NPOP Forms - All

Vessel Safety Checklist
VESSEL NAME: ______________________________ VESSEL PERMIT:__________ VESSEL LENGTH EST.:_________
Ensure the USCG Commercial Fishing Vessel Safety
decal is not expired. The expiration date is at the end
of the month displayed.

Some rafts are stored in a float free cradle - this is an approved cradling
system, as long as the painter line is properly attached to a weak link.

Is the decal valid?

SURVIVAL CRAFT:

Y N Is hydrostatic release installed correctly?

Y N

Pg 6-9 EPIRB * (When Required): Pg 12-13

Y N

Number of: ______________________________

Location(s): ______________________________________

Total capacity: ___________________________

Battery exp. date:______________(expires at end of month
displayed)

# of crew & observer/s on board _____________

Y N Hydrostatic release expiration date (cat. 1 only): _____/ ______
(expires at end of month displayed)
Y N
Located in a Coast Guard approved location?
Y N

Sufficient capacity?
Survival craft(s) stowed correctly?

Float free or otherwise in accordance with the Federal
Requirements for Commercial Fishing Industry Vessels
(page 13)

NOAA Registration Valid?

Y N

Service Due decal exp. date: ________ /_______

Exp. date: _______________________________________
(Unless otherwise noted, expires at end of month displayed)

(expires at end of month displayed- inflatables only)

Registered to this vessel (name of vessel displayed):

Y N

Hydrostatic release exp. date: _______ /_______

Alphanumeric code on decal matches code on EPIRB:

Y N

(expires at end of month displayed)

Your survival craft assignment: ______________
Enter information for all additional survival craft in the
comments section.

IMMERSION SUIT/PFDS:
Available for everyone on board?

Y N

*Visual inspection of EPIRB only. Leave all testing/handling to crew

Pg 3-4 FIRE EXTINGUISHERS:

Pg 14-16

Y N Extinguisher(s) found in every main area/corridor?

Location(s): _____________________________

DISTRESS SIGNALS:

Signal tested (or asked to see station log in wheelhouse
for most recent test. Signal should be tested monthly):

Y N

Extinguishers in “good and serviceable condition” (gauge in
the green, low amounts of rust, canister in good condition,
unobstructed, hoses attached, service tags available)?
Y N

Pg 11 THROWABLE FLOTATION DEVICES:

Pg 5

(ask captain for assistance)

Number of flotation devices appropriate for vessel size?
Y N
# of distress signals meet federal requirements
Y N
Number of: Rings _______________ / Slings ____________
Location(s): _____________________________
Easily accessible?
Y N
All distress signals within expiration date (expires
Y N
on date displayed)
Y N Name of vessel displayed on each?
Location(s): ______________________________________

13

ADDITIONAL SAFETY CHECKS:

FIRST AID MATERIALS:

Pg 26

Watertight doors (when required)- do they close
properly?

Y N

Location(s): _______________________________

Hatches/passageways - are they unobstructed?

Y N

Is there an individual trained in CPR/First
Aid on board?

Discussed safe places to work on deck and in
factory with captain/crew?

Y N

Discussed refrigerant leak procedures?

Y N

Y N

Who?: ____________________________________

Type of refrigerant used
(Freon or Ammonia) _______________________________
Identified person to discuss reporting marine
casualties or inoperative alarms?

Y N

Did you hear the general alarm?

Y N

Y N

If no, inform the captain, your contractor, and FMA. Do
not remain on the vessel

SAFETY ORIENTATION:
Did you complete drills upon embarking the
vessel?

How many SSB and VHF radios?: _______ / _______
Are emergency call instructions posted?

Y N

Were procedures for making an emergency call
discussed?

Y N

List any additional communication systems on board in the
comment section (satellite phone, inReach, etc.)
STATION BILL:

Pg 24

Did you review the information on the Station Bill?

Y N

Describe your duties outlined in the station bill:
________________________________________________
________________________________________________
________________________________________________
________________________________________________

Pg 26 EMERGENCY DRILLS
Y N AND DATE(S) CONDUCTED:

Pg 25

Fire ________________________________________

Where all of the items in the
Y N
safety checklist addressed during the safety orientation?
Did the vessel conduct a safety orientation?

Pg 22-23

Additional Communication Equipment

Where will you go during emergencies?
________________________________________________
Will the vessel maintain watch at all times
while under way?

Communication Equipment:

Y N

Who gave the orientation? __________________________
Detail what was covered below

Abandon Ship ________________________________
Man Overboard ______________________________
Vessel Flooding/stabilization ____________________
General alarm activation _______________________
Donning immersion suits _______________________

________________________________________________
________________________________________________
________________________________________________
________________________________________________
COMMENTS (ALL “N” RESPONSES REQUIRE A
COMMENT):
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________

Radio/visual distress signals _____________________
Were the drills hands-on involving actual gear?

Y N

Did you participate in the drills?

Y N

OBSERVER PERSONAL PROTECTIVE EQUIPMENT:
Do you have the PLB that was issued to you?

Y N

PLB UIN: _________________________________
Immersion Suit with Strobe Light and Battery?

Y N

Serial #: ___________________________________
Personal Flotation Device with Strobe Light and
Battery?

Observer Name: _________________________________________________

Cruise #: ______________

Observer Signature: ______________________________________________

Date: _________________

Y N

Captain Name: __________________________________________________
Captain Signature (optional): _______________________________________

Date: _________________

Blue indicates “No Go” items!
14

OMB Control No. 0648-0593 Expiration date: xx/xx/20xx

Haul
No.

CDQ
#

I
F Month Day
Q

Time

Fishing Effort Summary for Fixed Gear Vessels
Vessel Name

Latitude (N)

Page _________ of _________
OMB Control No. 0648-0593
expiration date: xx/xx/20xx

ADF&G number

Longitude

(ALT)

Average
bottom
depth
M or FM
circle one

Month Day

Time

Latitude (N)

Longitude

Total
Segs.

Total
hooks
/pots

(ALT)

Catch estimate
Lb or MT
circle one

Gear problem ?

The information collected on this form is intended
to be utilized only by the assigned observer to
complete their required data collections.

Definitions:
Deployment date/time/position: When the first hook/pot enters the water Catch Estimate: Visual estimate of total catch including bycatch in lbs or kgs
Retrieval date/time/position: When the last hook/pot left the water
CDQ: Indicate CDQ with the CDQ number otherwise, leave blank

IFQ: Check the box if IFQ

Gear Problem ?: Was there any issues with gear if so check the box
Total Segs.: Total number of gear segment retrieved

Total hooks/pots: Total number of hooks or pots retreived
Updated 11/8/2012

Haul
No.

CDQ #

Month Day

Time

Fishing Effort Summary for Trawl Vessels

OMB Control No. 0648-0593
expiration date: xx/xx/20xx

Vessel ADF&G number

Vessel Name

Latitude (N)

Page _________ of _________

Longitude

(ALT)

Average
bottom
depth

Average
gear
Depth*

M or FM
circle one

M or FM
circle one

Catch estimate
Month Day

Time

Latitude (N)

Longitude

(ALT)

Lb or MT
circle one

Definitions:
Deployment date/time/position: When the trawl net or first enters the water

Catch Estimate: Visual estimate of total catch including bycatch in lbs or kgs

Retrieval date/time/position: When the trawl net leaves fishing depth

Gear Problem ?: Was there any issues with gear if so check the box

CDQ:Indicate CDQ with the CDQ number otherwise, leave blank
Updated 11/8/2012

Gear problem ?

The information collected on this form is intended
to be utilized only by the assigned observer to
complete their required data collections.

Tagged Fish and Crab Form
Cruise No.

Vessel / Plant Code

Haul / Delivery No.

Gear Type

Observer Name: __________________________________________
Vessel / Plant Name: _______________________________________ NMFS Permit No._____________
Reward Recipient’s Name:________________________________________________________________
(Vessel or Plant Personnel)

Reward Shipment Address: ______________________________________________________________
______________________________________________________________
______________________________________________________________
Species: _____________________ Tag Prefix and Serial No.: ________________________________
(e.g. PCA 00392)

I authorize NMFS to provide this form and the tag to the tagging Country/Agency
________________________________________
(Captain/Owner Signature)

______________________________________
(Captain/Owner Printed Name)

Date of Capture:__________________ Time of Capture:_______________ Depth (F): _____________
Capture Location: Latitude (N): _________________ Longitude: ___________________________ E / W
NMFS or ADF&G Area: _______________________ (if Latitude / Longitude is unknown)
Source of Capture Information: ___________________________________________________________
(e.g. vessel log, navigation equipment, crew member, plant personnel, etc.)

Sex: ________ Gonad Maturity (immature, mature, spawning) __________________________________
Length (cm): _________________

Weight (kg): ______________

General Appearance (poor body condition, good body condition): ________________________________
Condition of Tagging Wound (healthy healed tissue, open wound): _______________________________
Other Comments: _____________________________________________________________________
____________________________________________________________________________________

Tape tag and otolith vial here:

National Marine Fisheries Service / North Pacific Groundfish Observer Program OMB Control No. 0648-0593 exp. xx/xx/20xx

Rev. 2009

VESSEL/PLANT OPERATOR COMMENT FORM
NORTH PACIFIC OBSERVER PROGRAM
The information on this form will be used by the National Marine Fisheries Service to evaluate how well the observers are performing their duties and to serve as a line
of communication between the fishermen and the Observer Program.
Public reporting burden for this collection of information is estimated to average 30 minute per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
All identifying data submitted will be handled as confidential material in accordance with NOAA Administrative Order 216-100, Protection of Confidential Fishery
Statistics. Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected 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.

INSTRUCTIONS
Anonymous responses have little value in this process, so please fill in the identifying information completely. If you don’t remember the
Observer’s name, please fill in the rest of the identifying information and indicate whether the Observer was the Primary or Secondary
observer (if known).
In addition to answering Yes or No to each question, please use the Comments section to provide additional information about your answer.
If the answer is neither Yes nor No, please use the Comments section to record the appropriate answer (i.e. Sometimes or N/A [not
applicable]).
Though this form’s primary intent is to allow you to provide information regarding specific observers, the second page affords you an
opportunity to provide feedback and ask questions about the Observer Program in general or to open up a line of communication between
you and a member of our staff.
Please take the time to answer this Comment Form completely.
Thank you for your time!

Vessel/Plant Operator Comment Form
Page 1 of 5

Date Revised: Jan 2018

VESSEL/PLANT OPERATOR COMMENT FORM

OMB Control No.0648-0593
Expiration Date: xx/xx/20xx

Vessel/Plant Operator______________________________ Vessel/Plant Name_______________________________ Today’s Date_______________________________
Observer_________________________________________ Observer Provider_______________________________ Dates observer onboard_______________________
Questions about your observer

Did the observer interact with you and your crew in a
professional manner?

Yes

No

Comments

Did the observer discuss his/her work needs with you
and your crew?
Did the observer follow vessel/plant rules or policies?
If not, please elaborate.
Did the observer participate fully in safety drills? If
not, why not?
Did the observer inform you of any suspected
violations of regulations when these were witnessed?
Did the observer put himself/herself in any unsafe
situations? If yes, please elaborate.
Did you have any issues with the observer’s duties
and responsibilities? If yes, please elaborate.
Did you discuss any issues regarding observer duties
with the observer?

How were the issues resolved?

Did you discuss any issues regarding observer duties
with anyone else? (please circle)
Observer Program staff

Please identify the person you spoke with and whether the issues were resolved.

Observer provider

My fishing company
Vessel/Plant Operator Comment Form
Page 2 of 5

Did the observer do anything specific that you
appreciated? Please elaborate.

Yes

No

Comments

Questions about the program
Do you have questions about the work performed by
observers? (sampling methods, work schedules, etc)
Did you ask the observer?
Would you like to ask a member of our staff?
Would you like someone on our staff to contact you?
(If yes, please provide contact information below)
In general, are you satisfied with the observers you
have had on your vessel or at your plant? Please use
this space to provide any relevant comments or
suggestions.

If you would like us to contact you, please provide:
Phone_______________________Email____________________________Address____________________________________________________
Vessel/Plant Operator Comment Form
Page 3 of 5

________________________________________________________________________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing the instructions, searching the existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other
aspect of this collection of information, including suggestions for reducing the burden, to Jennifer Ferdinand, Director, Fisheries Monitoring and Analysis Division, NOAA
National Marine Fisheries Service, 7600 Sand Point Way NE, Seattle, WA 98115.
ADDITIONAL INFORMATION
Before completing this form, please note the following: 1) Notwithstanding any other provision of 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; 2) This information is voluntary and will be used to improve observer training under section 403(b) of the Magnuson-Stevens Act (16
U.S.C. 1801, et seq.); 3) 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.
________________________________________________________________________________________________________________________________________________

Vessel/Plant Operator Comment Form
Page 4 of 5

________________________________________________________________________________________________________________________
Thank you for taking the time to fill out this Vessel/Plant Operator Comment Form. Filling out this form allows you to provide us with feedback
regarding your recent Observer and your experience with the Observer Program as a whole. Your feedback is important to us. We are committed to
responding to each Comment Form we receive.
We also have an electronic version of this form available on our website (https://www.fisheries.noaa.gov/resource/document/north-pacific-observerprogram-vessel-or-plant-operator-comment-form) if you prefer to email a copy to us instead.
Please mail all completed hard copy forms to:
Jennifer Ferdinand
Fisheries Monitoring and Analysis Division
Alaska Fisheries Science Center, National Marine Fisheries Service
National Oceanic and Atmospheric Administration, Department of Commerce
7600 Sand Point Way N.E., Building 4
Seattle, Washington 98115
F/AKC6
________________________________________________________________________________________________________________________

Vessel/Plant Operator Comment Form
Page 5 of 5