Marine Mammal Stranding Report - Level A Data

MARINE MAMMAL STRANDING REPORT - LEVEL A DATA
FIELD #:

NMFS REGIONAL #:

NATIONAL DATABASE#:
(NMFS USE)

COMMON NAME:

(NMFS USE)

GENUS:

SPECIES:

EXAMINER Name:

Affiliation:

Address:

Phone:

Stranding Agreement or Authority:
Report Type: □ Stranded

□ Live entangled, in-water

□ Same Information for Level A Examination

INITIAL OBSERVATION
DATE: Year:

Month:

LOCATION: State:
Body of Water:
Locality Details:
Lat (DD):
Long (DD):
Actual

Day:

County:

City:

.

DATE: Year:

□ Estimated

First Examined:

□

How Determined: (check ONE)

□ GPS

□

□ Confirmed Public Report □ Confirmed by Network
□ Restrand

Month:

Actual

Examined?

Day:

□ Floating □

OnBeach/Land/Ice

LOCATION: State:
Body of Water:
Locality Details:
Lat (DD):
Long (DD):

N
W

.

□ Unconfirmed Public Report

LEVEL A EXAMINATION

□ OnBeach/Land/Ice □ Floating □ Swimming □ Anchored

First Observed:

□

CONFIDENCE CODE (Check ONE):

Swimming

County:

□ YES □ NO

□ Anchored

City:

.

N
W

.

□ Estimated

How Determined: (check ONE)

□ Map □ Internet/Software □Other___________________________

□ GPS

□ Map □ Internet/Software □Other_______________________________

CONDITION AT INITIAL OBSERVATION (Check ONE)

□
□
□

□ 4. Advanced Decomposition
□ 5. Mummified/Skeletal
□ 6. Condition Unknown

1. Alive
2. Fresh Dead
3. Moderate Decomposition

CONDITION AT EXAMINATION (Check ONE)

□
□
□

LIVE ANIMAL INFORMATION

1. Left at Site
2. Immediate Release at Site
3. Relocated and Released
4. Disentangled

□ a. Partially
□ b. Completely
□

□
□
□
□

CARCASS STATUS (Check one or more)

6. Died during Transport

Lat__________Long___________

7. Euthanized
8. Transferred to Rehabilitation:

Date: Year: ______Month: _______Day:______
Facility:_______________________________

9. Other:_________________________________________________________

1. Sick

7. Location Hazardous

□ a. To animal
□ b. To public

2. Injured
3. Out of Habitat

□ 8. Unknown/CBD
□ 9. No Rehabilitation Options
□ 10. Other: ____________________

4. Deemed Releasable
5. Abandoned/Orphaned
6. Inaccessible

MORPHOLOGICAL INFORMATION
SEX (Check ONE)

□
□
□

1. Male
2. Female
3. Unknown

□ Whole Animal

3. Moderate Decomposition

□ 1. Frozen for Later Examination/Necropsy Pending
□ 2. Left at Site □ 5. Landfill
□ 8. Towed:

5. Died at Site

CONDITION/DETERMINATION (Check one or more)

□
□
□
□
□
□

2. Fresh Dead

DEAD ANIMAL INFORMATION

INITIAL LIVE ANIMAL DISPOSITION (Check one or more)

□
□
□

□ 1. Adult
□ 2. Subadult
□ 3. Yearling

□ 3. Buried
□ 4. Rendered

EXAMINED BY:
Date: Year:

Code 2

□

Code 3

Month:

PHOTOS/VIDEOS TAKEN:
Photo/Video Disposition:

□ YES

□ 4. Pup/Calf
□ 5. Unknown

□ kg □ lb

□ Actual □ Estimated □ Not Weighed

SAMPLES COLLECTED (Check one or more)

□ 1. Histology □ 2. Other Diagnostics □ 3. Life History
□ 4. Skeletal □ 5. Other ______________________________
PARTS TRACKING (Check one or more)
2. Educational Collection

□ Code 4
Day:

□ NO

Was the Marine Mammal Human Interaction Report completed? □ YES

□ NO

□ YES □ NO □ Could Not Be Determined (CBD)
□ YES □ NO □ CBD
2. Shot □ YES □ NO □ CBD
3. Fishery Interaction □ YES □ NO □ CBD
4. Entangled □ YES □ NO □ CBD
5. Ingestion □ GEAR □ DEBRIS □ NO □ CBD

Findings of Human Interaction:
Evidence of:

1. Vessel Interaction

□ in
□ Actual □ Estimated □ Not Measured

□

□

CARCASS CODE AT EXAM

□ Partial Animal

1. Scientific Collection

□ 9. Sunk: Lat__________Long___________
□ 10. Unknown/Other______________________

DEAD ANIMAL EXAM □ YES □ NO
□ Photos Only □ External Exam □ Partial Internal Exam □ Complete Internal Exam
□ Carcass Fresh
□ Carcass Frozen/Thawed

Straight Length:______________ □ cm

□
□

□ 6. Incinerated
□ 7. Composted

OCCURRENCE DETAILS

ESTIMATED AGE CLASS (Check ONE)

Weight:___________________

□ 4. Advanced Decomposition
□ 5. Mummified/Skeletal

1. Alive

6. Other Human Interaction: ________________________________________
If YES, what was the likelihood that the human interaction contributed to the stranding event?

□ Uncertain (CBD)

□ Improbable

□ Suspect

□ Probable

□ YES □ NO Gear Disposition: ___________________________________
□ YES □ NO □ Could Not Be Determined (CBD)
If Yes, Choose one or more: □ 1. Illness □ 2. Injury □ 3. Pregnant □ 4.Other: ________________
How Determined (Check one or more): □ Photos Only
□ External Exam □ Partial Internal Exam
□ Complete Internal Exam (Necropsy) □ Other: ________________________________________
Gear/HI Items Collected?

Other Findings Upon Level A:

3. Other:_________________________________________

NOAA Form 89-864; OMB Control No.0648-0178; Expiration Date 03/31/2020

GROUP EVENT (NMFS Use)
GE# ___________________________________________

□ YES
□ NO
□ Cow/Calf Pair □ Mass Stranding □ UME

Group Event:
If Yes, Type:

# Animals:________□ Actual

TAG DATA
Tags Were:
Present at Time of Stranding (Pre-existing):
Applied during Stranding Response/Release:
Applied during Rehabilitation/Release:
Absent but Suspect Prior Tag:

ID#

□ Estimated

Color

Type

Placement*
(Circle ONE)

□ YES
□ YES
□ YES
□ YES

□ NO
□ NO
□ NO
□ NO

D DF L R
_________________________LF LR RF RR V
D DF L R

__________________LF

Present

Removed

□

□

□

□

□

□

□

□

□

LR RF RR V

D DF L R

__________________LF

Applied

LR RF RR V

* D= Dorsal; DF= Dorsal Fin; L= Left Lateral Body R= Right Lateral Body LF= Left Front; LR= Left Rear; RF= Right Front; RR= Right Rear; V= Ventrum

ADDITIONAL IDENTIFIER: _________________________________________________ (If animal is restranded, please indicate any previous field numbers here)
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 DATA.
DATA ACCESS FOR LEVEL A DATA
UPON WRITTEN REQUEST, CERTAIN FIELDS OF THE LEVEL A DATA SHEET WILL BE RELEASED TO THE REQUESTOR PROVIDED THAT THE REQUESTOR CREDIT THE STRANDING
NETWORK AND THE NATIONAL MARINE FISHERIES SERVICE. THE NATIONAL MARINE FISHERIES SERVICE WILL NOTIFY THE CONTRIBUTING STRANDING NETWORK MEMBERS THAT
THESE DATA HAVE BEEN REQUESTED AND THE INTENT OF USE. ALL OTHER DATA WILL BE RELEASED TO THE REQUESTOR PROVIDED THAT THE REQUESTOR OBTAIN PERMISSION
FROM THE CONTRIBUTING STRANDING NETWORK AND THE NATIONAL MARINE FISHERIES SERVICE.
PAPERWORK REDUCTION ACT INFORMATION
PUBLIC REPORTING BURDEN FOR THE COLLECTION OF INFORMATION IS ESTIMATED TO AVERAGE 30 MINUTES 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. SEND COMMENTS
REGARDING THIS BURDEN ESTIMATE OR ANY OTHER ASPECT OF THE COLLECTION INFORMATION, INCLUDING SUGGESTIONS FOR REDUCING THE BURDEN TO: CHIEF, MARINE MAMMAL
AND SEA TURTLE CONSERVATION DIVISION, OFFICE OF PROTECTED RESOURCES, NOAA FISHERIES, 1315 EAST-WEST HIGHWAY, SILVER SPRING, MARYLAND 20910. NOT WITHSTANDING
ANY OTHER PROVISION OF THE LAW, NO PERSON IS REQUIRED TO RESPOND, 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 THE COLLECTION OF INFORMATION DISPLAYS A CURRENTLY VALID OFFICE OF
MANAGEMENT AND BUDGET (OMB) CONTROL NUMBER.

NOAA Form 89-864; OMB Control