protected b - fisheries and oceans canada
TRANSCRIPT
Protected B MARINE MAMMAL INCIDENT REPORT FORM
Please fill out every section below. Once completed, please submit this form to DFO per instructions on page 2.
Interaction Information
Deg Min
Interaction Date: Interaction Time: Location:
Latitude:
L ongitude: Deg Min
Name: Address:
Phone: Email:
I:
Species (check one)
D olphin / Porpoise
Species code:
Unidentified
W hale
Species code:
Unidentified
Seal / Sea Lion
Species code:
Unidentified
Incident typeOther (explain):
Support Material Photos Video Samples Other:
ID Confidence CertainProbablePossibleUncertain
Animal ConditionAppears HealthySick or Injured
Dead Unknown
Body Length <1m (<3 ft) 1-1.5m (3-5 ft)1.5-2m (5-7 ft)2-3m (7-10 ft)
3-8m (10-25 ft)8-16m (25-50 ft)16-26m (50-80 ft)>26m (>80 ft)
D escription: (shape, colour, markings, behaviour) Comments: (timeline, actions, people involved, etc)
Individual Observing the Interaction
Province:
Gear Damage
Gear Damage Gear Lost Cause Known Comments:
yes no
Dead AEntanglement Collision Harassment
Live Stranding Shooting Sick or Injured Depredation
Number of AnimalsMinimum #Maximum #Best Estimate
Other:
m or ft
Vessel Involved (if applicable)Target Species: Gear Type (if applicable)
SPECIES AND STOCK CODES FOR MARINE MAMMALS
Seals, Sea Lions and Otters
100 - Steller (Northern) Sea Lion 101 - California Sea Lion 105 - Northern (Pribilof) Fur Seal 114 - Walrus115 - Harbour Seal116 - Spotted Seal117 - Ringed Seal121 - Ribbon Seal124 - Gray Seal129 - Northern Elephant Seal 130 - Bearded Seal131 - Harp Seal132 - Hooded Seal135 - Sea Otter
203 - Unidentified Sea Lion 204 - Unidentified Seal
INSTRUCTIONS FOR COMPLETING THE MARINE MAMMAL INCIDENT REPORT FORM
The Department requests the public to fill out and submit this reporting form must be completed immediately after an incident occurs. If the incident involves a live animal, the Department requests that a call be placed immediately to the regional response network.
Hotline numbers can be found at: http://dfo-mpo.gc.ca/species-especes/mammals-mammiferes/report-rapport/page01-eng.html
Please send the completed form to the following email address: [email protected]
Protected B SCHEDULE V
Dolphins and Porpoises
047- Atlantic White-sided dolphin049 - Pacific White-sided Dolphin053 - Common Dolphin055 - Grampus (Risso's) Dolphin058 - Spotted Dolphin060 - Spinner Dolphin061 - Striped Dolphin063 - Northern Right Whale Dolphin068 - Harbour Porpoise072 - Dall's Porpoise
235 - Unidentified small cetacean
Toothed and Baleen Whales
002 - North Atlantic Right Whale 005 - Gray Whale007 - Fin Whale010 - Minke Whale011 - Humpback Whale012 - Sperm Whale016 - Beluga Whale037 - Narwhal038 - False Killer Whale039 - Killer Whale221 - Pilot Whale230 - Beaked Whale231 - Bryde's Whale232 - Dwarf Sperm Whale233 - Blue Whale234 - Northern Bottlenose Whale 235 - Bowhead Whale
210 - Unidentified Baleen Whale 220 - Unidentified Toothed Whale
GOAL OF DATA COLLECTIONThe information supplied on this form will be used by the Department of Fisheries and Oceans Canada to estimate levels of incidental mortalities and injuries to marine mammals. This information allows DFO to better assess the types of threats that may be affecting Canada’s marine mammals and develop mitigation strategies. Certain information supplied on this form may be considered proprietary and therefore subject to data confidentiality restrictions of the Privacy Act.