Noaa Form 89-864 - Marine Mammal Stranding Report - Level A Data - 2017
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2MARINE MAMMAL STRANDING REPORT - LEVEL A DATA
FIELD #: __________________________ NMFS REGIONAL #: _____________________________ NATIONAL DATABASE#: __________________________________
(NMFS USE)
(NMFS USE)
COMMON NAME: _______________________________ GENUS: _______________________________ SPECIES: ___________________________________________
EXAMINER Name: ________________________________________________ Affiliation: _________________________________________________________________
Address: _____________________________________________________________________ Phone: ______________________________________________________
________________________________________________________________________________________________
Stranding Agreement or Authority:
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LOCATION OF INITIAL OBSERVATION
OCURRENCE DETAILS
Restrand
GE# ____________________
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State: _______ County: _____________________
Group Event:
YES
NO
(NMFS Use)
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City: _____________________________________
If Yes, Type:
Cow/Calf Pair
Mass Stranding
# Animals: _______
Actual
Estimated
Body of Water: ____________________________
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Findings of Human Interaction:
YES
NO
Could Not Be Determined (CBD)
Locality Details: ____________________________
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If Yes, Choose one or more:
1. Boat Collision
2. Shot
3. Fishery Interaction
_________________________________________
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4. Other Human Interaction:_____________________________________________________________________
Lat (DD): ________ . _____________________ N
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How Determined (Check one or more):
External Exam
Internal Exam
Necropsy
Long (DD): ________ . ___________________ W
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Other: _____________________________________________________________________________________
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Actual
Estimated
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Gear Collected?
YES
NO Gear Disposition: _____________________________________________________
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Other Findings Upon Level A:
YES
NO
Could Not Be Determined (CBD)
How Determined: (check ONE)
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GPS
Map
Internet/Software
If Yes, Choose one or more:
1. Illness
2. Injury
3. Pregnant
4.Other:____________________________
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How Determined (Check one or more):
External Exam
Internal Exam
Necropsy
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: __________________________________________________________________________
Other
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INITIAL OBSERVATION
LEVEL A EXAMINATION
Not Able to Examine
Date: Year: _______ Month: ____________ Day: _______________
Date: Year: _______ Month: ____________ Day: _______________
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First Observed:
Beach or Land
Floating
Swimming
CONDITION AT EXAMINATION (Check ONE)
CONDITION AT INITIAL OBSERVATION (Check ONE)
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1. Alive
4. Advanced Decomposition
1. Alive
4. Advanced Decomposition
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2. Fresh dead
5. Mummified/Skeletal
2. Fresh dead
5. Mummified/Skeletal
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3. Moderate decomposition
6. Unknown
3. Moderate decomposition
6. Condition Unknown
INITIAL LIVE ANIMAL DISPOSITION (Check one or more)
MORPHOLOGICAL DATA
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1. Left at Site
6. Euthanized at Site
SEX (Check ONE)
AGE CLASS (Check ONE)
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2. Immediate Release at Site
7. Transferred to Rehabilitation:
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1. Male
1. Adult
4. Pup/Calf
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3. Relocated
Date: Year:______ Month:_____Day:___
2. Female
2. Subadult
5. Unknown
Facility:___________________________
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3. Unknown
3. Yearling
4. Disentangled
8. Died during Transport
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5. Died at Site
9. Euthanized during Transport
Whole Carcass
Partial Carcass
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10. Other:____________________________________________________
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Straight length:______________
cm
in
actual
estimated
CONDITION/DETERMINATION (Check one or more)
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Weight:____________________
kg
lb
actual
estimated
1. Sick
7. Location Hazardous
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2. Injured
a. To animal
PHOTOS/VIDEOS TAKEN:
YES
NO
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3. Out of Habitat
b. To public
Photo/Video Disposition: ________________________________________________
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4. Deemed Releasable
8. Unknown/CBD
____________________________________________________________________
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5. Abandoned/Orphaned
9.Other__________________
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CARCASS STATUS (Check one or more)
6. Inaccessible
__________________________
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1. Left at Site
4. Towed: Lat__________Long__________
7. Landfill
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TAG DATA Tags Were:
2. Buried
5. Sunk:
Lat__________Long__________
8. Unknown
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Present at Time of Stranding (Pre-existing):
YES
NO
3. Rendered
6. Frozen for Later Examination
9. Other______________
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Applied during Stranding Response:
YES
NO
SPECIMEN DISPOSITION (Check one or more)
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ID#
Color
Type
Placement*
Applied
Present
1. Scientific collection
2. Educational collection
(Circle ONE)
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3. Other:__________________________________________________________
D DF L
_________________________ LF LR RF RR
Comments: __________________________________________________________
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D DF L
____________________________________________________________________
_________________________ LF LR RF RR
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NECROPSIED
NO
YES
Limited
Complete
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D DF L
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Carcass Fresh
Carcass Frozen/Thawed
_________________________ LF LR RF RR
NECROPSIED BY: ____________________________________________________
* D= Dorsal; DF= Dorsal Fin; L= Lateral Body
LF= Left Front; LR= Left Rear; RF= Right Front; RR= Right Rear
Date: Year: ______________Month:_______________Day:__________________
NOAA Form 89-864; OMB Control No.0648-0178; Expiration Date 01/31/2017
PLEASE USE THE BACK SIDE OF THIS FORM FOR ADDITIONAL REMARKS
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