Sea Turtle Entanglement Report Form (nonfillable)

	SEA TURTLE ENTANGLEMENT REPORT FORM OMB Control No. 0648-0496; Exp Date: XX/XX/XXXX				FIELD #: ______________________________
Shaded area for NOAA Fisheries Service (NMFS) use only EVENT CONFIRMATION: Confirmed Probable Not confirmed
INITIAL OBSERVATION: Observer name: ________________________________________________ Phone: __________________________________ Observer affiliation: ____________________________________________________________________________________________________________ Observation date: _________________________ (mm / dd / yyyy) Time: _________________________ am pm Turtle condition: Alive Fresh dead Moderately decomposed Severely decomposed Dried carcass Skeleton Unknown
EXAMINATION / RESPONSE: Responder name: ___________________________________________ Phone: _________________________________ Responder affiliation: ___________________________________________________________________________________________________________ Response date: _________________________ (mm / dd / yyyy) Time responder arrived on scene: _________________________ am pm Turtle condition: Alive Fresh dead Moderately decomposed Severely decomposed Dried carcass Skeleton Unknown
PHOTO DOCUMENTATION: Photos taken: Yes No Video taken: Yes No Documentation of: Turtle in gear Injuries / entanglement site Buoy colors, numbers and any other identifiable feature(s)
LOCATION: State: __________ County: ______________________ Nearest port / town: ___________________________________________________ Locality details: ___________________________________________________________________________________­__ Stranded ashore: Yes No Latitude: _________________________________________ N Longitude: _______________________________________ W
TURTLE DATA: Species or description: ___________________________________________________________________________________________ Straight carapace length:** ____________________ cm in actual est. Sex: Male Female Not examined CBD Curved carapace length:** ____________________ cm in actual est. Does tail extend beyond carapace? Yes No **Carapace length is measured from nuchal notch to posterior tip (see diagram in instructions) If Yes, how far? ____________ cm in actual est. Weight: ____________________ kg lb actual est. Sex determined by: Necropsy Tail length (adults only) N/A
GEAR TYPE: Indicate the primary (in contact with turtle) entangling gear with a “P” and secondary gear with an “S”. Fill out all applicable details. ____ Vertical Line with Surface Buoy Line attached to bottom gear: Yes No If Yes, bottom gear: Pot(s) Net Unknown Other: ­­­­­­­­­­___­___________________________ Length of line between turtle and surface buoy: ____________________ cm in actual est. ____ Line Only (no buoy) Type: Monofilament Multifilament (e.g. nylon or poly rope) Unknown Hook(s) present: Yes No If Yes, where attached to turtle: Not attached Mouth Ingested (past mouth) Soft tissue (not mouth) Line attached to bottom gear : Yes No If Yes, bottom gear: Pot(s) Net Unknown Other: ___­­­­­­­­­­­­__________________________ ____ Net Type: Monofilament Multifilament (e.g. nylon) Unknown ____ Fish Trap (pound net / weir) Location: Free-swimming in trap Entangled in leader Entangled in trap Other (describe in Additional Remarks) ____ Other Describe: _________________________________________________________________________________________________________
GEAR DETAILS:
Net Estimated stretched mesh size: ____________________ cm in ID number(s): ____________________ Pot(s) Number of pots: _____________ ID Number(s): _______________________________________
Buoy(s) Number of buoys: __________
		Buoy 1		Buoy 2		Buoy 3
Type
Color/Pattern
ID Number(s) / Letter(s)
Line(s)
Number of lines: __________		Color 1: ____________________		Color 2: ____________________		Color 3: ____________________
Biofouling present on gear: Yes No If Yes, % of visible gear covered by biofouling: __________ % (describe type of biofouling in Additional Remarks) Gear retrieved: Yes- all Yes- partially No If Yes, disposition: Initial observer STDN member State agency NMFS Gear Team
DISENTANGLEMENT OUTCOME: (Check one)
Disentangled and released Partially disentangled and released Collected for treatment at: ___________________			Entangled / no action taken Entangled / not relocated Lost during disentanglement		Relocated to: _________________________ Euthanized Other: _______________________________
CARCASS / SAMPLE DISPOSITION: (Check all that apply)
Left at site Towed ashore Buried Off beach On beach			Necropsied Scientific collection Educational collection		Biopsied Other: ______________________________ Unknown

TAG / MARK DATA: Checked for flipper tags: Yes No Scanned for PIT tags: Yes No

Tag / mark type Numbers Location on animal Applied Present

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ENTANGLEMENT / WOUND DESCRIPTION: Use table below to describe the entanglement configuration and any wounds associated with the entanglement site. Check all that apply. Note the specific location, # wraps, partial or complete circumference, tight vs. loose, etc.).

Body area involved	Movement impaired	Indentation	Skin abraded	Muscle exposed	Bone exposed	Swelling	Discoloration	Tissue necrotic/ sloughing
Head / neck
	Description:
Front flippers
	Description:
Carapace / plastron
	Description:
Rear flippers
	Description:

BEHAVIORAL OBSERVATIONS

Response to Approach and Handling: Check one.

Vigorous movement

Movement slow, sluggish, or weak

Unconscious / Unresponsive

Could not evaluate

Response Upon Release: Check one from each row below.

Vigorous movement

Movement slow, sluggish, or weak

Movements abnormal (e.g. uncoordinated, circling, listing)

Could not evaluate

Dives and/or swims away within 1 minute

Remains at surface and/or does not swim deliberately away within 1 minute

Describe Behavior:

EVENT SUMMARY AND ADDITIONAL REMARKS:

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DISCLAIMER

These data should not be used out of context or without verification. This should be strictly enforced when reporting signs of human interaction.

The collection of information on sea turtle entanglement is necessary to ensure sea turtles are being conserved and protected, as mandated by the Endangered Species Act of 1973, as amended. Your voluntary collection and submission of this information will help achieve this objective. The public reporting burden for this collection of information is estimated to average one hour 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. 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. Personal identifiers and any commercial information will be kept confidential to the extent permitted under the Freedom of Information Act (FOIA) (5 U.S.C. 552), the Department of Commerce FOIA regulations (15 CFR Part 4, Subpart A), the Trade Secrets Act (18 U.S.C. 1905), and NOAA Administrative Order 216-100. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to (NMFS, Greater Atlantic Regional Fisheries Office Protected Resources Division, 55 Great Republic Drive, Gloucester, MA 01930).