Initial questions

Initial questions

  • Farmer Name

  • Farmer Code

  • Community

  • Group

  • Date

  • Internal Inspector

  • Location
  • Person present during inspection

  • Certification Status

Farm details

Farm details (all plots including nonorganic plots)

  • The plots are the same as last year and as registered in internal documentation

  • Plot

  • Location

  • Acreage

  • Main Crop

  • Last Year Yield (bags)

  • Yield Estimate (bags)

  • Intercrops

  • Use of Inputs including seeds (last year) Product, Quality, Date

Farm and Farm Management

Farm and Farm Management

  • Whole farm is managed organically (all crops)<br>

  • If also non-organic crops: conventional plots clearly separate the organic plots; storage of Input is separate

  • Justification/ Condition (No non organic crops)

  • If also non organic crops: organic export crops is not grown also on non-organic plots<br>(no parallel production)

  • Justification/ Condition (No non organic crops)

  • Farmer’s understanding of organic?

  • Number of trainings since last year

  • Farmer aware of international organic standards

  • Has copy of IOS and contract

  • Comments

Management of cocoa

Management of cocoa

  • Shade Conditions (degree, diversity)

  • Justification/ Condition

  • Weed Control

  • Justification/ Condition

  • Pruning Practice (presence of chupons and mistletoes)

  • Justification/ Condition

  • Soil Conservation (soil cover, trenches, mulch)

  • Justification/ Condition

  • Cleanliness on the farm (waste disposal)<br>

  • Justification/ Condition

  • Blackpod Control

  • Justification/ Condition

  • Capsid Control

  • Justification/ Condition

  • Other diseases (Swollen Shoot disease, stem borer, pod borer)

  • Justification/ Condition

  • Comments

Organic Inputs

Pyrethrum Application

  • Date of application

  • % coverage

  • Was PPE used?

  • Applied by

Fertilizer Application

  • Date of application

  • % coverage

  • Type

Compost & Manure

  • Date of application

  • % coverage

  • Origin of material

  • Age of material

Risk Management

Risk of Contamination Form

  • CODAPEC spraying on or near farms

  • Comment / Condition

  • Drift from conventional fields

  • Comment / Condition

  • Owners’ input

  • Comment / Condition

  • Storage area

  • Comment / Condition

  • Harvesting

  • Comment / Condition

  • Storage for several farmers <br>Input storage there

  • Comment / Condition

  • Measures taken to minimize risk/Comment

Animal Husbandry

Animal Husbandry- Changes in livestock situation

  • Animals are well kept and not mistreated

  • Justification / Comments

Post harvest activities

Post harvest processing quality

  • Ripeness of cocoa picking

  • Presence of black/ mouldy pods

  • Fermentation heap size

  • Fermentation duration

  • Turning and sorting of beans

  • Drying Conditions

Approval Recommendations of Inspectors

Approval Recommendations of Inspectors (whole farm)

  • Compliance with previous conditions

  • Compliance this year

  • Corrective measures or explanation: (for severe noncompliance, please complete violation form)

Declaration

Declaration

  • The farmer herewith confirms that he/she has complied with the internal organic standards and has declared all used inputs & activities as stated in this form. The farmer has noted the set conditions

  • How does the farmer wish to validate the report?

  • Farmer's Signature

  • Signature Internal Inspector

  • Append an image of fingerprint

Approval Decision by Yayra Glover Limited

Approval Decision by Yayra Glover Limited

  • Compliance

  • Additional Conditions or Sanctions

  • Signature/Stamp of Approval Manager

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.