Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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FARM NAME:
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SMS#:
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Select date
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Evaluator Name:
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2 yr summary of monthly internal audits: analyze lagoon/pit freeboard trends, violations, winter time application, near misses, indications of capacity loss
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COMMENTS:
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Training attendance record-date of last training
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COMMENTS:
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Look at dead animal disposal, condition of facilities, size, history on audit
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COMMENTS:
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LAND APPLICATION AREA AND EQUIPMENT
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a. pumps: age and condition
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COMMENTS:
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b. pipeline: buried or portable, hose reels, ditch crossing
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COMMENTS:
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c. travel gun, or stationary
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COMMENTS:
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d. or is a tank used- condition and size adequate
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COMMENTS:
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e. fields used for application
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(1) close to neighbors
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COMMENTS:
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(2) surface water features
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COMMENTS:
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(3) how many years used for application?
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COMMENTS:
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(4) NMP status?
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COMMENTS:
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LAGOON, TANK OR PIT CONDITION
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a. staff gauge
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COMMENTS:
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b. berm and spillway
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COMMENTS:
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c. vegetation
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(1) erosion
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COMMENTS:
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(2) ponding or low spots
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COMMENTS:
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(3) brush
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COMMENTS:
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(4) weeds and grass
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COMMENTS:
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d. solids - last agitation
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COMMENTS:
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SOLID WASTE DISPOSAL
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burn, burial pit or dumpster/service?
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COMMENTS:
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FEED BINS
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a. clean underneath
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COMMENTS:
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b. ladder-safe or ground operable lids?
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COMMENTS:
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Overall condition of facilities and storage
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COMMENTS:
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General Farmstead Appearance?
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COMMENTS:
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Bio-security Signs?
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COMMENTS:
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ADDITIONAL COMMENTS:
