metal (describe): ________________________

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Cloth
Plastic sheeting
Floats
FAD (Fish Aggregating Device)
Natural debris (e.g., logs/tree trunks)

Other (describe): ___________________________________________________________________________

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

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Fish _______________________________________________________________________
Crustaceans ________________________________________________________________
Encrusting organisms _________________________________________________________
NO biota/organisms present ____________________________________________________
Other (describe): _____________________________________________________________

Description of incident type or noteworthy sighting and debris object/material (describe the type of incident in
more detail, why you think the sighting is noteworthy, 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 if known):

_________________________________________________________________

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DISPOSAL OF NET: Net recycling bin located at Pier 38, Honolulu Harbor
For questions or more information contact mark.manuel@noaa.gov or 808-725-5266

version 7a – 10.3.17