Placement checklist

PLACEMENT CHECKLIST
Trip Number:

Observer:

Vessel Name:

Vessel LOA:
Permit Number:

Placement Meeting
Time:
Phone Number

Date:
Captain

Call sign:
Placement Meeting Participants

Owner/Agent:
Others:

De-hooking equipment:
Long-handled de-hooker

Vessel Specification
Communication Equipment: SSB / VHF/ DSC / Sat
Is DSC registered: Y / N , Linked to GPS: Y / N
(comment if non-operational)
Water Supply: B / T / H2O Maker
Head: Y / N

Long-handled line cutter
Short-handled de-hooker
Mouth Gags
Bolt Cutters
Pole Gaff

Tank Volume:
Number of Bunks:

Dip Net
Tire

Shower: Y / N
Reasonable Privacy: Y / N

ft

Fishing Trip Information
Trip Length:
Trip Type: D / S
Number of Sets:
Number of Crew:

Mackerel type bait
(Shallow Set Only)
Blue Dye Tubs x_______ (Shallow Set Only)
Observer Gear
Bag #: ____

Vessel Safety Checklist
Distress Signals
Exp. Dates

Sat. phone #:

6 X Hand
3 X Parachute

Comments: Note safety deficiencies, including those that
do not prevent observers placement.

3 X Smoke

List aid provided to vessel:

Current
# of Charged Fire Extinguishers:___________ insps? _____
Approval: USCG?____ Marine?____ Proper Brackets?____
# of correctly installed Ring Life Buoys:
Number of PFDs:
# of immersion suits (always required above 32 N):
Emergency Procedures Posted: Y / N
First Aid Kit: Y / N
First Aid and CPR Certified: Y / N
# of certified drill instructors :
Survival Craft
Number of Persons:
Manufacture Date:
Inspection Exp:

Correct installation: Y/ N

Hydrostatic Exp:
Emergency Position Indicating Radio Beacon
Battery test: P / F
Correct installation: Y/N
Battery Exp:
Hydrostatic Date:
UIN:
CG Inspection Number:
CG Inspection Exp:
Deficiencies in shaded areas prevent observer deployment
For tallies, circle total
For multiple Exp dates record earliest
If vessel has Safety Orientation Log, have observer sign

Ver.10.2016
OMB Control No. 0648-0593
exp. 10/31/2018

Port Coordinator Departure Checklist
Trip no: ______________

Observer ____________________

Select Vessel
If shallow-set trip, send LLTPS to Kevin Busscher
Assign Trip Number
Setup Placement Meeting

Travel Pouch Papers
Y/N

Company phone protocols

Placement
Check out/ Replenish gear
EPIRB test
Survival suit Practice __________

Test fit DNA corer to sampling pole
Observer departs
Update Longline Trip Log

Place/ No Place list
Communication gear
Functioning VHF&SSB/ or SAT
Signals
Quantity smoke
Quantity hand

Place

No-place

Liferaft

x
x
x

Quantity rocket
Dates on all

x
x

Fire Extinguishers
Quantity

x
x

Place

No-place

Capacity
Service
Hydrostatic date
Hydrostatic installation

x
x
x
x

Raft installation

x

EPIRB
Testing

x

Charge gauge

x

Battery date

x

Service tag/documents

x

Registration

Ring Buoys
Quantity

x

Serviceability
Mounting (not tied down)
1 w/ 90' rope

x
x
x

PFD/Immersion suits
Quantity
light/sound devices
Serviceability
First aid/CPR
1 1st aid
1 CPR
1st aid manual w/ first aid kit (stocked)
Station bill
posted and filled out
Drills/Orientation
Monthly drill
Safety orientation

x
x
x
x
x
x
x
x
x

x

Installation

x

Hydrostatic release date

x

CFVSE Decal

x