Information
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Document No.
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Audit Title
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Company
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Farm Name
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Location
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Phone
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e-mail
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Farm Type
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House Specifications (length, width, area, volume, etc.)
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Conducted on
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Prepared by
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Personnel present at audit
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Signature
AREA
[1] Disease history in the location and surroundings.
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Select the correct response with regard to the most recent disease outbreaks (including this farm) within 6 miles or 10 km of the location.
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1.1. Avian Influenza (AI) in commercial poultry (chickens, turkeys, ducks, etc.) - Low pathogenicity?
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1.2. Avian Influenza (AI) in avian species other than commercial poultry (chickens, turkeys, ducks, etc.)?
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1.3. Exotic ND or vvND in commercial poultry (chickens, turkeys, ducks, etc.)?
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1.4. Exotic ND or vvND in avian species other than commercial poultry?
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1.5. MG/MS in commercial poultry (chickens, turkeys, ducks, etc.)?
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1.6. Sp/Sg/Se/St in commercial poultry (chickens, turkeys, ducks, etc.)?
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1.7. Infectious Coryza in commercial poultry (chickens, turkeys, ducks, etc.)?
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1.8. ILT in commercial poultry (chickens, turkeys, ducks, etc.)?
[2] Physical proximity of other poultry-related operations to this location.
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Circle the number of each of the types of sites within a 2-mile radius or 3 km of this location.
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2.1. Are there broiler farms within...
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2.2. Are there broiler breeder and/or pullet farms within...
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2.3. Are there table egg pullet and/or egg layer farms within...
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2.4. Are there backyard poultry/hobby poultry/fighting chickens within...
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2.5. Is there a poultry live or flea market within...
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2.6. Is there a livestock of any type (besides chicken) within...
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2.7. Is there a litter processing site within...
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2.8. Is there a live haul, rendering or (used) litter route within...
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2.9. Is there a preserve or natural site with waterfowl or wild birds within...
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2.10. Is there a diagnostic laboratory within...
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2.11. Is there a poultry company office (including allied industry) within...
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2.12. Is there a poultry processing plant within...
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2.13. Is there a feed mill within...
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2.14. Is there a hatchery within...
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2.15. Is there livestock (that are fed poultry litter from other locations) within...
FARM
[3] Physical aspects related to the operation of the location being audited.
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With regard to the topics, select the one description which best describes the parts of this farm under the direct control of the caretaker.
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3.1. Visitor log at entrance?
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3.2. Warning sign at farm entrance?
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3.3. At farm entrance...
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3.4. Number of birds at site
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3.5. Fumigation room/box for equipment
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3.6. Fencing
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3.7. Litter storage (shavings, rice hulls, etc.)
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3.8. Shortest distance to next farm under different management is...
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3.9. Shortest distance to nearest road is...
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3.10. Water on the site comes from...
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3.11. Farms/Manure
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3.12. Machinery
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3.13. Trash removal
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3.14. Vehicles from visitors...
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3.15. Farm vehicles...
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3.16. Vehicles with supplies (egg boxes, bedding material, feed, etc.)...
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3.17. Feed Bins...
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3.18. Bathroom/Changing clothes facility...
[4] People that work or visit this location.
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With regard to the topics, select the one description which best describes the parts of this farm under the direct control of the caretaker.
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4.1. Anyone associated with farm (owns, lives or works)
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4.2. Farm residence
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4.3. Multiple residences
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4.4. Caretaker / Employee dress policy
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4.5. Visitor dress policy
HOUSE
[5] Physical aspects of the house
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With regard to topics questioned, select the description which best describes the houses being audited.
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5.1. Visitor log is...
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5.2. Warning or biosecurity sign at house door...
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5.3. Bathroom changing clothes facility...
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5.4. Fencing...
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5.5. Bushes or weeds around the house...
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5.6. Footpaths (wet or dry)...
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5.7. Type of house...
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5.8. Downtime after cleaning and disinfection
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5.9. Source of water...
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5.10. Water sanitation...
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5.11. Cleanout...
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5.12. House structure
[6] People that work in this location
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With regard to topics questioned, select the description which best describes the houses being audited.
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6.1. Caretaker/Employee dress policy
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6.2. Visitor dress policy
[7] Other animals besides the commercial birds
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With regard to topics questioned, select the description which best describes the houses being audited.
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7.1. Other livestock (non-poultry) with contact withe chicken house(s)
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7.2. Pets
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7.3. Rodent control
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7.4. Wild birds and wild animals
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7.5. Insects
[8] General management of the house
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With regard to topics questioned, select the description which best describes the houses being audited.
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8.1. All-in / All-out
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8.2. Dead bird disposal
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8.3. Feed management and storage
GENERAL PROCEDURES
[9] Required protocols...
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With regard to topics questioned, select the description which best describes the houses being audited.
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9.1. Biosecurity matrix
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9.2. Submit visitor clearance form (authorization from general manager or responsible must be signed ahead of time and send to gate).
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9.3. Written and signed agreement with employees about not having bird pets at home
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9.4. Preventative maintenance program
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9.5. Cleaning and disinfection program
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9.6. Surveillance monitoring program for Salmonella
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9.7. Surveillance monitoring program for Mycoplasma (MG and MS)
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9.8. List of available products and supplies with material safety data sheet (MSDS)
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9.9. Monitor production storage and out loads areas for Salmonella contamination
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9.10. Feed treatment
ACTIONS
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Comentarios?
