Inspection

Production Practices
What water sources are used for irrigation? (select all that apply)

Please specify

What water sources are used for washing products? (select all that apply)

Please specify

Are wells protected from contamination? (e.g., wells are sealed, covered, secured, etc).

Date of recent well water test

Are farm livestock and other wild animals restricted from growing areas?

Are portable toilets and/ or restrooms available to staff on the farm?

Is the field currently exposed to runoff from animal confinement or grazing areas?

Is raw manure incorporated at least 2 weeks prior to planting and/or at least 120 days prior to harvest?

Is manure application schedule documented?

What types of manure are used?

Product Handling

Are storage and packaging facilities separated from growing areas?

Is there a risk of contamination with manure after harvest?

Are harvesting baskets, totes or other containers kept covered and cleaned/ sanitized before (and in between harvest) use and stored in areas protected from pets, livestock, wild animals and other contaminants?

Is harvesting equipment/machinery that comes in contact with products kept as clean as possible?

Is potable water used to wash products?

Is product protected as it travels from field to packing facility?

Are new packaging crates, totes, boxes used each time?

Are packaging materials stored in areas protected from pets, livestock, wild animals or other contaminants?

Are temperature logs for coolers and refrigerators maintained?

Animal Handling

Are animals provided with clean water daily?

Are living areas for farm animals kept clean?

Are livestock slaughtering procedures executed hygienically?

Are meat products handled and stored according to food safety standards?

Transportation

Is product carefully loaded and stored to minimize physical damage and risk of contamination?

Is transport vehicle well-maintained and clean?

Is the vehicle properly cleaned prior to the loading of food products?

Are products kept at the appropriate temperatures during transport? (e.g. cold produce must be held at < 41º Fahrenheit)

Conditions of Places of Employment

Are tools, equipment, and machinery safe to use?

Are workers trained to do their jobs?

Are bridges and culverts under roadways on the farm or ranch strong enough to support the heaviest load that will cross them?

Is there enough clean drinking water for workers?

Are workplaces being maintained to avoid slipping hazards?

Is there a method to protect workers from falling when they are working at heights, and have they been trained to use it?

Hazardous Substances

Are substances that might harm workers marked with signs or symbols?

Have workers been told what to do if a harmful substance spills?

Does everyone working around anhydrous ammonia wear hand and eye protection?

Are showers or hoses available so workers can wash immediately if they are exposed to chemicals that might hurt their eyes or skin?

Have workers been told about any infectious organisms they might contact?

Pesticides

Are pesticides used according to the instructions on the label?

Are pesticides used according to good application practice?

Are all workers who mix, load, or apply moderately or very toxic pesticides over the age of 16?

Are all workers who clean or repair the equipment used for pesticides over the age of 16?

Do they wear the right protective clothing and equipment?

Are washing facilities available for workers who mix, load, and apply pesticides?

Before any fumigants or other moderately or very toxic pesticides are applied, are warning signs posted where workers enter the area?

Personal Protective Clothing & Equipment

Is the right personal protective clothing and equipment provided to workers?

Do workers wear leg protection while using a chainsaw?

Do workers wear hand and arm protection if materials are likely to cut or scratch?

Is the respirator in good working order?

Have workers been told how to use and maintain the respirator?

When a worker uses a respirator that seals with the face, is that seal effective?

Has the employer used engineering controls to keep noise below the permitted level?

Tools, Machinery, and Equipment

Are the seatbelts used whenever the tractor is moving or equipment is unstable?

Are workers operating mobile equipment properly instructed and capable?

Are brakes on mobile equipment working well?

Do workers using orchard ladders receive instruction first?

Are ladders inspected before each use and replaced or repaired immediately if found to be faulty?

Do the auger conveyors have guards wherever moving parts might touch workers?

Worker Health and Hygiene

Are workers trained about hygiene practices and sanitation?

Are signs posted to reinforce hygiene practices?

Are smoking and eating confined to designated areas separate from product handling?

Are workers instructed not to work if they exhibit signs of infection (e.g. fever, diarrhea, etc.)?

Do workers practice good hygiene by wearing clean clothing and shoes as appropriate for conditions?

Do workers practice good hygiene by changing aprons and gloves as needed?

Do workers practice good hygiene by covering open wounds with clean bandages?

Do workers practice good hygiene by limited bare hand contact with fresh produce?

Completion

Other notes/comments/explanations:

I confirm that the information provided above is accurate to the best of my knowledge:

Name & Signature of Assigned Agriculture Inspector
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.