Shared Hawaii & American Samoa Forms - All

PLACEMENT CHECKLIST
Trip Number:

Observer:

Vessel Name:

Vessel LOA:
Permit Number:

Placement Meeting
Time:

Date:
Captain

ft

Call sign:

Placement Meeting Participants

Phone Number

Vessel Specification
Communication Equipment: SSB / VHF/ DSC / Sat

De-hooking equipment:
Long-handled de-hooker
Long-handled line cutter
Short-handled de-hooker

Is DSC registered: Y / N , Linked to GPS: Y / N
(comment if non-operational)
Water Supply: B / T / H2O Maker
Head: Y / N
Tank Volume:
Shower: Y / N
Number of Bunks:
Reasonable Privacy: Y / N

Mouth Gags
Bolt Cutters
Pole Gaff
Dip Net
Tire

Owner/Agent:
Others:

Fishing Trip Information
Trip Length:
Trip Type: D / S
Number of Sets:
Number of Crew:
Vessel Safety Checklist
QTY
Exp. Dates
Distress Signals

Mackerel type bait (Shallow only)
Blue Dye Tubs ( shallow only)
Observer Gear
Bag #: ____
Sat. phone #:
Comments: Note safety deficiencies, including those that

Hand
Parachute

do not prevent observers placement.
List aid provided to vessel:

Smoke

Current
# of Charged Fire Extinguishers:___________ insps? _____
Approval: USCG?____ Marine?____ Proper Brackets?____
# of correctly installed Ring Life Buoys:
Number of PFDs:
# of immersion suits (always required above 32 N):
Emergency Procedures Posted: Y / N
First Aid Kit: Y / N
First Aid and CPR Certified: Y / N
# of certified drill instructors :
Survival Craft
Number of Persons:
Manufacture Date:
Inspection Exp:

Correct installation: Y/ N

Hydrostatic Exp:
Emergency Position Indicating Radio Beacon
Battery test: P / F
Correct installation: Y/N
Battery Exp:
UIN:
CG Inspection Number:
CG Inspection Exp:

Hydrostatic Date:

Deficiencies in shaded areas prevent observer deployment
For tallies, circle total
For multiple Exp dates only record earliest
EVERY GRAY LINE REQUIRES AN ANSWER
Port Coordinators can use center column to check for completion

Ver.07.2022
OMB Control No. 0648-0593
exp. XX/XX/20XX

Port Coordinator Departure Checklist
Trip no: ______________

Observer

Select Vessel

Assign Trip Number

Setup Placement Meeting

Travel Pouch Papers

Company comms. protocols

Y/N

Placement

Test fit DNA corer to sampling pole
Observer departs

Check out/ Replenish gear
Beacon test
Survival suit Practice

Update Longline Trip Log
__________
EXTINGUISHER LAYOUT

Vessels over 65ft LOA = TWO 40B:C in engine room (or fixed system) plus …

x

wheelhouse

table

x

bunks

x

table

x

stateroom

x
ER door x

wheelhouse

x
galley

ER door x

Back deck

galley
Back deck

Minimum # extinguisher = 6

Minimum # extinguisher= 6+

below deck stateroom
x

wheelhouse

table

x

stateroom

x

wheelhouse

table

x

x
x

stateroom
x

ER door x

galley

ER door x

galley

paint /workshop

x

paint /workshop

x

Back deck
Minimum # extinguisher= 7+

Back deck
Minimum # extinguisher= 8+

Vessels 40-65ft LOA, must have at least have two - 5 B extinguishers anywhere *
*One 20-B portable fire extinguisher may be substituted for two 5-B portable fire extinguishers
References: 46 CFR 25.30, 46 CFR 28.155, 46 CFR 28.160

Ver. 2022

OMB Control No. 0648-0593 exp. XX/XX/20XX

Trip No.

WCPFC Mandatory Data Elements

Observer ID

GENERAL VESSEL AND TRIP INFORMATION FOR ALL VESSEL TYPES
Vessel Identification

Observer Information

Vessel Owner/Company

Vessel Flag

Nationality of Observer

Observer Provider - Country or Organization

Lynker - PIROP - USA

USA

Date, Time and Location of Embarkation

International Call Sign

2 0
Day

Month

Hour

Year

Minute

Date, Time and Location of Disembarkation

Markings consistent with 50 CFR § 300.217

2 0
Day

Month

Year

Hour

Minute

Reported Crew Information
Nationality of Captain

Identification Document*

Total Number Of Crew by Nationality

Nationality
Nationality of Fishing Master

Number

Identification Document*

Name of Fishing Master
* 50 CFR § 300.215 (c)

Reported Vessel Attributes
Vessel Cruising Speed

Gross Tonnage (GRT)

Vessel Fish Hold Capacity (mT)

Engine Power (hp)

Refrigeration Method

Ice
Chilled Sea Water
Refrigerated Sea Water
Blast Freezer

Other

form v. WCPFC.20.01

OMB Control No. 0648-0593 exp. XX/XX/20XX

Trip No.

WCPFC Mandatory Data Elements

Observer ID

GENERAL VESSEL AND TRIP INFORMATION FOR ALL VESSEL TYPES
Reported Vessel Electronics
Equipment

Y/N

Usage Code

Usage Codes

Usage Code

Definition

Radars

ALL

Used all the time

Depth Sounder

TRA

Used only in transit

Global Positioning System

OIF

Used often but only in fishing

Track Plotter

SIF

Used sometimes only in fishing

Weather Facsimile

RAR

Rarely used

Sea Surface Temperature (SST) Gauge

BRO

Broken

Sonar

NOL

No longer ever used

Radio/Satellite Buoys

XXX

Not mentioned

Doppler Current Meter
Expendable Bathythermograph (XBT)
Satellite Communications Service (Phone/Fax/Email)

Vessel Monitoring System
50 CFR § 300.219 (f)
Present (Y/N)
Security Seals Intact? (Y/N)

Fishery Information Service

Comments:

form v. WCPFC.20.01