Observer evaluation form

November 2014

OMB Control #0648-0593. Expires 11/30/2015.

Observer Evaluation
The SEFSC Miami Laboratory recently placed 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 you would
take the time to fill out this questionnaire. We wish to insure that the observers conduct themselves professionally,
are safe, and get along with the crew during a voyage. Please fill in the information below and return to: Pelagic
Observer Program, 75 Virginia Beach Drive, Miami, FL 33149. Your information is important to us in order to
run a better observer program. If you are the owner and were not present during the trip, please consult with your
captain.

Observer name:____________________ Vessel assigned:____________________

Dates of trip: ____________________________

Please provide yes or no responses. You can provide more detailed comments about the
observer on the back if you wish.

1. Did the observer delay your departure time?

______

2. Was the observer’s conduct while aboard your vessel professional?
3. Was the observer easy to work with?

______

______

4. Did you notice any problems between the observer and the crew?

______

5. Did the observer get his work done in a timely manner as to not impact your normal operations significantly?

_______
6. Did you and the observer discuss vessel safety procedures?

______

7. Was the observer seen doing anything that seemed unsafe?

______

8. Did the observer seem to experience seasickness?
9. Did the observer help keep clean the galley area
Help with dishes ______?

______

_______; bunk area ______;

Evaluation filled out by: Owner / Captain (circle one)
Additional comments on the questions please place on the back of form.

November 2014

OMB Control #0648-0593. Expires 11/30/2015.

Additional comments:
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PAPERWORK REDUCTION ACT STATEMENT:
The information provided on this form will be used by the National
Marine Fisheries Service (NMFS) to improve observer training under section 403(b) of the Magnuson-Stevens
Act (16 U.S.C. 1801, et seq.), which will assist NMFS to collect information that is used in analyses that
support the conservation and management of living marine resources and that are required under the
Magnuson-Stevens Fishery Conservation and Management Act (MSA), the Endangered Species Act (ESA), the
Marine Mammal Protection Act (MMPA), the National Environmental Policy Act (NEPA), the Regulatory
Flexibility Act (RFA), Executive Order 12866 (EO 12866), and other applicable law. The public reporting
burden for this form is estimated to average 15 minutes per response, including the time for completing,
reviewing, and transmitting the information on the form. Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing the burden to:
National Marine Fisheries Service, F/SF1, National Observer Program, 1315 East West Highway, Silver
Spring, MD 20910. Providing the requested information is voluntary. 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. 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.
This is an approved information collection
under OMB Control No. 0648-0593 through 09/30/2012.