Title Page

  • Farm #:

  • Farm:

  • Qtr:

  • Date:

Key Result Area:

  • PIGS WEANED/SOW/YEAR

  • Production Level:

  • Farm Goal:

  • Below/Meets/Exceeds

  • PIGS WEANED/LITTER

  • Production Level:

  • Farm Goal:

  • Below/Meets/Exceeds

  • LITTERS/SOW/YEAR

  • Production Level:

  • Farm Goal:

  • Below/Meets/Exceeds

  • PIG QUALITY (NON CONFORMANCE)

  • Production Level:

  • Farm Goal:

  • Below/Meets/Exceeds

  • FEED/FEMALE/WEEK

  • Production Level:

  • Farm Goal:

  • Below/Meets/Exceeds

  • Comments/Recommendations:

  • Action Plan/Timeline:

  • 1. Were any willful acts of abuse observed during the visit?

  • 2. Are animals euthanized in a timely manner?

  • 3. If euthanasia is observed, are animals handled humanely during the process?

  • 4. If euthanasia is observed, are animals euthanized in place or is suitable equipment available to move non-ambulatory animals so they can be humanely euthanized?

  • 5. If euthanasia is observed, do caretakers confirm insensibility and death after the euthanasia method is applied and before being removed from the facility?

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