Appendix XI-A Marine mammal incident report form

This webpage is intended for informational purposes only.

Licence Holder Name:

Contact Name:

Contact Phone Number:

Facility Name:

Family Reference Number:

Contact Email:

Incident Date        
Incident Time        
Fish on Site? (Y/N);        
Average Weight (grams)        
Predator Species (Common Name)        
Incident Type        
Animal Condition        
System Component        
Photos Taken? (Y/N)        
Carcass Stored Pending DFO Advice? (Y/N)        
Mammal Released        
Carcass Discarded? (Y/N)        
Other Action Taken? (Y/N)        
Prior Mitigation Measures        
Incident Causes        
Corrective Measures Taken        
Comments        

Pick lists

Predator species

  • California Sea Lion
  • Harbour Seal
  • Other

Incident type

  • Drowning
  • Entaglement

Animal condition

  • Fresh
  • Moderate-advanced decomposition

System component

  • Containment Net
  • Predator Net
  • Shark Guard
  • Other