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pdfAugust 2020
OMB Control #0648-0593. Expires 4/30/2023
Observer Evaluation
The SEFSC Galveston Laboratory will be placing an observer aboard your vessel for observer coverage.
In an attempt to monitor the quality of observers we send on commercial vessels, we would appreciate it
if once the trip is completed you would take the time to fill out this questionnaire. We wish to ensure that
the observers conduct themselves professionally and safely during deployment. Please fill in the
information below and return to: NOAA/NMFS, Reef and Shrimp Observer Program, 4700 Avenue
U, Galveston, Texas 77551. Your information is important in helping us improve the observer program.
If you are the owner and were not present during the trip, please consult with your captain.
Vessel name: _______________________________ Vessel Doc. #: _____________________________
Your name: _______________________________ Observer name: ____________________________
Your status (check one): Owner______ Captain ______ Other ______________________________
Please provide responses by checking yes or no in the space provided. Space has been provided on the
back of the form if you wish to include detailed comments about the observer.
1. Was the observer on time and prepared for the trip? Yes ___ No ___
2. Did you and the observer discuss vessel safety procedures prior to departure? Yes ___ No ___
3. Did the observer explain their sampling requirements and duties prior to departure? Yes ___ No ___
4. Was the observer professional, courteous and polite? Yes ___ No ___
5. Did the observer appear to conduct the duties they were responsible for during the trip?
Yes ___ No ___
6. Was sampling conducted in a timely manner as to not substantially impact your normal operations?
Yes ___ No ___
7. Did observer help maintain cleanliness standards in accordance with the vessels normal policy in the
following areas? Work (Yes ___ No ___); Bunk (Yes ___ No ___); Galley (Yes ___ No ___)
If you have any other concerns regarding, safety, the observer, or observer procedures during the
trip please explain in the additional comment section provided on the back of form.
Additional comments: __________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
PAPERWORK REDUCTION ACT STATEMENT: A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be
subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information
collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0648-0593. Without this approval, we
could not conduct this information collection. Public reporting for this information collection is estimated to be approximately 65 minutes per response, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information
collection. All responses to this information collection are mandatory to obtain benefits. Send comments regarding this burden estimate or any other aspect of this
information collection, including suggestions for reducing this burden to the National Marine Fisheries Service, Shrimp and Reef Fish Observer Programs at: 4700
Avenue U, Galveston, Texas 77551, Attn: Fisheries Administrator, Elizabeth Scott-Denton.
File Type | application/pdf |
File Title | Microsoft Word - RF and SH_ObsEvaluation_Form.doc |
Author | judy.gocke |
File Modified | 2020-08-24 |
File Created | 2020-08-24 |